NR730 Week 2 Discussion Essay

NR730 Week 2 Discussion Essay

Psychiatric patients with multiple chronic conditions face unique challenges when managing their medications effectively. These patients often have complex medication regimens that can be difficult to manage. They may also have difficulty understanding the purpose of their medications, how to take them correctly, and the potential side effects. As a result, these patients are at risk for medication errors, non-adherence, and poor health outcomes. This paper proposes a DNP change project focusing on implementing medication management protocol to enhance care delivery for psychiatric patients with multiple chronic conditions in mental health centers.

World Health Organization (2019) defines medication management protocol as written instructions that enable nurses or midwives to safely provide and administer a specific medicinal product within specified clinical circumstance. It involves various activities, including prescribing, dispensing, administering, monitoring, and evaluating medications. It aims to optimize therapeutic outcomes while minimizing the risks and complications associated with medication use (Okobi et al., 2022). Additionally, medication management protocol ensures patients benefit from tailored medication regimens that address their unique combination of mental health symptoms and chronic illnesses, resulting in better symptom control, enhanced functioning, and overall well-being.

Furthermore, most psychiatric patients with multiple chronic conditions often struggle with medication adherence due to cognitive impairments, medication regimen complexity, and side effects (Kane et al., 2020). Implementing medication management protocols provides a framework for healthcare professionals to educate patients about the importance of adherence and help them develop strategies to overcome barriers by incorporating patient education, medication reminders, and regular follow-up.

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As Fernandez-Lazaro et al. (2019) assert, medication protocols facilitate interdisciplinary collaboration among mental health professionals, primary care providers, and specialists involved in the patient’s care. This integrated approach results in improved patient outcomes, reduced healthcare costs, and increased patient satisfaction. The implementation of a medication management protocol for this DNP change project will address the challenges faced by psychiatric patients with multiple chronic conditions by providing clear instructions and guidelines for healthcare professionals to safely administer and monitor medications.


Fernandez-Lazaro, C. I., García-González, J. M., Adams, D. P., Fernandez-Lazaro, D., Mielgo-Ayuso, J., Caballero-Garcia, A., Moreno Racionero, F., Córdova, A., & Miron-Canelo, J. A. (2019). Adherence to treatment and related factors among patients with chronic conditions in primary care: A cross-sectional study. BMC Family Practice, 20(1).

Kane, J. M., Kishimoto, T., & Correll, C. U. (2020). Non-adherence to medication in patients with psychotic disorders: Epidemiology, contributing factors, and management strategies. World Psychiatry, 12(3), 216–226.

Okobi, O. E., Agazie, O., Ayisire, O. E., Babalola, F., Dick, A. I., Akinsola, Z., Adeosun, A. A., Owolabi, O. J., Ajayi, T. O., & Odueke, A. Y. (2022). Approaches to medication administration in patients with lack of insight. Cureus, 14(7), e27143.

World Health Organization. (2019). Medication safety in polypharmacy.



Evidence-Based Interventions to Address Gaps in Practice



The purpose of this assignment is to examine an evidence-based intervention, which will serve as the mechanism for the development of the DNP practice change project.



Reflect on your readings this week and respond to the following:

Identify and explain your proposed DNP practice change project evidence-based intervention most commonly found in your literature search.

Provide three (3) scholarly sources that support this evidence-based intervention as a solution to your identified practice problem.

Please click on the following link to review the DNP Discussion Guidelines on the Student Resource Center program page:

Link (webpage): DNP Discussion GuidelinesLinks to an external site.

Program Competencies

This discussion enables the student to meet the following program outcomes:

Integrates scientific underpinnings into everyday clinical practice. (POs 3, 5)

Applies organizational and system leadership skills to affect systemic changes in corporate culture and to promote continuous improvement in clinical outcomes. (PO 6)

Uses analytic methods to translate critically appraised research and other evidence into clinical scholarship for innovative practice improvements. (POs 3, 5)

Appraises current information systems and technologies to improve health care. (POs 6, 7)

Analyzes health care policies to advocate for equitable health care and social justice to all populations and those at risk due to social determinants of health. (POs 2, 9)

Creates a supportive organizational culture for flourishing collaborative teams to facilitate clinical disease prevention and promote population health at all system levels. (PO 8)

Leads others in professional identity, advanced clinical judgment, systems thinking, resilience, and accountability in selecting, implementing, and evaluating clinical care. (POs 1, 4)

Course Outcomes

This discussion enables the student to meet the following course outcomes:

Apply clinical scholarship methodologies for designing, developing, implementing, and evaluating quality improvements and the translation of evidence-based practice, to improve healthcare outcomes at the micro, meso, or macrosystem level. (PCs 1, 3, 5; POs 3, 5, 9)

Appraise and synthesize the highest level of evidence available to improve the quality, cost-effectiveness, and healthcare outcomes of diverse populations. (PCs 1, 2, 3, 4, 6, 8; POs 4, 5, 6, 8)

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