Health Care Compliance Jennifer Dana Sawyer BSN, RN American Sentinel University.
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Transcript of Health Care Compliance Jennifer Dana Sawyer BSN, RN American Sentinel University.
Health Care Compliance
Jennifer Dana Sawyer BSN, RN
American Sentinel University
Practice Problemo Numerous individuals
unnecessarily re-amitted to hospitals annually
o Most due to lack of medical compliance
o Miscommunications regarding previous discharge instructions
o Misunderstandings of health care plans
o Not thoroughly comprehending medication regimens
(Davis, 2014).
Road blocks for complianceo Too embarrassed to ask questions
o Cannot determine what questions to ask
o Feelings of being overwhelmed with health changes
o Feelings of powerlessness over health situation
o Discharge instructions were to difficult to comprehend
o Feeling unable to make better lifestyle choices
(Forrest, 2012)
Dangerous Medication Discrepancies
o Significant misunderstandings regarding medication regimens
o Numerous miscommunications regarding medicine amounts and doses
o 55.1% of patients medication non-compliant at follow-ups
o Only 28.1% of patients understood medication importance
(Pasina, et al., 2014)
1
Research Discovery One
o Significance of patients’ understandings of medical conditions
o Importance of closely following medication regimens
o Patients benefit from thorough understanding of information
o Adequate education reflects healthcare plan adherence increase
o Thorough education reflects compliance with healthcare regimens
o Importance of medical adherence patient counseling sessions
o Increased education ensures fewer hospital re-admits
(Alhalaiqa, Deane, & Gray, 2013)
Research Article One
o Qualitative study
o Level VI on the research scale of evidence
o Distinct, descriptive, qualitative, or physiologic research data
o Analysis of a randomized, controlled study
o Research completed a compliance theory study
(Polit & Beck, 2012)
Research Discovery Two
o Patients benefitted from visiting health care teams
o Visiting health care providers ensured better outcomes
o Patients had better understanding of their regimens
o Health care team members prevented medication errors
o Patients more effectively managed their healthcare plans
o Patients reported feeling better about their well-being
(Pherson, et al., 2014)
2
Research Article Two
o Qualitative study
o Level IV on research scale of evidence
o Research that interprets distinct correlation of data
o Study explored patient types of health follow-ups
o Research incorporated patients’ office and home visits
Polit & Beck, 2012
3
Research Discovery Three
o Better outcomes with more appropriate discharge instructions
o Patients benefitted from receiving extensive healthcare education
o More thorough information taught, then better outcomes
o Patients with advanced education were more successful
o Patient compliance and medication adherence increased greatly
o Drastic decrease in hospital re-admissions with education
(Anderegg, Wilkinson, Couldry, Grauer, & Howser, 2014).
Research Article Three
o Quantitative study
o Level II on research scale of evidence
o Study incorporates distinct randomized, or non-randomized trial
o Exploration of impact of advanced medication reconciliation
o Research regarding positive impact of thorough instructions
(Polit & Beck, 2012)
Facts:
o Patients need more appropriate, thorough healthcare information
o Patients require increased quality of discharge instructions
o Healthcare teams must address patients’ educational needs
o Discharge information must be properly clarified
o Follow-ups with health care providers are imperative
o Patients fare better with visiting healthcare providers
o Healthcare providers share responsibility for patients’ outcomes
o Patients deserve highest quality of care possible
(Forrest, 2012)
Solutions to the Problem at the Facility
o Evidence for significant improvement during patient education
o Utmost importance that patients understand entire situation
o Understanding that plan of care be followed
o Pre-assessing patients’ literacy levels prior to education
o Identifying whether or not message was received
(Davis, 2014)
Solutions to Implement at the Facility
o Pre-assessment of patients education levels before teaching
o Preparation of education to be alternately disseminated
o Teaching methods through numerous techniques for success
o Educator understands the diversity of patients’ education
o Educator has knowledge of patients’ cultural backgrounds
(Bryant, 2011)
Necessities for Solution: o Continued education and regular follow-ups
for patients
o Thorough education promoting health and medication compliance
o Patients receiving more extensive health education
o Patients obtain understanding of significance of medications
o Imperative that patients understand their healthcare plan
o Discharged patients fare better with visiting providers
o Patients deserve best quality of care possible
(Forrest, 2012).
References
Alhalaiqa, F., Deane, K., & Gray, R. (2013). Hypertensive patients' experience with adherence therapy for enhancing medication compliance: A qualitative
exploration. Journal of Clinical Nursing, 22(13/14), 2039-2052.
Anderegg, S., Wilkinson, S., Couldry, R., Grauer, D., & Howser, E. (2014). Effects of a hospitalwide pharmacy practice model change on readmission and return to
emergency department rates. American Journal of Health-System Pharmacy, 71(17), 1469-1479.
Bryant, A. (2011). Low health literacy affecting client's ability to receive adequate health care education. JOCEPS: The Journal of Chi Eta Phi Sorority, 55(1), 7-11.
Davis, M. (2014). Georgia health literacy alliance: When misunderstanding becomes deadly! Nursing Practice, 74(4), 9.
Forrest, C. (2012). Working with 'difficult' patients. Primary Health Care, 22(8), 22-22.
McEwen, M., & Wills, E. (2014). Theoretical basis for nursing (4th ed.). Philadelphia, PA: Wolters Kluwer, Lippincott Williams & Wilkins.
Pasina, L., Brucato, A., Falcone, C., Cucchi, E., Bresciani, A., Sottocorno, M., . . . Nobili, A. (2014). Medication non-adherence among elderly patients newly discharged
and receiving polypharmacy. Drugs and Aging , 31(4), 283-289.
Pherson, E., Shermock, K., Efird, L., Gilmore, T., Nesbit, T., Leblanc, Y., . . . Swarthout, M. (2014). Development and implementation of a postdischarge home-based
medication management service. American Journal of Health-System Pharmacy, 71(18), 1576-1583.
Polit, D., & Beck, C. (2012). Nursing research: Generating and assessing evidence for nursing practice (9th ed.). Philadelphia, PA: Wolters Kluwer/Lipponcott and
Wilkins.
