This assignment has new comments and instructions from the professor and it requires for the comments to be incorporated into the project. You can also see the professor’s comments in the attached 10 Strategic Points.

Areas Needing corrections are as follows: It must be updated in the 10 Strategic Points and in the main project ATTACHED.

1. Interventions

a. This has to be for Diabetes. Currently, it is not the right methodology

b. The intervention is what will be done for each patient which should be based on educating the patients on lifestyle changes. It should be like this: –

i. Diet Teaching Education- what type of education will be used for teaching the patients. Where are you going to get the materials from? You must explain the Therapy in full. This must be rearranged in the project.

2. Lifestyle Changes Education must be addressed as follows: –

a. Discuss Medication Nutrition Education Therapy in full

b. Discuss Medication Adherence Education in full

c. It must specify Disease Education on Diabetes

d. It must indicate who is doing it e.g. RN, Nurse Practitioner etc.? How are they doing it? How long is it going to take or for long?

3. You must indicate what the expected result is going to be. 

4. How do you plan to measure Medication Adherence and the tools that will be used to measure it.

5. The Problem Statement must now change based on these new listed additions. It must start with “It is not known the extent to which………………

6. SAMPLE:

a. Explain why you are picking the specific number of patient population

b. Use population of adults 18 and above. Don’t limit to 45 and older.

7. Inclusion Criteria

a. Adult 18 – above with Type 2 Diabetes

b. It should state who identified it in the home health setting such Physicians since they are the ones that refer patients to the home health care for non-compliant or non-adherent to medication

8. Exclusion Criteria

a. It should state that you will exclude patients with cognitive impairment

9. Data Collection and Data Analysis

a. You must adjust both of them by using an existing method of Data Collection-please, do not make up your own

Please make corrections in all the chapters including 1, 2 and 3.

APPENDIX A is the 10 Strategic Points

PLEASE DO NOT INCLUDE THE CRITERION TABLES.

NEW INSTRUCTIONS

The professor has made new comments on the project and it requires for the comments to be incorporated into the project. You can also see the professor’s comments in the attached 10 Strategic Points.

Areas Needing corrections are as follows: It must be updated in the 10 Strategic Points and in the main project ATTACHED.

1. Interventions

a. This has to be for Diabetes. Currently, it is not the right methodology

b. The intervention is what will be done for each patient which should be based on educating the patients on lifestyle changes. It should be like this: –

i. Diet Teaching Education- what type of education will be used for teaching the patients. Where are you going to get the materials from? You must explain the Therapy in full. This must be rearranged in the project.

2. Lifestyle Changes Education must be addressed as follows: –

a. Discuss Medication Nutrition Education Therapy in full

b. Discuss Medication Adherence Education in full

c. It must specify Disease Education on Diabetes

d. It must indicate who is doing it e.g. RN, Nurse Practitioner etc.? How are they doing it? How long is it going to take or for long?

3. You must indicate what the expected result is going to be.

4. How do you plan to measure Medication Adherence and the tools that will be used to measure it.

5. The Problem Statement must now change based on these new listed additions. It must start with “It is not known the extent to which………………

6. SAMPLE:

a. Explain why you are picking the specific number of patient population

b. Use population of adults 18 and above. Don’t limit to 45 and older.

7. Inclusion Criteria

a. Adult 18 – above with Type 2 Diabetes

b. It should state who identified it in the home health setting such Physicians since they are the ones that refer patients to the home health care for non-compliant or non-adherent to medication

8. Exclusion Criteria

a. It should state that you will exclude patients with cognitive impairment

9. Data Collection and Data Analysis

a. You must adjust both of them by using an existing method of Data Collection-please, do not make up your own

Please make corrections in all the chapters including 1, 2 and 3.

APPENDIX A is the 10 Strategic Points

PLEASE DO NOT INCLUDE THE CRITERION TABLES.

10 STRATEGIC POINTS TABLE 2

10 STRATEGIC POINTS TABLE 2

10 Strategic Points Table

DNP-955-DPI Project

Bola Odusola-Stephen

Grand Canyon University

October 27, 2020

10 Strategic Points Table

The 10 Strategic Points

Broad Topic Area

1. Broad Topic Area/Title of Project:

Improving Medication Adherence in Diabetic Patients in Home Health Care

Literature Review

2. Literature Review:

a. Background of the Problem/Gap:

· Medication adherence can be defined as how well patients in home-based care can correctly take the medication that has been prescribed by the doctors in the absence of health practitioners.

· Medication adherence incorporates total adherence and compliance with the medical instructions that the patients have been giving.

· Proper medication adherence can significantly minimize chronic illness and emergency visits to hospitals.

· The number of patients who have been diagnosed with diabetes in America alone cannot be hospitalized (Brown & Bussell, 2018). This is the reason why home base health care programs for these patients has been initiated.

b. Theoretical Foundations (models and theories to be the foundation for the project):

· Medication nutrition therapy: Its is commonly abbreviated with MNT. It is defined as an evidence-based approach in which the family members are tailored towards implementing an individual nutrition plan. Ideally, the plan is designed, ordered ad approved by qualified and registred health practitioner.This model is responsible for determining the types of foods that diabetic patients are supposed to be consuming at any given time and stage of their treatment efforts. No one size can fit all eating requirements for diabetic patients (Brown & Bussell, 2018). The model demands that diabetic patients be involved in at least one form of education and collaborative care. Educating the patients about nutrition will enable themselves to take care of while in homebased care. Comment by Mary: You will need to make adjustments to this as this is not your intervention but tahter what is guiding your education. Your intervention is what you will do for each patient which based on our discussion is education regarding lifestyle changes. You will need to specify what specific lifestyle changes e.g diet, exercise, medication adherence

· Ongoing care management: There is a need for diabetic patients to receive care from multiple integrated teams that comprise the expert. The team’s possible members include but are not limited to the nurses, physicia

26

Improving Medication Adherence in Diabetic Patients Home Health Care Settings

Submitted by

Bola Odusola-Stephen

Direct Practice Improvement Project Proposal

Doctor of Nursing Practice

Grand Canyon University

Phoenix, Arizona

[Insert Current Date]

GRAND CANYON UNIVERSITY

Improving Medical Adherence in Diabetic Patients Home Health Care Settings

by

Bola Odusola-Stephen

Proposed

[Insert Current Date]

DPI PROJECT COMMITTEE:

Dr. Mary Guhwe, EdD, PhD, Manuscript Chair

Bamidele Jokodola, RN, MSN, FNP, CMSRN, DNP, Committee Member

Abstract

Rationale/Background: Provide one to two statements describing the nature of the project topic and introducing the problem.

Purpose: State the purpose of the project. Please make sure your purpose statement is the same throughout the manuscript.

Theoretical Framework: Include approximately one to two statements summarizing the theoretical framework.

Project Method and Design: Include approximately two to four statements summarizing the methodology and design.

Data Results: Identify the population and the sample size. Briefly describe the approach for data analysis and results of statistical tests. State whether the results were statistically significant and include numeric values.

Implications: Conclude the abstract with one to two statements describing how the results of your project directly impacted practice at your site, and recommendations for what should be done in the future based on the findings of the project.

Keywords: Abstract, assist future investigators, 150 to 250 words, vital information

Table of Contents
Chapter 1: Introduction to the Project 1
Background of the Project 5
Problem Statement 6
Purpose of the Project 7
Clinical Question(s) 9
Advancing Scientific Knowledge 11
Significance of the Project 13
Rationale for Methodology 14
Nature of the Project Design 15
Definition of Terms 17
Assumptions, Limitations, Delimitations 20
Summary and Organization of the Remainder of the Project 23
Chapter 2: Literature Review 25
Theoretical Foundations 27
Review of the Literature 29
Theme 1 31
Theme 2 32
Summary 36
Chapter 3: Methodology 40
Statement of the Problem 41
Clinical Question 42
Project Methodology 44
Project Design 46
Population and Sample Selection 48
Instrumentation or Sources of Data 51
Validity 52
Reliability 53
Data Collection Procedures 54
Data Analysis Procedures 56
Potential Bias and Miti