In this assignment, you will select an evidence-based practice problem from an identified list of topics provided by your course faculty (this is the topic you selected and identified in your unit 1 discussion).  After selecting a topic from the provided list, you will develop a PICOT question around your topic. Then, you will discuss the selected topic problem and significance of the problem, as well as your search strategy in locating three research articles that align to your selected topic. The full-text link for each of these research articles must be included.

For this assignment, be sure to include the following assignment criteria in your paper:

1. Discuss your selected evidence-based practice problem/topic.
2. Discuss the significance of the selected evidence-based practice problem.
   1. Support your discussion in terms of statistics and evidence-based outcomes.
3. Describe your PICOT question created around the selected evidence-based practice problem.
   1. Included the individual PICOT components, as well as a combine PICOT question, in sentence format.
4. Identify thethreearticles you selected that address the problem which is the focus of your PICOT question.
5. Describe the search strategy you used to locate thesethreearticles, including terms used when search, the research databases, and how you refined your search to select the three articles.
6. Provide a conclusion to summarize your findings.

Remember to support your ideas with the articles you found. These articles should be less than five (5) years old. They should not be from the Web, but from the library databases, and be sure to use a narrative format.

In addition, you must follow APA guidelines, providing a title page, reference page, and in-text citations, as well as use level headings to match the assignment criteria listed above.

Please use, at minimum three scholarly references, and your paper should be 300-400 words, excluding title and reference pages.

Evidence Practice Problem-Solution

Anxiety Management Techniques for Patients in Hospice

Anxiety is a prevalent mental health problem among patients in hospice. Often, the patients experience anxiety due to issues like regrets and unaccomplished dreams (Zweers et al., 2019). As a result, the evidence-based topic will explore the techniques that should be employed in caring for patients in hospice, including support from family and friends, counseling, medication therapy, and management of end-of-life circumstances. (Anxiety Management for Patients in Hospice Essay-Example)

Significance

Knowledge about anxiety management techniques is crucial in hospice care since it improves the patient’s coping strategies, leading to a positive end-of-life experience. Besides, it also extends patients’ lives in hospice care. Anxiety affects 20-50 % of advanced cancer patients (Zweers et al., 2019). Bakitas et al. (2020) also confirmed the significance of anxiety management techniques in hospice patients by investigating the role of telehealth intervention in palliative care compared to the usual quality of life and mood management in heart failure patients. In the 16^th week, there was 3.9 (1.3) points intervention group compared to 2.3 (1.2) points in the usual group based on the Kansas City Cardiomyopathy Questionnaire [KCCQ]. The 1.6 points difference indicates positive outcomes in using anxiety management techniques.(Anxiety Management for Patients in Hospice Essay-Example)

PICOT Question

In hospice patients with anxiety (P), how does spending time with loved ones and trusted friends (I) compared to the absence of loved ones and trusted friends (C) reduce irritability and restlessness (O) within the final six months to death (T)?

The population (P) in the PICOT question are patients with anxiety in hospice care. Intervention (I) is the presence of loved ones and trusted friends, while the control (C) is the absence of loved ones. The outcome (O) of the intervention is irritability and restlessness reduction, and time (T) is the final six months to death.(Anxiety Management for Patients in Hospice Essay-Example)

Articles Addressing the Problem

Gonella, S., Basso, I., De Marinis, M. G., Campagna, S., & Di Giulio, P. (2019). Good end-of-life care in a nursing home according to the family carers’ perspective: A systematic review of qualitative findings. Palliative medicine, 33(6), pp. 589-606. https://doi.org/10.1177/0269216319840275

Mackie, B. R., Mitchell, M., & Marshall, A. P. (2019). Patient and family members’ perceptions of family participation in care on acute care wards. Scandinavian journal of caring sciences, 33(2), pp. 359-370.https://doi.org/10.1111/scs.12631

Walshe, C., Barnes, H., Turner, M., & Hughes, S. (2021). Constructing a new role for family carers and volunteers providing care towards the end of life: an action research approach exploring a new model of hospice care. Health & Social Care in the Community, 29(3), pp. 837-845.https://doi.org/10.1111/hsc.13315

Search Strategy

The articles were drawn from PubMed and MEDLINE databases. Keywords include family carers and volunteers, end-of-life care, hospice care, nursing home, and patients’ and family members’ perception of hospice care. The search identified many journal articles, refined by selecting the boxes for evidence-based research and peer-reviewed journal.(Anxiety Management for Patients in Hospice Essay-Example)

Conclusion

Anxiety management techniques are crucial in prolonging life in hospice care and enhancing positive patient experiences. The PICOT question highlights the importance of support from loved ones in reducing restlessness and irritability within the final six months of hospice care. This has been confirmed by various studies identified through a rigorous search of the PubMed database. Henceforth, family involvement in hospice care improves patient experiences.(Anxiety Management for Patients in Hospice Essay-Example)

References

Bakitas, M. A., Dionne-Odom, J. N., Ejem, D. B., Wells, R., Azuero, A., Stockdill, M. L., … & Pamboukian, S. V. (2020). Effect of an early palliative care telehealth intervention vs. usual care on patients with heart failure: the ENABLE CHF-PC randomized clinical trial. JAMA internal medicine, 180(9), pp. 1203-1213.10.1001/jamainternmed.2020.2861

Gonella, S., Basso, I., De Marinis, M. G., Campagna, S., & Di Giulio, P. (2019). Good end-of-life care in a nursing home according to the family carers’ perspective: A systematic review of qualitative findings. Palliative medicine, 33(6), pp. 589-606. https://doi.org/10.1177/0269216319840275

Mackie, B. R., Mitchell, M., & Marshall, A. P. (2019). Patient and family members’ perceptions of family participation in care on acute care wards. Scandinavian journal of caring sciences, 33(2), pp. 359-370. https://doi.org/10.1111/scs.12631

Walshe, C., Barnes, H., Turner, M., & Hughes, S. (2021). Constructing a new role for family carers and volunteers providing care towards the end of life: an action research approach exploring a new model of hospice care. Health & Social Care in the Community, 29(3), pp. 837-845.https://doi.org/10.1111/hsc.13315

Zweers, D., de Graeff, A., Duijn, J., de Graaf, E., Witteveen, P. O., & Teunissen, S. C. (2019). Patients’ needs regarding anxiety management in palliative cancer care: a qualitative study in a hospice setting. American Journal of Hospice and Palliative Medicine®, 36(11), pp. 947-954.https://doi.org/10.1177/1049909119846844