Introduction
Registered nurses begin their professional journey with research queries using an evidence-based framework to enhance patient outcomes. PICOT question formulation is an essential function that is used by nurses to create effective patient care plans and practices to meet their specific needs. PICOT stands for population/patient, intervention, comparison, outcome, and time (Seppi, 2019). The PICOT process often starts with analyzing a case study in a clinical practice and formulates a research question that helps to answer a problem or find solution to an issue. This means using PICOT, researchers can create a comprehensive question by searching evidence from the literature (only credible sources) to support their original question. Patient refers to who is the patient or population of patients in a particular hospital or clinical setting; intervention refers to actions or treatment applied to that population; comparison means what other interventions are available; outcomes refers to the desired outcome, and time frame defines how much time taken to reach the desired outcome (Schramm, 2019).
This report addresses the evaluation of credible resources online to help nurses find the best treatment or diagnosis of anxiety and depression in patients. Several scholarly databases and online journals were researched while looking up for the relevant search terms and synonyms to arrive at the best resources. Moreover, the research has been narrowed down by limiting the work to the pertinent content such as peer-reviewed articles or other websites. The purpose of PICOT process is to find the research results that meet the standards of quality. After careful consideration of research results, the best available evidence is searched to construct the PICOT question (Kappelmann, 2020). Therefore, depending on secondary research mythology, the author of this report defines a practice issue in the hospital settings surrounding patients with depression and anxiety. The key findings from the resources are explained to apply PICOT process and the relevance of those key findings is explained.
In healthcare settings where a majority of adult patients with depression are brought more often than in the past, patients need effective treatments and strategies to have long-term benefits. There are currently 10 patients in the psychiatry ward who suffer from depression and chronic anxiety. Nurses need to have knowledge and research skills to effectively prevent depressive symptoms in patients put under their care; they need to apply interventions and take actions to treat depression patients with positive outcomes. Moreover, they need to compare their effectiveness with other methods and also need to measure the time taken to research, implement, and apply these techniques successfully. Normally, this intervention period is six to eight weeks depending on the severity of the patient’s condition or mental health (Hofmann, 2017). Therefore, the question being explored in this research is: Is psychotherapy approach is more comprehensive and effective compared to medication in managing behavior of patients with depressive symptoms?
The Individualized Intervention Model is a framework that considers of patients’ needs, history, abilities, and preferences in finding the best intervention strategies to eradicate depression (Feller, 2018). In this framework, the patient care tasks and strategies are applied directly by senior nurses and junior subordinates who are responsible for treating ten patients of depression in the current healthcare settings. These nurses have experience in psychotherapy, psychological treatment, and medication approach to reduce and cure depression in patients. Moreover, Care Staff Directed Model is also useful that is different from the Individualized Intervention Model. For instance, in the Care Staff Directed Model, patient care activities are mostly based on staff’s education and training to prove empathetic services to depression patients (Guidi, 2021). This model allows nurses to get proper feedback from their staff to improve their practices.
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