Nursing Research Proposal
Posttraumatic stress disorder (PTSD) is a trauma-and-stressor-related mental disorder that occurs as a result of witnessing a traumatic, life-threatening event. The patient may have directly experienced, encountered, or been confronted with an actual threat such as torture, war, assault, or rape. Military veterans are the most common group of people who are at high risk of developing PTSD. In the United States, more than 20 million military veterans return home after years of fighting overseas and serving their country, often suffering from PTSD, homelessness, and addiction (McMillan et al., 2017). My primary area of interest is PTSD, which has long been a topic of discussion among nurse practitioners, and which has recently been updated by the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) under the new diagnostic category known as trauma-and-stressor-related disorders. It is also critical to assist individuals suffering from the disorder, particularly military veterans, by developing new psychotherapy approaches to manage the symptoms.
The majority of literature review articles present evidence-based research findings on the prevalence of PTSD, particularly in the United States. The mental condition, on the other hand, affects different people in different ways. Some people improve over time, even without treatment, whereas others suffer greatly from the symptoms and may even be suicidal. PTSD can lead to abusive behaviors at home, drug abuse, and even the development of another psychiatric disorder (Allen et al., 2014). In the United States, the risk of developing PTSD is currently around 9%. Every year, approximately 3.5% of adults in the United States suffer from a mental disorder. When compared to the general population, police officers, military veterans, healthcare workers, and firefighters are the most affected (Caldwell & Lauderdale, 2018). Rape and military captivity survivors had the highest rates of PTSD last year. African Americans, US Latinos, and American Indians were the most affected, followed by Asian Americans and Caucasians. More than 30% of military veterans who served in the Vietnam War were diagnosed with a mental disorder. PTSD was diagnosed in more than 13% of American military veterans who served in the recent wars in Afghanistan and Iraq (Caldwell & Lauderdale, 2018). Women, on average, are more vulnerable to the risk factors for developing PTSD than men.
Posttraumatic stress disorder (PTSD) is a common mental condition for which current pharmacotherapeutic approaches have proven ineffective in some patients. Growing knowledge about the neurobiology of learning and memory in relation to anxiety disorders has opened up new research avenues for the development of new PTSD medications. Currently, both medication and counseling are used to treat mental disorders. Sertraline and paroxetine, both selective serotonin reuptake inhibitors (SSRIs), are the first-line drugs for the treatment of PTSD (Waldron et al., 2018). However, I would recommend evidence-based psychotherapeutic interventions such as cognitive therapy, hypnosis, behavior therapy, and psychodynamic psychotherapy. To further improve PTSD treatment, it is necessary to reinforce learning and memory of anxiety annihilation, disrupt reconsolidation and thus incapacitate apprehension recollections, and, finally, encourage participation in psychotherapy by reducing trepidation and promoting openness to involvement. Nonetheless, PTSD is a mental condition that requires extensive research to understand and develop new and better treatment approaches.
References
McMillan, L. R., Crumbley, D., Freeman, J., Rhodes, M., Kane, M., & Napper, J. (January 01, 2017). Caring for the Veteran, military and family member nursing competencies: Strategies for integrating content into nursing school curricula. Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing, pp. 33, 5.)
Allen, P. E., Armstrong, M. L., Saladiner, J. E., Hamilton, M. J., & Conard, P. L. (January 01, 2014). Opportunities, hurdles, solutions, and approaches to transition military veterans into professional nursing programs. Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing, pp. 30, 6.)
Waldron, E. M., Hong, S., Moskowitz, J. T., & Burnett-Zeigler, I. (March 12, 2018). A Systematic Review of the Demographic Characteristics of Participants in US-Based Randomized Controlled Trials of Mindfulness-Based Interventions. Mindfulness.
Caldwell, H., & Lauderdale, S. A. (July 27, 2018). Public stigma for men and women veterans with combat-related posttraumatic stress disorder. Current Psychology.
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Question 
The Centers for Medicare & Medicaid Services (CMS) formed its no-pay policy based on the growing work of the National Quality Forum (NQF) of “never events.” Meaning, CMS will no longer pay for certain conditions that result from what might be termed poor practice or events that should never have occurred while a patient was under the care of a healthcare professional.
Nursing Research Proposal
Discuss specific examples of “never events” and their impact on your hospital.
What issues are you considering for your clinical project and why?