NUR 550 Benchmark – Part B: Literature Review Assignment
In Part A, you described the population and quality initiative related to your PICOT (Population/Problem, Intervention, Comparison, Outcome, and Time to achieve the outcome) statement. In this assignment, you will formalize your PICOT and research process.
Use the GCU Library to perform a search for peer-reviewed research articles. Find five peer-reviewed primary source translational research articles.
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Cancer Treatment Choices: Latest Outcomes
In a paper of 1,250-1,500 words, synthesize the research into a literature review. The literature review should provide an overview for the reader that illustrates the research related to your particular PICOT. Include the following:
Introduction: Describe the clinical issue or problem you are addressing.
Methods: Describe the criteria you used in choosing your articles
Synthesize the Literature: Part A: Discuss the main components of each article (subjects, methods, key findings) and provide rationale for how this supports your PICOT; Part B: Compare and contrast the articles: Discuss limitations, controversies, and similarities/differences of the studies.
Areas of Further Study: Analyze the evidence presented in your articles to identify what is known, unknown, and requires further study.
You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
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. Please refer to the directions in the Student Success Center. NUR 550 Benchmark – Part B: Literature Review Assignment
In African-American patients with major depressive disorder, will the use of combined intervention involving cognitive behavioral therapy and antidepressants reduce severity of complications when compared to the use of antidepressants alone within 12 months?
NUR 550 Benchmark – Part B: Comprehensive Review of the Literature Assignment
Major depressive disorder stands out as a highly prevalent condition that brings about severe health issues not only to the affected individuals but also to their families and the wider community. According to statistical data, the lifetime prevalence of this disorder in the United States is estimated at 16%, affecting more than 30 million Europeans (Gartlehner et al., 2017). This data suggests that over 16 million adults in the United States, aged 18 and above, grapple with this condition on an annual basis (Dunlop et al., 2019). The disorder is characterized by symptoms like low self-esteem, diminished energy levels, unexplained aversion to activities, and persistent low mood. These symptoms lead to functional impairment due to a wide array of consequences, including thoughts of suicide, impaired concentration, sleep disturbances, and anhedonia (Dunlop et al., 2019). The risk of recurrence is substantially high, adding to the overall burden of the disease and the pressing need for interventions that promote the mental and physical well-being of patients. Unfortunately, with each subsequent recurrence, the severity of symptoms escalates, resulting in significant mental, social, physical, and financial costs to both individuals and society at large (Zhang et al., 2018).
Statistics indicate that the prevalence of major depressive disorder is lower among the African-American population compared to Caucasians. However, despite the lower prevalence, the risk of complications among African-Americans is notably high. This disparity can be attributed to several factors, including limited access to quality mental health services, low utilization of available healthcare services, and cultural influences on perceptions of mental health. Negative societal attitudes toward mental health, rooted in cultural beliefs and practices, are expected to hinder the utilization of available mental health services among African-Americans (Sohail et al., 2014).
The primary approach to managing major depressive disorder is the use of antidepressants, commonly referred to as the gold standard. Research consistently supports the effectiveness of medications such as selective serotonin reuptake inhibitors in treating the disorder’s symptoms and preventing relapses (Zhang et al., 2018). In recent years, there has been a growing emphasis on non-pharmacological interventions for managing major depressive disorder. This shift is driven by the potential adverse effects associated with antidepressant therapies. Statistics indicate that up to 63% of patients on antidepressant therapy experience adverse outcomes, leading to treatment discontinuation in 7-15% of cases (Gartlehner et al., 2017). The question of whether a combined approach involving both pharmacotherapy and non-pharmacotherapy can mitigate the health impacts of major depressive disorder remains inadequately explored. Hence, this proposed research will investigate this question, guided by the following PICOT query:
RESPONSE
I concur with your viewpoint regarding the critical need to implement measures aimed at bolstering the campaign against cervical cancer and increasing awareness about healthy lifestyle choices that can effectively mitigate the risk of cancer and related comorbidities (Fontham et al., 2020). An exemplary organization dedicated to advancing such objectives and actively contributing to the development of a comprehensive framework for minimizing the impact of cancer in our communities is the American Cancer Society. This society collaborates with community-based organizations to promote several key initiatives.
Firstly, they advocate for smoking cessation to reduce the incidence of tobacco-related cancers. Their efforts extend to encouraging a decrease in alcohol consumption, endorsing the adoption of healthy nutritional practices, and promoting regular physical exercise to support overall health and well-being. By focusing on these lifestyle factors, they aim to mitigate cancer risk factors.
Furthermore, the American Cancer Society emphasizes the importance of enhancing access to high-quality healthcare services. This accessibility ensures that individuals can undergo early cancer screenings and, if at risk, receive prompt treatment before the cancer progresses to advanced stages. This early intervention significantly improves the prognosis and overall outcomes for those affected by cancer.
In addition, the society provides a platform for individuals to share their experiences through an interactive online community of cancer survivors. This platform offers valuable support and hope to those currently battling the disease. The stories and insights of survivors can be a source of inspiration and encouragement for individuals facing similar challenges.
Moreover, the American Cancer Society is a proponent of equitable healthcare services, actively working to reduce healthcare disparities that exist among various racial and ethnic communities in the United States. They are committed to ensuring that all individuals, regardless of their background, have access to the same high standard of care and support in their fight against cancer.
In conclusion, the American Cancer Society plays a pivotal role in not only raising awareness but also actively engaging in initiatives that promote healthier lifestyles and early cancer detection. Their dedication to reducing healthcare disparities and providing a supportive community for cancer survivors exemplifies their commitment to the well-being of individuals and the fight against cancer.
References
Fontham, E. T. H., Wolf, A. M. D., Church, T. R., Etzioni, R., Flowers, C. R., Herzig, A., Guerra, C. E., Oeffinger, K. C., Shih, Y. T., Walter, L. C., Kim, J. J., Andrews, K. S., DeSantis, C. E., Fedewa, S. A., Manassaram‐Baptiste, D., Saslow, D., Wender, R. C., & Smith, R. A. (2020). Cervical cancer screening for individuals at average risk: 2020 guideline update from the American Cancer Society. CA: A Cancer Journal for Clinicians, 70(5). https://doi.org/10.3322/caac.21628
American Cancer Society. (2018). How We’re Providing Support. Cancer.org; American Cancer Society. https://www.cancer.org/about-us/what-we-do/providing-support.html
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