Disorder In Military Personnel And Veterans: Discussion

Discuss About The Disorder In Military Personnel And Veterans.

The process of decision making should be from a relevant, reliable and reputable information. This can also be done by an Evidence-Based Practice which is an effective tool used to enhance care quality for the patients as well as to operate efficient medical services by ensuring the decision-making procedure is based on integrated available evidence with other recent resources in the medical field. The 1^st procedure of EBP is the development of a question that can be answered that utilizes current formula that have been appraised by noteworthy study. (Friesen-Storms et al., 2014) I am going to discuss how we are going to apply this tool in a systematic way to answer the following PICOT question: If the new treatment plans are beneficial likened to normal continuous treatment on the PTSD patients. In this case (P) is classified as PTSD patient. (I) is for beneficial treatment procedure for PTSD patient and (C) is for comparison between old and new treatment process for PTSD patients. This problem requires the comparison between new treatment plans and old treatment plans administered to patients with Post Traumatic Stress Disorder in terms of the benefits. Post-Traumatic Stress Disorder (PTSD) is a stress that develops when one undergoes a traumatic, shocking or scary event.

In the treatment of patients with the same diagnosis similar methods must not be applied due to the difference in human structure, psychological situation and genetics example different blood types or allergies reaction to some drugs or substances. In administration of treatment to patients suffering from Post Natal Stress Disorder this has been a problem since the treatment administered to them has been the same even though a new intervention has come up where counselling sessions are offered in the early stages of the PTSD (Osei-Bonsu et al., 2016).  On the other hand there are institutions that do not offer this service resulting in more stress and even suicidal thoughts and behavior in the patient’s mind. My interest in this topic is in ensuring that all institutions offering treatment to individuals suffering from PTSD will use the new treatment method after being informed appropriately of the comparison between both methods (Steenkamp, Litz, Hoge & Marmar, 2015).

In answering my PICOT question, I searched for key nursing databases that I accessed through Murdock university library link, these databases included CINAHL, Medline, Cochrane, ProQuest, ProQuest Central, and Scopus. I used several ways to determine which article to use in the research. First, to obtain my results, I search keywords such as ‘PTSD treatment’ ‘new PTSD treatment’ and ‘Disorder’ This brought a lot of collections a too narrow down I had to use phrases such as ‘comparison between old and new treatment procedure for PTSD’, comparison between treatment process for PTSD patients’ that reduced the number of articles through the CINAHL database did not allow the use of acronyms. I examined the best article to get based on the database and author of the article and then I examined each article abstract to confirm a good match for my PICO question: the correct population, intervention, comparison, outcomes and time, I then narrowed down to those that were appropriate in providing a clear answer to my question. The remaining articles were shortlisted since my question is specific so I took the most recent evidence-based content. Finally, those with larger population size were given more priority and preference over those with smaller population or where the study did not include a control group, with a focus on meta-analyses, systematic reviews, and randomized control trials (Steenkamp, 2016). My emphasis was in accessing an evidence-based article based on the article Evidence-Based Practice, Step by Step: Searching for the Evidence. Some of the limitations in searching for the article was that some articles seemed very relevant through the title but after reading their abstracts I realized they were irrelevant while others were outdated, other sources that I used to locate article were google and google scholar due to their vast nature of information.

Locating the evidence

To come up with a relevant and satisfactory result clinician should practice evidence-based research obtained from the database, the article must be assessed with regards to the circumstances of individual keywords and phrases as part of their clinical decision-making process. I chose the following articles based on their relevance, accuracy and importunate in understanding my PICOT question further. They each all answered to individual parts of my questions: First was interest – the title and abstract addressed my concern which was in answering my PICOT question. Secondly the authors were credibility and from reputable institutions, the article I used were reputation being peer reviewed article. Finally, they both were valid, reliable, and applicable in answering my question (Friesen-Storms, Moser, van der Loo, Bearskins & Bours, 2014).

The articles I selected are: firstly, Cognitive behavioral therapy of patients with PTSD that focuses on the effectiveness of treatment PTS. Its findings are that the psychological treatment of PTSD is not effective to all patients and it, therefore, recommends the newly developed models based on cognitive behavioral therapy formally known as counseling (Difede, Olden & Cukor, 2014). The same article is supported by an article entitled No more psychiatric labels: Why formal psychiatric diagnostics systems should be abolished which argues that the current psychiatric diagnoses should be abolished because they have not led to treatment but rather they have led to worsening long-term further mental problems it, therefore, recommends the need to move away from reliance in diagnostic based approaches that exists and requests that a better solution is needed for the government (Wilson et al., 2015). Lastly the article No more psychiatric labels: Campaign to abolish psychiatric diagnostic system such as ICD and DSM (CAPSID) which argues that psychiatric diagnostic systems for diseases like PTSD are not effective since they neither help in building scientific knowledge nor clinical practice (Dang, 2012). These three articles address the same issue of abolishing the old way of dealing with PTSD and the need for a better solution though they slightly differ in their solutions in that one blames the government another leaves it open and the other emphasizes on the new way which is counseling. My recommendation is that there is a need for change to a better method which is, the need to involve counseling in all institution that provides treatment for PTS. The only limitation to this article is that they don’t tell the possible areas that could go wrong when the new system is implemented but the counseling and medication combination remains an effective treatment for a problem of mental health. (Steenkamp, Litz, Hoge & Marmar, 2015)

Conclusion

In conclusion in answering my PICOT question; if the novel plans for treatment are gainful to contrast to usual continuous treatment on the PTSD victims the Evidence-based practice provides the best framework for accessing and evaluating resources for relevancy, reliability, and integrity. In my scenario it has enabled me to select the best article relative to my question from a pool of database through the article I have gotten this framework I have been able to come up with a conclusion that there is need for a better way of treating post-traumatic stress disorder since it has a greater effect on one’s mind.

Reference

Dang, D. (2012). Johns Hopkins Nursing Evidence-Based Practice Model and Guidelines, Second Edition. Sigma Theta Tau International.

Difede, J., Olden, M., & Cukor, J. (2014). Evidence-Based Treatment of Post-Traumatic Stress Disorder. Annual Review of Medicine, 65(1), 319-332. https://dx.doi.org/10.1146/annurev-med-051812-145438

Friesen-Storms, J., Moser, A., van der Loo, S., Bearskins, A. & Bours, G. (2014). Systematic implementation of evidence-based practice in a clinical nursing setting: a participatory action research project. Journal of Clinical Nursing, 24(1-2), pp.57-68.

Osei-Bonsu, P., Bolton, R., Wiltsey Stirman, S., Eisen, S., Herz, L., & Pellowe, M. (2016). Mental Health Providers’ Decision-Making Around the Implementation of Evidence-Based Treatment for PTSD. The Journal of Behavioural Health Services & Research, 44(2), 213-223. https://dx.doi.org/10.1007/s11414-015-9489-0

Steenkamp, M. (2016). True Evidence-Based Care for Posttraumatic Stress Disorder in Military Personnel and Veterans. JAMA Psychiatry, 73(5), 431.

Steenkamp, M., Litz, B., Hoge, C., & Marmar, C. (2015). Psychotherapy for Military-Reattempts. JAMA, 314(5), 489. https://dx.doi.org/10.1001/jama.2015.8370

Wilson, M., Salute, M., Newcomb, P., Behan, D., Walsh, J., Wells, J., & Baldwin, K. (2015). Empowering Nurses with Evidence-Based Practice Environments: Surveying Magnet®, Pathway to Excellence®, and Non-Magnet Facilities in One Healthcare System. Worldviews on Evidence-Based Nursing, 12(1), 12-21. https://dx.doi.org/10.1111/wvn.12077