lOMoAR cPSD| 47061011
Week 6 speakers notes
Slide 1-Introdution
I am currently a master’s family nurse practitioner student at Chamberlain. Today, I will be
exploring evidence-based practice and how it applies to nursing practice. I will provide an
example of the conceptual model or diagram used to create the evidence-based practice.
Discussion of my practice track, the family nurse practitioner, will follow, addressing the
rationale for obtaining this advanced degree. Also, I will be discussing specific concerns related
to my area of interest and recommendations for a practice change. The problem statement in the
report is the prevention of teenager depression and suicide. Furthermore, guidelines for
enhancing patient outcomes, including internal and external factors, will be discussed. The
National Organization of Nurse Practitioner Faculties (NONPF) sets the standards for the nurse
practitioner core competencies. At least two NONPF competencies are relevant to the area of
teenager depression and suicide. Lastly, the conclusion will be reflecting on the information
provided today.
Slide 2-Importance of Evidence-based practice
• Evidence-based practice (EBP) collects, processing, and implements research judgments
to promote better clinical trials, the work environment, or patient outcomes. It is
meaningful because it aims to support the numerous beneficial care possible to enhance
patient outcomes, patient safety, overall well-being, and quality of care (Schub et
al.,2017). Patients require to acquire numerous adequate considerations based on the best
possible evidence. EBP guarantees that clinical practice is based on reliable evidence and
patients benefit as a result. Applying EBP also appears in more compatible clinical
recommendations and practice crosswise the health service. Again, it strikes a purpose in
securing that finite health resources are used intelligently, and that appropriate evidence
is considered when decisions are made about supporting health services (Bushell, 2019).
Evidence-based projects are advantageous because they form and enhance new nursing
skills; they help find problem sources and assess new technologies. Evidence-based
projects will stimulate the healthcare professional by requiring them to think about why
methods are in place and why they are performed in such a manner. With the
evidencebased practice achieved in care, nursing becomes more effective and up-to-date
with the newest improvements. Appropriating the EBP method to nursing practice
encourages them to implement the extraordinary quality and most cost-efficient patient
care desirable (Stevens, 2017).
Slide 3- Conceptual Model
The Advancing Research and Clinical Practice through Close Collaboration (ARCC) model was
first imagined in 1999 by Melnyk as a mentorship structure to support advanced practice nurses
in fulfilling the evidence-based practice (EBP) (Melynk et al., 2017). This model is used for
organization use, based on cognitive-behavioral theory. It essentially addresses implementations
of EBP and is most likely seen in massive organizations such as hospitals and community
practices (Schaffer, 2013). The ARCC model benefits organizations as a whole. This model
, lOMoAR cPSD| 47061011
involves two levels: assessing the organization's strengths and weaknesses in completing
evidence-based practice and selecting evidence-based practice guides who would escort other
nurses (Melynk et al., 2017). The most challenging features of this model are classifying EBP
guides and encouraging their leadership and mentoring techniques. However, even if EBP
mentors are not too skilled, their leadership and assistance will enable other nurses to use EBP.
Results of multiples research designate that EBP mentors, typically advanced practice nurses
who struggle with a duration of care providers to execute evidence-based care, have remained a
key policy in the ARCC model that has inspired positive clinical, healthcare, and patients
outcomes (Melynk et al., 2017). This model presumes that development in nurses’ EBP beliefs
results in advanced EBP implementation, improving nurses-related outcomes, such as nurses’ job
satisfaction and group cohesion. The ARCC model could be used to explain a standard screening
tool for depression in teenagers. This model would assist providers in generating the
determination to start examining and screening for depression in teenagers. This would allow
teenagers to get the appropriate diagnosis and mental health services needed.
Slide 4 Area of Interest:
Major depression is a well-known condition observed in the primary care environment, which
generally directs to suicide. People with depressive illnesses bring out the majority of suicides.
Untreated depression is a significant relevant portion to death by suicide, causing a teenager as
much as 12 times more likely to attempt suicide (CDC,2019). Resembling 800,000 people die
due to suicide every year (CDC, 2019). Depression and suicide is the next highest cause of death
in 15 to 29 years old (Santhanam, 2019). Depression, anxiety, and suicidal ideations do not
discriminate; they affect all races, genders, and backgrounds. However, suicidal behavior is more
noticeable among black youth (Santhanam, 2019). In 2019 an approximated 1.9 million teenage
were diagnosed with depression (CDC, 2019). The variation and emergence of these feelings
lead to anxiety and depression, creating suffering on they handle and reflect on daily activities.
For example, when a student stops visiting classes or departs socially, it may be time to be
involved. According to Santhanam (2019), patients who died by suicide were likewise to attend
their primary care practitioner or provider than a psychiatrist. With that being said, the primary
provider is in a unique position to recognize at-risk individuals and perhaps intervene. As an
advanced nurse practitioner, we can be possible gatekeeps in suicide prevention efforts. Talking
and asking about suicide ideations and depression may help the provider identify high-risk
patients requiring urgent intervention. Amplifying trust with the patient is quintessential for them
to be truthful and honest about their past and present circumstances, including risk factors and
life stressors. Clinical judgment is required as well, and the clinician continually pays attention to
detail (Santhanam, 2019). Comprehensive documentation and communication of more
information are significant to ensure sufficient monitoring and patient safety.
Slide 5 Issue/Concern and recommendation for changes
Depression is a subject that most are not comfortable talking about. We must make sure we are
doing what we can to screen them appropriately to identify any high-risk patients. People who
have encountered domestic violence or abuse are at a significantly greater risk of undergoing a
range of mental health conditions, including depression, tension, feelings of suicide. Researches
reveal that relentless emotional abuse can be as crucial as physical abuse (Lusk et al., 2011).
Week 6 speakers notes
Slide 1-Introdution
I am currently a master’s family nurse practitioner student at Chamberlain. Today, I will be
exploring evidence-based practice and how it applies to nursing practice. I will provide an
example of the conceptual model or diagram used to create the evidence-based practice.
Discussion of my practice track, the family nurse practitioner, will follow, addressing the
rationale for obtaining this advanced degree. Also, I will be discussing specific concerns related
to my area of interest and recommendations for a practice change. The problem statement in the
report is the prevention of teenager depression and suicide. Furthermore, guidelines for
enhancing patient outcomes, including internal and external factors, will be discussed. The
National Organization of Nurse Practitioner Faculties (NONPF) sets the standards for the nurse
practitioner core competencies. At least two NONPF competencies are relevant to the area of
teenager depression and suicide. Lastly, the conclusion will be reflecting on the information
provided today.
Slide 2-Importance of Evidence-based practice
• Evidence-based practice (EBP) collects, processing, and implements research judgments
to promote better clinical trials, the work environment, or patient outcomes. It is
meaningful because it aims to support the numerous beneficial care possible to enhance
patient outcomes, patient safety, overall well-being, and quality of care (Schub et
al.,2017). Patients require to acquire numerous adequate considerations based on the best
possible evidence. EBP guarantees that clinical practice is based on reliable evidence and
patients benefit as a result. Applying EBP also appears in more compatible clinical
recommendations and practice crosswise the health service. Again, it strikes a purpose in
securing that finite health resources are used intelligently, and that appropriate evidence
is considered when decisions are made about supporting health services (Bushell, 2019).
Evidence-based projects are advantageous because they form and enhance new nursing
skills; they help find problem sources and assess new technologies. Evidence-based
projects will stimulate the healthcare professional by requiring them to think about why
methods are in place and why they are performed in such a manner. With the
evidencebased practice achieved in care, nursing becomes more effective and up-to-date
with the newest improvements. Appropriating the EBP method to nursing practice
encourages them to implement the extraordinary quality and most cost-efficient patient
care desirable (Stevens, 2017).
Slide 3- Conceptual Model
The Advancing Research and Clinical Practice through Close Collaboration (ARCC) model was
first imagined in 1999 by Melnyk as a mentorship structure to support advanced practice nurses
in fulfilling the evidence-based practice (EBP) (Melynk et al., 2017). This model is used for
organization use, based on cognitive-behavioral theory. It essentially addresses implementations
of EBP and is most likely seen in massive organizations such as hospitals and community
practices (Schaffer, 2013). The ARCC model benefits organizations as a whole. This model
, lOMoAR cPSD| 47061011
involves two levels: assessing the organization's strengths and weaknesses in completing
evidence-based practice and selecting evidence-based practice guides who would escort other
nurses (Melynk et al., 2017). The most challenging features of this model are classifying EBP
guides and encouraging their leadership and mentoring techniques. However, even if EBP
mentors are not too skilled, their leadership and assistance will enable other nurses to use EBP.
Results of multiples research designate that EBP mentors, typically advanced practice nurses
who struggle with a duration of care providers to execute evidence-based care, have remained a
key policy in the ARCC model that has inspired positive clinical, healthcare, and patients
outcomes (Melynk et al., 2017). This model presumes that development in nurses’ EBP beliefs
results in advanced EBP implementation, improving nurses-related outcomes, such as nurses’ job
satisfaction and group cohesion. The ARCC model could be used to explain a standard screening
tool for depression in teenagers. This model would assist providers in generating the
determination to start examining and screening for depression in teenagers. This would allow
teenagers to get the appropriate diagnosis and mental health services needed.
Slide 4 Area of Interest:
Major depression is a well-known condition observed in the primary care environment, which
generally directs to suicide. People with depressive illnesses bring out the majority of suicides.
Untreated depression is a significant relevant portion to death by suicide, causing a teenager as
much as 12 times more likely to attempt suicide (CDC,2019). Resembling 800,000 people die
due to suicide every year (CDC, 2019). Depression and suicide is the next highest cause of death
in 15 to 29 years old (Santhanam, 2019). Depression, anxiety, and suicidal ideations do not
discriminate; they affect all races, genders, and backgrounds. However, suicidal behavior is more
noticeable among black youth (Santhanam, 2019). In 2019 an approximated 1.9 million teenage
were diagnosed with depression (CDC, 2019). The variation and emergence of these feelings
lead to anxiety and depression, creating suffering on they handle and reflect on daily activities.
For example, when a student stops visiting classes or departs socially, it may be time to be
involved. According to Santhanam (2019), patients who died by suicide were likewise to attend
their primary care practitioner or provider than a psychiatrist. With that being said, the primary
provider is in a unique position to recognize at-risk individuals and perhaps intervene. As an
advanced nurse practitioner, we can be possible gatekeeps in suicide prevention efforts. Talking
and asking about suicide ideations and depression may help the provider identify high-risk
patients requiring urgent intervention. Amplifying trust with the patient is quintessential for them
to be truthful and honest about their past and present circumstances, including risk factors and
life stressors. Clinical judgment is required as well, and the clinician continually pays attention to
detail (Santhanam, 2019). Comprehensive documentation and communication of more
information are significant to ensure sufficient monitoring and patient safety.
Slide 5 Issue/Concern and recommendation for changes
Depression is a subject that most are not comfortable talking about. We must make sure we are
doing what we can to screen them appropriately to identify any high-risk patients. People who
have encountered domestic violence or abuse are at a significantly greater risk of undergoing a
range of mental health conditions, including depression, tension, feelings of suicide. Researches
reveal that relentless emotional abuse can be as crucial as physical abuse (Lusk et al., 2011).
