Evidence Based Nursing Research

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

1EVIDENCE BASED NURSING RESEARCH
Proposed solution
a) In response to the prevalence of mental health issues like depression and post traumatic
stress disorder (PTSD) in military veterans, the proposed solution is to provide 10 week
mindfulness based cognitive therapy to the population at risk. This solution has been
targeted particularly because mindfulness technique has the potential to address both
suicide ideation as well as depressive symptoms. Another reason behind choosing this
intervention is that it is consistent with current evidence too which shows the efficacy of
the solution in promoting mental health of military veterans. Kline et al. (2016) gave the
evidence regarding the efficacy of mindfulness based cognitive therapy in reducing risk
of suicide and improving quality of life for military veterans and their family. A literature
review by Boyd, Lanius and McKinnon (2018) gave evidence regarding the effectiveness
of mindfulness based treatment as a promising adjunctive approach for people with
PTSD. The reason behind this is that mindfulness target specific features of PTSD
particularly shame, avoidance, guilt, hyperarousal and emotional numbing. Hence,
mindfulness works to reduce ruminative tendencies and promote people’s capacity for
attention control and reduction in negative behaviours.
b) Although the review of research literature shows the potential of the mindfulness based
therapy in addressing depressive symptom in military veterans, however the intervention
is unrealistic to be implemented in the health and counselling department of the military
unit because of lack of staffs to deliver the therapy. Another barrier to the application of
the intervention is that although the existing staffs at the selected unit lack training to
deliver the intervention. Hence, to make the solution feasible in the target setting, first
strategy would be to incur additional expense to recruit staffs with knowledge and

2EVIDENCE BASED NURSING RESEARCH
experience in delivering cognitive based therapy or implement an extensive training
session where mental health staffs can be trained regarding the way to deliver the therapy
in the target setting. This is essential to ensure that all resource needed for advanced
practice is present at the setting (DeNisco & Barker, 2015).
Organization culture:
The chosen intervention is consistent with the organization culture because the military
unit has an internal focus to maintain high quality care and optimal health of military personnel.
Hence, as the mindfulness based therapy is likely to improve mental health, reduce risk of social
isolation and reduce risk of suicide ideation, the intervention is consistent with the organization’s
vision of providing high quality care. As the chosen organization is a military unit and the
organizers are flexible to changes in infrastructure based on need, there is a high probability of
successful uptake of the intervention. If appropriate evidence or data regarding the problem of
depression or PTSD among military veterans are provided, there is a probability that the
organization can readily accept the intervention.
Expected outcome:
The expected outcome of the project is as follows:
 Reduction in symptoms of depression and PTSD
 Reduction in suicide ideation and rate of suicide among military veterans
 Improvement in quality of life of military veterans
Method to achieve outcome:
The above outcomes will be achieved by taking the following steps: