Advanced practice nursing

Review literature regarding issues or concerns within your selected area of advanced practice nursing. Select a theory or model which is relevant to your selected area of advanced practice nursing. Offer a meaningful context for evidence-based practice surrounding the issue or concern which you identified.
Address Theoretical Framework to Support Evidence-based Practice Assignment
Identify and describe a theory or model, and explain its relevance to the selected area of advanced practice
Describe an issue or concern regarding the selected area of advanced practice and explain its impact on health care outcomes.
Explain how the theory or model can be used as a framework to guide evidence-based practice to address the issue or concern, and discuss the unique insight or perspective offered through the application of this theory or model.

Full Answer Section

  The TPB has three main components:
  • Attitude: This is a person's evaluation of a behavior, whether they believe it is good or bad.
  • Social Norms: These are the perceived expectations of others about whether or not a person should engage in a behavior.
  • Perceived Behavioral Control: This is a person's belief about how easy or difficult it is to perform a behavior.
The TPB suggests that these three components together influence a person's intention to perform a behavior. Intention is then a strong predictor of actual behavior. Describe an issue or concern regarding the selected area of advanced practice and explain its impact on health care outcomes. One issue or concern that is relevant to my area of advanced practice is the high rate of medication nonadherence among patients with chronic diseases. Medication nonadherence is defined as the failure to take medications as prescribed. It is a major problem, affecting up to 50% of patients with chronic diseases. Medication nonadherence can have a significant impact on health care outcomes. It can lead to increased hospitalizations, emergency department visits, and mortality. It can also increase the cost of care. The TPB can be used to understand why patients with chronic diseases may not adhere to their medications. For example, patients may have negative attitudes towards their medications, or they may believe that their social norms do not support medication adherence. They may also perceive that it is difficult to take their medications as prescribed. The TPB can also be used to develop interventions to improve medication adherence. For example, interventions could be designed to change patients' attitudes towards their medications, or to increase their social support for medication adherence. Interventions could also be designed to make it easier for patients to take their medications as prescribed. Conclusion The TPB is a useful theory or model for supporting evidence-based practice in my area of advanced practice. It can be used to understand why patients with chronic diseases may not adhere to their medications, and it can be used to develop interventions to improve medication adherence. In addition to the TPB, there are a number of other theories and models that can be used to support evidence-based practice in advanced practice nursing. These include the Social Cognitive Theory, the Transtheoretical Model, and the Health Belief Model. The choice of which theory or model to use will depend on the specific issue or concern that is being addressed. However, all of these theories and models can be used to provide a framework for understanding the factors that influence health behavior and for developing interventions to improve health outcomes.

Sample Answer

  The theory or model that I will be using to support evidence-based practice in my area of advanced practice is the Theory of Planned Behavior (TPB). The TPB was developed by Icek Ajzen in the 1980s, and it is a social cognitive theory that explains how people form intentions and make decisions. The TPB has been used to explain a wide range of behaviors, including health-related behaviors such as smoking cessation, exercise, and medication adherence.