NUR 513 Topic 5 DQ 1 Evidence-based Practice

Discussion: During this program, you will complete an evidence-based practice project addressing a problem, issue, or concern in your specialty area of professional practice

NUR 513 Topic 5 DQ 1 Evidence-based Practice  Assessment Description

During this program, you will complete an evidence-based practice project addressing a problem, issue, or concern in your specialty area of professional practice. Consider an area in your specialty that you believe needs improvement. Which nursing theories could you apply to this problem? Why is this the best theory?

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NUR 513 Topic 5 DQ 1 Evidence-based Practice Sample

Resistance to therapeutic interventions, including treatment and medication adherence, is a significant concern. Sometimes patients are adamant about agreeing with the outcomes of their diagnosis and decline taking medications as well as not adhering to the established routine. Patients may decline to do anything concerning their treatment and suggested interventions. Such a concern creates an ethical dilemma for healthcare providers since they require the patient’s informed consent to proceed with any therapeutic interventions; from medications to other non-pharmacological approaches (Butts et al., 2021). Therefore, nurses and other healthcare workers should seek effective ways to convince such patients to accept treatment and enhance their outcomes.

Nursing theories and models can help nurses and other providers to convince such patients and address any concerns that they may raise leading to declining medication or recommended therapies. The specialty area for nurse practitioners like dealing with critical populations such as older patients with comorbidity of chronic disease means that theories not only suffice but also lead to better outcomes (Smith et al., 2023). NUR 513 Topic 5 DQ 1 Evidence-based Practice Medication adherence is an area that requires improvement since it means that many patients fail to get better outcomes because of not taking medications as routinely required. Therefore, nursing theories like Orem’s self-deficit theory, Roy’s adaptation theory, and Peplau’s interpersonal relations model are relevant to improving this situation. For instance, the self-deficit model asserts that patients heal faster and more holistically when empowered to take care of their health to the maximum possible level (Wood, 2020). The theory can help enhance patient education, self-care practices, and management of chronic diseases like diabetes. The adaptation theory by Roy focuses on how individuals can adapt to illness and health challenges through acceptance and having a positive perspective on medications leading to improved adherence.

NUR 513 Topic 5 DQ 1 Evidence-based Practice References

Butts, J. B., & Rich, K. L. (2021). Philosophies and theories for advanced nursing practice.

            Jones & Bartlett Learning.

Smith, M. J., Liehr, P. R., & Carpenter, R. D. (Eds.). (2023). Middle range theory for nursing.

            Springer Publishing Company.

Wood, S. K. (2020). Keeping the nurse in the nurse practitioner: Returning to our disciplinary

            roots of knowing in nursing. Advances in Nursing Science, 43(1), 50-61.

DOI: 10.1097/ANS.0000000000000301.