DNP- Direct Practice Improvement (DPI) Project Proposal Chapter 2 – Literature Review Chapter 2 of the Direct Practice Improvement (DPI) Project Proposal is titled ‘Liter
DNP- Direct Practice Improvement (DPI) Project Proposal Chapter 2 – Literature Review
Chapter 2 of the Direct Practice Improvement (DPI) Project Proposal is titled "Literature Review" and expands upon work you completed in DNP-820 in the Develop a Literature Review assignment. Synthesis of the literature in the Literature Review (Chapter 2) defines the key aspects of the learner's scholarly project, such as the problem statement, population and location, clinical questions, variables or phenomena (if relevant to the project), methodology and design, purpose statement, data collection, and data analysis approaches. The literature selected must illustrate strong support for the learner's practice change proposal.
TOPIC: Impact of Medication Administration Errors on 3-4-Year-old Leukemia Patients
General Requirements:
Use the following information to ensure successful completion of the assignment:
· Locate the "DPI Proposal Template" in the PI Workspace of the DC Network.
· Locate the Develop a Literature Review assignment you completed in DNP-820.
· Locate the "Research Article Chart" resource in the DC network Course Materials.
· Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
· This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
· You are required to submit this assignment to LopesWrite.
Directions:
Use the "DPI Proposal Template" and the “Develop a Literature Review” assignment from DNP-820 to develop a draft of a literature review (Chapter 2) for your DPI Project Proposal. The literature review (Chapter 2) is required to be a minimum of 20-25 pages including a minimum of 50 scholarly citations. You have already completed some of this review in previous courses. No less than 85% of the articles must have been published in the past 5 years. Articles selected must provide strong, reliable support for the proposal.
Use the following DPI proposal template’s criteria to create your draft Literature Review (Chapter 2):
1. Access and review the DPI Project Template for Chapter 2 criteria
o Sections of this Chapter include:
§ Introduction to the Chapter and Background to the Problem
§ Theoretical Foundations
§ Review of Literature including Themes and Sub-themes
§ Summary
1. Using the Clinical Question/PICOT question components, identify at least two themes which will organize the literature review .
2. Identify at least three subthemes that relate to each theme (six subthemes total).
3. Identify at least three empirical or scholarly articles related to each subtheme (18 articles total). At least one article must demonstrate a quantitative methodology.
4. Use the "Research Article Chart" resource as a guide to: (a) analyze and synthesize the literature into your paper, (b) state the article title, (c) identify the author, (d) state the research question(s), (e) identify the research sample, (f) explain the research methodology, (g) identify the limitations in the study, (h) provide the research findings of the study, and (i) identify the opportunities for practice implementation. For scholarly, nonempirical articles, state the article title and author, and provide a brief contextual summary of the article.
Resources
Read:
Sole, M. L., Talbert, S., Bennett, M., Middleton, A., Deaton, L., & Penoyer, D. (2018). Collecting Nursing Research Data 24 Hours a Day: Challenges, Lessons, and Recommendations. American Journal of Critical Care, 27(4), 305–311.
Read:
Hammer, M. J. (2017). Research Ethics in Big Data. Oncology Nursing Forum, 44(3), 293–295.
Read:
Corwin, E., Jones, D., & Dunlop, A. (2019). Symptom science research in the era of big data: Leveraging interdisciplinary resources and partners to make it happen. Journal of Nursing Scholarship, 51(1), 4-8.
Literature Evaluation Table – DPI Intervention
Learner Name: Marian Alli
PICOT-D Question: In the adolescent population with Depression problems in the High School settings, how does PHQ-9 tool impact in-patient referrals to the School Mental Health Department for over 9 weeks?
Table 1: Primary Quantitative Research – Intervention (5 Articles)
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(Include the GCU permalink or working link used to access the article.) |
· Setting/Sample (Type, country, number of participants in study) · Methods (instruments used; state if instruments can be used in the DPI project) · How was the data collected? |
(State p-value: acceptable range is p= 0.000 – p= 0.05) |
Outcomes / (Succinctly states all study results applicable to the DPI Project.) |
Explanation of How the Article Supports Your Proposed Intervention |
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Brown, M. R. G., Agyapong, V., Greenshaw, A. J., Cribben, I., Brett-MacLean, P., Drolet, J., McDonald-Harker, C., Omeje, J., Mankowsi, M., Noble, S., Kitching, D., & Silverstone, P. H. (2019). After the fort McMurray wildfire, there are significant increases in mental health symptoms in grade 7-12 students compared to controls. BMC Psychiatry, 19(1), 18. https://doi.org/10.1186/s12888-018-2007-1 |
Research Question: What is the impact of wildfire natural disaster in the adolescent mental health? Purpose: The aim of the study is to examine the impact of disasters on adolescents’ mental health |
Comparative experimental design |
Alberta, Canada 5866 participants The quantitative method and comparative experimental design are tools relevant for DPI project. Survey method used in data collection. |
P=0.05 |
The outcome confirms that adolescents are really affected by disasters and issues surrounding them. |
Biases that is there is that the research was only limited to 7-12 years students. |
Research is needed for other adolescent ages. |
The article supports challenges that adolescents undergo leading to depression and developing suicidal thoughts. |
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Cartman, G. (2019). The impact of primary care on first mental health contact for children and adolescents: A population-based cross-sectional cohort study in Québec, Canada Available from ProQuest Dissertations & Theses Global: The Humanities and Social Sciences Collection https://search.proquest.com/docview/2519942782 |
Research Question: What is the impact of Primary Care on First Mental Health Contact for Children and Adolescents? Aim: “To examine the association between primary care models and ED utilization in children and adolescents, both as the point of first MH contact and for visits subsequent to the first contact”. |
Cross-sectional cohort design. |
Québec, Canada 39,368 participants Database of registered persons. Review of Administrative health records using ICD-9 diagnostic model. |
P=0.05 |
Mental health related illness is subjected to a follow-up for 30 days. |
The involvement of participants were not done randomly increasing biasness and limiting the acceptability of the results universally. |
The article showcases the use of ICD-9 diagnostic model that relates much with the PHQ-9 tool. |
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Bjertnaes, A., Fossum, I., Oma, I., Bakken, K., Arne, T., & Holten-Andersen, M. (2020). A Cross-Sectional Study of the Relationship Between Mental Health Problems and Overweight and Obesity in Adolescents. Frontiers In Public Health, 8. https://doi.org/10.3389/fpubh.2020.00334 |
Research question: What is the relationship between mental health problems and overweight and obesity in adolescents? |
Cross-sectional cohort design. |
Norway. 1396 participants (adolescents). Strengths and Difficulties Questionnaire (SDQ). Cross-sectional surveys. |
P<0.05 |
The study outcome has indicated that overweight and obesity has a contribution to mental health. |
The current study has certain drawbacks. To begin, all of our information was provided voluntarily by participants in the study. The self-reported questionnaire raises the risk of type 2 errors because of the likelihood of random errors. Even so, we believe that the self-reported SDQ may have reduced the number of refusals, as the results are equivalent to those obtained through parent report (24). |
A better survey should be conducted avoiding the self-report. |
The article highlights the potential sources of problems adolescents experience leading to mental health. |
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Al-Zawaadi, A., Hesso, I., & Kayyali, R. (2021). Mental Health Among School-Going Adolescents in Greater London: A Cross-Sectional Study. Frontiers In Psychiatry, 12. https://doi.org/10.3389/fpsyt.2021.592624 |
Research question: What are the various mental health issues and factors that are associated with negative feelings among the adolescents in London? Aim: To describe mental health factors responsible for negative feelings among the adolescents. |
Cross-sectional design. |
London, U.K. 199 Participants. Cross-Sectional Survey. |
P=0.05 |
It has raised that negative feelings are associated with mental health among the adolescents, and this has an impact in the study. |
When it came to assessing mental health difficulties, the researchers used a non-validated proxy measure instead of a validated method. |
There should be a consideration to use probability sampling that assists in minimizing bias in the study. |
The study is of value to my proposed study in highlighting other contributing factors that lead to mental health among the adolescents. |
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Watson, R., Grossman, A., & Russell, S. (2019). Sources of Social Support and Mental Health Among LGB Youth. Youth &Amp; Society, 51(1), 30-48. https://doi.org/10.1177/0044118×16660110 |
How are sources of social support linked to psychosocial outcomes of youths? The aim of the study was to assess how social support might be differently linked with depression and self-esteem. |
Descriptive design. |
Urban, United States, 835 youths Surveys surveys |
P=0.30 |
Social support and its value were significantly linked to improved self-esteem and decreased depression for all adolescents, excluding lesbians. |
The data set was based solely on the responses of youths. |
A focus on "outness" and its relationship to social support should be explored in future research. |
The article advances my understanding of the role that social support plays in the psychological well-being of transgender children and adolescents. |
Table 2: Additional Primary and Secondary Quantitative Research (10 Articles)
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(Include the GCU permalink or working link used to access the article.) |
· Setting/Sample (Type, country, number of participants in study) · Methods (instruments used; state if instruments can be used in the DPI project) · How was the data collected? |
(State p-value: acceptable range is p= 0.000 – p= 0.05) |
Outcomes / (Succinctly states all study results applicable to the DPI Project.) |
Explanation of How the Article Supports Your Proposed DPI Project |
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Silva, S. A., Silva, S. U., Ronca, D. B., Gonçalves, V. S. S., Dutra, E. S., & Carvalho, K. M. B. (2020). Common mental disorders prevalence in adolescents: A systematic review and meta-analyses. PloS One, 15(4), e0232007. https://doi.org/10.1371/journal.pone.0232007 |
Research question: What is the prevalence of Common Mental Disorders (CMD) in adolescents, from the General Health Questionnaire (GHQ-12)? Aim: “The aim of the study is to estimate the prevalence of CMD in adolescents, from the General Health Questionnaire (GHQ-12).” |
Meta-analysis |
Urban area, Brazil. 79 892 adolescents aged 12 to 19 years. General Health Questionnaire (GHQ-12). Systematic review. |
P= 0.005 |
Mental health is an important component among the adolescents. |
The studies considered were conducted in different years and cannot define exactly the challenges that are there today. |
Primary research should be included with the secondary research for a more reliable data. |
The article approves that mental health is a challenge among the adolescents and using questionnaires during the study improve the outcome. |
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Cavioni, V., Grazzani, I., Ornaghi, V., Agliati, A., & Pepe, A. (2021). Adolescents’ Mental Health at School: The Mediating Role of Life Satisfaction. Frontiers In Psychology, 12. https://doi.org/10.3389/fpsyg.2021.720628 |
Research question: What role does life satisfaction has on the mental health of adolescents in schools? Aim: To determine the impact that life satisfaction among the adolescents contribute to mental health. |
Meta-analysis. |
Rural area, Canada. 3895 participants. Self-report instrument. Systematic review. |
P=0.05 |
Life satisfaction from the adolescent homes has an influence on their mental health. |
The self-report instrument is a main source of errors. |
Avoiding self-report approach to solve the errors. |
It highlights the aspect of satisfaction as a contributing element to mental health among the adolescents that is part of the PICOT question. |
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García-Carrión, R., Villarejo-Carballido, B., & Villardón-Gallego, L. (2019). Children and Adolescents Mental Health: A Systematic Review of Interaction-Based Interventions in Schools and Communities. Frontiers In Psychology, 10. https://doi.org/10.3389/fpsyg.2019.00918 |
Research question: How interaction-based intervention help in addressing mental health among adolescents? Aim: To determine the contribution of interaction-based intervention in handling mental health among adolescents. |
Systematic review |
Spain. 301 articles. Review of quantitative sources. Systematic review. |
P=0.05 |
Mental health is a critical challenge among the adolescents. |
Review of quantitative sources has limited data that qualitative would have provided. |
A mixed study should be considered. |
It contributes significantly to the PICOT Question especially on how mental health should be addressed. |
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Anjum, A., Hossain, S., Hasan, M., Alin, S., Uddin, M., & Sikder, M. (2021). Depressive Symptom and Associated Factors Among School Adolescents of Urban, Semi-Urban and Rural Areas in Bangladesh: A Scenario Prior to COVID-19. Frontiers In Psychiatry, 12. https://doi.org/10.3389/fpsyt.2021.708909 |
Research question: What is the prevalence of depressive symptoms associated with adolescents in Bangladesh? Aim: To determine the prevalence of depressive symptoms in the adolescents living in Bangladesh. |
Cross-sectional cohort design. |
Bangladesh. Urban, semi-urban and rural areas. 2,355 adolescents’ participants. Cross-sectional study. A self-administered questionnaire. |
p=0.05 |
During the period of Covid-19, school-going adolescents developed depressive symptoms that is detrimental to their academics. |
A self-administered questionnaire has a detrimental impact in the research where it increases errors. |
More focus should be directed to face-to-face survey that assist in reducing errors. |
It aligns with the PICOT question through addressing mental health among adolescents. |
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Litteken, C., & Sale, E. (2017). Long-term effectiveness of the question, persuade, refer (QPR) suicide prevention gatekeeper training program: Lessons from Missouri. Community Mental Health Journal, 54(3), 282-292. https://doi.org/10.1007/s10597-017-0158-z |
Research question: What is the effectiveness of question, persuade, and refer (QPR) suicide prevention among the adolescents? Aim: To evaluate the effectiveness of training in handling mental health. |
Cross-sectional cohort design. |
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