Assessment Description Learners must maintain a reflective journal integrating self-reflection and inquiry demonstrated in the current Doctor of Nursing Practice (DNP) cour

The 10 Strategic Points

Title of Project

1) Title of Project

Measuring the Impact of Covid-19 Pandemic Among Health Care Workers: An Evidence-Based Intervention

Background

Theoretical Foundation

Literature Synthesis

Practice Change Recommendation

2) Background to Chosen Evidence-Based Intervention:

i) Background of the practice problem/gap at the project site

Around the world, the COVID-19 pandemic has been devastating. Health problems, such as an increase in the number of illnesses and deaths, as well as financial difficulties and anxiety over the impact's long-term consequences are all unfavorable results. These health care workers (HCWs), who are in charge of addressing COVID-19 patients, have various challenges, including preventing the infection from spreading and developing short-term and long-term strategies. Additionally, HCWs must continue to treat non-COVID patients while simultaneously taking care of their own families and other personal duties (Shavaki et al., 2020). The high rates of burnout, psychological stress, and suicide among HCWs have long been suspected, and new data confirms these suspicions. Health care workers (HCWs) are susceptible to emotional exhaustion, which can lead to errors in patient care, decreased productivity, and higher turnover rates. For the benefit of their patients, their families, and themselves, healthcare workers must be able to handle stress successfully. Mental resilience, or one's capacity for coping effectively in the face of hardship, varies from provider to provider. COVID-19 proved that healthcare stresses, encompassing electronic medical record duties, insurance and billing issues, any patient dissatisfaction, and juggling busy work-life schedules are multidimensional.

ii) Significance of the practice problem/gap at the project site

During the Covid-19 period is a point that has changed the lives of the healthcare workers towards a negative side. They experienced tough conditions handling the needs of covid-19 patients and also balancing with the demand from the non-Covid-19 patients. The pandemic cases was rising steadily and becoming tough to prevent and also treat the affected patients. The healthcare facilities became overwhelmed due to the rising number of patients exceeding the maximum number that contribute to depletion of the resources that are available (Schechter et al., 2020). The healthcare workers are experiencing the challenges for the first time, and they were never trained to handle the nature of the pandemic, and this became overwhelming pushing some to depression. Since the number of patients become more than the capacity resulted to shortage of healthcare workers that forced them to work overtime, and this is the period where the issue of mental health is experienced among them. It was significant in understanding the gap on the issue of Covid-19 that affected the healthcare workers especially on the fact that medical errors are expected to increase when the patients are pushed beyond their capacity. Understanding about the gap is critical in looking for the best intervention in addressing the issue of mental health among the healthcare providers especially when experiencing such touch conditions. There is also the benefit that understanding the gap promote the approach of hiring more healthcare providers to curb the shortage in order to minimize burnout that is known to increase the issue of medical errors that is detrimental to patient health.

iii) Theoretical Foundations (choose one nursing theory and one evidence-based change model to be the foundation for the project):

There has been an increase in stress among health care personnel due to the Covid-19 epidemic. It is possible for them to alleviate their tension by using the transactional approach. A number of studies have shown that the problem has a significant impact on the psychological well-being of medical staff (Schechter et al., 2020). Emotion-based coping is scientifically proven to be beneficial in situations where a person has little control over the situation. In-depth analysis and emotion-based coping, according to the transactional theory, may improve health care workers, according to the findings. A catastrophic outbreak of the new coronavirus was faced by the entire planet in 2020. Covid-19 has had a significant impact on people's day-to-day activities and places of employment all over the world (Schechter et al., 2020). Naturally, the healthcare industry was one of the most severely impacted by the pandemic. As the foundation of healthcare delivery, nurses play an important role in this system. Nurses are particularly exposed to the negative effects of Covid-19-related conditions since they are on the front lines of the pandemic. As a result, their stress levels rise, affecting their overall health. An important contribution to our understanding of stress and coping is provided by the transactional model. Using the transactional theory, this study aims to find out how the Covid-19 epidemic affects nurses' overall well-being. Evidence based practice (EBP) model is important in analyzing the case concerning healthcare workers being affected by the Covid-19 pandemic. We can plainly see the positive effects of EBP on patient care and the health of nurses. In order to improve the effectiveness and efficiency of interventions while reducing costs and safety hazards, many groups have established competency-based, nurse-led EBP programs that re-design healthcare delivery (Schechter et al., 2020). Ensuring the long-term success of EBP implementation requires a culture of EBP preparedness that includes continual leadership support, the availability of appropriate resources, and the adoption of an EBP implementation strategy.

iv) Create an annotated bibliography using the "Preparing Annotated Bibliographies (APA 7th)" located in the Student Success Center. https://www.gcumedia.com/lms-resources/student-success-center-content/documents/writing-center/preparing-annotated-bibliographies-apa7-mla8-turabian9.pdf utilizing the five (5) original research articles that support the evidence-based intervention. This will be the foundation of the Literature Synthesis you will have to do in DNP-820A.

Hall, H. (2020). The effect of the COVID-19 pandemic on healthcare workers’ mental health. JAAPA (Montvale, N.J.), 33(7), 45-48. https://doi.org/10.1097/01.JAA.0000669772.78848.8c

According to Hall (2020), Covid-19 that was experienced first in Wuhan, China became a detrimental pandemic that affected population globally. Healthcare workers were not excepted because the rapid spread of the disease created huge challenges to the healthcare system and forced the providers to struggle with both the clinical and nonclinical stressors that came with it. The stressors that were experienced include the shortage of personal protective equipment. There is also the aspect of increasing mortality rate and also the healthcare workers taking the disease home and experience the realty of losing their colleagues and family members putting them in depression.

Spoorthy, M. S., Pratapa, S. K., & Mahant, S. (2020). Mental health problems faced by healthcare workers due to the COVID-19 pandemic–A review. Asian Journal of Psychiatry, 51, 102119. https://doi.org/10.1016/j.ajp.2020.102119

The article written by Spoorthy et al. (2020), indicates that during the Covid-19 pandemic, the socio-demographic variables that include the gender, age, nature of work and also the profession of an individual were associated with mental health conditions that includes stress and depression. The healthcare workers experienced mental health issues because during the pandemic, there was many issues going on including the increased mortality rate and due to the nature of the pandemic where social distancing is encouraged contributed to poor social support.

Batra, K., Singh, T. P., Sharma, M., Batra, R., & Schvaneveldt, N. (2020). Investigating the psychological impact of COVID-19 among healthcare workers: A meta-analysis. International Journal of Environmental Research and Public Health, 17(23), 9096. https://doi.org/10.3390/ijerph17239096

The article is critical in expressing how Covid-19 pandemic affected the psychological health of the healthcare providers. The providers experienced tough challenges during the pandemic that include losing family members and colleagues and were not capable of receiving social support resulting to too much suicide and depression cases.

Lasalvia, A., Bonetto, C., Porru, S., Carta, A., Tardivo, S., Bovo, C., Ruggeri, M., & Amaddeo, F. (2020). Psychological impact of COVID-19 pandemic on healthcare workers in a highly burdened area of north-east Italy. Epidemiology and Psychiatric Sciences, 30, e1. https://doi.org/10.1017/S2045796020001158

Healthcare workers in north-eastern Italy, where the COVID-19 pandemic has had a particularly heavy psychological toll, are feeling the effects of the pandemic more acutely and more severely than those recorded in China. The study provides excellent foundations for the development and implementation of psychological and occupational health interventions.

Blake, H., Bermingham, F., Johnson, G., & Tabner, A. (2020). Mitigating the psychological impact of COVID-19 on healthcare workers: A digital learning package. International Journal of Environmental Research and Public Health, 17(9), 2997. https://doi.org/10.3390/ijerph17092997

This epidemic, known as COVID-19, will definitely have long-term psychological effects on healthcare personnel, especially those on the front lines. In order to minimize the effects of COVID-19 on mental health, healthcare personnel well-being must be protected and promoted during and after the outbreak.

v) Practice Change Recommendation: Validation of the Chosen Evidence-Based Intervention

The change recommendation that is significant in addressing the impact of Covid-19 pandemic on healthcare workers include improving on social support and also considering offering protection through counseling during and after an outbreak.

vi) Summary of the findings written in this section.

The findings has gathered information about how the Covid-19 pandemic affected the population including the healthcare providers. There was much evidence that supports the fact that mental health, depression, and stress was the leading effect that healthcare providers experienced. The findings has shown that since mental health is the main effect that healthcare workers experienced demand that counseling and therapy should be mandatory and offered during and after a pandemic.

Problem Statement

3) Problem Statement:

It is not known if the outbreak of Covid-19 pandemic impact healthcare workers mental health.

PICOT to Evidence-Based Question

4) PICOT Question Converts to Evidence-Based Question:

Among the healthcare workers, how does the implementation of therapy/counseling sessions compared to none impact the rate of mental health among the providers during the pandemic period?

Sample

Setting

Location

Inclusion and Exclusion Criteria

5) Sample, Setting, Location

Identify sample, needed sample size, and location (project phenomena with small numbers and variables/groups with large numbers).

i) Sample and Sample Size: The sample of the population involved are healthcare workers 20 in number. The sample are collected through strategic sampling since the professionals are always busy at work. The healthcare workers would be drawn from different healthcare setting to eliminate bias.

ii) Setting: A clinical setting would be targeted.

iii) Location: Rural locations in California State where they are equally distributed.

iv) Inclusion Criteria

· Who can participate? Medical staff that include nurses, doctors, therapists, and staff.

v) Exclusion Criteria

· Who cannot participate: Non-medical staff.

Define Variables

6) Define Variables:

i) Independent Variable (Intervention): Therapy/counseling

ii) Dependent Variable (Measurable patient outcome): mental health

Project Design

7) Project Design:

Improvements in patient care are the primary goal of quality improvement initiatives, although research findings need not be immediately implemented into clinical practice. Research is needed to be conducted to ascertain an issue of concern and quality improvement is getting evidence that ensure that the topic of interest is improved.

Purpose Statement

8) Purpose Statement:

The purpose of this quality improvement project is to determine if the implementation of therapy/counseling intervention would impact the mental health well-being among the healthcare workers. The project was piloted over an eight-week period in a rural setting within California state.

Data Collection Approach

9) Data Collection Approach:

i) You will need data on your participants demographic information (example: age, gender, educational background, ethnicity……etc.). What instrument would you use to measure this? (Will you use a pre-made Likert Scale? An Excel Spreadsheet?)

I would use the Excel spreadsheet in collecting the demographic information and measuring them.

ii) You also need data on the measurable patient outcome. What instrument will you use (survey, electronic health records, instrument) to obtain this data and how is it determined to be valid and reliable.

I would use the survey instrument in measuring the patient outcome and the data is determined to be valid or reliable by involving healthcare experts and also using the 20 participants that is enough in getting credible data.

iii) For the instruments used to measure data provide the reliability and validity (psychometric studies) for each.

The survey instrument is reliable in a manner that the data that is collected can be reproduced, and this is done by using structured format. Spreadsheet is kn

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