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The change proposal.
In collaboration with the approved clinical preceptor, students will identify a specific evidence-based topic for the capstone project change proposal. Students should consider the clinical environment in which they are currently employed or have recently worked. The capstone project topic can be a clinical practice problem, an organizational issue, a leadership or quality improvement initiative, or an unmet educational need specific to a patient population or community. The selected problem should encourage the student to engage in interprofessional collaborative practice.
Students should select a topic that aligns to their area of interest as well as the clinical practice setting in which practice hours are completed.
This project is only a proposal and will not be implemented in a practice setting.
Write a 750-1000-word description of your proposed capstone project topic. Include the following:
Describe the problem or issue that will be the focus of the change proposal. Explain with which category (leadership or community) the selected topic would best align. Discuss the setting or context in which the problem or issue can be observed and describe the population affected by this problem or issue. Discuss the implications this clinical practice problem or issue has on nursing practice. Based on your needs assessment in Topic 1, describe why this is a priority for the community/clinical site or affected clinical population. Briefly describe the organizational structure (mission, vision, values, leadership structure, etc.) of the practicum site. What internal and external processes will impact care coordination for the selected population or community? How effective has the organization been in addressing the identified problem or issue?
Full Answer Section
Implications for Nursing Practice:
Poor medication adherence can lead to:
Increased morbidity and mortality: Patients who do not adhere to their medication regimens are at higher risk of complications and adverse health outcomes.
Hospitalization: Non-adherence can result in increased hospitalizations and healthcare costs.
Decreased quality of life: Poor medication adherence can significantly impact a patient's quality of life and well-being.
Priority for the Community
Addressing medication adherence is a priority for the rural Kenyan community due to the high prevalence of chronic diseases and the limited access to healthcare services. Improving medication adherence can lead to better health outcomes, reduced healthcare costs, and improved quality of life for individuals and communities.
Organizational Structure and Processes
The healthcare organization in which I am working is a rural health clinic that provides primary care services to the local community. The organization's mission is to improve the health and well-being of the community, while its vision is to be a leading provider of accessible and affordable healthcare. The clinic is led by a medical director and has a team of nurses, doctors, and other healthcare professionals.
Internal and external factors that impact care coordination for the selected population include:
Limited resources: The clinic may have limited resources, such as staff, equipment, and medications.
Cultural barriers: Cultural beliefs and practices may influence patients' adherence to medication regimens.
Lack of awareness: Patients may not be fully aware of the importance of medication adherence and its impact on their health.
Transportation challenges: Patients in rural areas may face transportation difficulties in accessing healthcare services.
Organizational Effectiveness
The organization has made efforts to address the issue of medication adherence, such as implementing patient education programs and providing medication reminders. However, there is still room for improvement in terms of reaching a wider population and ensuring consistent adherence.
References
World Health Organization. (2019). Adherence to antiretroviral therapy among people living with HIV/AIDS in low- and middle-income countries: A systematic review and meta-analysis. PLoS Medicine, 16(1), e1002872.
National Institutes of Health. (2021). Medication Adherence: Improving Patient Outcomes. National Institutes of Health for Chronic Diseases and Health Promotion.
https://pmc.ncbi.nlm.nih.gov/articles/PMC9498383/
Sample Answer
Problem or Issue:
Many patients in rural Kenyan communities struggle with medication adherence, leading to poor health outcomes and increased healthcare costs. This is particularly problematic for patients with chronic diseases, such as diabetes and hypertension, which require consistent medication use for effective management.
Category:Community
Setting and Affected Population:
This issue is prevalent in rural Kenyan communities, where access to healthcare services and resources may be limited. The population affected includes individuals with chronic diseases, such as diabetes, hypertension, and HIV/AIDS.