1) The document discusses a DNP project that screens pregnant patients between 38-40 weeks of gestation for depression using the Edinburgh Postpartum Depression Scale, compared to only screening postpartum. This aims to enable earlier identification and counseling referrals within 8-10 weeks.
2) The author is considering presenting this project at the National AWHONN Conference, which focuses on obstetrical and neonatal nursing education.
3) Implementation is progressing as planned, though finding mental health solutions for low-income patients remains a challenge.
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Slomian Et Al.docx
1. [From 10$/Pg] Slomian Et Al
[From 10$/Pg] Slomian Et AlGood Afternoon Dr. Robinson and class, PICOT: For pregnant
patients, during weeks 38-40 of gestation, does screening for depression with the
Edinburgh Postpartum Depression Scale, compared to current practice (postpartum period
only), impact earlier identification and referrals to counseling in 8-10 weeks?The second
part of the collaborative discussion this week focuses on conference presentations to search
for the nursing-focused national conferences at which you can present your DNP project on
a podium or poster presentation. Abstract:Mental health screening is minimal during the
postpartum visit in private practice, while a psychological evaluation is unusual during the
prenatal period (Long et al., 2018). The current approach is to assess mothers during the
postpartum period and take action only after a diagnosis has been established. It has been
researched that screening and early recognition are the most critical steps in treating PPD
(Ghafoor et al., 2020). Globally, the prevalence of PPD is 17.7%, according to a systematic
review that included 291 studies from 56 countries (Hahn-Holbrook et al., 2018). At a local
level, depression is a burden to the community. PPD causes severe, long-lasting
developmental problems for the infant that lead to potential lifetime complications and
disruption of the newborn well-being. Infants of mothers who suffer from depressive moods
are prone to malnutrition and inadequate cognitive skills (Slomian et al., 2019). In this
project, the practice question studies if, for pregnant patients, during weeks 38-40 of
gestation, does screening for depression with the Edinburgh Postpartum Depression Scale,
compared to current practice (postpartum period only), impacts earlier identification and
referrals to counseling in 8-10 weeks? A maximum of 160 patients will be assessed and
referred as needed. The results are to be determined.Which conference have you
considered?The National AWHONN Conference is the perfect setting for presenting this
project. This organization focus on the education of obstetrical and neonatal nurses. This
year, I helped review abstracts to be included in the conference.Please share your
implementation progress and your plan for formative evaluation to ensure intervention
fidelity.Implementation is going as planned. Staff are less resistant to the new task and
understand the importance of the intervention. The hardest part of this project is to find the
mental health solutions for these pregnant patients. The office has a resource for Medicaid
patients, but it is restricted to our county. This option is not available for patients who
traveled from a different county to our office or have commercial insurance.Kindly,Danay
Sosa References:Ghafoor, M., Usmani, R., Choudhary, Z., Ahmad, S., Nazir, A., & Irshad, F.
(2020). Frequency and determinants of postpartum depression. The Professional Medical
2. Journal, 27(05), 1017-1021. https://doi.org/10.29309/tpmj/2020.27.05.4081 (Links to an
external site.)Hahn-Holbrook, J., Cornwell-Hinrichs, T., & Anaya, I. (2018). Economic and
Health Predictors of National Postpartum Depression Prevalence: A Systematic Review,
Meta-analysis, and Meta-Regression of 291 Studies from 56 Countries. Frontiers in
psychiatry, 8, 248. https://doi.org/10.3389/fpsyt.2017.00248 (Links to an external
site.)Long, M., Cramer, R., Jenkins, J., Bennington, L., & Paulson, J. (2018). A systematic
review of interventions for healthcare professionals to improve screening and referral for
perinatal mood and anxiety disorders. Archives Of Women’s Mental Health, 22(1), 25-36.
https://doi.org/10.1007/s00737-018-0876-4 (Links to an external site.)Slomian, Honvo, G.,
Emonts, P., Reginster, J.-Y., & Bruyère, O. (2019). Consequences of maternal postpartum
depression: A systematic review of maternal and infant outcomes. Women’s Health, 15,
1745506519844044–1745506519844044.
https://doi.org/10.1177/1745506519844044 (Links to an external site.)