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I would like to thank

Rochester Christian University

Professor Amy Guitar

Dr. Megan Houge

Professor Jennifer Robinson

Megan Bauer, RN

References available upon request

Databases: CINAHL, EBSCO, PubMed

Key Words: Medication non-adherence, non-compliance, medication education, and knowledge

Independent Variable: nurse-led medication education

Dependent Variable: nurses' knowledge

Beyond the Prescription: The Nurse’s Role in Decreasing Medication Non-Adherence

Abigail G. Witt | Nursing, Rochester Christian University

Sponsor: Amy Guitar MSN-Ed, RN

METHODOLOGY

ACKNOWLEDGEMENTS

EDUCATIONAL FRAMEWORK

THEORETICAL FRAMEWORK

CLINICAL QUESTION & PURPOSE

Orem’s Self-Care Deficit Nursing Theory emphasizes the importance of nurses and patients taking responsibility for their overall health and well-being. Both nurses and patients will be encouraged to engage in self-care practices that promote physical, mental, and emotional well-being

  • Among nurses who care for patients prescribed long-term medications, does implementing a standardized medication education protocol compared to usual discharge instructions increase the nurses' knowledge of medication education over a 10-week period?
  • The purpose of this study is to evaluate the effectiveness of standardized protocol for medication education

Population: Nurses who care for patients prescribed long-term medications

Intervention: Standardized medication education protocol

Comparison: Usual discharge instructions

Outcome: Increased knowledge

Time: 10-week period

DATA COLLECTION

INTENDED OUTCOMES

A pre- and post-test would be given to nurses to determine the effectiveness of the standardized medication education protocol

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the pre- and post-test that

would be used

Primary Outcome: Increased medication adherence for patients

Secondary Outcome: Enhanced nurse knowledge on how to access resources for medication education like flyers that can be part of patient discharge paperwork

  • A nurse-led teach-back intervention will be used to bridge the gap between current and needed knowledge
  • Nurses will educate patients and a support person about the patients' current medications prior to discharge
  • It will provide an opportunity for patients to learn about their medications, ask questions, and share the knowledge that they’ve gained
  • Patients will be provided additional resources like flyers that can be part of their discharge paperwork for future reference
  • Medication non-adherence is a frequently experienced issue by nurses and patients
  • There is a direct correlation between medication non-compliance and poor symptom management and disease control, which leads to increased hospitalizations, higher healthcare costs, and decreased quality of life for patients
  • In nursing there is a gap in knowledge between medication education prior to discharge and patient compliance, this project aims to understand the why behind this issue and how nurses can help fix it

INTRODUCTION

  • Nurses increased knowledge of how to properly educate patients about medications by utilizing tools like flyers that can be part of discharge paperwork and standardized protocols
  • Findings could lead to the creation of a class that patients could attend where they learn about the importance of medications while being taught about lifestyle changes they can make and how to get financial assistance for prescription medications

FUTURE IMPLICATIONS

The anticipated benefits extend beyond nurse knowledge. It covers what is gained by the patients and their family throughout this process. This contributes to overall improved quality of patient care and is a multifaceted approach that involves the nurse, patient, and family. The multiple methods of medication education, with the use of flyers, the teach-back method, and pre-test and post-test tool support different individuals with varying learning styles. This project also offers room for future research on this topic in which additional insight can be gained

CONCLUSION