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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

Meaningful Context for Evidence-Based Practice: Studies show that interventions based on the HBM can improve medication adherence in older adults. These interventions often involve:

Increasing perceived susceptibility: Education about the consequences of non-adherence.
Increasing perceived severity: Explaining the potential complications of uncontrolled chronic conditions.
Increasing perceived benefits: Highlighting how medication improves quality of life.
Addressing perceived barriers: Simplifying medication schedules, providing pill organizers, and offering medication reminders.

HBM as a Framework for Evidence-Based Practice: The HBM provides a framework for AGPCNPs to individualize care plans and address medication adherence:

Assess Beliefs: During consultations, AGPCNPs can use open-ended questions to explore patients' beliefs about their medications, their conditions, and potential challenges.
Tailored Interventions: Based on the assessment, AGPCNPs can target specific beliefs and develop personalized medication adherence strategies.
Shared Decision-Making: The HBM encourages collaboration. AGPCNPs can work with patients to set realistic goals and address medication concerns.

Unique Insight from HBM: The HBM goes beyond simply providing medications. It focuses on understanding patients' perceptions and motivations, leading to more effective medication adherence strategies and improved patient outcomes. Note: This is just one example. Depending on your specific area of interest within AGPCNP practice, you could choose a different theory or model (e.g., Transtheoretical Model (TTM) for behavior change) and a different issue/concern (e.g., health promotion in older adults).

Sample Answer

Advanced Practice Area: Adult-Gerontology Primary Care Nurse Practitioner (AGPCNP)

Issue/Concern: Medication Adherence in Older Adults

Medication adherence is a significant concern in older adults, impacting health outcomes and healthcare costs. Factors like polypharmacy (multiple medications), complex regimens, and cognitive decline can contribute to non-adherence.

Theory/Model: The Health Belief Model (HBM)

Relevance to AGPCNPs: The HBM focuses on individual beliefs that influence health behaviors. It's highly relevant to AGPCNPs who need to understand patients' perceptions of their health, susceptibility to disease, and the benefits and barriers to medication adherence.