A policy statement addressing the complex relationships among children

In 2010, The American Academy of Pediatrics (AAP) released a policy statement addressing the complex relationships among children, adolescents, substance abuse, and the media. This assignment requires a critical examination of the AAP publication and a critique of a media portrayal of substance use, with links made to the AAP statement and course material. Conclusions about the implications of the media portrayals and the policies recommended by the AAP also should be made.
Preparation
Step One: Read the AAP Policy Statement located below. Make some notes for yourself about points of agreement or disagreement you have with the statement and specific findings regarding media depictions of substance .
Step Two: Find a current example of substance use portrayal seen in the media; for example, scenes from a movie, a television show, or a commercial; print ads; or portrayals found in "new media" as discussed in the AAP article. The Internet is a good tool for finding film or television portrayals of substance use as well as examples of print ads if ready access to first-hand media is not available.
Construction
Step Three: start with an introduction that summarizes the main findings of the AAP article and previews what will be covered in the coming pages. Next, compare and contrast the portrayal of substance use found in the media with the information learned about that substance in the class and course readings. What messages about the substance are being portrayed? How accurate are those messages relative to the actual data on substance use? Be sure to cite the course readings as needed.
Continue by comparing and contrasting the portrayal of substance use found in the media with the criticism of media portrayals found in the AAP summary. Does the media example match their arguments or contradict them? What links and connections can be made? Be sure to cite the article as needed.
Next, draw some conclusions about the portrayal of substance use found in the media, addressing the following: What are the implications of this type of portrayal? What messages are being sent and to whom? Are those messages an accurate representation of the use of this substance? Should media portrayals be required to be accurate in their depictions of use, showing both positive and negative consequences?
Finally, review the guidelines suggested by the AAP at the end of their policy statement and address the following: Although directed specifically at pediatricians, which of those recommendations is most important? Why? Are these recommendations necessary? If followed, will they be effective in addressing the concerns raised earlier in the article? Be sure to cite sources as needed.

Full Answer Section

       
  • Appraises and Synthesizes Evidence: The model guides the team to search for, critically appraise, and synthesize the best available evidence. If there isn't enough evidence, it even allows for the possibility of conducting original research.
  • Pilots the Change: Before full-scale implementation, the model recommends a pilot study. This is a crucial step that allows the team to test the new practice on a small scale, identify any unforeseen problems, and make necessary adjustments without disrupting the entire organization.
  • Disseminates and Sustains: Once the pilot is successful, the model provides steps for disseminating the findings throughout the organization and integrating the change into standard practice, ensuring long-term sustainability.
 

Sample Answer

          The purpose of an implementation model is to provide a structured, systematic approach for translating evidence-based research into routine clinical practice. It acts as a blueprint, guiding healthcare teams through the process of adopting a new practice, intervention, or policy. These models help to identify potential barriers and facilitators, optimize resource allocation, and ensure that a proposed change is implemented effectively and sustained over time.
 

Best-Fit Implementation Model for a Clinical Question

  The Iowa Model of Evidence-Based Practice (EBP) would be a great fit for a clinical question and for a healthcare organization. This model is well-suited for a variety of clinical settings and is a problem-solving model that uses a team-based approach. The Iowa Model is particularly effective because it:
  • Identifies Triggers: It starts by identifying a "trigger," which can be either a problem-focused trigger (e.g., high fall rates, patient complaints) or a knowledge-focused trigger (e.g., new research findings, a new clinical guideline). This allows the organization to address real, tangible issues.
  • Forms a Team: It emphasizes forming an interdisciplinary team, which ensures that all relevant stakeholders (nurses, physicians, administrators, etc.) are involved in the process, increasing buy-in and success.