Theoretical Framework Or Models To Guide In Implementation Of EBP
Theoretical Framework Or Models To Guide In Implementation Of EBP
Discussion Prompt
Discuss the theoretical framework or model that you intend to use for your capstone project. How does your chosen framework relate to your phenomenon of interest and research?
Expectations
Initial Post:
- Due: Thursday, 11:59 pm PT
- Length: A minimum of 250 words, not including references
- Citations: At least one high-level scholarly reference in APA from within the last 5 years
Effectiveness of negative pressure wound therapy in improving the healing of the pressure ulcer in older patients aged above 60
PICOT QUESTIONS
For elderly patients above 60 years with pressure ulcers will the negative pressure wound therapy as opposed to standard moist wound therapy improve the healing of the pressure ulcer during their two-week stay at the hospital
Theories offer a foundation for all professions, and healthcare theories offer the same foundation for nursing students and professionals. Nursing theories help guide and define nursing practice and provide a foundation for clinical decision-making.
The following presentation discusses a theoretical model relevant to NP (Medical-surgical) specialty that would provide a meaningful context for evidence-based practice surrounding a common issue in NP practice. In addition, I will outline how the theoretical model can be employed to address the issue.
Pender’s Health Promotion Model (HPM) aims to increase a patient’s level of wellbeing. The model identifies behavior-modifying factors like demographics, behavioral factors, and interpersonal influences, which interact to determine cognitive-perceptual processes. HPM is applied to modify unhealthy behaviors and initiate behavioral changes to promote health (Vakilian et al., 2021).
It has assumptions that: People seek to regulate their behavior actively; Individuals interact with the environment, gradually transforming the environment and being transformed over time; Healthcare professionals make up a part of the interpersonal environment, which influences individuals through their life span; Self-initiated reconfiguration of the person-environment interactive patterns is crucial to behavior change (Vakilian et al., 2021).
Pender HPM is relevant to my NP specialty in medical-surgical nursing since it can be applied to modify unhealthy behaviors and lifestyle practices associated with common chronic illnesses like hypertension, obesity, hyperlipidemia, and diabetes. In addition, HPM can be applied to initiate behavioral changes in patients with or at risk of these conditions to promote health (Vakilian et al., 2021).
Med-surgical NPs provide health education and promotion and can use HPM in these roles. Various studies have found HPM effective in alleviating unhealthy behaviors and promoting healthy behaviors. Furthermore, Med-surgical NPs can use the model to learn that individuals are highly likely to commit to and adopt health-promoting behaviors when their significant others copy the behavior, anticipate the behavior to occur, and offer assistance and support to foster the behavior (Vakilian et al., 2021).
Diabetes complications are a major concern related to the medical-surgical NP specialty. For instance, we have had many diabetic patients diagnosed with complications like retinopathy, kidney failure, nerve damage, and diabetic foot ulcers. Most patients with these complications have a prolonged history of uncontrolled hyperglycemia (Cole & Florez, 2020). In addition, most usually report failing to adhere to the lifestyle recommendations like modifying dietary habits, engaging in physical exercises, smoking cessation, and minimizing alcohol consumption. For example, 12 out of 18 patients who underwent foot amputations in our setting were known smokers using 1-3 PPD. Furthermore, some diabetes patients do not adhere to the recommendation for daily glucose monitoring, which leads to undetected hyperglycemia.
Diabetes complications have impacted patients’ health outcomes, wellbeing, and quality of life. The complications lead to prolonged hospital stays and increased hospital readmissions. This leads to high healthcare costs for patients and high hospital operational costs (Cole & Florez, 2020). The hypoglycemic agents routinely prescribed to patients with diabetes also increase medical costs. Furthermore, complications like foot ulcers lead to foot amputations which tremendously reduce patients’ quality of life. Diabetic retinopathy causes cataracts that affect patients’ vision, which impairs their ability to perform ADLs (Cole & Florez, 2020). Diabetes complications are associated with high morbidity and mortality rates.
Pender’s HPM can be employed as a framework to guide EBP in addressing diabetes complications. HPM can be used to assess patients’ biological, psychological, and socio-cultural factors that influence their health behavior and self-care practices (Shahabi et al., 2022). It can also be used to examine patients’ perceived benefits of action, barriers to adopting healthy behaviors, and perceived self-efficacy, which influences perceived barriers to action. Patients with a higher efficacy have a low perception of barriers to adopting the behavior (Kurnia et al., 2018). Medical-surgical NPs can use the HPM to improve diabetic patients’ perceived self-efficacy. This can help achieve desired self-management behavior, like exercising, having a healthy diet, actively monitoring blood glucose, and adhering to medication and foot care.
Pender’s HPM is applied to modify unhealthy behaviors and initiate behavioral changes to promote health. It seeks to improve individuals’ level of wellbeing. HPM is related to the Medical-surgical nursing NP specialty since NPs provide health education and promotion. NPs can use the model to foster healthy behaviors to lower the incidence of chronic illnesses. Diabetes complications are a common issue facing med-surgical NPs. HPM can be used to assess and improve a patient’s perceived efficacy, which improves outcomes.
Theoretical Framework Or Models To Guide In Implementation Of EBP References
Cole, J. B., & Florez, J. C. (2020). Genetics of diabetes mellitus and diabetes complications. Nature reviews. Nephrology, 16(7), 377–390. https://doi.org/10.1038/s41581-020-0278-5
Kurnia, A. D., Amatayakul, A., & Karuncharernpanit, S. (2018). Predictors of diabetes self-management among type 2 diabetics in Indonesia: Application theory of the health promotion model. International journal of nursing sciences, 4(3), 260-265. https://doi.org/10.1016/j.ijnss.2017.06.010
Shahabi, N., Hosseini, Z., Aghamolaei, T., Ghanbarnejad, A., & Behzad, A. (2022). Application of Pender’s health promotion model for type 2 diabetes treatment adherence: protocol for a mixed methods study in southern Iran. Trials, 23(1), 1-9. https://doi.org/10.1186/s13063-022-07027-9
Vakilian, P., Mahmoudi, M., Oskouie, F., Firouzian, A. A., & Khachian, A. (2021). Investigating the effect of educational intervention based on the Pender’s health promotion model on lifestyle and self-efficacy of the patients with diabetic foot ulcer: A clinical trial. Journal of Education and Health Promotion, 10. DOI: 10.4103/jehp.jehp_1301_20
ADDITIONAL INSTRUCTIONS FOR THE CLASS
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
Also Read: Discussion: Patient Preferences Assignment
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
LopesWrite Policy
For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication
Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.