Annotated Bibliography

Create an annotated bibliography. Your bibliography should be based on the 6 articles compiled in the Module 6 Assignment related to clinical practice and should include:

1. A brief overview of each article, including the research type, major findings, and conclusions following the current APA style for annotated bibliographies.
2. A description of the relevance of each article for clinical practice. 

Read the article “Thinking Like a Nurse: A Research-Based Model of Clinical Judgment in Nursing” by Christine Tanner, which is linked below:

Link to article

In at least three pages, answer the following questions:

1. What do you feel are the greatest influences on clinical judgment? Is it experience, knowledge, or a combination of those things?
2. In your opinion, what part does intuition play in clinical judgment? How do you think you’ll be able to develop nursing intuition?

· Choose one of the two following specific populations: either pregnant women or older adults. Then, select a specific disorder from the DSM-5-TR to use.

· Use the Walden Library to research evidence-based treatments for your selected disorder in your selected population (either older adults or pregnant women). You will need to recommend one FDA-approved drug, one non-FDA-approved “off-label” drug, and one nonpharmacological intervention for treating the disorder in that population.

· Recommend one FDA-approved drug, one off-label drug, and one nonpharmacological intervention for treating your chosen disorder in older adults or pregnant women.

· Explain the risk assessment you would use to inform your treatment decision making. What are the risks and benefits of the FDA-approved medicine? What are the risks and benefits of the off-label drug?

· Explain whether clinical practice guidelines exist for this disorder, and if so, use them to justify your recommendations. If not, explain what information you would need to take into consideration.

· Support your reasoning with at least three current, credible scholarly resources, one each on the FDA-approved drug, the off-label, and a nonpharmacological intervention for the disorder.

Respond to both responses:

Hello group mates,
Our topic and how we plan and implement our program will truly help many adolescents in the state. I hope that it gets adopted nationwide. Depression and other mood disorders are associated with interference in work, school, social life, and relationships (Parikh et al., 2018). I found an article that had the same that conducted a school-based program in Michigan named Peer-to-Peer Depression Awareness, aiming to decrease mental illness and promote well-being among high schoolers. The researchers had goals to improve the environment regarding mental health, directing students to resources and encouraging students to seek help if needed. The researchers went to 10 high schools and campaigned for peer-to-peer depression awareness to include changing attitudes toward depression, identifying signs and symptoms of depression, referring peers to resources as needed, and reducing the stigma about mental health illnesses. They utilized school staff and students “champions” to teach and attend peer mentorship classes. Through this school initiative, each school created a comfortable environment for students in the ten schools wherein they could talk about mental illnesses comfortably. We can learn from the research methods and hopefully use some of them in our program.

Respond to both responses:

Group 3,

               After reading over our description of the program, I believe it is evident that mental health programs, specifically for adolescents, need to be implemented into schools for children to receive adequate help and treatment. The program discussed above does indeed provide adolescents with resources that include education and discussion regarding what mental illness is, as well as resources for those who are struggling with their own mental health. Furthermore, I like how this program involves the school counselors. This is an important aspect of the program as the counselors are ultimately the people that see the students the most and potentially have a better understanding of what is going on with the students when the program’s team of professionals is not around. However, it can be quite overwhelming and challenging for counselors to take on such a heavy student population. According to the American School Counselor Association, the recommended ratio of students to counselors is 250-to-1. However, in the state of Virginia in 2022, for example, the average ratio was 307-to-1. Moreso, several studies have noted that smaller ratios support increases in standardized test performance, attendance, GPA and graduation rates. Again, while decreasing the ratio of counselors to students is very difficult, implementing this program in schools can assist the counselors in aiding the students further in what they need and getting them the right mental health treatment.

               One recommendation I would add to the program’s description is that it needs to be determined how we will refer or treat students who need further workup and/or care outside of school, meaning possibly in a clinic or even inpatient. This could involve having to get parents involved as well as insurance and finances that the students may not have or qualify for. To further this discussion, I would like to ask other classmates if they have any recommendations for this program as far as financial resources and/or free treatment centers that students could go to if the severity of their mental illness progressed to this point?

Thank you for the feedback in advance and please leave responses to the question below.