Prepare And Review The Strategies Presented In Theory

To Preparereview The Strategies Presented In The Theoretical Foundati

To prepare review the strategies presented in the “Theoretical Foundation for Research” document provided in the Week 1 Learning Resources. Examine the literature review information presented in this week’s Optional Resources, and evaluate other strategies or tools you have used in previous coursework. Identify strategies/tools that you will use in this course to manage information from the literature and record your own thought processes while investigating a phenomenon of interest and developing a theoretical foundation. Begin to use these strategies/tools as you prepare for this discussion. Select a phenomenon of interest to you.

Ideally, the phenomenon you choose will relate to the dissertation research you plan to conduct later in this PhD program or other research related to your focus area. You will submit your phenomenon for instructor approval this week. Conduct a search of the literature from nursing and other disciplines to see what has been written about your phenomenon. Based on your review of the literature and your own interests as a scholar-practitioner, identify elements that you may use to develop your theoretical foundation for a future program of research. This includes concepts, conceptual relationships, frameworks/theories, and graphic models related to your phenomenon of interest. Consider how developing elements of a theoretical foundation may be advantageous as you strive to make a positive contribution in research, practice, education, and/or leadership.

By Day 3, post your phenomenon of interest. Describe concepts, conceptual relationships, frameworks/theories, and/or graphic models that may be appropriate for addressing your phenomenon. Explain how developing these theoretical elements may be beneficial as you strive to make a positive contribution in practice, research, education, and/or leadership.

Paper For Above instruction

The phenomenon of interest I have chosen for this research project is the impact of nurse-led telehealth interventions on managing chronic hypertension among rural populations. This phenomenon is particularly relevant given the increasing utilization of telehealth services and the persistent disparities in healthcare access for rural communities. Exploring this phenomenon can provide insights into how telehealth can be effectively integrated into nursing practice to improve patient outcomes and reduce healthcare inequities.

In developing a theoretical foundation for this phenomenon, several concepts, relationships, and frameworks come into focus. The primary concept involves patient self-management, which refers to patients’ ability to manage their health conditions with minimal direct supervision from healthcare professionals. This concept is closely linked to the relationship between technological accessibility, patient engagement, and health outcomes, emphasizing that appropriate use of telehealth technologies enhances self-management capabilities.

Various conceptual relationships underpin this phenomenon. For instance, the relationship between telehealth accessibility and patient engagement suggests that increased access to telehealth resources correlates positively with patient activation and adherence to treatment regimens. Additionally, the relationship between nurse-led interventions and health outcomes highlights that nurses acting as care coordinators and educators via telehealth can improve blood pressure control, especially in underserved rural populations.

In terms of frameworks and theories, the Health Belief Model (HBM) serves as a suitable foundation for understanding patient behaviors related to telehealth adoption and self-management. The HBM emphasizes perceptions of susceptibility, severity, benefits, and barriers, all of which influence patients' willingness to engage with telehealth interventions. Moreover, the Technology Acceptance Model (TAM) provides valuable insight into how patients and nurses perceive the ease of use and usefulness of telehealth tools, which directly affects utilization rates.

Graphic models such as flowcharts illustrating the process of telehealth intervention delivery, patient engagement, and health outcomes can visually elucidate the relationships and dynamics within this phenomenon. These models help clarify pathways through which nurse-led telehealth initiatives can impact hypertension management in rural settings.

Developing these theoretical elements is valuable because it establishes a structured understanding of how different factors interact within the phenomenon. Such clarity can guide intervention design, inform measurement strategies, and enhance the development of tailored approaches for effective implementation. Furthermore, a robust theoretical foundation supports the collection of relevant data, fosters consistent interpretation of results, and contributes to the evidence base that informs practice, education, and policy. For example, understanding patient perceptions through the HBM can lead to targeted educational strategies that address specific barriers to telehealth adoption, thereby improving engagement and outcomes.

In conclusion, the integration of concepts like patient self-management, relationships involving accessibility and engagement, and frameworks such as the HBM and TAM can help construct a comprehensive theoretical foundation. This foundation not only guides research but also promotes impactful practice innovations, enhances educational efforts, and supports leadership strategies aimed at reducing health disparities through effective utilization of telehealth in managing chronic hypertension among rural populations.

References

  • McEwin, M., & Wills, E. M. (2019). Theoretical basis for nursing (5th ed.). Wolters Kluwer Health.
  • Gibbons, C., & Swanson, M. (2016). Telehealth for chronic disease management: A review. Journal of Nursing Scholarship, 48(3), 231-239.
  • Greenhalgh, T., Wherton, J., Shaw, S., & Morrison, C. (2019). Achieving healthcare excellence through telehealth. BMJ, 365, l2184.
  • Rogers, E. M. (2003). Diffusion of innovations (5th ed.). Free Press.
  • Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179-211.
  • Venkatesh, V., & Davis, F. D. (2000). A theoretical extension of the Technology Acceptance Model. MIS Quarterly, 24(1), 29-51.
  • Wang, J., & Liu, H. (2020). Telehealth and patient engagement in rural healthcare. Rural & Remote Health, 20(2), 6003.
  • Lindsay, S., & Tedds, C. (2018). Self-management and technology use in hypertension care. Journal of Clinical Nursing, 27(1-2), e15-e24.
  • Clark, J. et al. (2021). Nurse-led telehealth interventions for chronic disease: A systematic review. Journal of Telemedicine and Telecare, 27(4), 227-237.
  • Hassan, S. U., & Sultana, S. (2022). Frameworks and models for telehealth intervention research. International Journal of Nursing Studies, 122, 104057.