DNP Project Template (25 points)
Directions: Outline the essential elements needed to begin designing a clinical scholarship project. Complete the following items on the word document (.docx) provided in the module (download the document, complete it, then upload into the assignment area). Or, copy and paste the assignment (below) into your own word document (.docx), then upload it into the assignment area. DO NOT ALTER THIS DOCUMENT (a 5-point deduction will occur)
Academic Program & Population of Focus (-1 point if missing; e.g., BSN-DNP, Pediatric Primary Care): BSN – DNP, Psychiatric Mental Health Nurse Practitioner
INTRODUCTION
Problem or Issue (2 points) Cultural stigma and discrimination are major issues for mental health patients and families. It is also a barrier for depressed patients to access the appropriate care. Additionally, lack of access to care results in the worsening of the symptoms and might result in multiple readmissions. It becomes a burden on the patient’s private and public lives and wellbeing.
Background/Significance (3 points) (minimum of 3 bullet points [max. 5] citing evidence from credible sources in APA to establish the significance of the problem or issue)
Depression as a problem affects millions globally. Approximated 280 million in the world. (WHO, 2021).
The data from 2017 showed an 18 percent depression prevalence among US immigrants, which is higher than among US-borns (WHO, 2021).
The immigrants lack care access because of unemployment and financial instability. The immigrants must face the emotional stress of leaving the homeland and the occupation and
adjusting to the new place. Immigrants and minority individuals experiences significant stigmatization perpetuated by underlyng
drivers, such as institutions, citizenship status and ethnicity, which are a critical factor in mental health (Douglass et al., 2022).
The support from the family, proper access to care, and governmental facilities can reduce depression among immigrants (Blankson, 2017).
Black immigrants are a major growing segment in the U.S. population. (Bamgbose et al., 2022) acknowledges that the intersection of factors, such as race, gender and migration places play a major role in women immigrants experiencing disparities, such as in mental health and associated disorders.
Being an immigrant in the U.S. increases the risk of serious psychological distress (SPD) significantly impacting their health and wellbeing, that is,increasing risk of depression (Ikonte et al., 2020).
Understanding the different perspectives of African immigrant population on mental health concerns and associated stigma is integral to implementing evidence-based approaches to promote positive mental health outcomes.
Purpose of the Project (2 points) To evaluate the impact of cultural stigma associated with depression and mental health among African immigrant population, and ascertain the existing strategies to address the stigma to improve mental health awareness and care among African immigrant population living in St Louis.
Laura Kuensting
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Laura Kuensting
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Total Points: 16.5
Laura Kuensting
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Laura Kuensting
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1.5 points – went over 5 point max
Laura Kuensting
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Do not begin a sentence with “it”.
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2 points
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Overall AIM (Goal) (2 points) (Should be SMART) To Implement training program and education to increase awareness and faciliate access to support and cultural-appropriate care for African immigrant population, age 20 -65 years, by 60 % over 6 months
Outcome Measures (5 points) (i.e., should include primary and secondary outcome measures of interest [data to be collected])
Primary Outcome measures 1. Total number of the African immigrant population suffering from depression associated with the
immigration and the acculturation process 2. Data on depression awareness and instances of stigmatization 3. Primary care perceptions on stigmatization and effect on mental health 4. Evidence-based interventions
Secondary Outcome Measures 1. Number of times traning and education was implemented 2. Number of therapeutic interventions implemented after initial depression symptoms.
Study Question(s) (3 points) PICO(T) format (e.g., Melnyk & Fineout-Overholt, 2019, Appendix A, pp. 706-7)
PICOT : Within African Immigrant populations living in the United States age 20 – 65 years who struggle with a mental health issue, how does implementation of a standardized screening and educational training help to increase access to care and awareness of mental health compared to no screening or educational training, within six months?
EBP Framework (3 points) (Identify the EBP framework to guide the project and 1-3 sentences explaining why this was selected)
John Hopkins model . The framework will direct how the evidence is interpreted and intergrated in this project. The framework will assist in identifying questions that can be answered via pre and post survey. It will also assist in conducting a pilot study for the implementation of practice change and assessing results, and disseminating findings. The evidence findings will be integrated into practice to resolve the issue (CenterforEvidence-BasedPractice, 2021).
PROCEDURE
Key Stakeholders (2 points) (i.e., who are the individuals with a vested interest in the project?) ● U.S immigrant population among African community in St Louis area. ● Individuals at International institute of St louis ● Therapists and other healthcare professionals ● My CSP committee borad members
Process Plan (3 points). (i.e., outline the plan for convening the team of stakeholders and developing the project with them)
Vanessa Loyd
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Laura Kuensting
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Based on info you have here, your primary outcome measure is the number of immigrants identified with depression. Secondary outcomes: Number of immigrants with depression who attend the educational program and number who were treated or referred for services
Vanessa Loyd
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do not start a sentence with it
Laura Kuensting
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Laura Kuensting
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Laura Kuensting
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Laura Kuensting
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Too wordy. Consider: Within African immmigrants aged 20-65 years living in an urban, midwestern community, what is the impact of standardized screening and education for depression on their ability to obtain treatment or resources to minimize the depression?
Laura Kuensting
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You will not be studying the entire US. Needs to be a specific community.
Laura Kuensting
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0 points
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Need to describe HOW the model is guiding the project.
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Do not bias the study question by using qualifiers such as “help to increase”
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In order to discuss the project with all internal and external stakeholders, I will first plan a stakeholder meeting.
Establish a communication plan outlining how I will communicate with each stakeholder. The plan will integrate the type of communication, format, frequency, distribution plan, and communication deliverables.
Next, establish the project’s expectations, create timelines, and discusss the stakeholder’s process to share feedback
Implement the stakeholder’s management plan, and ensure each stakeholder has access to the plan.
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References Bamgbose Pederson, A., Waldron, E. M., & Fokuo, J. K. (2022). Perspectives of Black Immigrant Women on
Mental Health: The Role of Stigma. Women’s health reports (New Rochelle, N.Y.), 3(1), 307–317. https://doi.org/10.1089/whr.2021.0071
Blankson, F. H. (2017). The use of health services in Ghana: experiences and perspectives of Ghanaian women. Dissertation.
CenterforEvidence-BasedPractice. (2021). Johns Hopkins Nursing Evidence-Based Practice. Retrieved from https://guides.upstate.edu/c.php?g=1023176&p=7411252
Chun Tie, Y., Birks, M., & Francis, K. (2019). Grounded theory research: A design framework for novice researchers. SAGE open medicine, 7, 2050312118822927. https://doi.org/10.1177/2050312118822927
Douglass, C. H., Lim, M., Block, K., Onsando, G., Hellard, M., Higgs, P., Livingstone, C., & Horyniak, D. (2022). Exploring stigma associated with mental health conditions and alcohol and other drug use among people from migrant and ethnic minority backgrounds: a protocol for a systematic review of qualitative studies. Systematic reviews, 11(1), 12. https://doi.org/10.1186/s13643-021-01875-
Ikonte, C. O., Prigmore, H. L., Dawson, A. Z., & Egede, L. E. (2020). Trends in prevalence of depression and serious psychological distress in United States immigrant and non-immigrant populations, 2010 – 2016. Journal of affective disorders, 274, 719–725. https://doi.org/10.1016/j.jad.2020.05.010
WHO. (2021). Depression. Retrieved from https://www.who.int/news-room/fact-sheets/detail/depression
https://doi.org/10.1089/whr.2021.0071
https://doi.org/10.1016/j.jad.2020.05.010