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Running head: COMPREHENSIVE QUALITY CARE 1

COMPREHENSIVE QUALITY CARE 2

Improving the Quality of Comprehensive Care for the OEF and OIF Veterans with Posttraumatic Stress Disorder (PTSD)

Ashlie Burnett

Capella University

2/15/15

Research Questions

1. How efficiently can quality of Comprehensive care be improved to ensure quality care to the OEF and OIF with posttraumatic stress disorder?

2. To what extent are the problems faced by the OEF and OIF with posttraumatic disorder matched by the available ways of serving them?

Research Objectives

1. The general objective of this research was to determine how efficiently quality of comprehensive care be improved to ensure quality care to the OEF and OIF with posttraumatic stress disorder.

2. The paper also sought to determine the extent to which the problems faced by the OEF and OIF with posttraumatic disorder matched by the available ways of serving them.

Sub-related questions

1. What are the most common problems facing the war veteran’s over the world?

2. What are the medical covers available for the victims of posttraumatic disorders?

3. What are the inefficiencies in the health care provision of the PSTD veterans?

Relevance of the Sub-related questions

The sub-related questions form the basis of finding the needed results for the general objectives of this paper. To find an effective measure of improving quality of health care for the victims of post traumatic disorder, the first question will help find the main problem to be addressed in order to avoid cases of mismatch of services and problems experienced. The second sub-related question on the will helps the available medical cover for the victims of posttraumatic disorder in order to help make any further recommendations on where and how to improve the services. Finally, the last sub-related question will assist in pointing the inefficiencies in the health care services offered to the PSTD veterans. Knowing these inefficiencies will help the researcher to make educated recommendations as per what measures can be taken to address them.

Important Information about the Issue and Types of Data to be collected

To understand the issue of quality of comprehensive care for the OEF and OIF veterans with posttraumatic stress disorder, the research must understand the kind of challenges these veterans go through in the battlefields. Also of importance is information on the available medical care options at the disposal of these veterans plus the number qualified personnel in this area. The data to be collected, on the other hand, will mostly be experiences and awareness of the victims. The research will also collect records of relevant institution that will be analyzed qualitatively.

Action Plan

The paper desired for a future in which medical programs offer the best possible financial and technical support to those who had sacrificed their comfort to help the OIF/OEF veterans. The policies must be able to authorize veterans to provide basic caregivers of the OIF/OEF veterans with access to health care services, psychological support, and mental counseling. The paper proposes a program that will allow registered caregivers to receive stipends in order to travel and attend appointments with the veterans and their family members. In order to achieve this, I will collaborate with the government and relevant stakeholders to ensure proper implementation of the program.

Literature Review

Posttraumatic stress disorder (PTSD) is defined as a psychological response to a traumatic situation (Resnik, 2011). However, if history of trauma is taken into account, diagnosis of posttraumatic stress disorder becomes more difficult. Symptoms of posttraumatic stress disorder are categorized into three categories (Creswell, 1994). The first category is called re-experiencing. This stage involves recurring nightmares associated with the traumatic event. The second category of symptoms is called avoidance where the victim tend to avoid conversation about the traumatic event (Jasper, 2009). Finally yet importantly is arousal where the victim has difficulty in sleeping. In order to be recommended for medical attention, the symptoms must persist for at least a month and must show evidence of clinically significant distress or simply impairment in functioning.

Prevalence of PTSD among OEF/OIF Veterans Using VA Health Care

The Department of Veterans Affairs, (VA) shows that the prevalence of PTSD among users of its health care stands at 29% (Department of VA, 2010). This data is however taken with limitation to condition that the figures presented by VA may be overstated, understated and finally that the numbers provided by the VA should not be extrapolated to all OEF/OIF veterans (Jasper, 2009). The last limitation is because the OEF/OIF using VA health care do not necessarily represent all OEF/OIF veterans or the wider family of the veterans.

Prevalence of OEF/OIF Veterans Using VA Healthcare

Information about PTSD prevalence from other sources not limited to users of VA health care vary widely. A 2010-RAND analysis by Institute of Medicine shows that PTSD prevalence varies within the range of 1% to 60% among OEF/OIF service members (Department of VA, 2009). In 2012, the same institution found out that recent estimate of PTSD prevalence among OEF/OIF service members and veterans varies within a range of 13% to 20% (Department of VA, 2008).

Treatment of PTSD; A case of VA Health Care System

The VA health care system requires that veterans who have never received VA health care services start receiving a PTSD screening (VA office of public health, 2010). The screening is repeated every year for the initial five years and five years to follow except when there is a sign of clinical need to screening earlier. The policies of VA health care system also demand that any referred patient or new case be given an initial assessment within 24 hours and a full check-up within a period of fourteen days (Creswell, 1994). Several reports too, as referenced, have made a recommendation worth considering on the evaluation of the VA’s PTSD screening and treatment efforts.

Research Plan

The success criteria this research will be based on the full implementation of its proposal in improving quality of health care by the Department of the Veterans Affairs. In collecting baseline data, I will randomly sample my target audience, both the OEF/OIF veterans and health officials. I will then measure or collect data about their knowledge, attitude, skills and level of satisfaction with the current state of medical care. To determine if the intervention is successful, I will reassess the baseline data by comparing what was happening before the implementation of the program and what happens after. Apart from baseline data, the research could have fulfilled these data need by collecting raw data from past and present victims. This need could have met through questionnaires, interviews or actual observation in medical facilities offering services to victims of PTSD.

Ethical Consideration

Since my research involves human beings who have gone through a lot of harsh experiences, I will adhere to strict ethical so, not to hurt this emotionally vulnerable population. I will, therefore, distribute consent form to the identified individual before carrying out the research. Important to the consent form will be the victims’ national identity number, official names, and signature. Potential ethical concerns such as mention names or those of family and asking questions deemed personal will, therefore, be treated as delicate as they deserve. Finally, all study data will not be exposed or used for any other reason apart from making the study relevant.

Dissemination Plan

This part gives a clear step by step milestone that I took in doing my research. It gives a brief description and time allocate to each milestone.

Management Plan Task Worksheet

Task or Activity

Person Responsible

Duration

Due Date

Resources Needed

Comments

Approximate Cost

Research Ethics Education Completion	Researcher	3hrs	July 2015	Description and nature of persons involved plus the kind of data to be collected	Check address and directions	Travel: $20.00
Meeting the Committee to Approve the Topic	Researcher	1hr	July 2015	Description of research project	Check venue and direction	snacks $ 12.00
Meeting Mentor to approve Research Plan	Researcher	2hrs	July 2015	Description of the research plan	Check address and direction	Travel $ 15.00
Meeting the Committee to approved Research Plan	Researcher	2hrs	July 2015	Description of research plan	Confirm venue, time and direction	Snacks and Travel $ 21.00
Meeting the School to approved Research Plan	Researcher	2hrs	July 2015	Description of the research plan	Check the address and meeting room	Travel $ 10.00
Institutional Review Board (IRB) Approval	IRB	3hrs	July 2015	The research topic and plan	Check the registration and mobile number	Mail and printing $ 8.00
Pre-Data Collection Call	Mentor	30min	August 2015	-	-	-
Meeting mentor Approved Chapters 1 – 4	Researcher	2hrs	August 2015	Copies of chapter1-4	Check time and venue	Travel and printing $27.00
Meeting mentor for Approval of Chapter 5 and Final Dissertation	Researcher	21/2hrs	August 2015	Copies of chapter 5 and the final dissertation	Check address and venue	Travel $ 10.00
Committee Approved Dissertation	Committee	2hrs	August 2015	Copy of dissertation	Check mail and office desk	Mail $ printing $ 30.00
School Approved Dissertation	School	2hrs	August 2015	Copy of dissertation	Check mail and office desk	Mail $ printing $ 30.00
Format Editing Completed	Researcher	3hrs	August 2015	Copy of dissertation	Check mail and address	Mail $ 1.00
Final Conference Call	mentor	15min	August 2015	-	-	-
Final Manuscript Approved	Researcher	1hr	August 2015	Final manuscript	Check mail and office desk	Mail and printing $ 32.00
Manuscript Submitted for Publication	Researcher	1hr	August 2015	Final manuscript	Check mail and office desk	Mail and printing $ 32.00
Dean’s Final Manuscript Approval	Dean	2hr	August 2015	Published manuscript	Check address and venue	Travel $ 11.0

The Budget

ITEM/DESCRIPTION	AMOUNT ($)
Travel	66
Mail & Printing	133
Snacks & travel	33
Travel & Printing	27
Total Budget	259

References

Creswell, J. W. (1994). Research Design: Qualitative & Quantitative Approaches. New York, SAGE Publications.

Department of Veterans Affairs, Office of Inspector General, Healthcare Inspection (September, 2008).Evaluation of Suicide Prevention Program Implementation in Veterans Health Administration Facilities January–June, 2009, Report Number 09-00326-223

Jasper, M. (2009). Veterans' rights and benefits. New York: Oceana.

Resnik, D. B. (2011). What is ethics in research and why is it important? New York: National Institute of Environmental Health Sciences.

VA health care mild traumatic brain injury screening and evaluation implemented for OEF/OIF veterans, but challenges remain: Report to congressional requesters. (2008).Washington, D.C.: U.S. Govt. Accountability Office.

VA Office of Public Health and Environmental Hazards. (February, 2010). Analysis of VA health care utilization among Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) veterans. Washington, DC: Author.

Sales

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