NRS-493- PROFESSIONAL CAPSTONE & PRACTICUM
ASSIGNMENT 1
Class, this week you will work on your literature review. The table that you created will make this easier in terms of flow for your paper and the essentials. Here is a site to assist you. Please post here to share with others resources that you may have found to assist with your literature review. /orders/www.scribbr.com/dissertation/literature-review/ (150 WORDS).
CAT: Christian World View Week 6
Please watch the video. This video is about faith and the “knowing” that we are not alone. How can we “be there” for our fellow professionals in nursing as mentors and people who are personally in our lives? What can we do to “walk with them all this time”? Forming mentorships and community is what this is all about. /orders/www.youtube.com/watch?v=HmTGLdSW5Sw&list=PLaogYA6m1Liv-uePdHWOI-mrtAJJWJCYC&index=31 (150 WORDS).
ASSIGNMENT 2 Capstone Change Project Resources
Assessment Description
Work with your preceptor to assess the organization for required resources needed for the strategic plan if the change proposal were to be implemented. Review your strategic plan and determine what resources would be needed if the change proposal were to be implemented. Write a list of at least four resources you will need in order to implement your change proposal.
The assignment will be used to develop a written implementation plan.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines. (1 FULL PAGE)
ASSIGNMENT 3 Literature Review
Assessment Description
While the implementation plan prepares students to apply their research to the problem or issue they have identified for their capstone project change proposal, the literature review enables students to map out and move into the active planning and development stages of the project.
A literature review analyzes how current research supports the PICOT, as well as identifies what is known and what is not known in the evidence. Students will use the information from the earlier PICOT Question Paper and Literature Evaluation Table assignments to develop a review (750-1,000 words) that includes the following sections:
1. Title page
1. Introduction section
1. A comparison of research questions
1. A comparison of sample populations
1. A comparison of the limitations of the study
1. A conclusion section, incorporating recommendations for further research
Prepare this assignment according to the guidelines found in the APA Style Guide.
PLEASE SEE ATTACHED PICOT Question Paper & Literature Evaluation Table to complete the assignment
You are required to submit this assignment to LopesWrite to verify similarity score and plagiarism. (3 FULL PAGES)
ASSIGNMENT 4 Professional Capstone and Practicum Reflective Journal – Topic 6
Assessment Description
Students are required to submit weekly journal entries throughout the course. These reflective narratives help students identify important learning events that happen throughout the course and the practicum. In each week’s entry, students should reflect on the personal knowledge and skills gained.
Write a reflection journal (250-300 words) to outline what has been discovered about your professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week there will be a specific focus to use in your reflection. Integrate leadership and inquiry into the current practice. Please make sure to address all areas in your writing.
Topic Focus: Population Health Concerns and Health Disparities
While APA style is not required for the body of this assignment, solid academic writing is expected.
You are required to submit this assignment to LopesWrite to verify similarity score and plagiarism (1 FULL PAGE)
NRS-493 The PICOT Question
PICOT Question: In older adults receiving home healthcare, does implementing a multifaceted intervention (including individualized medication education, family engagement, medication reminder tools, coordination with healthcare providers, and affordable medication) compared to standard care increase medication adherence and improve health outcomes?
Population: Older Adults Receiving Home Healthcare. It involves the populace that nursing staff are directly working with.
Intervention: A multifaceted intervention including individualized medication education, family engagement, medication reminder tools, coordination with healthcare providers, and affordable medication
Comparison: Standard care. A systematic approach of successful comparison of intervention methods that entails contrasting the implementation of a multifaceted intervention with standard care.
Outcome: Improved medication adherence and health outcomes. This approach will be used to forecast or predict the intervention been used as compared to the current one been used. Estimated outcome should lead to increased medication adherence and improve health outcom Time: 6 months. This stage would measure how long it takes the intervention to take effect. In addition, it is expected that the time should take between six-month for the analysis to be implemented.
The PICOT question is an essential part of research since it aids in determining the research topic, elaborating on the scope of the study, and laying down the foundation for the research design. When applied to older persons receiving home healthcare, the PICOT question seeks to examine the efficacy of an intervention to increase drug adherence and better health outcomes (Marcum et al., 2017). Medication education, family involvement, medication reminder aids, healthcare provider coordination, medication cost reduction, and drug accessibility are all part of the initiative (Ryan et al., 2014). knowledge, attitudes and beliefs influence perceptions and adherence.( Myers et al., 2020). The comparison is standard care, and the outcome measures include medication adherence and health outcomes.
The PICOT question is precise, quantifiable, and pertinent to the researched population, the intervention under consideration, and the results being assessed. Non-adherence to medicine prescriptions is a serious concern for older persons in the home healthcare context and may result in adverse outcomes, including hospitalization and death, which highlight the significance of the topic (Christopher et al., 2022). Finding an effective strategy to increase drug adherence is essential to enhance health outcomes and reduce healthcare costs. The PICOT question can be made more particular by identifying the kind of drug and the precise medical professionals working on the coordination element of the intervention. The PICOT question is thus a crucial component of the research process and should be appropriately formulated to ensure that it directs the investigation and yields valuable findings.
References
Christopher, C., KC, B., Shrestha, S., Blebil, A. Q., Alex, D., Mohamed Ibrahim, M. I., & Ismail, N. (2022). Medication use problems among older adults at a primary care: A narrative of literature review. AGING MEDICINE, 5(2), 126–137. /orders/doi.org/10.1002/agm2.12203
Marcum, Z. A., Hanlon, J. T., & Murray, M. D. (2017). Improving Medication Adherence and Health Outcomes in Older Adults: An Evidence-Based Review of Randomized Controlled Trials. Drugs & Aging, 34(3), 191–201. /orders/doi.org/10.1007/s40266-016-0433-7
Myers, S. L. , Siegel, E. O. , Hyson, D. A. & Bidwell, J. T. (2020). Heart & Lung: The Journal of Acute & Critical Care, 49 (6), 817-823. doi: 10.1016/j.hrtlng.2020.09.010.
Ryan, R., Santesso, N., Lowe, D., Hill, S., Grimshaw, J. M., Prictor, M., Kaufman, C., Cowie, G., & Taylor, M. (2014). Interventions to improve safe and effective medicines use by consumers: an overview of systematic reviews. Cochrane Database of Systematic Reviews. /orders/doi.org/10.1002/14651858.cd007768.pub3
Literature Evaluation Table
Student Name: Atinuke A. Domingo
Change Topic (2-3 sentences): Does implementing a multifaceted intervention versus standard care increase medication adherence and improve health outcomes in older adults receiving home healthcare .
|
Criteria |
Article 1 |
Article 2 |
Article 3 |
Article 4 |
|
Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article
|
Christopher, C., Kc, B., Shrestha, S., Blebil, A. Q., Alex, D., Mohamed Ibrahim, M. I., & Ismail, N. Aging Medicine. /orders/doi.org/10.1002/agm2.12203 |
Omboni, S., McManus, R. J., Bosworth, H. B., Chappell, L. C., Green, B. B., Kario, K., … & Wakefield, B. J Hypertension /orders/doi.org/10.1161/HYPERTENSIONAHA.120.15873 |
Manias, E., Bucknall, T., Hughes, C., Jorm, C., & Woodward-Kron, R. BMC geriatric. /orders/doi.org/10.1186/s12877-019-1102-6 |
Correia, J. C., Lachat, S., Lagger, G., Chappuis, F., Golay, A., & Beran, D BMC Public Health. /orders/doi.org/10.1186/s12889-019-7842-6 |
|
Article Title and Year Published
|
Medication use problems among older adults at primary care: A narrative of literature review. 2022 |
Evidence and Recommendations on the Use of Telemedicine for the Management of Arterial Hypertension. 2020 |
Family involvement in managing medications of older patients across transitions of care: a systematic review.. 2019 |
Interventions targeting hypertension and diabetes mellitus at community and primary healthcare level in low-and middle-income countries: a scoping review. 2019 |
|
Research Questions (Qualitative)/Hypothesis (Quantitative)
|
What are the medication use issues amongst older patients in primary care? |
What are clinical usefulness and application and the present barriers and challenges for medicine in hypertension management? |
Family play important role in the management of older patients’ medications in transition care. |
What are the interventions for hypertension and diabetes mellitus at the primary and community healthcare level in low and middle-income nations? |
|
Purposes/Aim of Study |
To find out some of the major issues amongst older adults within primary care. |
To conduct a critical review of the available evidence on the clinical usefulness and application of telemedicine in hypertension management, as well as the current barriers and challenges. |
What is the impact of family involvement in the management of older patients’ medications across transitions of care. |
To synthesize the evidence about the primary care interventions on hypertension and diabetes mellitus. |
|
Design (Type of Quantitative, or Type of Qualitative)
|
Narrative Review of literature on medication use problems. |
Literature review |
Systematic review study approach. |
scope or literature review |
|
Setting/Sample
|
No setting or sample since it was a narrative review of past studies. |
None |
None |
None |
|
Methods: Intervention/Instruments
|
No intervention |
The use of telemedicine in the management of patients. |
Family intervention in the management of older patients’ medications. |
The interventions for both hypertension and diabetes Mellitus |
|
Analysis
|
A narrative review of past studies. |
None |
None |
None |
|
Key Findings
|
This review demonstrates that medication use remains a significant issue among older adults in OECD countries. Several studies have identified medication use issues in older adults, such as a high incidence of adverse drug events and nonadherence to medication, inappropriate medication, polypharmacy, a lack of deprescribing, medication beliefs, and a lack of knowledge and awareness about medication use. Despite these issues, there appears to be a lack of interventions for older adults’ medication use problems, particularly at the primary care level. |
Telemedicine is a viable option for assisting doctors and other care managers in providing effective care to hypertensive patients and optimizing their management. The available evidence supports its use in patients with difficult-to-treat hypertension or who are noncompliance with medication management. |
While families actively engaged in strategies to ensure safe medication management with older patients, communication about medication plans of care across transitions tended to be haphazard and disorganized, and there was a lack of shared decision-making between families and health professionals. |
This review demonstrates the variety and complexity of approaches tested to address HTN and DM in LMICs, as well as the elements of interventions that must be addressed in order to strengthen care delivery. Most studies provided little information about implementation processes, making replication difficult. |
|
Recommendations
|
There is a need to have effective interventions in the primary care to address the issue of medication use problems. |
More scientific evidence is required to demonstrate the efficacy of telemedicine in other specific subgroups, in addition to effective blood pressure control. |
More research is needed to assess the efficacy of these strategies in terms of medication outcomes, to facilitate shared decision making between families and health professionals, and to clarify medication plans of care across transitions. |
Study designs and evaluation techniques must be modified to include process evaluations rather than just effectiveness or outcome evaluations. |
|
Explanation of How the Article Supports EBP/Capstone Project
|
The study is important for the capstone project since it reveals that medication usage issues in older adults require a comprehensive approach and a collaborative effort from healthcare providers and healthcare institutions hence a successful effort in promoting medication adherence. |
The study is important for the capstone project as it reveals about the importance of telemedicine as it allows patients and healthcare professionals to exchange medical data over the Internet. It is used to improve patients’ access to care and to provide effective remote healthcare services. This helps in the promotion of medication adherence at home. |
The study is important for the capstone study as it reveals the role played by family members in the management of older patients’ medications. |
The study is important for the capstone project as it recommends some of the interventions to be in place to help in strengthening the delivery of healthcare. |
|
Criteria |
Article 5 |
Article 6 |
Article 7 |
Article 8 |
|
Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article
|
Manyazewal, T., Woldeamanuel, Y., Blumberg, H. M., Fekadu, A., & Marconi, V. C. NPJ digital medicine. /orders/doi.org/10.1038/s41746-021-00487-4
|
Wong, A. K. C., Wong, F. K. Y., Chow, K. K. S., & Wong, S. M. Gerontology. /orders/doi.org/10.1159/000516967 |
Edward, A., Campbell, B., Manase, F., & Appel, L. J. BMC health services research. /orders/doi.org/10.1186/s12913-021-06858-7 |
Wilkinson, R., Garden, E., Nanyonga, R. C., Squires, A., Nakaggwa, F., Schwartz, J. I., & Heller, D. J. International Journal of Nursing Studies. /orders/doi.org/10.1016/j.ijnurstu.2021.104143 |
|
Article Title and Year Published
|
The potential use of digital health technologies in the African context: a systematic review of evidence from Ethiopia. 2021 |
Effects of a Video-Based mHealth Program for Homebound Older Adults: Study Protocol for a Pilot Randomized Controlled Trial. 2022. |
Patient and healthcare provider perspectives on adherence with antihypertensive medications: an exploratory qualitative study in Tanzania. 2021. |
Causes of medication non-adherence and the acceptability of support strategies for people with hypertension in Uganda: a qualitative study. 2022 |
|
Research Questions (Qualitative)/Hypothesis (Quantitative)
|
What is the level of digital acceptance by the population? |
What is the impact of video-based mHealth program for homebound older adults? |
What are the perceived barriers to the HT medication adherence. |
What are the causes of medication non-adherence and the acceptability of support strategies for individuals with hypertension in Uganda? |
|
Purposes/Aim of Study |
To understand whether and how digital healthcare technologies are absorbed in Africa. |
The goal of this study is to move away from the current reactive, cure-oriented approach and toward a preventive and health-promoting model, empowering homebound older adults to take an active role in their health, be responsive to their care needs, and thus improve their overall health. |
To identify perceived barriers to adherence to HT medication in Dar es Salaam |
This research had two objectives. First, the researchers wanted to know what factors help or hinder patients’ efforts to stick to their hypertension medications at the start. Second, the purpose of this study was to investigate the acceptability and feasibility of adherence interventions for both providers and patients. |
|
Design (Type of Quantitative, or Type of Qualitative)
|
Systematic review |
Pilot Randomized control trial |
Qualitative study grounded theory principles. |
Qualitative study performed to explore the beliefs of the participants concerning the medication non-adherence as the researcher examined the acceptability of support approaches validated in same context. |
|
Setting/Sample
|
None |
5 community centers. |
Catchment areas of the two semi-urban clinic in Dar es Salam. |
Study performed in a large, urban private hospital in Kampala, Uganda. Fifteen healthcare providers and forty-two patients were interviewed |
|
Methods: Intervention/Instruments
|
Acceptance of the digital health technologies |
Video-based mHealth program for homebound older adults |
Perspectives on adherence with hypertensive medications. |
Looking into the causes of non-adherence and the acceptability of support approaches for individuals with hypertension. |
|
Analysis
|
None |
None |
The KIIs were written down, coded, and analyzed. For both KIIs and FGDs, coding was completed in a systematic manner with iterative review by a research team member, with consultation of a second member on any arbitrary statements. |
The transcripts of the interviews were analyzed using the NVIVO software. |
|
Key Findings
|
Digital health technologies hold great promise for addressing major clinical and public health backlogs and strengthening Ethiopia’s health systems. Although they are a relatively new phenomenon in Ethiopia, their potential to improve clinical and public health practices is clear. |
The current study will contribute to the body of knowledge about using mHealth in conjunction with a health-social team to improve quality of life and self-care and meet the needs of these especially vulnerable older adults. |
Several context-specific measures will be required for effective management of hypertensive patients for medication adherence. These include policy measures addressing financial access, such as medication subsidies for the poor and easily accessible distribution systems for medication refills; physician measures to improve health provider counseling for patient-centered care; and patient-level strategies with medication adherence reminders in low-resource settings. |
Participants made connections between these interventions and previously unknown non-adherence drivers, such as the absence of symptoms from untreated hypertension, fear of medication side effects, interest in traditional herbal medicine, and the importance of family and community support. |
|
Recommendations
|
More RCTs on emerging DHTs such as AI, big data, cloud, cybersecurity, telemedicine, and wearable devices are required to provide robust evidence of their potential use in such settings and to materialize the Global Digital Health Strategy. |
None |
Policy changes, ideally guided by rigorous intervention studies, are required to improve medication adherence in HT patients. |
None |
|
Explanation of How the Article Supports EBP/Capstone
|
The study is important as it reveals about the important of adopting the digital health technology in the healthcare of a patient. The use of digital health technology supports the effective communication process and exchange of patient information between the provider and the family members/patient. |
The study is important for the capstone project as it reveals about the important of mHealth in connecting the patients and family with providers. |
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Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
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I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.
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