EVIDENCE-BASED PRACTICE PROJECT ON ACCEPTANCE AND COMMITMENT THERAPY (ACT)

Some patients go through traumatic events every day. In most cases, the medical practitioners concentrate on treating the illness of the patient and concentrate less or not at all on the patient’s emotional wellbeing. An intervention of Acceptance and Commitment Therapy to these patients will reduce their chances of developing mental illness.

Hayes et al. have defined an ACT as ‘… a psychological intervention based on modern behavioral psychology, including relational frame theory, which applies mindfulness and acceptance processes, and commitment and behavior change processes, to the creation of psychological flexibility’. The act includes the six core treatment processes of acceptance, diffusion, contact with the present moment, self as context, values, and committed action. These treatment processes are then applied through various exercises. This exercise may be completed in session by examining a previous or hypothetical situation (Powers et al. 2009).A growing number of studies have accumulated over the past two decades supporting the use of acceptance and commitment therapy (ACT) for several disorders(Hayes et al. 2006).ACT has been modified for specific applications such as anxiety disorder and depression(Pearson, 2006).The objective of ACT is not the elimination of difficult feelings; rather, it is to be present with what life brings us and move towards valued behavior(Hayes et al. 2012)

 

 

 

Planning

The members of the EBP project team will include:

  1. Nurse Manager. They oversee and coordinate the nurses. Their role will be important for the project
  2. Nursing stuff. The nurses are usually in close contact with the patient as they closely monitor the patients after they have been admitted to the hospital. They will play a key role in this EBP project, as it is through there observation and close monitoring that patients who need to be included in this project shall be identified.
  3. They shall also be instrumental in this project, as they are the ones who diagnose patients in the hospital. They are therefore able to easily identify patients who may need therapy to cope with their new realities or situations.

The stakeholders for this EBP Project change will include:

  1. Approved Social Worker (ASW). Social workers often serve as liaisons between different institutions to assist patients and collaborate with other health professionals to ensure patient wellness. The most relevant to this project will be social workers who have had training in mental health.
  2. Psychologist. They have a better understanding of the human brain, behavior and mental health. They aim to improve the mental health and consequently life of a person. In this case, they will be of great help and assistance to the patients
  3. Counselor. The counselor will help patients accept their new realities as they present themselves through talking to them.
  4. Patients and families
  5. Quality improvement team

IMPLEMENTATION

The therapy sessions shall be organized once every week depending on the conviniency of the patient.. Every session shall take sixty minutes. The nurses shall keep the record of each patient. They will also monitor the patients closely to identify any behavioral changes. They will identify patients who will be included in the ACT program. Once a patient is identified as a candidate for the program, the patients consent shall be sought before they are included in the ACT program.

The implementation of this project does not require a lot of equipment. The room is needed to be set-aside for the therapy and counseling of patients. Follow up cards for the patients also are needed to keep a record of the patient’s progress. The project will take approximately  three months inclusive of a follow up program.

Education

A seminar shall be organized in the institution. In that seminar, nurses and other clinical officers shall be trained and educated on Evidence-Based Practice. The training will be intended to equip them with enough skills and knowledge on the EBP project. There shall be also organized training aimed at educating the nurses on their role in the evidence based practice.

Expected Results

The progress of the patients will be evident through the acceptance of the situations. This will present itself through behavioral change in patients. They will be able to handle their present life in a much better way by accepting reality. Acceptance will help reduce instances like suicide, depression and other mental illnesses that can be associated with a traumatic event. There shall be organized regular follow up for patients by the organizations. This follow up will be intended to analyses the progress of the patients and address the issue of relapse in some patients.

 

References

Hayes, S., Luoma, J., Bond, F., Masuda, A., & Lillis, J. (2007). Acceptance and Commitment Therapy: Model, processes and outcomes. Behavior Research And Therapy, 44(1), 1-25. http://dx.doi.org/10.1016/j.brat.2005.06.006

Hayes, S., Strosahl, K., Wilson, G., (2012). Acceptance and Commitment Therapy: The Process and Practice of Mindful Change (2 ed.). New York. Guilford Press.

Pearson, B. (2006). Acceptance & Commitment Therapy for Anxiety Disorders: A Practitioner’s Treatment Guide to Using Mindfulness, Acceptance, and Values-Based Behavior Change Strategies. Journal Of Contemporary Psychotherapy, 36(4), 191-192. http://dx.doi.org/10.1007/s10879-006-9024-y

 Powers, M., Zum Vörde Sive Vörding, M., & Emmelkamp, P. (2009). Acceptance and Commitment Therapy: A Meta-Analytic Review. Psychotherapy And Psychosomatics78(2), 73-80. http://dx.doi.org/10.1159/000190790

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