Running head: NURSING RESEARCH 1

NURSING RESEARCH 3

NURSING RESEARCH

Name of Student

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Posttraumatic stress disorder

Posttraumatic stress disorder, or PTSD, is an uncommon but potentially debilitating ailment that may occur in those who have faced or seen a typical disaster, actual catastrophe, or mental oppressor incident. The unexpected death of a friend or family member, conflict, a problematic personal strike, such as abuse, or other life-altering events. Recent research has indicated that PTSD in military instructors may result from actual brain injury, especially damaged tissue, caused by combat-related consequences (Prins et al., 2016).

Without treatment, PTSD gradually improves. It is often in a state of deterioration. PTSD may be triggered in a matter of seconds by a flashback, a visual, a voice, or even a scent. Only half of those who look remember even "negligible adequate" therapy. Each day, 18 veterans commit suicide Each week, 126. Each year, 6,552. PTSD typically results in alcohol and pharmaceutical abuse and abusive conduct at residence (Mobbs & Bonanno, 2018). Troopers suffering from PTSD are likely to be divorced, become single parents, or become utterly penniless. Each evening, 200,000 veterans become homeless. 45 percent suffer from PTSD or adjustment problems. Numerous women suffer from the negative impacts of PTSD yet get less assistance since they were not involved in "direct combat." Female administrative personnel may also have PTSD as a result of sexual harm sustained while still in administration. Many soldiers with PTSD avoid seeking therapy out of worry that it may jeopardize their careers (Shalev et al., 2018).

potential innovation

The glucocorticoid and adrenergic signaling systems are the most often studied in these experimental strategies for preventing and treating PTSD. Analyzing Medication-Enhanced Psychotherapy is an exceptionally stimulating area of study (MEP). Pharmaceuticals administered prior to or following the initiation of treatment for PTSD can improve outcomes by

1) validating the memory and learning of fear destruction.

2) disrupting ligand binding, thereby disabling apprehension remembrances;

3) motivating psychotherapy participation by reducing hesitancy and increasing transparency to engagement. The next several years will provide insight into the neurobiological and clinical feasibility of many emerging techniques for the therapy and prevention of PTSD.

References

Prins, A., Bovin, M. J., Smolenski, D. J., Marx, B. P., Kimerling, R., Jenkins-Guarnieri, M. A., ... & Tiet, Q. Q. (2016). The primary care PTSD screen for DSM-5 (PC-PTSD-5): development and evaluation within a veteran primary care sample. Journal of general internal medicine31(10), 1206-1211.

Shalev, A. Y., Gevonden, M., Ratanatharathorn, A., Laska, E., Van Der Mei, W. F., Qi, W., ... & van Zuiden, M. (2019). Estimating the risk of PTSD in recent trauma survivors: results of the International Consortium to Predict PTSD (ICPP). World Psychiatry18(1), 77-87.

Mobbs, M. C., & Bonanno, G. A. (2018). Beyond war and PTSD: The crucial role of transition stress in the lives of military veterans. Clinical Psychology Review59, 137-144.

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Quantitative Annotated Bibliography

Patricia Marrero

NSG6101 Nursing Research

Project Week One

June 5, 2021

Deek, H., Hamilton, S., Brown, N., Inglis, S. C., Digiacomo, M ., Newton, P., Noureddine, S., MacDonald, P. S. & Davidson, P. M. (2016). Family-centered approaches to healthcare interventions in chronic diseases in adults: a quantitative systematic review. Journal of Advanced Nursing. 72(5); pp. 968-979.

The sole objective of authors in this quantitative article was to help adults living with chronic conditions develop educational and knowledge awareness on the importance of adopting a healthy lifestyle and eating patterns and bringing out other elements of effective self-centered care that likely improve health outcomes and safety. The paper analyzed 10 quantitative studies that evaluated patient outcomes upon introducing focused-family interventions and hence classified as a peer-reviewed article. Therefore, significant findings were supported with evidence-based researches, whereby authors affirmed the reliability of results with the successful outcomes of the applied family-centered interventions. In this case, the authors used transition care and active learning platforms to reduce the adverse effects of chronic illnesses on the patients. It is fundamental to involve families in the patient treatment plan. Perceiving the significance of patients' friends and family in patients' medical care plans, clinicians attempt to work with patients and families to guarantee their wellbeing and prosperity in a commonly beneficial relationship. However, the study was faced with a drawback of the year limits, opening gaps for future exploration. As a family nurse practitioner, this study is relevant because my role is to draw in families and relatives in patient care. After all, patient-centered care is focused on developing interventions that improve the quality of care and safety. The authors' fundamental concept in this review includes the family as a client, context, a system, and the family as a component of society.

Coyne, I., Comiskey, C. M. Lalor, J. G. Higgins, A. Eliott, N., & Begley, C. (2016). An exploration of clinical practice in sites with and without a clinical nurse or midwife specialists or advanced nurse practitioners in Ireland. BMC Health Services Research. 16(151)

This quantitative reviewed article's primary focus was to examine the impact of clinical practice in settings without advanced nurse practitioners, midwife professionals, and clinical nurses. The research study used different people holding various positions in the medical field through documentary, observations, and performance of interview data. There was a significant difference in the study’s outcome between the post holders and non-post holders. Post holders provided advanced medical care than non-post holders. In some cases, patient's needs and preferences did not match with the results of the EBP. Therefore, clinical practice and the role of a nurse are required to examine the patient’s preferences and need critically. Notably, the nurse must act as an advocate for the patients to meet their needs and preferences by modifying the guidelines developed from the clinical research. As a family nurse practitioner in the midwifery setting, I will benefit from this research study because postholders handle midwife services and roles. Data biases were limiting the analysis of collected information because there was no third party involved to correct data collected from people. The article concluded that healthcare facilities and other relevant healthcare agencies need to employ more personnel to fill the gaps of demands created by post holders and advanced practitioners deficient, especially in sites without midwife specialists or clinical nurses. Therefore, more specialist and advanced practice posts in nursing and midwifery should be developed and supported with healthcare in order to meet the changing healthcare demands, improve service delivery, and promote person-centered care.

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