DNP-DPI- Research Project

TOPIC: - Improving Medication Adherence amid Blazon II Home Healthcare Diabetic Patients 1. I charge this analysis activity done as if administering training with 5 bristles nurses in Home Bloom Setting on Improving Medication Adherence amid Blazon II Home Healthcare Diabetic Patients.  2. I charge responses from the nurses.  3. Sample questions are included, application Medication Adherence Activity (MAP) Tools/Resources. These are aloof SAMPLES. Please appear up with absolute Questions and Responses. 4. The Medication Adherence Activity (MAP) Tools/Resources can be downloaded from http://www.nyc.gov/heartworks. Please see the absorbed 10 Strategic Points for guidance 1. Problem Statement:  It is not accepted if or to what amount the accomplishing of the New York City Department of Bloom and Mental Hygiene Medication Adherence Activity (MAP) resources, which accommodate (1) the questions to ask poster, (2) adherence appraisal pad, and (3) my medications list, appulse accommodating medication adherence ante back compared to accepted convenance amid Blazon II diabetic home healthcare patients, ages 35 to 64 of a home healthcare alignment amid in burghal Texas. 2. Clinical/PICOT Questions:  To what amount does the accomplishing of Medication Adherence Activity resources, which accommodate the Questions to Ask Pad, the Questions to Ask Poster, an Adherence Appraisal Pad, and the My Medications Account appulse medication adherence amid Blazon II diabetic home healthcare patients, ages 35 to 64, of a home healthcare alignment amid in burghal Texas over a aeon of four weeks? The afterward analytic catechism will adviser this quantitative project:  Q1: Does application the MAP assets advance medication adherence amid home bloom diabetic patients? 3. Sample (and Location):  a. Location: The breadth of this activity is in burghal Texas. The activity armpit provides a beyond allotment of patients with healthcare casework who abide in the burghal breadth as compared to the rural area.  b. At the called activity site, about 30 patients accept been diagnosed with blazon II diabetes, admitting this demography changes anniversary month. Patients amid the ages of 35 to 64, with no cerebral limitation, who allege English, will be arrive to participate in this project.  c. Inclusion Criteria i. 35 to 64 years of age ii. Blazon II diabetes diagnosis iii. English speakers iv. Cognitively abled d. Exclusion Criteria ▪ Younger than 35 and earlier than 64 years of age ▪ Not diagnosed with blazon II diabetes  ▪ Non-English speakers Cognitively disabled/delayed 4. Define Variables and Akin of Measurement: Intervention: Use of the MAP resources, by nursing agents members, which will be implemented      upon the achievement of an educational training session. Starr and Sacks’s (2010) MAP Toolkit and Training Adviser resources, include: (1) the Questions to Ask Poster, (2) an Adherence Appraisal Pad, and (3) the My Medications List.  Outcome: Enhanced medication adherence.  Variables: Medication adherence, which is the abased capricious explored in this project, will be abstinent application abstracts accomplished through the activity site’s EHR. The MAP resources, which serve as the absolute variables explored in this project, accommodate (1) the Questions to Ask Poster, (2) an Adherence Appraisal Pad, and (3) the My Medications List. 5. Alignment and Design:  A quantitative methodology, which employs a quasi-experimental design, will be acclimated to appraise medication adherence ante pre-project accomplishing and post-project implementation. Statistical analyses will be acclimated to analyze pre-and post-project data. Demographic abstracts will be calm because the prevalence of non-adherence is generally aerial amid assertive groups (e.g., impacted by socioeconomic status, gender, age, etc.).  6. Purpose Statement:  The purpose of this quantitative quasi-experimental activity is to actuate if or to what amount the accomplishing of the New York City Department of Bloom and Mental Hygiene Medication Adherence Activity (MAP) resources, which accommodate (1) the questions to ask poster, (2) adherence appraisal pad, and (3) my medications list, appulse accommodating medication adherence ante back compared to accepted convenance amid Blazon II diabetic home healthcare patients, ages 35 to 64 of a home healthcare alignment amid in burghal Texas. Demographic Survey of the Patients What is your age? · 25-34 years old · 35-44 years old · 45-54 years old · 55-64 years old · Over 65 years old How would you call yourself? · American Indian or Alaska Native · Asian · Black or African American · Native Hawaiian or Alternative Pacific Islander · White What is your gender? · Male · Female What is your accomplished akin of education? · Aerial academy or GED · Some college · Associate degree · Bachelor’s degree · Master’s degree · Doctorate or PhD · Professional amount (MD, JD. Etc.) Years diagnosed with Blazon II diabetes. (Oral medication or insulin) · Less than one year · One to three years · Four to six years · Seven years and above                                                                            SAMPLE QUESTIONS -To the Nurses Participating in the Research What are the accepted accommodating barriers faced by nurses in Medication Adherence? Provider Barriers i. ----------------------- ii. ----------------------- iii. ----------------------- iv. ---------------------- v. ---------------------- Pharmacist Barriers i. ----------------------- ii. ----------------------- iii. ----------------------- iv. ---------------------- v. ---------------------- Patient Barriers vi. ----------------------- vii. ----------------------- viii. ----------------------- ix. ---------------------- x. ---------------------- Patients Perspectives i. ----------------------- ii. ----------------------- iii. ----------------------- iv. ---------------------- v. ---------------------- What are your appropriate solutions to Advance Medication Adherence? i. ----------------------- ii. ----------------------- iii. ----------------------- iv. ---------------------- v. ----------------------                                                    Describe Acquaintance & Accommodating Response Questions · How abounding patients did you use this apparatus with? · How did you accommodate the apparatus into the visit? · Call the experience · Characterize the accommodating acknowledgment in accepted * accommodate specific example Adherence Assessment · How abounding patients did you use this apparatus with? · How did you accommodate the apparatus into the visit? · Call the experience · Characterize the accommodating acknowledgment in accepted * accommodate specific example Medication List · How abounding patients did you use this apparatus with? · How did you accommodate the apparatus into the visit? · Call the experience · Characterize the accommodating acknowledgment in accepted * accommodate specific example Pocket Guide · How abounding patients did you use this apparatus with? · How did you accommodate the apparatus into the visit? · Call the experience · Characterize the accommodating acknowledgment in accepted * accommodate specific example Which apparatus was the easiest to use? Why? Which accoutrement were added arduous to assignment into the visit? Why? What are some means that you could get about these obstacles? Think about patients’ all-embracing responses to the tools. How would you characterize the response? Describe the aberration in your acquaintance this week, as compared to aftermost week. Which agents associates did you absorb in testing out the tools? Characterize the acquaintance overall. Which agents associates would you like to absorb in testing the tools? How do you anticipate their roles? What are your abutting accomplish to authoritative the accoutrement a approved allotment of practice?  How will MAP lighten your workload? How will added assignment access the job achievement of alternative aggregation members? How will the MAP accoutrement advice to advance accommodating outcome? How do you not “step on any toes”? How will MAP advance the affection of care? How can MAP be chip into alternative Affection Improvement Initiatives that are already underway? Do you accept any accurate archetype of how the accoutrement accept bigger accommodating care? Why should we address training time to accomplish MAP practice-wide? How abundant will MAP cost? Reference http://www.nyc.gov/heartworks.

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