Based on the PICOT you developed for NUR-550, summarize the change initiative you will be proposing. How does this support the population of focus, your setting, and role? Justify how the problem you selected to investigate is amenable to a research-based intervention using the PICOT format
summarize the change initiative you will be proposing how does this support the population of focus
and role justify how the problem you
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Chamberlain College Of Nursing
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Based on the PICOT you developed for NUR-550, summarize the change initiative you will be proposing. How does this support
the population of focus, your setting, and role? Justify how the problem you selected to investigate is amenable to a research-
based intervention using the PICOT format.
Cardiovascular disease (CVD) continues to be the leading cause of morbidity and mortality for
the overall United States (U.S.) population, especially for men and women ages 65 years and
over (National Center for Health Statistics [NCHS], 2018). Though CVD and its risk factors can be
preventable, people with lower income and less education, particularly which are individuals
with the highest mortality and morbidity rates, are the least knowledgeable about their general
health and the awareness of CVD and its risk factors (Havranek et al., 2015). Designing and
implementing programs or interventions can reduce CVD disparities and bridge the gap
between people in disadvantaged environments and those in advantaged circumstances
(Havranek et al., 2015). For a solution to this issue, does video-based education materials
compared to standard practice of verbal education, reduce the risk of CVD within a twelve-
week time frame? Targeting and managing population health, especially those of lower
socioeconomic status, by educating the importance of dietary and lifestyle changes can improve
public knowledge and awareness of CVD, reduce the prevalence of CVD, and improve health
outcomes.
With the aging of the baby boomers and the increase complexity of chronic diseases, the role
and responsibilities of advanced registered nurses will continue to evolve. According to DeNisco
and Baker (2016), advanced registered nurses are essential to “improve quality, decrease
adverse events, reduce costs, and enhance patient satisfaction” (p. 116). As future acute care
nurse practitioners and working in the acute setting, we will be caring for patients with many
chronic diseases, and to decrease the prevalence of CVD, it is important to educate them in
ways they can grasp the information that is effective to influence health behavioral
modifications.
References
DeNisco, S. M., & Barker, A. M. (2016). Advanced practice nursing: Essential knowledge for the
profession (3 rd ed.). Burlington, MA: Jones & Bartlett Learning.
Havranek, E. P., Mujahid, M. S., Barr, D. A., Blair, I. V., Cohen, M. S., Cruz-Flores, S., … Yancy, C.
W. (2015). Social determinants of risk and outcomes for cardiovascular disease.
Circulation, 132(9), 873-898. doi:10.1161/CIR.0000000000000228
National Center for Health Statistics. (2018). Health, United States, 2017: With special feature
on mortality. Retrieved from https://www.cdc.gov/nchs/data/hus/hus17.pd
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