In Collaboration With The Approved Clinical Preceptor Studen

In Collaboration With The Approved Clinical Preceptor Students Will I

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 500-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?

You are required to cite a minimum of three peer-reviewed sources to complete this assignment. Sources must be published within the past 5 years, appropriate for the assignment criteria, and relevant to nursing practice. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Paper For Above instruction

The proposed capstone project focuses on addressing medication adherence among elderly patients with chronic conditions within community settings. Medication non-adherence is a significant clinical problem that compromises patient outcomes, increases hospital readmissions, and elevates healthcare costs. This issue aligns best with the community category because it directly affects a vulnerable population and involves community-based health promotion and disease management strategies.

Observed primarily in outpatient clinics, senior centers, and home health environments, the problem impacts elderly individuals suffering from hypertension, diabetes, and heart failure. These patients often face challenges such as polypharmacy, cognitive impairment, and socio-economic barriers, which hinder consistent medication intake. The affected population is primarily seniors residing independently or in assisted living facilities, who may lack sufficient health literacy and support systems to manage complex medication regimens effectively.

The implications for nursing practice are profound, requiring nurses to play critical roles in patient education, care coordination, and interprofessional collaboration. As frontline healthcare providers, nurses can influence medication adherence through personalized interventions, counseling, and leveraging community resources. From a broader perspective, improving adherence can lead to reduced hospitalizations, enhanced quality of life, and decreased healthcare costs, emphasizing the importance of targeted community health initiatives.

This issue is a priority for the community and clinical settings because it addresses health disparities among older adults and aligns with public health goals of promoting health literacy and patient safety. Needs assessment data reveal that non-adherence rates are particularly high in underserved populations, underscoring the urgency for strategic intervention. Addressing this problem supports the mission of the practicum organization, which aims to deliver patient-centered care through community engagement and health promotion. The organization’s values emphasize compassion, education, and collaboration, all of which are essential in tackling medication adherence issues.

The organizational structure includes a multidisciplinary leadership team comprising nurse managers, social workers, and primary healthcare providers. Internal processes impacting care coordination involve comprehensive discharge planning, medication reconciliation, and follow-up care. External factors such as social determinants of health, access to pharmacies, and community health programs influence the effectiveness of interventions aimed at improving adherence. While the organization has implemented some medication management programs, ongoing evaluation indicates that adherence rates remain suboptimal, suggesting a need for more tailored, culturally competent strategies.

In conclusion, the proposed project aims to improve medication adherence among elderly patients within the community by implementing evidence-based interventions that foster interprofessional collaboration. The anticipated outcomes include reduced hospital readmissions, enhanced patient engagement, and overall better health outcomes, aligning with the organization’s mission of promoting community health and safety. Further research and strategic planning will be essential in developing sustainable solutions that address the multifaceted barriers faced by this vulnerable population.

References

• Aljabali, L., Khoshnevis, S. K., & Bramble, J. (2021). Improving medication adherence in older adults: Challenges and strategies. Nurse Education Today, 102, 104911.
• Budnitz, D. S., Lovegrove, M. C., Shehab, N., & Richards, H. L. (2019). Medication adherence in community-dwelling older adults: Systematic review and implications for practice. Geriatric Nursing, 40(3), 245-252.
• Kim, M. K., Lee, S. H., & Kim, S. H. (2020). Community-based interventions to improve medication adherence among older adults: A systematic review. Journal of Gerontological Nursing, 46(4), 20-28.
• National Institute for Health and Care Excellence. (2019). Medication adherence: NICE guideline [NG68].
• Williams, A. D., Mann, A. H., & Vingilis, E. (2022). Addressing social determinants of health to improve medication adherence among older adults. Public Health Reports, 137(2), 217-226.