This project aims to develop a resource to improve nurses' skills and knowledge in providing participatory care for patients with emotional, behavioral, or cognitive problems. The researcher plans to distribute questionnaires and conduct interviews with nurses to understand their experiences and perspectives on caring for these patients. The expected findings could enhance nurses' understanding of underlying issues, and introduce tools to help nurses communicate with patients and families. This may lead nursing education programs to incorporate training on participatory care, benefiting both patients and nursing practice.

1. Grading Criteria
Research Study Proposal – Part V: Final Research Presentation
Content
60 Percent
Points Earned/Points Available
Student has created a 10- to 15-slide presentation with detailed
speaker notes. The Final presentation must summarize the
health care problem you selected. Describe your proposed
research design for your problem statement including the
following:
· Importance/relevance of problem
· Problem statement
· Summary of literature review
· Research question
· Methodology to be used
· Implications of the expected findings
There is Discussion of the rationales for the various methods
and decisions that are being made throughout the process.
Correct citations in the speaker’s notes and slides indicate
clearly what information is coming from what source(s).
It is acceptable for this paper to be informed by, and even to
include pieces from prior Individual Assignments in this class
that relate to this topic, provided feedback is being considered

2. to correct any errors in those parts from prior assignments.
/6
Organization/Development
20 Percent
Points Earned/Points Available
· The assignment has 10-15 slides in a PowerPoint presentation
· The slide show and the speaker’s notes are organized clearly,
are logical, and flow smoothly.
· Sentence and paragraph structure are clearly organized in the
speaker’s notes. The slides should be more visually oriented,
with bullets and/or graphs or other images that clearly inform
the discussion.
· The introduction provides sufficient background on the topic
and previews major points.
· The conclusion is logical, flows, and reviews the major points.
/2
Mechanics
20 Percent
Points Earned/Points Available
· The presentation—including the title page, reference page,
tables, and any appendixes—is formatted according to APA
guidelines as directed by the facilitator. The presentation is laid
out with effective use of headings, font styles, and white space.
· Rules of grammar, usage, and punctuation are followed;
spelling is correct, in both the slides AND the speaker’s notes.
/2
Total Points Earned/Points Available
/10

3. Community Health Nursing
Research Study Proposal–Part V: Final Research Presentation
Name
HCS/542
October 9, 2017
Lane Baggett
*
Introduction Nurses face challenges in practice. They have
inadequate support, equipment, time, and funds. It becomes hard
for them to cater for patients with emotional, behavioral, and
cognitive problems. These patients require participatory care
delivery This includes the help of nurses and friends, or family
members. Also, nurses lack appropriate skills, education, and
knowledge to help such patients. Through the appropriate
interventions they can approach the patients and initiate
participatory care delivery This project offers a way through
which the nurses can get help to overcome those limitations.
Nurses in today’s world face numerous challenges in their work.
They strive to deliver excellent care with inadequate support,
equipment, time, and funds. They also face moral and ethical
residue, fatigue, emotional exhaustion, and burnout. It therefore
becomes hard for them to cater for patients with emotional,

4. behavioral, and cognitive problems. These patients require
participatory care delivery with the help of nurses and friends,
or family members. Moreover, there is a problem as nurses lack
appropriate skills, education, and knowledge to help such
patients (Johnson et al., 2010).
Through the appropriate interventions, such as the introduction
of learning programs that can train nurses on how they can
approach the patients and initiate participatory care delivery
into the curriculum at nursing schools can help them deal with
such situations. This project offers a way through which the
nurses can get help to overcome those limitations that make
them ill-prepared to handle patients with emotional, behavioral,
and cognitive problems that need participatory care giving
process.
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Problem StatementMost nurses lack appropriate skills,
education, and knowledge to deal provide participatory
healthcare. They feel unprepared, uncomfortable, and unsure of
how they should proceed This happens when assessing patients
with emotional, behavioral, and cognitive problems. They also
do not how to approach such related issues They lack courage to
discuss their effects and health improvement outcomes. Absence
of proper training and education is the main problemSocietal
attitudes also pose another problem for nurses in participatory
health promotion and prevention.
The evolving role of nurses has led to a significant shift and
focus on community participatory health promotion and
prevention. Unfortunately, many nurses are unequipped with
appropriate skills, education, and knowledge to deal with
healthcare in community settings. According to Nolli
Bittencourt and de Vargas (2015), nurses usually feel

5. unprepared, uncomfortable, and unsure of how they should
proceed when they are assessing the patients with emotional,
behavioral, and cognitive problems on at the health facility.
They also do not how to approach such related issues to discuss
their effects and health improvement outcomes. Because of the
absence of proper training and education combined with societal
attitudes, these nurses cannot possess the required skills in the
community care giving, especially in participatory health
promotion and prevention.
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Relevance of the ProblemIn healthcare sector, nursing is one of
the most important parts in care giving. It caters for those
critical health matters It can help to prevent cases that can lead
to hospitalization. Nurses need to apply participatory
community healthcare to better practice.Without skills and
knowledge, it is impossible to help patients with the underlying
issues.They can get treatment, then on discharge fail to adhere
to doctor’s requirements. Without the knowledge the situation is
bound to worsen, and more deaths will be reported in the
categories of patients stated. This is because the community
will not be able to act appropriately help them.
In healthcare sector, community health nursing is one of the
most important parts in care giving. This is because it caters for
those critical health matters that can help to prevent cases that
can lead to hospitalization. When it comes to patients with
emotional, behavioral, and cognitive problems, nurses play a
significant role to ensure their well-being through participatory
community healthcare. When delivering healthcare to treat
ailments of those patients with such underlying issues, there is
need for the nurse to include the participatory health promotion
program to that includes the family or close relatives to help in

6. promoting the health of the patient, and avoid future
hospitalization. Addressing the gap, which exists between the
knowledge and skills of the nurse to offer excellent care
through participatory community programs, and the care offered
to the patients with emotional, behavioral, and cognitive issues,
can help the nurses overcome barriers and obstacles they face
when caring for such patients. Without the knowledge, the
situation is bound to worsen, and more deaths will be reported
in the categories of patients stated. This is because the
community will not be able to act appropriately to help them
when they get sick. Such patients will be treated for a particular
disease, then lose fail to follow doctor's instructions due to
underlying issues. This means that they may get worse. When
the nurse helps the community understand participatory care,
this is prevented.
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The Goal of this ProjectThis project aims at developing an
informational resource for the nurses. This will give them:1.
critical reflection and 2.an all-inclusive approach It offers
information to be applied at hospital care units help nurses
overcome barriers and obstacles The research offers material
that will improve the skills and knowledge of nurses in brief
interventions. It aims at helping them get more skills in
understanding the social, physical, physiological, and
psychological effects associated with participatory care delivery
to such patients. It aims at boosting confidence and comfort
level of nurses in participatory care.
This project aims at developing an informational resource for
the nurses. This will give them critical reflection and an all-
inclusive approach when caring for those patients with

7. underlying conditions relating to emotional, behavioral, and
cognitive problems, which require management, and their
families or support peoples. The project also offers information
that can be applied at hospital care units to help nurses
overcome barriers and obstacles they face when dealing with
such patients. The research offers material that will improve the
skills and knowledge of nurses in brief interventions. It also
aims at helping them get more skills in understanding the social,
physical, physiological, and psychological effects associated
with participatory care delivery to such patients. Another
objective is to boost their confidence and comfort level when
approaching and dealing with patients and families and
discussion of participatory care to prevent the illnesses that may
be contributed by their underlying issue and improve health.
*
Research Questions
To be able to conduct the research, it is important to use
questions as the guiding principles. The following are the
questions that the research sought to address; How important is
the community participatory in health promotion and prevention
of illness? What is the role of the nurses in promoting
community participatory care giving? How can the nurses help
in the improvement of participatory nursing program?
Brief Literature ReviewLock et al. (2002): established that
nurses play a very important role in caring for, advocating, and
intervening to improve outcomes patients Personal opinions,
beliefs, attitudes, and views of the nurse relating to the patient’s
underlying disorders harmfully affect nursing care to such
patients. Lock et al. (2002): nurses agreed that they usually
approach such patients with a great deal of caution, reservation,

8. and discomfort, especially when talking about consumption of
their conditions. Nolli Bittencourt & de Vargas (2015): the
negative attitude transforms to failure in detecting or addressing
the problem that led to hospitalization of the patient. This in
turn compromises the comprehensive care, making the
professionals to lack the motivation to help these patients.
According to the research that was conducted on the impact of
the nursing practice to overall healthcare delivery, and
incorporation of management practices to the patients with
underlying behavior and mental issues by Lock et al. (2002), it
was established that nurses play a very important role in caring
for, advocating, and intervening so as to improve outcomes for
clients hospitalized with but have underlying emotional,
behavioral, and cognitive problems. However, the personal
opinions, beliefs, attitudes, and views of the nurse relating to
the issues associated with the patient’s behavioral disorders, or
activity leading to hospitalization can harmfully affect nursing
care to such patients. In the study, Lock et al. (2002) found that
nurses agreed that they usually approach such patients with a
great deal of caution, reservation, and discomfort, especially
when talking about their disorders. They believe that the
clinical psychologists should handle such matters. Another
material is provided by the study by Nolli Bittencourt & de
Vargas (2015), who established that negative attitude of the
nurses, can lead to failure in detecting or addressing the
problem that led to hospitalization of the patient. Therefore, the
comprehensive care is compromised, making the professionals
to lack the motivation to help these patients.
*
Literature Review ContinuedEmergency department Nurses
lack critical skills in nursing.Nurses need more training to

9. enhance the participatory care.
Indig, Copeland, Conigrave & Rotenko (2009) established that
the nurses and physicians, especially in the emergency
department, do not have adequate skills in “confidence,
knowledge, skills, and sense of responsibility to appropriately
manage patients” with behavioral and drug-related issues (p. 29)
. These medical practitioners lack adequate resources, time, and
skills to care for these patients. Indig et al., (2009) realized that
nurses are not the only group that need more training, but
doctors also do.
*
Methodology UsedThe initial research methodology is based on
the personal experience as a nurse. I was learning at a county
healthcare organization as a volunteer caregiver A guest speaker
was invited to share her experiences with the nurses that worked
in my unit. She had been brought in for low blood sugar levels
and hospitalized.She also showed alcohol withdrawal symptoms,
and had PTSDShe had felt that nurses avoided and ignored her
underlying issues, Nobody had asked her how she was feeling or
coping. Every nurse was astonished when she said that she was
a professor at a University. She thanked nurses for treating her
symptoms.
The first part of my research methodology is based on the
personal experience as a nurse.
When I was learning at a county healthcare organization as a
volunteer caregiver, a guest speaker was invited to share her
experiences with the nurses that worked in my unit. Mrs. Jean
(not her real name), had been brought in the hospital for low
blood sugar. She was hospitalized, and then nurses realized that

10. she had symptoms of alcohol withdrawal and PTSD. The nurses
were astonished to realize that she was a university professor,
as they had realized that she was an alcoholic and suffered
PTSD from her past relationship. However nobody raised these
issues throughout her treatment or how they affected her blood
sugar condition. She felt that nurses avoided and ignored
alcohol consumption and her mental issues, and also, nobody
asked her how she was feeling or coping. She thanked them for
the treatment of her symptoms.
*
Methodology ContinuedShe asked nurses to go beyond the
visible signs They need to discuss with their patients the impact
of the underlying behavioral and mental disorders The disorders
could possibly contribute to their hospitalization. Then, I
formulated the need for research It will provide information
necessary to enhance nurses’ support and intervention skills to
help patients through participatory care giving. I generated
questionnaire and that I will distribute to the nurses in my unit
and other units addressing I will also interview the nurses in the
clinical context regarding their opinions, attitudes, and beliefs
about patients in the category I research on. I will combine with
the secondary sources in the nursing research field. The
materials will give the processes that can be applied to make the
situation better in the nursing practice.
However, she asked them to go beyond the visible signs and
discuss with their patients the impact of the underlying
behavioral and mental disorders that could possibly contribute
to their hospitalization, like alcohol or drug use. From here, I
formulated the need for research that will provide information
necessary to enhance nurses’ support and intervention skills to
help patients through participatory care giving. I generated

11. questionnaire and that I will distribute to the nurses in my unit
and other units addressing their experience with such patients,
and what they feel should be done about the problem. I will also
interview the nurses in the clinical context regarding their
opinions, attitudes, and beliefs about patients in the category I
research on. I will combine with the secondary sources in the
nursing research field. The materials will give the processes
that can be applied to make the situation better in the nursing
practice.
*
Implications of the expected findingsResearch will enhance the
knowledge of nurses about underlying behavior and mental
issues, and its effect on treatment. Recommendations will
advance facilitators and minimize the obstacles to intervention
associated with community nursing. Brief intervention tools and
screening among other elements would be introduced to nursing
career as a result of the research. The tools help nurses to
understand how to approach the patient family, and help them
understand the problem they face at hand. Education programs
could also be introduced in the care units at hospitalsNurses
would gain skills and confidence to take part in delivery of brief
interventions.Nurses would also initiate interaction, connection
and communication with all aspects of patients to commence the
participatory care giving.
The main impact of the research findings will be in the nursing
education the curriculum used in nursing school would be
changed to incorporate the methods that would help nurses
promote participatory care delivery in community healthcare.
This is because it will enhance the knowledge of nurses about
various issues like behavioral and mental disorders, and their
effect on treatment. Also, the findings and recommendations

12. will increase the facilitators and minimize the obstacles to
intervention associated with community nursing. Brief
intervention tools like screening, among other elements would
be introduced to nursing career to help nurses to understand
how to approach the patient, and their family or friends, to help
them understand the problem they face at hand. Education
programs could also be introduced in the care units to help in
identification and management of such patients. Most
importantly, nurses would gain skills and confidence to take
part in care delivery involving brief interventions. They would
also initiate interaction, connection and communication with all
aspects of patients to commence the participatory care giving.
*
Significance to Nursing PracticeWhen we closely look at the
interactions between patients and nurses, it is unfortunate to see
that in many occasions, nurses lack an all-inclusive approach to
care. The approach would help in inspiring nurses to consider
their misconceptions, beliefs, and attitudes about patients with
certain underlying problematic behavior. The nursing research
articles located in the study will be importantThey will make
the institutions that teach nursing and the healthcare
organization changeThey will know the importance of including
the training on approach to patients with behavior and mental
disorders to curriculum. The nursing practice will have a long-
lasting impact on the behavior of patients. It will also lead to
reduced mortality, enhanced health for manageable conditions,
both at home and hospital.
When we closely look at the interactions between patients and
nurses, it is unfortunate to see that in many occasions, nurses
lack an all-inclusive approach to care. The approach would also
help in inspiring nurses to consider their misconceptions,

13. beliefs, and attitudes about patients with certain underlying
behavior or emotional issues. The nursing research articles
located in the study would make the institutions teaching
nursing and the healthcare organization realize the importance
of including the training on how best to approach such patients,
to their curriculum. The nursing practice will have a long-
lasting impact on the behavior of patients as it will help them
manage better their underlying conditions. It will also lead to
reduced mortality rates, and enhanced health for manageable
conditions, both at home and hospital.
*
References Indig, D., Copeland, J., Conigrave, & Rotenko, I.
(2009). Attitudes and beliefs of emergency department staff
regarding alcohol-related presentations.
International Emergency Nursing, 17, 23-30.Johnson, M.,
Jackson, R., Guillaume, L., Meier, P., & Goyder, E. (2010).
Barriers and facilitators to implementing screening
and brief intervention for alcohol misuse: a
systematic review of qualitative evidence. Journal of Public
Health, 1-10.Lock, C. A., Kaner, E., Lamont, S., &
Bond, S. (2002). A qualitative study of nurses’ attitudes and
practices regarding brief alcohol intervention in
primary health care. Journal of Advanced Nursing, 39, 333-
342.Nolli Bittencourt, M., & de Vargas, D. (2015). Attitudes
towards alcohol and alcohol-related problems: Comparison
among nurses from different Brazilian health
care settings. Journal of Nursing Education and Practice, 5, 45-
51.
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