PROJECT NAVIGATION

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PROJECT NAVIGATION

SECTION 2A: PROJECT NAVIGATION

**(All previous related to Practice Issues in a clinic of STD Prevention andTreatmentwork can be used to answer it, attached you will find information for answer, but feel free to use whatever you consider pertinent). APA is required. PROJECT NAVIGATION

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Practice Issues in a clinic of STD Prevention and Treatment

  • After you communicated with the practicum site decision maker(s), what issue/problem did they state they wanted you to work on as part of your DNP practicum?

 

 

  • Provide a problem statement (no less than 5-6 fully structured sentences) to explain the issue/problem you are addressing. Please describe the current practice/process leading to the issue. Provide any reports or currently available data to document the need identified. NOTE: in this section, you must include in-text citations with your evidence-based intervention.

 

 

 

  • Provide a brief description, using in-text citations/references to support the need for change from both a global and practicum site perspective.

 

 

 

  • What is the purpose of your proposed project? Begin your formal purpose statement by stating, “The purpose of the proposed DNP project is to…”

 

 

 

  • Based on the needs of the practicum site, please provide your one-sentence PICOT question below in a clear and concise manner. Note: Your population cannot be students or faculty; your intervention cannot be educational and your time frame must be 8-10 weeks.

 

PICOT Question: What is the impact of implementing telehealth follow-up protocol for young adults missing appointments from an STDs clinic over eight weeks?

 

 

 

  • Fully describe the population (keep in mind students and/or faculty are not allowed) of your proposed project. What is your anticipated sample size and what inclusion and exclusion criteria will be used to identify your population?

 

 

  • You are required to have a minimum of 10-12 contemporary research articles (< 5 years old) to support your evidencebased practice (EBP) intervention. Please provide a full listing (APA formatted) of the evidence you have to support the EBP intervention you will implement.

 

 

  • Explain the intervention you will implement to address the issue identified based on the needs of the practicum site. Remember, educational only interventions are not allowed. The intervention should be based on the translational science model you have chosen. You must provide an overview of the intervention so the reader(s) will be able to duplicate the intervention on their own. (Include or attach any relevant documents, if available such as protocols, procedures, guidelines, etc. that you will implement)

 

 

  • Given you only have 8-10 weeks to implement your project, discuss its feasibility. Will you be able to accomplish everything you want to do as far as implementation in 8-10 weeks? What barriers might you have and how will you overcome them?

 

  • Explain your plans for data collection to measure the impact of your intervention. Include a concise description of the measurable outcome you identified in your PICOT question. Provide the name of the tool/instrument you will use (if applicable) and discuss its validity and reliability with in-text citations from supporting literature. Additionally, fill out the chart below to concisely convey your measurable outcomes and the name(s) of the valid/reliable survey instrument/tool(s) you will use.

 

 

 

  • Measurable Outcome(s) as Identified in the PICOT Question

 

 

 

  • Data Collection Process Pre- and Post-Intervention

 

 

 

  • Explain your plan for data analysis. Identify the statistical test(s) you will use to bring meaning to the final data you collect atthe completion of your project.

 

Telehealth Innovative Solution to Engage Young Adults in STDs Prevention

STDs are a leading source of morbidity in the United States, costing an estimated $15.9 billion in direct medical costs over a lifetime (Llata et al., 2021). Studies also reveal that the annual cases of STDs in the USA continue to rise, reaching an all-time high for the eighth year. The most common reported STDs are chlamydia, syphilis, and gonorrhea. There was a nearly 30% increase in STDs between 2015 and 2019 (Gebrezgi et al., 2021). These rates are alarming, considering that the rates were lower less than 20 years ago. For example, gonorrhea was at historic lows, and syphilis was close to elimination (Trepka et al., 2021). The drastic changes show a need to prioritize efforts and regain control of the grounds to minimize the spread of STDs. As per the CDC (2019), STD surveillance, assuring that everyone has access to high-quality HIV and STD prevention and treatment, is a critical component of successful public health response to rising STD prevalence.

Collaborating with a clinic forthe prevention and treatment of Sexually Transmitted Diseases (STDs), I had the opportunity to speak with relevant stakeholders and decision-makers. We were able to identify and discuss issues affecting the clinical health outcomes of STDs preventative and treatment activities. According to the stakeholders, it is common to find that some young adults with high-risk sexual behavior come to the clinic for STDs test and treatment. After that, they don’t return for continued care until they have new symptoms or an STD reinfection. Although sexually transmitted diseases (STDs) impact people of all ages, it is most noticeable among youth aged 15 to 24 (Sieving et al., 2019).Young adults are less interested in STDs prevention or behavior modification initiatives. Also, you can find other patients that start HIV PrEP medication but don’t come to the clinic for follow-up as indicated, despite the multiple efforts done by the clinical personnel.

After the discussion, I proposed that the clinic use innovative, evidence-based digital interventions to engage patients in STDs prevention and treatment while promoting community awareness. In the United States, sexually transmitted diseases (STDs) are rising, and additional research into effective prevention and treatment strategies is urgently needed (Shannon & Klausner 2018). Telehealth can serve as a tool that increases the availability of services for patients. Telemedicine has emerged as a critical resource for limiting disease spread by increasing patient surveillance, promoting early detection, allowing quick management of sick people,and ensuring continuity of care for vulnerable patients worldwide (Omboniet al., 2022).

It’s a tool that facilitates the work of directly promoting education, screening, treatment, and prevention for susceptible populations, like young people with high-risk sexual behavior. Sexually transmitted infections are significant public health concerns.

 

Recent CDC reports show that the rate of new STDs infections continues to be high; 4 of the 25 cities that top the list of infection rates are in Florida; Miami spiked upward and is currently ranked among the top 25 towns mostly affected (Butame et al., 2021).

Population: young adultsmissing appointmentsfrom an STDs clinic in Miami, Florida.

Intervention:implement telehealth follow-up protocol for patients missing appointments.

Comparison: current practice.

Outcome: improve patient outcomes, engage young adult patients in STDs prevention and treatment.

Time: eight Weeks.

PICOT Question: What is the impact of implementing telehealth follow-up protocolfor young adults missing appointmentsfrom an STDs clinic over eightweeks?

Translation science model: knowledge to action

My current priority is to engage young adultsinpreventing Sexually Transmitted Diseases so that less effort and resources will be required for treatment interventions. Implementinga telehealth follow-up protocol for patients missing appointments will make medical care more accessible for young adults that are currently missing appointments and will cut this current gap in practice.Telehealth was created to give primary treatment to individuals in remote and underserved areas. Since the coronavirus illness epidemic in 2019, numerous practitioners have increased their use of telemedicine. Increased emphasis on patient satisfaction, efficient and quality care, and cost-cutting has also led to increased telehealth adoption (Gajarawala&Pelkowski, 2021).

The use of telehealthby the patients and the clinic represents an opportunity to save money and time. Telehealth can be easily implementedand will be a valuable tool for patient education.

 

References

CDC. Sexually transmitted disease surveillance 2018. Atlanta, GA: US Department of Health and Human Services, CDC, 2019. https://www.cdc.gov/std/stats18/STDSurveillance2018-full-report.pdf [Ref list]

Gajarawala, S. N., &Pelkowski, J. N. (2021). Telehealth Benefits and Barriers. The journal for nurse practitioners: JNP, 17(2), 218–221. https://doi.org/10.1016/j.nurpra.2020.09.013

Llata, E., Cuffe, K. M., Picchetti, V., Braxton, J. R., &Torrone, E. A. (2021). Demographic, Behavioral, and Clinical Characteristics of Persons Seeking Care at Sexually Transmitted Disease Clinics – 14 Sites, STD Surveillance Network, United States, 2010-2018. Morbidity and mortality weekly report. Surveillance summaries (Washington, D.C.: 2002), 70(7), 1–20. https://doi.org/10.15585/mmwr.ss7007a1

Omboni, S., Padwal, R. S., Alessa, T., Benczúr, B., Green, B. B., Hubbard, I., Kario, K., Khan, N. A., Konradi, A., Logan, A. G., Lu, Y., Mars, M., McManus, R. J., Melville, S., Neumann, C. L., Parati, G., Renna, N. F., Ryvlin, P., Saner, H., Schutte, A. E., … Wang, J. (2022). The worldwide impact of telemedicine during COVID-19: current evidence and recommendations for the future. Connected health, 1, 7–35. https://doi.org/10.20517/ch.2021.03

Shannon, C. L., & Klausner, J. D. (2018). The growing epidemic of sexually transmitted infections in adolescents: a neglected population. Current opinion in pediatrics, 30(1), 137–143.

https://doi.org/10.1097/MOP.0000000000000578

Sieving, R. E., Gewirtz O’Brien, J. R., Saftner, M. A., & Argo, T. A. (2019). Sexually Transmitted Diseases Among US Adolescents and Young Adults: Patterns, Clinical Considerations, and Prevention. The Nursing clinics of North America, 54(2), 207–225. https://doi.org/10.1016/j.cnur.2019.02.002