A Nurse-Led Intervention in Schizophrenia Patients to Improve Medication Adherence Compliance

The purpose of this assignment is to write the first parts of the DNP Project Manuscript. This assignment will allow you to present the project’s purpose with objectives and the problem statement with significance from a global, national, and local/site perspective. This section includes the prevalence of the problem, the healthcare costs, and a description of the organizational need and practice gap related to the problem.(A Nurse-Led Intervention in Schizophrenia Patients to Improve Medication Adherence Compliance Essay Example)

Instructions

Download the DNP Project Manuscript Template from the DNP Program Resources page.

Follow these guidelines when completing each component of the assignment. Contact your course faculty if you have questions.

1. The DNP Project Manuscript Part 1 will be graded on the quality of information, use of current statistics and research, Standard English usage and mechanics, APA format, and overall organization based on the required components as summarized in the guidelines and grading criteria/rubric.(A Nurse-Led Intervention in Schizophrenia Patients to Improve Medication Adherence Compliance Essay Example)

2. Review the grading rubric carefully and consider how to incorporate each required criterion into Part 1 of the DNP Project Manuscript Template.

3. Review the tutorial on the use of the DNP Project Manuscript Template in this week’s lesson.

Follow the instructions on the template for the purpose, problem, and problem significance. Submit Part 1 of the DNP Project Manuscript.

1. Title

a.    Bold the title.

b.    The title should inform and engage the reader.

c.    The title should include your intervention and anticipated outcome and may include your population.

d.    The title should be concise and contain fully spelled out words with no abbreviations.

2. Introduction and Background(A Nurse-Led Intervention in Schizophrenia Patients to Improve Medication Adherence Compliance Essay Example)

a.    Place the title of your project as the heading of this section. The title is bold and centered.

b.    Start the introduction with a powerful statement or two to stimulate the interest of your reader. 

c.    Explicitly state that the DNP Project Manuscript concerns an evidence-based intervention to improve healthcare outcomes. Improving healthcare should include variables of quality, safety, effectiveness, patient-centeredness, timeliness, cost, efficiency, and/or equity, and it should include referenced statistics.

d.    Explicitly state the practice problem and the purpose (aim) of the project. 

e.    Identify the sections of the entire DNP Project Manuscript Template to transition readers to the entire manuscript.  (Students will continue writing in this manuscript in NR705 and NR709). 

3. Problem

a.    Articulate the issue clearly and succinctly and its significance (incidence, prevalence, and/or mortality data) from a global, national, and local perspective. Then, conclude by discussing the problem within the practicum site. (3 paragraphs)(A Nurse-Led Intervention in Schizophrenia Patients to Improve Medication Adherence Compliance Essay Example)

b.    Examine the global or worldwide prevalence, healthcare costs, and impact (mortality and/or other data) of the problem.

c.    Examine the global, national and/or local impact on nurses, quality of care, healthcare organizations, and healthcare equity .

d.    Describe the national prevalence, healthcare costs, and impact (mortality and/or other data) of the problem.

e.    Explain the problem at the practicum site. (If available and applicable also examine the incidence, prevalence, and financial impact.)

f.     Describe what the practicum site has done to address the problem, or state that there is no evidence that the problem has been addressed.

4. Project Aim and Supporting Objectives

a.    Explain the specific overall aim of the project.

b.    Identify 3-4 measurable objectives of the project that support the aim.

c.    Place the objectives in a sequenced format (a)…, (b)…., (c)…., etc.

5. Practice Question

a.    Begin this section with a lead-in sentence such as, “The following practice question will serve as the basis for the DNP project:”

b.    After the Lead-in Sentence, include your one-sentence practice question as it is stated on your DNP Practicum Readiness Form- Except do not include the name of the practicum site in the manuscript.(A Nurse-Led Intervention in Schizophrenia Patients to Improve Medication Adherence Compliance Essay Example)

6. References

a.    Information in this manuscript must be substantiated by citations from current peer-reviewed journals (within the last 5 years).

b.    For the statistical data about incidence, prevalence, and mortality, you may use research and non-research such as government websites and credible national and global organizations such as CDC, AHRQ, World Health Organization, Kaiser Family Foundation, and Robert Wood Johnson. (See resources in the Week 2 Student Lesson Plan.)(A Nurse-Led Intervention in Schizophrenia Patients to Improve Medication Adherence Compliance Essay Example)

c.    In-text citations should align with the reference page.

d.    In-text citations and references must be in the current APA format.

7. Scholarly Writing Criteria

a.    Submit the paper on the DNP Project Manuscript Template.

b.    Use the headers in the template.

c.    Use the current APA style and format throughout the manuscript.

d.    Use the Chamberlain Guidelines for Writing a Professional Paper (located in Student Resources) to complete this assignment.

e.    Turn on Grammarly to check the grammar, sentence structure, and punctuation as you write. (Note: if you have not already done so, please download the free version at Grammarly.com before construction of the assignment.)(A Nurse-Led Intervention in Schizophrenia Patients to Improve Medication Adherence Compliance Essay Example)

Writing Requirements (APA format)

·     Length: 2-3 pages (not including title page or references page)

·     1-inch margins

·     Double-spaced pages

·     12-point Times New Roman font or 11-point Arial

·     Headings & subheadings

·     In-text citations

·     Title page

·     References page (without permalinks)

·     Standard English usage and mechanics

·     Organized presentation of ideas

Program Competencies

PC: 1 Integrates scientific underpinnings into everyday clinical practice. (POs 3, 5)

PC: 2 Applies organizational and system leadership skills to affect systemic changes in corporate culture and to promote continuous improvement in clinical outcomes. (PO 6)(A Nurse-Led Intervention in Schizophrenia Patients to Improve Medication Adherence Compliance Essay Example)

PC: 3 Uses analytic methods to translate critically appraised research and other evidence into clinical scholarship for innovative practice improvements. (POs 3, 5)(A Nurse-Led Intervention in Schizophrenia Patients to Improve Medication Adherence Compliance Essay Example)

PC: 4 Appraises current information systems and technologies to improve health care. (POs 6, 7)

PC: 5 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)

PC: 6 Creates a supportive organizational culture for flourishing collaborative teams to facilitate clinical disease prevention and promote population health at all system levels. (PO 8)

PC: 7 Translates a synthesis of research and population data to support preventative care and improve the nation’s health. (PO 1)(A Nurse-Led Intervention in Schizophrenia Patients to Improve Medication Adherence Compliance Essay Example)

PC: 8 Leads others in professional identity, advanced clinical judgment, systems thinking, resilience, and accountability in selecting, implementing, and evaluating clinical care. (POs 1, 4)(A Nurse-Led Intervention in Schizophrenia Patients to Improve Medication Adherence Compliance Essay Example)

Course Outcomes

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

1. Synthesize scientific knowledge, theory, and practice expertise to inform evidence-based practice and impact outcomes. ((PCs 1, 2, 3, 4, 5, 7, 8; POs 1, 3, 4, 5, 6, 9; POs 1, 3, 4, 5, 6, 9)

2. Design an evidence-based translational science project to address a practice problem. (PCs 1, 2, 3, 4, 5, 6, 7, 8; POs 1, 2, 3, 4, 5, 6, 7, 8, 9)(A Nurse-Led Intervention in Schizophrenia Patients to Improve Medication Adherence Compliance Essay Example)

3. Apply effective strategies in project design for managing practice problems in healthcare delivery at the micro, meso, and macro-system levels. (PCs 1, 2, 3, 4, 5, 6, 7, 8; POs 1, 2, 3, 4, 5, 6, 7, 8, 9)

4. Demonstrate project management and leadership skills in the design process for the evidence-based translational science project. (PCs 1, 2, 3, 4, 5, 6, 7, 8; POs 1, 2, 5, 6, 7, 8, 9)(A Nurse-Led Intervention in Schizophrenia Patients to Improve Medication Adherence Compliance Essay Example)

5. Create collaborative relationships with interprofessional and intraprofessional groups to champion organizational improvements through project design. (PCs 2, 4, 5, 6, 8; POs 2, 4, 6, 8)(A Nurse-Led Intervention in Schizophrenia Patients to Improve Medication Adherence Compliance Essay Example)

Rubric

Week 2 Assignment Grading Rubric

Week 2 Assignment Grading Rubric

Criteria

Ratings

Pts

This criterion is linked to a Learning OutcomeTitle

Requirements: 1. Bold the title. 2. The title should inform and engage the reader. 3. The title can include your population, intervention, and/or anticipated outcome. 4. The title should be concise and contain fully spelled out words with no abbreviations.(A Nurse-Led Intervention in Schizophrenia Patients to Improve Medication Adherence Compliance Essay Example)

5 pts

Includes all requirements and creates an excellent title page.

4 pts

Includes all requirements and creates a sufficient title page.

3 pts

Includes fewer than all requirements and/or creates a basic title page.

0 pts

Includes fewer than all requirements and/or provides an undeveloped title page.

5 pts

This criterion is linked to a Learning OutcomeIntroduction and Background

Requirements: 1. Place the title of your project as the heading of this section. The title is bold and centered. 2. Start the introduction with a powerful statement or two to stimulate the interest of your reader. 3. Explicitly state that the DNP Project Manuscript concerns an evidence-based intervention to improve healthcare outcomes. Improving healthcare should include variables of quality, safety, effectiveness, patient-centeredness, timeliness, cost, efficiency, and/or equity, and it should include referenced statistics. 4. Explicitly state the practice problem and the purpose (aim) of the project. 5. Identify the sections of the entire DNP Project Manuscript Template to transition readers to the entire manuscript. (Students will continue writing in this manuscript template in NR705 and NR709).(A Nurse-Led Intervention in Schizophrenia Patients to Improve Medication Adherence Compliance Essay Example)

10 pts

Includes all requirements and provides an in-depth Introduction.

9 pts

Includes all requirements and provides a sufficient Introduction.

8 pts

Includes fewer than all requirements and/or provides a partial Introduction.

0 pts

Includes fewer than all requirements and/or provides an undeveloped Introduction.

10 pts

This criterion is linked to a Learning OutcomePractice Question(A Nurse-Led Intervention in Schizophrenia Patients to Improve Medication Adherence Compliance Essay Example)

Requirements: 1. Begin this section with a lead-in sentence such as, “The following practice question will serve as the basis for the DNP project:” 2. After the lead-in sentence, include a one-sentence practice question.

5 pts

Includes all requirements and provides an excellent practice question.

4 pts

Includes all requirements and provides a sufficient practice question.

3 pts

Includes fewer than all requirements and/or provides a basic practice question.

0 pts

Includes fewer than all requirements and/or provides an undeveloped practice question.

5 pts

This criterion is linked to a Learning OutcomeProblem

Requirements: 1. Examine the global or worldwide prevalence, healthcare costs, and impact (mortality and/or other data) of the problem. 2. Describe the national prevalence, healthcare costs, and impact (mortality and/or other data) of the problem. 3. Analyze the impact on nurses, quality of care, healthcare organizations, safety, society and/or social justice consideration as relevant to the project problem. 4. Explain the problem at the practicum site. (If available and applicable, examine the incidence, prevalence, and financial impact.) 5. Describe what the practicum site has done to address the problem, or state that there is no evidence that the problem has been addressed.(A Nurse-Led Intervention in Schizophrenia Patients to Improve Medication Adherence Compliance Essay Example)

30 pts

Includes all requirements and provides an in-depth discussion about the problem.

27 pts

Includes all requirements and provides a sufficient discussion about the problem.

24 pts

Includes fewer than all requirements and/or provides a partial discussion about the practice problem.

0 pts

Includes fewer than all requirements and/or provides an undeveloped discussion about the problem.

30 pts

This criterion is linked to a Learning OutcomeProject Aim and Supporting Objectives

Requirements: 1. Explain the specific overall aim of the project. 2. Identify 3-4 measurable objectives of the project that support the aim. 3. Place the objectives in a sequenced format (a)…, (b)…., (c)…., etc.(A Nurse-Led Intervention in Schizophrenia Patients to Improve Medication Adherence Compliance Essay Example)

10 pts

Includes all requirements and provides an excellent discussion of the aim and supporting objectives.

9 pts

Includes all requirements and provides a very good discussion of the aim and supporting objectives.

8 pts

Includes fewer than all requirements and/or provides a basic discussion of the aim and supporting objectives.

0 pts

Includes fewer than all requirements and/or provides a poor discussion of the aim and supporting objectives.

10 pts

This criterion is linked to a Learning OutcomeReferences

Requirements: 1. Reference publication dates must be within the last 5 years. 2. References must be from peer-reviewed journals, government websites, and/or credible national and global organizations related to the problem. 3. In-text citations should align with the reference page. 4. In-text citations and references must be in the current APA format.(A Nurse-Led Intervention in Schizophrenia Patients to Improve Medication Adherence Compliance Essay Example)

10 pts

Includes all requirements and provides an excellent reference section.

9 pts

Includes all requirements and provides a sufficient reference section.

8 pts

Includes fewer than all requirements and/or provides a partial reference section.

0 pts

Includes fewer than all requirements and/or provides an undeveloped reference section.

10 pts

This criterion is linked to a Learning OutcomeScholarly Writing Criteria

Requirements: 1. Submit the paper on the DNP Project Manuscript Template 2. Use the headers in the template. 3. Use the current APA style and format throughout the manuscript. 4. Paper length is 2-3 pages.(A Nurse-Led Intervention in Schizophrenia Patients to Improve Medication Adherence Compliance Essay Example)

5 pts

Includes all requirements and provides in-depth scholarly writing.

4 pts

Includes all requirements and provides sufficient scholarly writing.

3 pts

Includes fewer than all requirements and/or provides a basic scholarly writing.

0 pts

Includes fewer than all requirements of APA style and standards and/or provides undeveloped scholarly writing.

5 pts

This criterion is linked to a Learning OutcomeClarity of Writing(A Nurse-Led Intervention in Schizophrenia Patients to Improve Medication Adherence Compliance Essay Example)

Requirements: 1. Standard English usage and mechanics 2. No spelling or typographical errors 3. Organized presentation of ideas(A Nurse-Led Intervention in Schizophrenia Patients to Improve Medication Adherence Compliance Essay Example)

5 pts

Includes all requirements and demonstrates excellent clarity of writing.

4 pts

Includes all requirements and demonstrates sufficient clarity of writing.

3 pts

Includes fewer than all requirements and/or demonstrates basic clarity of writing.

0 pts

Includes fewer than all requirements and/or demonstrates poor clarity of writing.

5 pts

Total Points: 80

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A Nurse-Led Intervention in Schizophrenia Patients to Improve Medication Adherence Compliance Essay Example

Schizophrenia is a mental disorder that impairs thought processes and patterns, perceptions, emotional responses, and social interactions (National Institute of Mental health [NIMH], n.d.). Schizophrenia is persistent and can be severe and disabling when symptoms are not adequately managed (NIMH, n.d.). This DNP project pursues a nurse-led intervention to improve medication adherence and symptom management. A person-centered approach to healthcare when working with schizophrenia patients is recommended for achieving compliance (Salzmann-Erikson & Sjödin, 2018). Specifically, the project aims to evaluate the impact of technology with motivational interviewing on medication adherence among inpatient schizophrenia patients. This DNP Project Manuscript provides the introduction and background, the problem, the project aim and supporting objectives, and the practice question.(A Nurse-Led Intervention in Schizophrenia Patients to Improve Medication Adherence Compliance Essay Example)

Problem

Various studies have shown a varying prevalence of Schizophrenia globally and in the US. The global prevalence of Schizophrenia among non-institutionalized persons ranges between 0.33% and 0.75%, while in the United States, the prevalence of Schizophrenia is 0.25% to 0.64% (NIMH, n.d.). Nonadherence to medication among Schizophrenia patients is well documented in the United States (US) and globally. Nonadherence in the US is estimated to be 70% or more, with associated comorbidities contributing to rates of nonadherence (Desai & Nayak, 2019).(A Nurse-Led Intervention in Schizophrenia Patients to Improve Medication Adherence Compliance Essay Example)

Nonadherence increases the use of outpatient and hospital-related resources, while comorbidities and demographic factors exacerbate the problem. Nonadherence affects health outcomes among schizophrenia patients, increasing the risk of premature death compared to the general population. The average life lost in the US due to Schizophrenia is estimated at 28.5 years (NIMH, n.d.). The increased and under-detection of comorbid conditions, including liver disease, heart disease, and diabetes, increased the risk of premature death among schizophrenia patients. Significantly, over 50% of schizophrenia patients have co-occurring behavioral and mental health disorders. Moreover, an estimated 4.9% of individuals diagnosed with Schizophrenia commit suicide, which is higher than the general population (NIMH, n.d.).(A Nurse-Led Intervention in Schizophrenia Patients to Improve Medication Adherence Compliance Essay Example)

The financial costs associated with the management of Schizophrenia increase disproportionately with co-occurring mental, physical, and behavioral health conditions. The estimated direct cost of Schizophrenia is about $ 4 billion annually and $5984 per patient (Desai et al., 2013). The indirect cost is estimated at $ 18.68 billion annually and $724664 per cost (Desai et al., 2013). The direct costs include those related to the hospital stay and medication due to worsening symptoms and general health conditions. In contrast, the indirect costs include costs due to social service needs, lost productivity, involvement of criminal justice, and issues beyond healthcare. At the practicum site, nonadherence has been reported, leading to worsening symptoms and increased inpatient stay.(A Nurse-Led Intervention in Schizophrenia Patients to Improve Medication Adherence Compliance Essay Example)

Project Aim and Supporting Objectives

The primary aim of the DNP project is to e determine the impact of technology with motivational interviewing on medication adherence among inpatient schizophrenia patients. The project objectives are as follows:(A Nurse-Led Intervention in Schizophrenia Patients to Improve Medication Adherence Compliance Essay Example)

1. To evaluate the role of technology on medication adherence among inpatient schizophrenia patients.
2. To assess the impact of motivational interviews on medication adherence among inpatient schizophrenia patients.
3. To compare the impact of technology with motivational interviewing on medication adherence and motivational interviewing and technology independently among inpatient schizophrenia patients.(A Nurse-Led Intervention in Schizophrenia Patients to Improve Medication Adherence Compliance Essay Example)

Practice Question

The following practice question will serve as the basis of the DNP project: For adults with a history of Schizophrenia (P) in the outpatient setting, does the implementation of technology with motivational interviewing (I), compared with current practice (C), impact medication nonadherence (O) in 8-10 weeks (T)?(A Nurse-Led Intervention in Schizophrenia Patients to Improve Medication Adherence Compliance Essay Example)

References

Desai, P. R., Lawson, K. A., Barner, J. C., & Rascati, K. L. (2013). Estimating the direct and indirect costs for community-dwelling patients with Schizophrenia. Journal of Pharmaceutical Health Services Research, 4(4), 187-194.(A Nurse-Led Intervention in Schizophrenia Patients to Improve Medication Adherence Compliance Essay Example)

Desai, R., & Nayak, R. (2019). Effects of medication nonadherence and comorbidity on health resource utilization in Schizophrenia. Journal of Managed Care & Specialty Pharmacy, 25(1), 37-46.(A Nurse-Led Intervention in Schizophrenia Patients to Improve Medication Adherence Compliance Essay Example)

National Institute of Mental health. (No date). Schizophrenia. Available at: https://www.nimh.nih.gov/health/statistics/schizophrenia (Accessed 14 January 2023) 

Salzmann-Erikson, M., & Sjödin, M. (2018). A narrative meta-synthesis of how people with schizophrenia experience facilitators and barriers in using antipsychotic medication: Implications for healthcare professionals. International Journal of Nursing Studies, 85, 7-18.(A Nurse-Led Intervention in Schizophrenia Patients to Improve Medication Adherence Compliance Essay Example)