Medication Adherence Adults Aged 50 and Above

Directions Write a formal project proposal incorporating the feedback from your faculty on your outline. Your paper should be in current APA format in Microsoft Word. Include the following sections: Introduction Clinical Problem Identification Problem Analysis Integration of Literature and Evidence-Based Practice EBP Model Consideration of Barriers and Mitigation Strategies Conclusion What to Submit Your proposal in Microsoft Word If you copy and paste references from the course into your assignment, be sure to confirm APA formatting before submitting. Similarity Score After submitting your assignment, select Submission Details to view your similarity score. Your similarity score will appear as a percentage next to your submitted file. It may take up to 24 hours for your similarity score to appear. Formal Proposed Project Rubric Formal Proposed Project Rubric Criteria Ratings Pts Clarity of Clinical Problem Identification 20 pts Advanced The paper precisely and comprehensively identifies the clinical problem and all related aspects with exceptional coherence. 17 pts Proficient The paper clearly identifies the clinical problem and most related aspects with good coherence and depth. 15 pts Developing The paper partially identifies the clinical problem and some related aspects but lacks coherence and depth. 10 pts Novice The paper lacks identification or clarity on the clinical problem and related aspects. 0 pts No Assignment Submitted No Assignment Submitted / 20 pts Completeness of Problem Analysis 20 pts Advanced The paper meticulously analyzes the clinical problem, covering all aspects of why it's a problem, who is affected, contributing factors, and possible changes. 17 pts Proficient The paper thoroughly analyzes the clinical problem, covering most aspects of why it's a problem, who is affected, contributing factors, and possible changes. 15 pts Developing The paper provides a partial analysis of the clinical problem, covering some aspects of why it's a problem, who is affected, contributing factors, and possible changes. 10 pts Novice The paper does not analyze the clinical problem comprehensively, missing key aspects of why it's a problem, who is affected, contributing factors, and possible changes. 0 pts No Assignment Submitted No Assignment Submitted / 20 pts Integration of Literature and Evidence-Based Practice 20 pts Advanced The paper expertly integrates a wide range of literature and evidence-based practice principles to strongly support proposed changes and improvement strategies. 17 pts Proficient The paper effectively integrates literature and evidence-based practice principles to support proposed changes and improvement strategies. 15 pts Developing The paper partially integrates literature and evidence-based practice principles to support proposed changes and improvement strategies. 10 pts Novice The paper shows little integration of literature and evidence-based practice principles, lacking support for proposed changes and improvement strategies. 0 pts No Assignment Submitted No Assignment Submitted / 20 pts EBP Model 15 pts Advanced The paper meticulously analyzes the best EBP model suited to this practice problem. 13 pts Proficient The paper effectively analyzes the best EBP model suited to this practice problem. 11 pts Developing The paper partially analyzes the best EBP model suited to this practice problem. 5 pts Novice The paper shows little assessment of an EBP model suited to this practice problem. 0 pts No Assignment Submitted No Assignment Submitted / 15 pts Consideration of Barriers and Mitigation Strategies 15 pts Advanced The paper thoroughly examines potential barriers, offering comprehensive and well-thought-out mitigation strategies, demonstrating a deep understanding of challenges. 13 pts Proficient The paper discusses various barriers and provides reasonable mitigation strategies, showing a good understanding of challenges. 11 pts Developing The paper briefly addresses some possible barriers and mitigation strategies, but lacks depth in the discussion. 5 pts Novice The paper overlooks possible barriers and mitigation strategies, showing little consideration for potential challenges. 0 pts No Assignment Submitted No Assignment Submitted / 15 pts Writing, Composition, Grammar, Spelling, References, and APA Format 10 pts Advanced Excellently written and composed. No errors in format, references, spelling, and grammar. 8 pts Proficient Well-written and composed. A few minor errors in format, references, spelling, and/or grammar. 7 pts Developing Somewhat well-written and composed. Many minor errors in format, references, spelling, and/or grammar. 5 pts Novice Poorly written and composed. Major errors in format, references, spelling, and/or grammar, but still understandable. 0 pts No Assignment Submitted No Assignment Submitted / 10 pts Total Points: 0 Choose a submission type Drag a file here, or click to select a file to upload Drag a file here, or Choose a file to upload No file chosen or Mark post as read Adrienne Miles-Robinson Oct 1 8:12pm Below is the outline submitted to my professor, which has not yet been reviewed. I do believe you can get started on a formal project proposal. I will send any feedback as soon as she gives feedback on the Clinical Question of Inquiry: Medication Adherence in Adults Agedn50 and above. Reply from Adrienne Miles-Robinson Clinical Question of Inquiry: Medication Adherence in Adults Aged 50 and Above The Clinical Question of Inquiry: The specified clinical question of inquiry concerns ways of enhancing medication compliance in the adult population of 50 years and above with one or more chronic illnesses. Non-adherence, particularly in this group, interferes with favorable clinical outcomes, increases readmissions, and contributes to the total disease burden. The subjects of interest for the inquiry will focus on approaches to increasing treatment compliance through improving the means of educating patients, avoiding multiple doses in a day, and using technological prompts to prevent adverse outcomes of poor medication adherence leading to complications. The Appropriate EBP Model: The project will apply the Iowa Model of EBP framework to tackle the clinical problem. In this case, it applies in clinical practice to matters requiring practice pattern alterations. The Iowa Model progresses from clinical issues, such as medication noncompliance, before focusing on how practice can adopt research outcomes. Another critical measure of the model that makes it fit for the project is the collaboration that is often needed for this project in a healthcare organization, according to Tucker et al. (2021). It also fosters cooperation in patient care by promoting a system of patient counseling, understanding, and application of evidence-based multimodal protocols. It depends on the family caregiver and medication simplification. The Iowa Model is also suitable for this project because of the never-ending assessment and evaluation that it promotes. This is important because the strategies used to improve clinical revenues are implemented and adjusted depending on the client's results and other connected discoveries. This flexibility is one of the most appropriate aspects of the Iowa Model because the intervention can constantly be improved. In addition, the Iowa Model also promotes the sustainability of change by ensuring that practice modifications arising from evidence become institutionalized. In terms of medication adherence, this means that an aspect of care, such as the alarms of the patient's mobile phone or calendar, needs to have a backup after a certain time lapse or when the family or caregiver gets involved in patient care (Henson & Jeffrey, 2024). Therefore, by incorporating these interventions into clinical workflow flow, the Iowa Model supports the sustainability of the best practice within the long term, enhancing patient outcomes. Possible Barriers to the Project: Implementation of this strategy may see real roadblocks that could lead to its failure. The main barrier is that people tend to resist any change, particularly those patients who have gotten used to a specific routine or are not comfortable with technology to such an extent that they are willing to accept it in their daily lives. Tsai et al. (2020) and Howard et al. (2022) point out that this behavior is quite common, particularly in cases where patients are not used to technological tools. Certain new practices, such as using alarms for medication reminders and telehealth interventions, may be resisted by the patients because they are unfamiliar with these technologies and do not have confidence in them. Moreover, the shortage of healthcare professionals is another issue that must be addressed. The application of personalized care, which is the key to medication adherence and patient monitoring, can be obstructed by the fact that healthcare providers are overloaded with limited time to attend to each patient's unique needs. Besides, the fact that health professionals have tight schedules may also be why they cannot carry out these processes properly. Finally, the issue of health literacy, especially among elderly patients, is a serious difficulty that makes things worse because a lot of them cannot even understand their medication schedules or what noncompliance can cause. References Henson, A., & Jeffrey, C. (2024). Utilizing the Iowa Model Revised: Evidence-Based Practice to Develop an Intervention for Use in a Hemodialysis Setting. Nephrology Nursing Journal, 51(2). Howard, J., Fisher, Z., Kemp, A. H., Lindsay, S., Tasker, L. H., & Tree, J. J. (2022). Exploring the barriers to using assistive technology for individuals with chronic conditions: a meta-synthesis review. Disability and Rehabilitation: Assistive technology, 17(4), 390-408. Tsai, T. H., Lin, W. Y., Chang, Y. S., Chang, P. C., & Lee, M. Y. (2020). Technology anxiety and resistance to change the behavioral study of a wearable cardiac warming system using an extended TAM for older adults. PloS one, 15(1), e0227270. Tucker, S., McNett, M., Mazurek Melnyk, B., Hanrahan, K., Hunter, S. C., Kim, B., ... & Kitson, A. (2021). Implementation science: Application of evidence‐based practice models to improve healthcare quality. Worldviews on Evidence‐Based Nursing, 18(2), 76-84.