My advanced practice role is family psychiatric nurse practitioner and the phenomenon of interest (POI) I chose was anti-psychotic medication non-adherence and its effects on admission rate. I selected this POI because this was an inherent problem I personally witnessed in various hospital settings I worked in. I was amazed by the amount of patients I personally witnessed being admitted for violating his/her least restrictive order by not taking their medication as prescribed, therefore has decompensated to the point that they are endanger to themselves, others, or incapable to conduct self care.
Initially, when this class first began I identified with quantitative viewpoint, but as I gained more insight about qualitative approach and how …show more content…
This explains why I chose Peplau’s Grand Theory of Interpersonal Relations and Self-Transcendence by Pamela Reed as my Middle Range Nursing Theory. I endorse their emphasis on clinician-patient relationship and their stance on environmental factors, which is vital in relation with my POI, considering therapeutic relationship is an integral component in promoting adherence to antipsychotic medications with patients that have schizophrenia (cite). According to O’Brien, Fahmy, Swaran, and Singh (2009), one of the determining factors patients decide to discontinue medications on his/her own term was due to the provider’s lack of empathy and treatment alliance. This is significant because medication non-adherence has devastating consequences on the course of the disease and the risk of re-hospitalization, which increases 5-fold (Dasa et al., 2010). Emsley, Chiliza, Asmal, and Harvey (2013) reported that the relapse rate is as high as 80% at 12 months after discontinuing medications and 95% at 24 months. This is a problem that is modifiable that we as healthcare professional’s can regulate by incorporating appropriate steps to minimize this epidemic problem. Unfortunately, with the pressure of increasing workload due to budgeting, lack of staffing, or high turn over rate is a common environment we often see, which makes it difficult to provide the optimal care that we have been taught to
Initially, when this class first began I identified with quantitative viewpoint, but as I gained more insight about qualitative approach and how …show more content…
This explains why I chose Peplau’s Grand Theory of Interpersonal Relations and Self-Transcendence by Pamela Reed as my Middle Range Nursing Theory. I endorse their emphasis on clinician-patient relationship and their stance on environmental factors, which is vital in relation with my POI, considering therapeutic relationship is an integral component in promoting adherence to antipsychotic medications with patients that have schizophrenia (cite). According to O’Brien, Fahmy, Swaran, and Singh (2009), one of the determining factors patients decide to discontinue medications on his/her own term was due to the provider’s lack of empathy and treatment alliance. This is significant because medication non-adherence has devastating consequences on the course of the disease and the risk of re-hospitalization, which increases 5-fold (Dasa et al., 2010). Emsley, Chiliza, Asmal, and Harvey (2013) reported that the relapse rate is as high as 80% at 12 months after discontinuing medications and 95% at 24 months. This is a problem that is modifiable that we as healthcare professional’s can regulate by incorporating appropriate steps to minimize this epidemic problem. Unfortunately, with the pressure of increasing workload due to budgeting, lack of staffing, or high turn over rate is a common environment we often see, which makes it difficult to provide the optimal care that we have been taught to