Concept Map

PICOT Worksheet

Raven Jinks

Chamberlain College of Nursing

NR505: Advanced Research Methods: Evidence Based Practice

September 15th, 2019

Identify your MSN Specialty Track. What is the practice issue/problem?  Why is this issue/problem important to nursing and healthcare? What is the scope of the issue? What evidence is there for the need for change?  (Include a minimum of 2 scholarly sources):

My APN specialty track is Family Nurse Practitioner. The practice issue is with postpartum depression (PPD) and the fact that many new mothers are unaware of the condition, meaning that are unable to identify the symptoms of PPD early on. Postpartum depression has become a significant issue in new mothers. Women with postpartum depression commonly exhibit signs of regular depression, which can affect their relationship with the newborn. The condition is a healthcare issue because most women do not realize they have it. Postpartum depression increases the chances of the condition manifesting and developing to an extent where medical intervention might not be successful (Lewis et al., 2018). The best thing to do is provide enough information to expectant mothers which will help in spreading awareness on the condition, and to also provide mothers with screenings during pregnancy and soon after. Additionally, healthcare providers should be made aware of the role they play in tackling the issue of postpartum depression. New mothers are most prone to the condition which occurs after childbirth (Stewart & Vigod, 2016). The most effective way to reduce the prevalence of depression is creating a course and provide screenings where expectant, and new mothers can receive information on the causes, symptoms, and treatment of the condition.

Formulating the PICOT question -- Define each element of the question below:

Population is expectant and new mothers who experience postpartum depression

Intervention is screenings for postpartum depression in expectant and new mothers  

Comparison to the mothers who are screened during pregnancy and during the postpartum period 

Outcome is for which mothers who are screened for PPD compared to the ones who are not, decrease the rates of postpartum depression 

Time will be during the postpartum period, between 6-8 weeks 

Write your project question here in the form of a PICOT question (i.e., use the PICOT question format)

In expectant and new mothers during pregnancy how does screenings for postpartum depression during and after pregnancy compare to women who are not screened, reduce the occurrence of postpartum depression during the postpartum period. 

Identify the key search terms and phrases for your literature search: 

Postpartum Depression (PPD), Pregnancy, Postpartum, Expectant mothers, Edinburgh Postnatal Depression Scale

Identify a theoretical framework/nursing theory that can guide the EBP project:

Gordon’s Functional Health Patterns – The Gordon’s Functional Health Pattern theory uses a systemic and comprehensive approach to collect data from the following 11 categories; health perception, nutrition, elimination pattern, activity, cognitive, sleep, self-perception, role pattern, sexuality, coping, and value. This nursing theory can guide the EBP project by providing expectant and new mothers with a more comprehensive assessment along with the Edinburgh Postnatal Depression Scale (EPDS). Both tools can assist the healthcare professional with examining the mother’s health status and practices postnatally, and ultimately guide them through the perinatal period to gauge the effectiveness of interventions.

References

Lewis, B. A., Schuver, K., Dunsiger, S., Samson, L., Frayeh, A. L., Terrell, C. A.,…& Avery, M. D. (2018). Rationale, design, and baseline data for the Healthy Mom II Trial: A randomized trial examining the efficacy of exercise and wellness for the prevention of postpartum depression. Contemporary Clinical Trials, 70, 15-23. http://doi.org/10.1016/j.cct.2018.05.002.

Stewart, D. E., & Vigod, S. (2016). Postpartum depression. New England Journal of Medicine,375(22), 2177-2186. https://doi.org/10.1056/nejmcp1607649.