Level I and Level
II Evidence Selection Assignment
NSC 890 Evaluation Table Template
Identified Problem: Substance Abuse Disorder – Alcohol PICOT In adults
with alcohol use disorder (P), how does cognitive-behavioral therapy
(I) compared to standard treatment (C) affect the reduction of
alcohol consumption [FL1] (O)
within a 12-week intervention period (T)?
1. 2
studies that answer my picot question.
a. Level
I systematic review or met analysis.
b. Level
II single randomized control trial.
Use this form to evaluate studies to be included in your
integrative review. Only studies determined to help answer your PICOT question
should be included in the Evaluation Table developed from your unique body of
literature. These studies MUST study your suggested intervention and MUST
demonstrate the positive patient outcome that you have identified to build
support for your proposed practice change. Keep your descriptions brief. If you
use abbreviations, create a legend for readers & yourself.
For the Synthesis Table, the number of interventions will be
determined by each unique literature review. Mark an “X” in the box
across from the intervention and under the study in which the intervention was
investigated. For the written description, discuss/follow the outline and
components of the Evaluation Table.
Write 2 paragraphs for each study on the table.
Citations
must be no older than 5 years.
Level I –
APA Citation:
Level II
– APA Citation:
Please
use the other attached evaluation template for the assignment.
Below is PICOT question.
Identified Problem: Substance
Abuse Disorder – Alcohol
Write 1 paragraph discussing state or
national health priorities supporting the problem’s significance
(Examples: Healthy People 2030, health
care initiatives and benchmarks, etc.)
Substance
abuse disorder, particularly alcohol addiction, remains a significant public
health concern, drawing attention at both state and national levels due to
its pervasive impact on individuals, families, and communities. Healthy
People 2030, a nationwide initiative, underscores the importance of
addressing substance use disorders as part of its overarching goal to promote
health and well-being across the lifespan (U.S. Department of Health and Human
Services, n.d. 2030)[FL2] . Additionally, state-specific health
initiatives, such as those outlined in the National Survey on Drug Use and
Health (NSDUH), highlight the prevalence and consequences of alcohol abuse,
guiding efforts to reduce substance-related harm and enhance access to
treatment services (Substance Abuse and Mental Health Services
Administration, SAMHSA, 2021). Furthermore, initiatives like the Surgeon General’s
Report on Alcohol, Drugs, and Health emphasize the need for comprehensive
strategies to prevent, screen, and intervene in substance abuse disorders, [FL3] underscoring the significance of
addressing alcohol addiction within broader public health frameworks (U.S.
Department of Health and Human Services, 2016).
References
Substance
Abuse and Mental Health Services Administration. (2021). National Survey on
Drug Use and Health. https://www.samhsa.gov/data/nsduh
U.S.
Department of Health and Human Services. (n.d.). Healthy People 2030.
https://health.gov/healthypeople/objectives-and-data/browse-objectives/substance-abuse
U.S.
Department of Health and Human Services. (2016). Facing addiction in America:
The Surgeon General’s report on alcohol, drugs, and health.
https://addiction.surgeongeneral.gov/surgeon-generals-report.pdf
Theoretical Framework – Identify a
mid-range nursing theory or interprofessional theory that applies to
topic. Write 2 paragraphs discussing
theory (1 paragraph discussing components of theory and 1 paragraph applying
theory to topic). Reference from
theory must be from a primary source.
One mid-range nursing theory that applies to the
topic of substance abuse disorder treatment, particularly alcohol addiction,
is the Health Promotion Model (HPM) developed by Nola J. Pender. The HPM
emphasizes the dynamic interaction between individual characteristics,
behaviors, and environmental factors in shaping health outcomes (Pender,
1996). Key
components of the HPM include individual perceptions of health, self-efficacy
beliefs, and the influence of interpersonal and environmental factors on
health-promoting behaviors (Pender, 1996). [FL4] Applied to
alcohol addiction treatment, the HPM underscores the importance of
understanding individuals’ beliefs about alcohol use, their perceived ability
to change their behavior, and the influence of social and environmental
factors on their recovery journey. By addressing these components within a
holistic framework, nurses can effectively promote behavior change and
support individuals in overcoming alcohol addiction.
References
Pender,
N. J. (1996). Health promotion in nursing practice (3rd ed.). Appleton &
Lange.
PICOT Formatted Intervention Question
In adults
with alcohol use disorder (P), how does cognitive-behavioral therapy
(I) compared to standard treatment (C) affect the reduction of
alcohol consumption (O) within a 12-week intervention period (T)?
[FL1]This
is fine to include, but your studies will have to have some method to report
data about quality of life and a definition of quality of life.
[FL2]Office
of Disease Prevention and Health Promotion should be listed as the author.
[FL3]What
are these initiatives? What do they include?
[FL4]What
are these key aspects? You will need to provide a bit of detail about the
theory components.
