Discuss your library search strategies and briefly summarize the literature you reviewed.

Discussion Question

In this course, each of you will be developing a research proposal. Our focus this week is to identify a problem specific to your role option that is amenable to an innovative solution.

Based on your specialty role option (i.e., Nurse Practitioner, Nurse Educator, Nurse Informaticist, Nurse Administrator), identify a potential problem (topic) that you would like to investigate through nursing research. Begin by reading the American Association of Colleges of Nursing’s (AACN) position statement on nursing research (Nursing Research).

Next explore South’s Online Library and conduct a search to locate a minimum of three nursing research articles that have addressed the problem you have identified. The literature may not be older than 5 years. After reading the literature respond to the following:

  1. Note your role specialization and briefly describe the problem you are interested in researching and why this is of interest to you.
  2. Discuss your library search strategies and briefly summarize the literature you reviewed. Focus your discussion on the “problem” and how the literature you identified provides evidence of the existence of the problem.
  3. Include in your discussion a potential innovation that you might consider as a solution to the problem identified.
  4. Include citations/references in APA style format, using citations where appropriate.Family nurse practitioner specialization, is the MSN role I have chosen to pursue. I am interested in further researching the Healthy People 2020 goal regarding substance abuse; “Reduce substance abuse to protect the health, safety, and quality of life for all, especially children” (HHS, 2018). I have personally witnessed friends and family suffer from various forms of substance abuse; causing a magnitude of problems, including health and legal issues. My library search strategy included the use of the CINAHL database, I set the criteria to search within the last 5 years, English language only, and used the Boolean phrase “substance abuse”. My search yielded 7,916 results; which I was able to narrow it down to 3,879 results be selecting the source type “academic journals” only.

    The literature is overwhelming, there is a plethora of research on substance abuse. The first article I encountered involves substance abuse in adolescents; which I find to be one of the most important areas to focus on, the study showed that most of the users had initiated substance abuse during 15-18 years of age, with peer pressure, curiosity and sense of growing being the primary causes (Sharma, 2015). Also there is a higher presence of substance abuse with mentally ill patients; the study showed that patients with mental illness are 50% more prone to substance abuse than patient without mental illness (Vugt et al., 2014). The HHS (2018) estimates 22 million Americans struggled with a drug or alcohol problem and that nearly 95% of people with substance use problems are unaware that they have a problem.

    The US Substance Abuse and Mental Health Services Administration’s Screening, Brief Intervention and Referral to Treatment (SBIRT) demonstration program was adapted successfully to the needs of early identification efforts for hazardous use of alcohol and illicit drugs (Babor, Del Boca & Bray, 2017). Research shows that the use of SBIRT,  significantly reduces the rate of substance abuse.  SBIRT implementation was associated with improvements in treatment system equity, efficiency and economy (Babor, Del Boca & Bray, 2017).

    Substance abuse has a major impact on individuals, families, and communities. The effects of substance abuse are cumulative, significantly contributing to costly social, physical, mental, and public health problems. Commonly associated problems seen with substance abuse are: teen pregnancy, HIV/AIDS, STDs, domestic abuse, child abuse, physical altercations, crime, homicide, and suicide (HHS, 2018). There is an apparent problem and there is no denying that health care workers are in the front-lines of the war of substance abuse.

    References

    Babor, T. F., Del Boca, F., & Bray, J. W. (2017). Screening, Brief Intervention and Referral to Treatment: implications of SAMHSA’s SBIRT initiative for substance abuse policy and practice. Addiction, 112110-117. doi:10.1111/add.13675

    Sharma, M. (2015). Substance Abuse in Adolescents: Implications for Research and Practice. Journal Of Alcohol & Drug Education, 59(1), 3-6.

    US Department of Health and Human Services (HHS), (2018). Office of Disease Prevention and Health Promotion. Healthy People 2020 Focus area 26, substance abuse. Retrieved from: https://www.healthypeople.gov/2020/topics-objectives/topic/substance-abuse

    Vugt, M., Kroon, H., Delespaul, P., & Mulder, C. (2014). Assertive Community Treatment and Associations with Substance Abuse Problems. Community Mental Health Journal, 50(4), 460-465. doi:10.1007/s10597-013-9626-2

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