NURSING Literature Review Matrix Template
PICOT Question
Developed PICOT Question: In African American adolescent girls, will culturally
integrated intervention approaches such as cultural tailoring, community engagement, gender
specific empowerment and integrating ethnic pride components as compared to the standard
interventions which include generic approaches that emphasize on educating individuals on
factors such as abstinence and clinical testing, help reduce the prevalence of human
immunodeficiency virus (HIV) in the population within a year?
The PICOT Components
The PICOT components in these questions include: Population- African American
adolescent girls. Intervention- Culturally integrated education. Comparison- the standard
healthcare education. Outcomes- Reduce HIV prevalence. Time- Within a year. All the
components expected in the PICOT questions have been integrated.
The population is specific in age and other demographics- girls, the African American
population, and teenagers. This reflects the rise in particular age groups and populations, and
other cultural and ethnic elements contributing to the rise. This reflects on the contributing
factors and is relevant to the recommended interventions that will be tailored to meet these needs
and concepts (Baldwin et al., 2016). The intervention- culturally-integrated interventions
reflections on the culturally-related contributors, such as cultural tailoring, community
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engagement, gender specific empowerment, and integrating ethnic pride components, and how
they can be leveraged for practical implementations. This reflects on the need to address unique
social, ethnic, cultural, and racial elements, including stigma and inadequate access to healthcare
services in the population.
Comparison element- standard healthcare interventions, such as generic approaches that
emphasize educating individuals on factors such as abstinence and clinical testing, show that
despite having interventions that are already in place, the rates are still high, necessitating other
implementations for better outcomes (Cumpston et al., 2020). This will serve as a control
measure and show what could be improved.
Outcomes show the targeted and measurable expected outcomes that should be attained if
the interventions are practiced effectively. This will determine if the interventions reduce the
infection rates and the practices that could be improved following the interventions, including the
use of protection. Time, which has been identified as a year, shows the timeframe within which
the intervention will be implemented, and the outcomes will be significantly noticed (Cumpston
et al., 2020). The timeline reflects a period within which the outcomes will be feasible and
measurable.
Significance
The population in question- black American adolescent girls faces significant healthcare
disparities and disproportionate burden of disease compared to other populations. Therefore, this
PICOT will help promote a deeper understanding of the social determinants and cultural barriers
to addressing the existing problem. Most of the standard intervention focuses on factors such as
testing and safe sexual practices, which limit the cultural integrations where necessary.
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These PICOT questions will improve the following components of patient care: patient
care improvement, patient satisfaction, and healthcare costs, efficiency, and effectiveness. The
interventions recommended in the PICOT provide a strategic approach for better community
engagement to improve health outcomes (Hosseini et al., 2024). It also uncovers sustainable
approaches for reduced expenditure and patient-centered care for improved satisfaction.
Search Criteria and Databases
Keywords Search strategies Databases
· Culturally integrated HIV · Culturally integrated · PubMed
education] HIV interventions · ScienceDirect
· [HIV in African AND African · Scopus
American adolescent American adolescent · CINAHL
girls] girls AND Prevention · ERIC (Education
· [[culturally integrated · Culturally integrated · Resources Information
HIV education] HIV interventions OR Centre
· [gender-specific HIV African American · Biomed Central- BMC
prevention programs] adolescent girls OR · Google Scholar
· [community-based HIV Prevention
Prevention programs · Culturally Integrated
HIV Interventions for
African American
adolescent girls AND
Prevention
Inclusion and Exclusion Criteria
The inclusion and exclusion criteria are critical for the search outcomes. This includes studies
focusing on the demographics of African American girls, aged between 13 and 19, and those that
include culturally aligned interventions. The scholarly articles should be peer-reviewed and
published within the past 5 years (between 2020 and 2025) in English.