Research Critiques and PICOT Statement Final Draft NRS 433

Research Critiques and PICOT Statement Final Draft NRS 433

Postpartum depression remains a significant mental health problem for women who have recently delivered. Postpartum depression can result to increased risk for developing major depressive disorder in the later part of a patient’s life. Studies, both qualitative and quantitative, show that postpartum depression can lead to diminished interaction between the mother and a newborn child, the family and other members of community (Chaharrahifard et al., 2021). The purpose of this paper is to review the PICOT Statement, offer a critique of the articles and provide an evidence-based practice change and establish the link between the PICOT question, nursing problem, and research articles.

Nursing Practice Problem and PICOT Question

Nursing Practice Problem

Postpartum depression is a critical mental health issue that affects mother after delivery and may lead to negative impacts on their ability to breastfeed the newborns and their interactions. Studies show that about 15% of women experience psychological disorders before, during and after delivery and these may include depression, anxiety, and stress associated with pregnancy and child birth (Chaharrahifard et al., 2021). Symptoms of postpartum depression include insomnia, loss of appetite, difficulties in bonding with the newborn, and increases irritability. Untreated postpartum depression may last longer and lead to the use of different types of therapies like antidepressants to treat it and exacerbate the poor mental state of the new mother. Many of these women do not have access to effective mental health interventions like psychoeducation interventions that can help them mitigate the effects of postpartum depression. Postpartum psychoeducation assists these women to reduce adverse effects of their condition and improve their interactions with their newborns and families.

Quantitative and Quantitative Studies

PICOT Statement & Question

Population or Problem

Postpartum depression affects over 15% of women with many lacking access to better mental health interventions. Lack of treatment for postpartum depression can lead to negative effects like reduced interactions between the mother and the newborn and family members, especially the husband. Maternal postpartum depression a risk factor for developing paternal depression leading to communication breakdown that can heighten marital conflicts. It is vital to develop effective strategies that include psychoeducation as means of managing and preventing the condition

Intervention

The intervention proposed in this study is the use of psychoeducation for mothers suffering from postpartum depression as provided by nurses, especially psychiatric nurse practitioners dealing with such mothers. Psychoeducation assists women with the condition to reduce the adverse effects on mental health and improve their interactions with their newborns.

Comparison

The aforementioned intervention will be compared to the normal clinical routine (Treatment as Usual) where nurse practitioners do not integrate the use of psychoeducation as a tool to address mental health issues among the new mothers.

Outcome and Time

Through the integration of psychoeducation, the nurse practitioners aim at preventing the occurrence and prevalence of postpartum depression among the new mothers within six months.

PICOT Question

Among the mothers who have newly given birth (P), what is the efficacy of psychoeducation (I) in comparison to normal clinical routine (C) in preventing the development of postpartum depression (O) within six-month study period (T)?

Background

The project considers four main articles, both qualitative and quantitative, to discuss the background to the clinical problem presented. The two qualitative articles include one by Lackie et al. (2021) titled “Digital Health Needs of Women with Postpartum Depress: Focus Group Study. The objective of this study is the evaluation of unfulfilled psychoeducational needs of mothers suffering from postpartum depression and determining the efficacy of web-based interventions to meet these needs. The article identifies postpartum depression among expectant mothers after delivery as the main problem and emphasizes how different patient experience the challenge. The study is significant to the nursing practice since it offers interventions to manage postpartum depression. The primary research question in the study is; what are some unfulfilled psychoeducation needs, and what is the efficacy of utilizing web-based interventions to meet the needs of mothers with postpartum depression.

The second qualitative article was by Lam and Ngai titled (20