Evidence Based Nursing

Running head: EVIDENCE BASED NURSING
Evidence based nursing
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1EVIDENCE BASED NURSING
Section A: Organizational Culture and Readiness Assessment
To assess an organization’s readiness for EBP (Evidence based practice)
implementation, the military and counselling departments at the military was selected for
conducting the survey. The organizational culture survey tool that was used included the
Organizational Culture Assessment Instrument (OCAI), which assesses whether the
organization has internal focus or external focus, stability and control or flexibility or
discretion. The following outcomes were obtained regarding the organization’s readiness for
implementing the EBP:
Facilitators: The organization had an internal focus which was to maintain high quality of
care and provide positive care experience to consumers. The organization is also flexible and
changes it infrastructure based on its needs. This outcome can act as facilitator in
implementing EBP because integrating mindfulness based therapy for military veterans will
be easier in the selected organization.
Barriers: Some of the barrier to integration is that currently the organization does not have
staffs to implement mindfulness based therapy. This would require a separate room with
desired environment as well as a qualified mental health therapist who could deliver the
sessions. Lack of availability of tools for suicide ideation assessment is also a barrier
currently.
Strategies to integrate clinical inquiry: To integrate clinical inquiry in the selected setting
based on the PICOT statement, it is planned to recruit few experiences mental health
therapist. This will help in implementing and testing the effect of intervention in large
military veterans groups. Furthermore, there is also a need to involve support staffs with
knowledge about various tools so that suicide ideation assessment and diagnosis of

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depression or other mental health issues in military veterans can be adequately done. The role
of leadership in bringing the change also needs to be observed as leader’s insight and
perception regarding embracing new innovation would help in introducing the new
intervention in the selected setting. There is also a need to fulfil informed consent
requirement with military veterans so that their support and contribution enhances the
outcome of the EBP (Brownson et al., 2017).
Section B: Proposal/Problem Statement and Literature Review
Problem statement:
In response to the issue of mental health issues in military veterans due to exposure to
trauma and continuous period of traumatic event, the PICOT statement that was framed was
‘Can psychological intervention help in the reduction of symptoms of depression and post
traumatic stress disorder among military veterans within one year?. Research in this area
will be important because posttraumatic stress disorder (PTSD) and depression is a common
phenomenon in military veterans. Goldstein et al. (2017) demonstrated deleterious effect of
traumatic military experiences of symptoms of PTSD and depression. Bryan et al. (2015)
reported increased risk for suicidal thoughts and behaviours in military veterans with
comorbid symptom of PTSD and depression. Hence, these research evidences justifies the
need to evaluate whether psychological interventions can alleviate sufferings and reduce
symptom of depression in military veterans or not. By researching on this topic, it is expected
find positive mental health outcome in military veteran groups.
Study population: To support the PICOT, the research was conducted with military veterans
at high risk of suicide. The criteria set of eligibility of research participant included
assessment of suicide ideation in sample group by a suicide prevention coordinator. Only
those sample groups were included which had significant suicide risk within the past 30 days.