Case Report: Application of Theory to Organizational Mission Vision and the Christian Worldviews
Mindfulness-Based Stress Reduction and Post-Traumatic Stress Disorder (PTSD)
Posttraumatic stress disorder (PTSD) symptoms cause distressful life quality to the trauma victims. The practice of psychiatric and mental health nursing aims at providing the best culturally sensitive care for simple or complex, acute or chronic, and psychiatric emergencies.
PTSD is a psychiatric disorder that can sometimes present with emergency or complex symptoms that jeopardizes patient health safety and quality. Alterations in mood and cognition are symptoms that PTSD treatment aims at achieving. Current treatments for these symptoms mainly involve the use of antidepressants and other pharmacotherapies. Mindfulness-based stress reduction has also been used in PTSD treatment.
This Direct Practice Improvement Project (DPI) revolves around MBSR in PTSD treatment as the partake problem in this course. The purpose of this paper is twofold: to explain how the concepts learned from this course would apply in finding a solution to this practice problem and to connect the Christian worldview (CWV) relating to this DPI and the project’s organizational setting’s mission and vision.
Purpose of the Project
Current PTSD symptomatic management involves medication use that is not devoid of adverse effects. MBSR, on the other hand, is a psychosocial intervention initially developed for managing chronic pain and related psychological sequelae. Recent literature evidence has tipped about the effectiveness of MBSR in symptomatic management of PTSD symptoms despite its limited use in current practice (Dubey, 2019).
The purpose of this quantitative quasi-experimental project was to determine if or to what degree the implementation of mindfulness-based stress reduction (meditation) using the health belief model (HBM) would reduce the prevalence of PTSD symptoms when compared to current practice among older adults admitted to the psychiatric primary care setting over twelve weeks.
The Grand Canyon University’s (GCU) Doctrinal Statements establish the institution’s commitment to Christian faith and beliefs. These statements assert the focus of the institution’s mission and vision towards implementing the teachings of the Scripture and fulfilling them (Grand Canyon University, n.d.).
GCU’s doctrinal statement document contains nine statements that affirm the institution’s solemn belief in the Bible, the Holy Trinity, Jesus’ death and resurrection for our sins, salvation, and unity of believers. From these doctrinal statements, a theme of trauma, human suffering, and hope for resurrections are deducible with Jesus’ suffering and belief in salvation having the central attention.
In line with post-traumatic stress disorder, these doctrinal statements assert the focus on hope for better outcomes with spirituality. The health belief model also aligns with these major concepts from the doctrinal statements. The belief that our trauma is not grounded on the traumatic events encountered reassures the victims that we can achieve self-efficacy through this model. By providing hope of overcoming traumatic experiences, PTSD patients can achieve the motivational push for perceived barriers and thus cues to actions.
Organization’s Mission and Vision to Theory and Model
The success of the goals of different institutions is built on clear mission and vision statements. An organization needs to set goals that align with its missions and visions. Therefore, organizational staff gets a common broader target to work collaboratively to achieve.
An organization’s mission statement defines the scope of services, activities, or planning goals and thus can be used to communicate the institution’s primary objective. Grand Canyon University (GCU) is an institution with a clear set vision and mission statement.
Mission and Vision
GCU is a Christian private university whose mission is to “ensure that our students reach their fullest potential and earn a degree (Grand Canyon University, n.d.)” The organization has no stated vision on its website. However, this institution aspires to change the lives of its students through education. Despite being a Christian university, this institution welcomes students from other religions to attain education and realize their full potential through religion.
Connection of Mission and Vision to Nursing Theory.
The nursing theory of self-efficacy by Albert Bandura is based on the idea that everyone has the potential to execute certain actions to achieve desired outcomes (Shorey & Lopez, 2021). This potential enables them to take action to manage future outcomes or determine the outcomes of their plans.
This theory is applicable to health, nursing care, and education. Its theoretical concepts promote inspiration of the individual to foster independence and confidence in their cues to actions. This theory is connected to my organizational mission and vision.
In the organizational mission, the institution aims to maximize the outcomes of education for its students thorough inspiring them. This empowers them to achieve self-efficacy. For example, the education they provide enables students to achieve intellectual capabilities that impact the achievement of life goals. In another example, the institution natures the student spiritually, thus promoting spiritual health – an important domain of holistic health.
Spirituality will not only impact how people perceive and respond to religious doctrines but also drive people to act towards achieving health and non-health-related goals. For example, the student’s spiritual health will drive him to understand and honor the institution’s mission and vision as part of obedience to authority as taught in the Christian worldview. In so doing, their ability to establish values and virtues for success will be based on religious understanding and priceless. As the institution’s mission statements suggest
Connection of Mission and Vision to Evidence-based Change Model.
My chosen evidence-based model for change was a health belief model, a psychological model used to achieve behavior change. In this change model, modifying factors such as psychosocial factors are used to influence four key concepts: perceived barriers, perceived benefits, perceived susceptibility, and perceived severity of a practice problem (Peterson & Bredow, 2020). Modifying these aspects improves the likelihood of an action to improve outcomes by promoting self-efficacy and cues to action.
The organization, through its mission, suggests the objective to enhance the student’s potential through education. This can be achieved in many ways. For example, educational empowerment is a modifying factor that improves students’ intellectual abilities to understand the best way to achieve their life goals (Skoglund et al., 2018). Spiritual education and empowerment guide the students in their life decisions by modifying perceived barriers, benefits, strengths, opportunities, and cues to actions.
Pulling it Together
Self-efficacy theory, the health belief model, the organization’s mission, and the Christian worldview are related and can work simultaneously and synergistically to provide a completely interdependent framework for my DPI project. At the core of this interdependence is the self-efficacy theory by alert Bandura and the health belief model. These four concepts are aligned and support one another in a cyclic fashion. Incorporating all the concepts into the lessons learned in this course is key to applying the best scientific and spiritual underpinnings to achieve the study outcomes.
How they are Aligned
The health belief model is based on motivation through the modification of perceptions to enhance self-efficacy and cues to actions. This modification forms the initial part of this continuum. Self-efficacy is critical in the theoretical self-efficacy framework (Peterson & Bredow, 2020).
Self-efficacy theory in nursing practice is based on mastered experiences, own beliefs, social experiences, and emotions to influence the individual’s ability to achieve intended outcomes (Shorey & Lopez, 2021). These four factors contribute to intrinsic motivations that enhance actions toward goals. The organization’s mission relies on modifying this self-efficacy amongst students to realize their full potential. Realization of full potential is contributed to by academic and spiritual education that ensures holism.
Therefore, all four aspects of this course are aligned and centered on self-efficacy. Understanding the alignment that these four paradigms have is important in understanding how the DPI project would be executed. These concepts include factors and confounders that might impact the outcomes in the outcomes of interest in the project.
How they Support One Another
Self-efficacy theory supports the health belief model in outcome achievement, enabling the organization to realize its mission goals. This interdependence supports the Christian worldview according to the organizational and doctrinal statements, such as the enhancement of hope amongst believers to pursue their goals to achieve the outcomes.
Therefore, CWVs support self-efficacy through belief and hope in this independent new model. CWVs support self-efficacy, which supports the health belief model, which promotes organizational mission and vision. For example, a student’s belief in Christian doctors pushes them to work towards achieving their spiritual goal and act right by the biblical teaching, thus an important motivation.
This motivation enables the student to perform interventions such as knowledge and skill acquisition to understand the scientific and spiritual underpinnings of the life and wellness illness continuum and make a positive decision. These decisions are guided by Christian doctrinal teachings such as hope in salvation and redemption. The health belief model justifies the belief in the effectiveness of these interventions to support their health and academic success.
Incorporating Lessons Learned
Self-efficacy in the Christian worldview is based on faith. The faith in oneself that one can achieve anything, even in the face of the brokenness in the world right now. The Christian faith empowers us to believe in the ability to ask anything from God, even in suffering and death. The concept of faith that can move mountains metaphorically empowers us to believe in ourselves as Christian.
However, the Christian worldview reminds us that these abilities in self-efficacy are due to God’s grace and mercy, thus the common biblical teaching, “I can do all through Christ.” These teachings empower Christians to be assertive in what we want and self-motivated to achieve our goals. I have held onto these teaching throughout my life. Scientific underpinnings of life and clinical practice have formed an essential part of my training, education, and DPI.
In this course, I have learned and improved on concepts such as the application of nursing theory, the change model, and the application of the Christian worldview. GCU’s doctrinal concepts reflect my religious worldview. I am a believer in biblical teaching on God’s existence, salvation, and the unity of believers. These concepts apply to my DPI.
The intervention in my DPI aims at reducing the outcomes of trauma. GCU’s CWVs acknowledge trauma and suffering as part of the process of achieving salivation and redemptions. Acknowledgment of Jesus’ suffering and resurrection is an important concept that can be introduced to enhance the uptake of MBSR intervention among participants in the intervention group to prevent a high attrition rate.
For example, consent seeking from participants will require that the intervention and its benefits be elaborated. Therefore, explaining the project and its intervention in terms of GCU’s doctrinal statements would promote understanding among Christian participants. Understanding the role spirituality would play in the outcomes will accommodate these concepts from the GCU doctrinal statements.
My direct practice improvement project concerns the use of mindfulness-based stress reduction in the prevention of PTSD symptoms. This project has hypothesized that MBSR reduces PTSD symptom prevalence among adult PTSD patients. In this study project, the health belief model, self-efficacy theory, and GCU’s Christian Worldviews will be used to provide the essential framework for data acquisition and interpretation.
This course so far has led to significant improvements in my application of nursing theories, change management, and Christian worldview into a research study. These GCU Christian worldviews have provided reinforcing concepts based on self-efficacy theory and health belief models, thus their importance in understanding the intervention and study outcome variables.
Dubey, G. (2019, November 15). Benefits & limitations of mindfulness meditation for anxiety & depression, according to science. Critical Thinking | Intelligent Speculation. https://www.intelligentspeculation.com/blog/benefits-amp-limitations-of-mindfulness-meditation-for-anxiety-amp-depression-according-to-science
Grand Canyon University. (n.d.). An Accredited Christian University in Phoenix, Arizona. Gcu.edu. Retrieved September 16, 2022, from https://www.gcu.edu/
Peterson, S., & Bredow, T. S. (2020). Middle range theories: Application to nursing research and practice. Wolters Kluwer Health.
Shorey, S., & Lopez, V. (2021). Self-efficacy in a nursing context. In Health Promotion in Health Care – Vital Theories and Research (pp. 145–158). Springer International Publishing. https://doi.org/10.1007/978-3-030-63135-2_12
Skoglund, K., Holmström, I. K., Sundler, A. J., & Hammar, L. M. (2018). Previous work experience and age do not affect final semester nursing students’ self-efficacy in communication skills. Nurse Education Today, 68, 182–187. https://doi.org/10.1016/j.nedt.2018.05.017
- WE BELIEVE the Bible, in the Old and New Testament Scriptures, to be inspired, the only infallible, true, and authoritative Word of God.
- WE BELIEVE that there is one God, eternally existent in three persons: Father, Son, and Holy Spirit. We believe in God the Father, the Almighty, maker of heaven and earth, of all that is, seen and unseen.
- WE BELIEVE in the deity of our Lord Jesus Christ, the only Son of God. For us and for our salvation, He came down from heaven, was incarnate of the Holy Spirit and the Virgin Mary, and became truly human. Being fully God and perfect man, He performed miracles and lived a sinless life.
- WE BELIEVE Jesus Christ suffered a vicarious and atoning death through the shedding of His blood. He was buried and, on the third day, was resurrected in His body, after which He ascended to be seated at the right hand of the Father. He will come again in glory to judge the living and the dead, and his kingdom will have no end.
- WE BELIEVE that mankind was originally created in the image and likeness of God and free from sin. Through the temptation of Satan, they transgressed the command of God and fell from their original righteousness, whereby all people have inherited a sinful nature that is opposed to God, and are thus under condemnation. As soon as they are capable of moral action, they become actual transgressors.
- WE BELIEVE that for the salvation of lost and sinful people, the regeneration by the Holy Spirit is absolutely essential. We believe in the present ministry of the Holy Spirit by whose indwelling the Christian can live a godly life. We believe that the Holy Spirit is fully God and is worshipped and glorified with the Father and Son. He divinely inspired the scriptures, convicts the world of sin, righteousness, and judgment leads Christ’s Church in truth, and is the Teacher and Comforter sent by Jesus Christ.
- WE BELIEVE that salvation comes through Jesus Christ alone; that salvation involves the redemption of the whole person and is offered freely to all who exercise faith in Jesus Christ. We believe in the resurrection of both the saved and the lost; those who are saved unto the resurrection of the living and those who are lost unto the resurrection of damnation.
- WE BELIEVE in the spiritual unity of believers in our Lord Jesus Christ as one holy catholic and apostolic Church, Christ’s Body and Bride ministering reconciliation to a lost world. As ambassadors for the Kingdom of God and the Church, we affirm that evangelism and engagement in societal issues are both part of our Christian duty; both are necessary expressions of our doctrines of God and humanity, our love for our neighbor, and our obedience to Jesus Christ.
- WE BELIEVE the message of salvation proclaimed by Christ’s Church is an indictment upon every form of alienation, oppression, and discrimination, denouncing evil and injustice wherever it exists by lovingly ushering in the good news that Christ reconciled the world to Himself.
DNP 815A Case Report: DPI Project Application of Theory to Organizational Mission and Vision, and Christian Worldviews
For this assignment, learners explain how personal knowledge and skills gained in this course assist in solving their Direct Practice Improvement Project practice problem, and how the Christian worldview is supported within your project’s purpose and the project site’s organizational mission and vision. ( proposed site : St. Anthony Health and Rehabilation center. St, Anthony, Minnesota )
Use the following information to ensure successful completion of the assignment:
- This assignment uses a template, “Case Report: DPI Project Application of Theory to Organizational Mission and Vision, and Christian Worldviews.”
- This assignment requires that at least four scholarly, peer-reviewed, sources related to this topic with at least one in-text citation for each source.
- Doctoral learners are required to use APA style for their writing assignments.
- This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
- You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
Construct a case report (2,000-2,250 words) using your Direct Practice Improvement (DPI) Project’s purpose, problem, and clinical questions. Apply your chosen nursing theory and evidence-based change model to support your DPI Project. Your case report must include the headings provided below. Refer to the “Case Report: DPI Project Application of Theory to Organizational Mission and Vision, and Christian Worldviews” template, to complete your assignment. The specific criteria for this assignment are located on this template.
- Case Report Background
- Christian Worldviews
- Organization’s Mission and Vision to Theory and Model
- Pulling It Together