Evidence Based Nursing

Running head: EVIDENCE BASED NURSING
Evidence based nursing
Name of the student:
Name of the University:
Author’s note

1EVIDENCE BASED NURSING
Change initiative in relation to PICOT:
As military veterans are at high risk of developing mental illness like post traumatic
stress disorder (PTSD) due to continued period of stress and trauma, the change initiative that
has been proposed is to implement behavioural intervention like motivational interviewing so
that they can adapt healthy behaviour. The main advantage of using mindfulness approach is that
it specifically targets the core features of PTSD such emotional numbing, negative emotions,
avoidance and hyperarousal. Military veteran with PTSD often suffer from attention deficit and
the mindfulness intervention plays a role in intentional shifting of attention to the present
moment (Boyd, Lanius & McKinnon, 2017).
The intervention is appropriate for the population group of military veterans because they
are most likely to suffer from PTSD and mindfulness based interventions are effective in
supporting those who do not adhere to current therapy. Polusny et al. (2015) has revealed that
mindfulness technique is especially effective in reducing the severity of symptoms in PTSD
patient. The intervention can be implemented in a medical centre for 8 weeks were the treatment
can be delivered in a group. The session will cover core elements of the therapy such as treating
participants to attend to the present moment in a non-judgmental manner, didactic training and
meditation based exercise. The assessment of change in outcomes of patient can be done by
detecting change in PTSD symptom severity and quality of life. PTSD and quality of life will be
measured by reliable tool.
Justification of the research problem:
The problem of prevalent of mental disorders like PTSD is amenable to a research based
intervention using the PICOT format because many research has been done on treatment of