MSN Capstone Project Proposal
MSN Program: Adult Gerontology Nurse Practitioner
Project Title: Effectiveness of Nurse Practitioner Training in Early Detection of Substance Abuse in Older Adults
Week 1
State Your Clinical Question
(150 Words)
State your clinical question or topic for your capstone project proposal.
What issue is the question/topic addressing?
What are the reasons you selected this question/topic?
References (2 or more within 5 years).
Substance abuse among older adults has been on the rise in the past years, wherein alcohol and prescription opioids are the common abuse substance among seniors (AAC,2022). The nurse practitioner’s role in the early detection of substance abuse among older adults is vital to the diagnosis and treatment. Substance abuse harms health, and detection delay might lead to death. The question is the effectiveness of nurse practitioner skills in screening improves early detection and treatment of substance use disorder among older adults. In addition, the question addresses delayed detection among older adults. The contributing factor to the delayed detection of substance use disorder among older adults is the lack of adequate education and screening skills for substance abuse among patients of advanced age (Jenkins et al.,2022). Therefore, I selected this topic to determine the effectiveness of nurse practitioners’ screening skills in the early detection of substance abuse among older adults.
Week 2
Background Information
(250 words)
Address the following questions/bullets in completing this section:
Start at the starting point – What, Where, When, Why, and How?
What is known about this topic or what is the evidence on this topic (Scoping Search)?
What is the outcome of interest?
What are the gaps in our understanding or knowing related to this topic?
Substance abuse is a growing health problem worldwide, with people across all age groups associated with substance use and abuse. In New Jersey, substance use affects both young and old populations, with the state recording high tobacco, alcohol, marijuana, and heroin use disorders relative to regional and national statistics. According to Seim et al. (2020), detecting substance use disorders among older adults is difficult due to the comorbidity with neurocognitive impairment, complicated medical conditions, and functional decline of the general body systems. The common symptoms of substance use among the elderly population include impaired judgment, risk of falls, impaired cognitive performance, and poor coordination. Various studies have proved that adequate patient screening education among nurses effectively improves the efficacy of healthcare providers in detecting and treating substance use disorders. Through a quasi-experimental study, Jenkins et al. (2022) established that providing continued education for healthcare practitioners on substance use disorders improves their capacity to screen, detect, and treat patients with substance use disorders. A similar study by Grainy et al. (2022) on the effectiveness of nurse training sessions on substance use screening efficacy showed an improved capacity to detect patients with substance use disorders. However, there is a gap in the impact of continued nurse education on their effectiveness in detecting substance use disorders early enough for treatment. The study’s anticipated outcome is that regular education workshops on effective screening techniques for substance use disorder among older adults improve the nurse practioner’s effectiveness in the early detection of substance use disorders.
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Week 3
Literature Search Strategies
[200 words]
Provide details of your exhaustive search process. Be certain to list:
• Databases searched.
• All the keywords or search phrases used.
• How many articles in total that were found?
• List the inclusion/exclusion criteria.
• Provide the number of articles that were retained and a description on why those articles were retained.
Consider using a flowchart to outline the search process.
Week 4
Literature Review
[500-1000 words]
Conduct a review of the literature. Include at least five (5) research articles and/or evidence-based guidelines. Address the following questions/bullets in completing this section:
• Conduct a review of the literature.
• Provide the highlights from the research.
• Synthesize the literature on the topic.
• Summarize how the project will contribute to knowledge by filling in gaps, validating, or testing knowledge.
Cite 5 references in this section per APA and list the reference in the References section at the end of the form (Within 5 years).
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