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Consulting Scenario Paper and Presentation
GEN/480 Version 3
1
University of Phoenix Material
Consulting Scenario Paper and Presentation
Your Learning Team must create a consulting firm. To do this,
incorporate the team members’ skills and talents. You will also
demonstrate professional competence, critical thinking, problem
solving, communication, information retrieval and utilization,
and collaboration skills learned, enhanced, and practiced during
your programs of study.
1. This assignment is cumulative. You and your team create and
submit a component of the assignment each week.
2. In the final week, you deliver a 15- to 20-minute
presentation, pitching your consulting company to a business.
Convince the class to hire you as a consulting firm. You also
submit a 2,800- to 3,500-word paper.
3. Use specific content from at least five undergraduate courses
in preparing your weekly assignments, and your final paper and
presentation.
4. Your team must submit a reference list with at least 10
resources used in your project analysis and development.
Week Two: Skills Assessment Paper and Matrix
5. Conduct an in-depth analysis ofteam member skills and
strengths based on education and experience.
a. Create a matrix of team skills.
b. Analyze your matrix for potentially needed skills that are
missing,and discuss strategies for obtaining the skills.
6. Discuss the types of consulting firms that might use team
members’ skills.
7. Prepare a 350- to 700-word paper that includes the following:
a. A summary of the skills
b. A list of three types of possible consulting firms that will use
all team members’ skills and an explanation of why the skills
are appropriate
c. A statement of any identified needed skills and plans to
obtain them
d. A copy of your matrix
Week Three: Analysis of Business Specialties
8. Identify the type of consulting firm your Learning Team will
create.
a. Based on your skill matrix, discuss the pros and cons of the
types of consulting firms you identified in Week Two.
b. Discuss the types of problems or issues your company will
address in its consulting capacity. This might include a
specialty.
c. Discuss the types of services your firm will offer.
d. Analyze the need for these firms. This may require some
research.
9. Select the consulting firm you will create. This may be from
your Week Two list, or it may be a new idea based on your
review of your skill matrix or needs assessment.
10. Write a 350- to 700-word paper that includes the following:
a. The name of your firm
b. A description of the firm you will create
c. A description of the types of problems and issues your firm
will address
d. A description of the services your firm will offer
e. A statement explaining why this firm is well suited to the
team members’ skills
Week Four: Role Identification
11. Identify the roles of each member of the firm.
a. Using the skill matrix created in Week Two and the
description of your consulting firm created in Week Three,
determine the roles of the firm’s members.
b. Discuss why each member’s skills are suited for the
prescribed roles.
c. Discuss how the established roles will interact to win
consulting contracts.
12. Establish responsibilities of each member of the firm.
a. Conduct an in-depth discussion to determine the duties and
responsibilities associated with each role identified by the
group.
b. Divide the responsibilities and duties based on the team
member’s skills.
13. Write a 350- to 700-word paper that includes the following:
a. The name of your consulting firm
b. A list and description of the identified roles of each member
of the consulting firm
c. A list of the duties and responsibilities assigned to each
member
d. A statement explaining why each member is best suited to his
or her established role and his or her duties and responsibilities:
This must include a description of how each member’s
education—especially his or her program of study—and
experience prepared him or her for the roles and duties. Make
reference to specific courses that assisted in the preparation.
Week Five: Consultant Scenario Paper and Presentation
14. Finalize a 2,800 to 3,500-word paper that includes the
following:
a. A summary of the type of consulting firm and the services
you will offer
b. A description of the roles of each team member
c. A detailed analysis of how the content or concepts from at
least five undergraduate core courses facilitated the analysis,
development, and preparation of your weekly assignments and
your final presentation: Identify the courses and the specific
content or concepts from each course.
d. A reference list with at least 10 resources used in the analysis
and development of your weekly assignments and your final
presentation
15. Prepare the consulting presentation.
a. Prepare a 15- to 20-minute presentation, pitching your
consulting company to a business. Convince the class that your
firm should be hired. Use any appropriate visual aids.
b. All team members must participate.
PAGE
26
Improving Medication Adherence in Diabetic Patients in Home
Health Care Settings Comment by Author: Bola, please use
the updated DPI template that I shared with you previously.
There are specific things within the template that are required.
Your cover pages for example needs to follow the template.
Submitted by
Bola Odusola-Stephen
Direct Practice Improvement Project Proposal
Doctor of Nursing Practice
Grand Canyon University
Phoenix, Arizona
January 30, 2021
GRAND CANYON UNIVERSITY
Improving Medication Adherence in Diabetic Patients in Home
Health Care Settings
by
Bola Odusola-Stephen
Proposed
January 30, 2021
DPI PROJECT COMMITTEE:
Mary Guhwe, DNP, Manuscript Chair
Bamidele Jokodola, DNP, Committee Member
Abstract
Home healthcare programs have been effective in the current
environment as they provide a techniq ue for improving health
outcomes for diabetes patients. At the project site, although
staff consistently assesses for patient medication adherence,
there is no standardized process for addressing medication
adherence when it is identified. Medication adherence project
(MAP) resources have been utilized to improve medication
adherence in chronic disease management. The purpose of this
quantitative quasi-experimental project is to determine if or to
what degree the implementation of Medication Adherence
Project resources that include the Questions to Ask Pad, the
Questions to Ask Poster, and the Adherence Assessment
Padimpact medication adherence among Type II diabetic home
healthcare patients, ages 35 to 64, at a home healthcare
organization located in urban Texas. The theoretical frameworks
guiding the project include ………….This paper shall assess the
program in line with various articles that promote adoption of
the technique. The peer reviewed journal articles would ensure
the paper has factual information that ensure implementation of
the home healthcare program would occur seamlessly. The
inclusion of home healthcare providers promotes the validity of
the program. Medication adherence rates will be abstracted from
the EHR based on documentation from home health personnel
and compared with baseline medication adherence rates.The
project would use the proposed initiatives to enhance home
healthcare provision based on the need to improve health
departments. The project shall assess the validity of the
proposed home healthcare initiative based on the availability of
trained personnel to monitor patient outcomes. The
methodology that shall get applied is using quantitate approach
by studying various research articles about diabetes and home-
based care. The quantitative approach shall get applied to
determine how the proposed MAP resources would promote
patient outcomes. The population size for the project shall be
persons living with Diabetes in Texas. It shall be possible to
enhance the project’s outcome based on the metrics mentioned.
Keywords: home-based care, MAP resources, quantitative
approach, medication adherence, diabetes mellitus type II.
Table of Contents
Chapter 1: Introduction to the Project 1
Background of the Project 5
Problem Statement 6
Purpose of the Project 7
Clinical Question(s) 9
Advancing Scientific Knowledge 11
Significance of the Project 13
Rationale for Methodology 14
Nature of the Project Design 15
Definition of Terms 17
Assumptions, Limitations, Delimitations 20
Summary and Organization of the Remainder of the Project 23
Chapter 2: Literature Review 25
Theoretical Foundations 27
Review of the Literature 29
Theme 1 31
Theme 2 32
Summary 36
Chapter 3: Methodology 40
Statement of the Problem 41
Clinical Question 42
Project Methodology 44
Project Design 46
Population and Sample Selection 48
Instrumentation or Sources of Data 51
Validity 52
Reliability 53
Data Collection Procedures 54
Data Analysis Procedures 56
Potential Bias and Mitigation 59
Ethical Considerations 62
Limitations 64
Summary 66
References 68
Appendix A 70
Appendix B 72
Appendix C 74
2
Chapter 1: Introduction to the Project
According to the CDC (2020) diabetes impacts one in 10
Americans. Furthermore, the prevalence of diabetes continues to
rise and is projected to increase by 0.3 % per year until 2030
(Lin et al., 2018). There are two types of diabetes that plague a
large proportion of Americans. Type I diabetes is dependent on
insulin whereby the pancreas produces little amounts of insulin
(Bellou, 2018). Type II diabetes is impairment related to the
body’s ability to regulated glucose (Bellou, 2018). There are
ways to curtail the onset of Type II diabetes; however, once
individuals are diagnosed with diabetes, there is no cure
(Kvarnström, 2017).
Among individuals with Type II diabetes, proper and effective
medication adherence is critical (Kvarnström, 2017). According
to the World Health Organization (2003), “increasing the
effectiveness of adherence interventions may have a far greater
impact on the health of the population than any improvements in
specific medication treatment.” Furthermore, Kvarnström
(2017) stated that more than half of the population does not
adhere to the prescribed medication regiment, thereby resulting
in various health-related challenges. Health-related challenges
associated with poor medication adherence include limited
knowledge of patients, lack of proper technique of providing
dosage, lac of patient self-management, and lifestyle constraints
(Kvarnström, 2017). For individuals with Type II diabetes,
lacking medication adherence can mean the difference between
life and death (Rathish, 2019).
Various researchers have denoted the critical role that home
healthcare providers play in promoting enhanced medication
adherence (Bussell et al., 2017). Furthermore, the World Health
Organization (WHO), as cited by Brown and Bussell (2011),
explained that there are five factors that impact medication
adherence, which include: (1) patient-related factors, (2)
socioeconomic factors, (3) therapy-related factors, (4)
condition-related factors, and (5) the health system/health care
team-related factors. For the purpose of this project, the project
investigator (PI) will focus on the role that health care team
members play in addressing patient related factors that affect
medication adherence among home health care diabetic patients.
Background of the Project
Home-based healthcare has existed since 1909 (Choi et al.,
2019). Since its inception, home-based healthcare has been
perceived as a more costly method of patient care as compared
to expenses associated with hospitalization (Singletary, 2019).
In the early 20th century, home-based healthcare was mainly
practiced due to financial disparities, specifically since many
individuals were unable to afford hospitalized care.
Furthermore, home-based healthcare was also practiced due to
medical inaccessibility, which often existed in African-
American communities to due to limited access to resources
(Choi et al., 2019).
Present day, home-based healthcare is often selected due to an
individual’s personal preferences. There are some situations in
which individuals prefer the comforts of their own home as
compared to that of a hospital or group home. As older
generations continue to age, they often prefer to remain in thei r
home for as long as possible. Given the needs of older
generations and the impact of advances in healthcare and
technology, home-based healthcare has grown exponentially
(Wong et al., 2020). While home-based healthcare is not
appropriate for all patients, Szanton et al. (2016) noted that this
care option is best when an individual’s condition can be
managed without admission to a hospital. Patients who have
diabetes and/or hypertension are often recipients of home-based
healthcare (Wong et al., 2020).
Home healthcare providers often visit patients three and engage
in assessment of the patient’s blood pressure, cognitive
functioning, and adherence to treatment proposals. During
patient visits, home healthcare providers are responsible for
biological assessment of patients (Wong et al., 2020). One of
the paramount functions of home healthcare providers is to
ensure that patients are adhering to their medication regiment
(Wong et al., 2020). According to Wong et al. (2020),
medication adherence is predicated on medication understanding
and education, which should be conveyed by home healthcare
providers (Wong et al., 2020).
Adhering to diabetes medication regiment requirements can be
complex. In fact, in a study by Rauofi et al., (2018), researchers
noted that 0.1 % of diabetic patients did not properly monitor
their glucose levels nor did they adhere to medication
requirements. Dr. Goldbach, who is the Chief Medical Officer
for Health Dialogue, stated, “Especially for people with chronic
illness that are facing challenges like depression, or
transportation, or complexity of medication regimens – that
these interpersonal, trusted interactions with a nurse tend to be
very effective” (Heath, 2019). Patients with diabetes often
express difficulties in adhering to medication regimens, thereby
reinforcing the critical role of receiving education from home
healthcare providers (Wong et al., 2020).
In a study by Wong et al. (2020), home healthcare patients
expressed that they did not have sufficient knowledge about the
requirements associated with diabetes treatment. Often times,
diabetic home healthcare patients fail to practice medication
adherence, thereby resulting in health complications, which is
due to unmanaged health conditions.
Problem Statement
It is not known if or to what degree the implementation of
Medication Adherence Project resources that include the
Questions to Ask Pad, the Questions to Ask Poster, and the
Adherence Assessment Pad will impact medication adherence
among Type II diabetic home healthcare patients, ages 35 to 64,
of a home healthcare organization located in urban Texas.
At the selected project site, which is a home healthcare
organization located in urban Texas, the stakeholders have cited
that medication adherence among diabetic patients is lacking. In
fact, according to data attained from the site’s electronic health
record (EHR), home healthcare providers have documented that
0.1 % of diabetic home health care patients are not adhering to
their medication regiment. Although this percentage is lower
than other percentages cited in the literature for medication non
adherence in chronic disease management, Vvarious researchers
have noted the implications associated with lacking adherence
to medication regiments, specifically among diabetic patients
(Heath, 2019), thereby reinforcing the need for this practice
improvement project. Comment by Author: This is not such
a huge percentage compared to the other percentages cited in
the literature for non-medication adherence. Probably better for
you to give a number of patients instead of the percentage. Also
make sure this percentage is not based on calculations using the
home health entire patient population as the denominator but
rather only diabetic patients as the denominator and the non-
adherent diabetic patients as the numerator.
According to (Kvarnström et al., 2017) healthcare providers
play a critical role in ensuring medication adherence. While
there are many reasons for lacking adherence among patients,
for the purpose of this project, the WHO’s (2019) focus on the
role of healthcare team members in enhancing medication
adherence will be addressed.
As previously noted, among diabetic patients, lacking
medication inherence at the project site is 45 %. Nationally, in
home healthcare settings, lacking adherence to diabetic
regiment is 14 % (Ong et al., 2018). In hopes of improving
patient-related outcomes and reducing preventable issues, home
healthcare nursing staff members will utilize medication
adherence project tools, which were created by Starr and Sacks
(2010). The tools utilized in this study, which are from the MAP
Toolkit and Training Guide resources (Starr & Sacks, 2010),
include: (1) a Questions to Ask Pad, (2) A Questions to Ask
Poster, (3) a Medication Adherence Pad, and (4) the My
Medications List. Before implementing these tools, the project
investigator (PI) will provide a 30 minute information session
on this project as well as the MAP resources . Comment by
Author: Please review your manuscript for inconsistencies and
make sure the details are aligned. On page 4, you said this
percentage was 0.1% and I even remarked that the percentage
was small, please review and edit for the final percentage and
make sure it aligns throughout. If it is really 45% then please
edit the number on the previous page and the sentence that
follows that addresses the prior small percentage that was listed
Comment by Author: You need to edit your entire project
and make sure you take out any references of the project as a
study. I will not highlight all instances Comment by Author:
Make sure you edit the rest of your manuscript to make sure
that you do not use the word educate for the information session
you will have the staff about the project. If you refer to it as
education, you will need to measure an outcome for that
education. So really important to keep it as an information
session and edit that throughout your manuscript
During the onset of this project, once home healthcare nursing
staff members have attended the educational training sessi on,
patients will be assessed for patient specific medication
adherence barriers using the medication adherence pad and then
educated about the importance of diabetes-related medication
adherence as well as other medication related questions that
they can ask their healthcare provider or pharmacist using the
Questions to Ask Pad and the Questions to Ask Poster. All of
this assessment and education will be documented in the HER
per current documentation process.. Finally, after providing
patient-specific education, home healthcare nursing staff
members will ask patients to complete the My Medications List
to ensure an accurate medication list is maintained in the EHR.
To explore the impact of the intervention, the PI will compare
pre implementation medication non adherence rates in diabetic
patients receiving home health services at the project site to
post implementation medication non adherence rates after
implementing the MAP resources. Medication adherence data is
available through the project site’s EHR. This project will take
place over a four-week period.
Purpose of the Project
The purpose of this quantitative quasi-experimental project is to
determine if or to what degree the implementation of the MAP
resources, which will be delivered by home healthcare nursing
staff members, will impact medication adherence when
compared to current practice among Type II diabetic patients,
ages 35 to 64 in a home healthcare setting in urban Texas.
Medication adherence, which is the independent variable
explored in this project, will be measured using data attained
through the project site’s EHR. The MAP resources, which
serve as the dependent variable explored in this project, include
the (1) a Questions to Ask Pad, (2) A Questions to Ask Poster,
(3) a Medication Adherence Pad, and (4) the My Medications
List. Comment by Author: Make sure this matched your
purpose statement from prior pages that I corrected Comment by
Author: This is incorrect. Medication adherence is the
dependent variable. You have it right in other parts of your
manuscript so this is all editing that just needs to be updated. I
will not highlight this throughout the manuscript so make sure
you edit your manuscript throughout Comment by Author:
This is the independent variable. Make sure you edit this
throughout your manuscript and ensure it aligns and is corrected
throughout. I will not highlight this throughout the manuscript
The selected project site, which is located in urban Texas,
serves 100 patients, on average, each month. Of the total
number of patients, approximately 20 patients have Type II
diabetes. Patients with Type II diabetes, who are between the
ages of 35 and 64, and are of sound mental status, will be the
target population for this project. The goal of the PI is to
improve medication adherence among Type II diabetic patients,
through the implementation of the MAP resources. Comment by
Author: Anytime you speak of the goal of the project you are
discussing the purpose of the project so really to stick to the
same purpose statement anything you speak of the goal or
objective of the project. Please edit throughout your manuscript
and ensure that it aligns throughout
The project is significant since home based healthcare enhances
the outcome of treatment initiative. Wong et al. (2020) stated
that physicians visit patients to ensure proper status of patient’s
blood pressure, cognitive functioning, and adherence to
treatment proposals.
Starr and Sacks (2010) explained that engagement with health
care providers was imperative to ensure expected outcomes.
Biological assessments get conducted to ensure treatment
approaches at home would not be affect by social encounters.
The project is vital as it enhances positive outcomes after
assessing diabetes occurrence, effects, and management.
Clinical Question
This project will explore the impact of the MAP resources,
which include the (1) a Questions to Ask Pad, (2) A Questions
to Ask Poster, (3) a Medication Adherence Pad, and (4) the My
Medications List, on improving medication adherence among
diabetic patients, ages 35 to 64, who are receiving home-based
care through the selected project site. The PI will explore how
the use of the newly implemented MAP protocol contributes to
medication adherence among patients over a four-week period.
Pre-project data will be analyzed from March to April using the
project site’s electronic health record, to determine medication
adherence among patients. After the four-week implementation
of the newly revised medication adherence protocol, using
MAPS, post-project data will be explored. Comment by
Author: See comments about when you discuss what goal
objective or purpose for the project Comment by Author: Please
edit and remove this word throughout the manuscript. Your
project is not going to explore….it is going to evaluate ….the
two are different in that exploration is more qualitative and
evaluation is more quantitative Comment by Author: I
edited this in your abstract so please use that edited version and
edit this section and throughout your manuscript to make sure it
aligns throughout. I will not highlight every instance
Currently, the nursing staff members of the selected project site
assessed medication adherence using interviews and
observations of the site. Unfortunately, the method of assessing
medication adherence differs among nursing staff members. The
medication adherence assessment in documented in the
EHRSince there is not site-specific patient protocol
developed/utilized to encourage medication adherence among
patients, this project is necessary to ensure standardization of
the process as well as ensure appropriate addressing of any
patient specific medication adherence barriers.
At the selected project site, issues associated with nonadherence
to medication regimens, among diabetic patients, has been an
ongoing problem. In fact, according to nurses from the project
site, 20 % of diabetic home healthcare patients do not adhere to
the medication regimen. Therefore, in hopes of improving
medication adherence, which can result in improved patient-
related outcomes (e.g., control of glucose levels and moderate
production of insulin), the PI has selected MAP’s resources.
Through introducing MAP resources into practice, when home
healthcare providers interact with diabetic patients, it is likely
that medication adherence will be improved. Comment by
Author: This number keeps changing throughout the manuscript
. You 0.1% initially and then it changed to 45% and now it is
20%. Really need to pin this down and be consistent throughout
the manuscript as well as the 10 strategic points document.
The following PICOT question will guide this project: To what
degree does the implementation of Medication Adherence
Project resources that include the Questions to Ask Pad, the
Questions to Ask Poster, and the Adherence Assessment Pad
impact medication adherence among Type II diabetic home
healthcare patients, ages 35 to 64, of a home healthcare
organization located in urban Texas over a period of 4
weeks.The following clinical question guide this quantitative
project:
Q1: Does using the MAP resources improve medication
adherence among diabetic patients in home health?Advancing
Scientific Knowledge
This quality improvement project seeks to enhance medication
adherence among diabetic home healthcare patients through the
use of the MAP resources. As previously noted, at the selected
project site, medication adherence among home healthcare
patients is lacking. In fact, according to Polonsky & Henry
(2016), of all home healthcare patients, diabetes patients of the
project site have the highest rates of medication nonadherence.
According to information gathered from the home healthcare’s
electronic health record, from 2018 to 2019 10% of diabetic
patients did not adhere to their prescribed medication regimen.
Issues associated with lacking medication
adherence/nonadherence include high medical bills for future
management, limited glycemic control, and frequent hospital
visits (Polonsky & Henry, 2016).
Various researchers have noted the critical role that patients and
providers play in medication adherence. In fact, according to
Polonsky & Henry (2016), patients often do not adhere to their
medication regimens because ignorance. To enhance medication
adherence, providers can provide education about the critical
nature of adherence, can offer information about issues
associated with nonadherence, can assist patients in overcoming
noted medication concerns, and more. For the purpose of this
project, the aforementioned provider-specific medication
adherence support will be provided using (1) a Questions to Ask
Pad, (2) A Questions to Ask Poster, (3) a Medication Adherence
Pad, which all comprise aspects of the MAP protocol.
In addition to the important role that nursing staff members play
in terms of a patient’s medication adherence, patients also need
to be committed to ensuring they are complying with their
medication regimen. Lacking adherence to the prescribed
medication regimen, by diabetic patients, can result in inability
to control glucose and insulin levels (Polonsky & Henry, 2016).
At the selected project site, issues associated with lacking
diabetes medication adherence have resulted in inability to offer
suitable diagnosis to some patients. Through providing patients
with resources and support related to medication adherence,
through the three MAP resources, and by empowering patients
to keep track of their medication regimen, patient adherence can
improve. To empower patients to enhance their medication
adherence, the My Medications List, which is available through
MAP, will be utilized.
In addition to project site-specific medication adherence issues,
various researchers have noted that medication adherence
among diabetic patients is lacking a great deal. In fact, in a
study conducted by Ong et al., (2018), medication adherence
among diabetic patients was 7 %. Furthermore, Ong et al.,
(2018), noted that medication adherence, despite the
implementation of nurses’ participation only improved by 50%.
Various researchers have cited the benefits associated with
patient-provider engagement and collaboration in improving
medication adherence. Therefore, to answer a call by
researchers (Ong et al., 2018, Polonsky & Henry, 2016 and
Wong et al., 2017) to improve medication adherence among
diabetic patients, the MAP protocol will be used. Ultimately,
through improving medication adherence among diabetic
patients, of the selected project site, using the MAP protocol, it
is likely that a sitewide protocol can be utilized to enhance
medication adherence among all patients. Although the project
targets diabetes patients, the findings might provide insight
about how to improve medication adherence among other home-
based care populations (i.e., those with hypertension, heart
disease, etc.). Significance of the Project
The rise in chronic diseases has resulted in the need for more
patient care options (Polonsky & Henry, 2016). Lately, to meet
the unique needs of various population groups, home-based care
has gained popularity. Individuals who qualify for home-based
care options must meet the criteria of having type 1 or type 2
diabetes and have inability to cope well without intervention.
When individuals/patients receiving home-based care fail to
adhere to the care requirements set forth, negative outcomes can
ensue (Polonsky & Henry, 2016).
Medication adherence among home-based healthcare patients is
of the upmost importance (Polonsky & Henry, 2016). In fact, in
a study conducted by Polonsky & Henry (2016). medication
adherence among home healthcare patients was lacking a great
deal. Due to lacking medication adherence/nonadherence, home
healthcare patients experienced limited conformity to objectives
of the study, thereby, at points, resulting in discontinuation of
home-based healthcare.
Through empowering healthcare providers to adequately address
medication questions and patient concerns and by ensuring the
patients keep track of their medication regiment, it is likely that
medication adherence can improve, thereby resulting in a
reduction in adverse events. According to a study by Holecki et
al., (2018) when the MAP resources were utilized, adherence to
medication increased by a large margin. The findings noted by
Holecki et al., (2018) reinforce the beneficial nature of
implementing the MAP resources, as this can improve the
quality of patient care received.
Caring for diabetes includes assessment of their grooming and
diet. The condition often causes patients to have blisters, gum
disease and dry mouth. It is thus imperative for the care giver to
ensure proper adherence to the care procedures so that it would
be possible to limit stress related to the other outcomes of
diabetes. The cost of managing diabetes is often high due to the
effects of low- and middle-income areas. Rationale for
Methodology
To answer the PICOT question, the PI will utilize a quantitative
methodology. Specifically, the PI will examine if implementing
the MAP resources will improve medication adherence over a
four-week period as compared to a four-week period before,
when no medication adherence protocol was utilized.
Medication adherence data, at the selected project site, is
available through the site’s electronic health record. When
homecare providers meet with patients, they attain information
about medication adherence. Before the implementation of this
project, there was not universal, site-specific protocol used by
providers to encourage medication adherence among patients.
Therefore, when meeting with patients, healthcare providers
only asked, “Are you taking your medications?” Based upon the
response of the patient, the healthcare provider updated the
patient’s chart, in the EHR, accordingly.
During the implementation of this project, healthcare providers
will begin by addressing patient-specific questions through the
use of three MAP resources: a Questions to Ask Pad, (2) A
Questions to Ask Poster, and (3) a Medication Adherence Pad.
Any patient-specific concerns regarding medication, medication
accessibility, etc. will be addressed. These concerns will also be
documented by nursing staff members in the patient’s paper-
based files and electronic chart. After the patient’s questions
and concerns are addressed, the MAP resource entitled the “My
Medications List” will be presented to patients. The healthcare
provider will explain the My Medications List and determine an
appropriate medication timeline for patients to adhere to, which
should encourage medication adherence. During each
subsequent visit, with the patient, over the four-week period,
the healthcare provider will ask patients if they have additional
questions about their medication(s) or prescribed regimen.
Then, providers will ask if patients are adhering to their “My
Medications List” requirements.
Pre project and post project medication adherence will be
analyzed. Specifically, the PI will report the impact of the
newly implemented protocol on improving medication
adherence among diabetes patients through comparing
adherence rates from the month during which the project took
place to adherence rates, in in the same month, during 2020 and
2021.
A quantitative methodology is appropriate for this project, as
numerical data regarding adherence will be analyzed. According
to Creswell and Creswell (2017), a quantitative methodology is
best suited for projects that require data in numerical form.
Quantitative research is presented using charts and graphs.
These charts and graphs will allow readers to compare
medication adherence rates pre-project implementation and
post-project implementation. Nature of the Project Design
A quantitative methodology, which employs a quasi-
experimental design, will be used for this project. Quasi -
experimental designs are used to compare data before and after
the implementation of an initiative/intervention. According to
Chiang (2015), “In a pretest-posttest design, the dependent
variable is measured once before the treatment is implemented
…
Case Study Assignment
GEN/480 Version 5
1
University of Phoenix Material
Critical Thinking Case Study
Assignment Overview
Prepare a report for the CEO of AcuScan about the situation
described in the GEN 480 Critical Thinking Case Study. Your
report should include the following two parts:
1. Part 1: Respond to the specific questions on the worksheet
that follows.
2. Part 2: Write an executive summary for the CEO of
AcuScan.
PART 1:
Use the case materials to complete this assignment.
Analysis
3. Describe all assumptions seen in any of documents provided
in the case study. Differentiate between inferences and
assumptions.
For full credit, provide AT MINIMUM four to six assumptions
held by Kelly; six to nine assumptions held by Pat; two to three
assumptions held by Cliff; two to three assumptions held by
Chris.
a. Kelly
b. Pat
c. Cliff
d. Chris
4. Explain the arguments made by each of these people.
Explanations should comprise two to six sentences for each of
the following:
a. Cliff O’Connor
b. Pat Lambert
c. Kelly Thomas
d. Chris Martinas
5. Evaluate each argument listed above as sound or unsound and
why. Indicate whether they are emotional or logical in nature.
Evaluations should comprise two to six sentences for each of
the following:
a. Cliff O’Connor
b. Pat Lambert
c. Kelly Thomas
d. Chris Martinas
6. Describe specific fallacious arguments, and identify the
people who hold them.
For full credit, provide AT MINIMUM four to six fallacious
arguments.
Conclusions
7. Describe all problems in this situation.
Describe a minimum of two to three problems that characterize
the situation. Single-sentence format is acceptable.
8. For each problem listed above, describe the data, arguments,
and reasoning that contribute to the problem.
Describe in two to six sentences the issues of data, arguments,
and reasoning related to each problem.
9. What is the underlying problem that is the base cause of the
conflict within AcuScan? Present the underlying problem in one
to four sentences.
10. What alternative solutions would you propose for this
situation? Present a MIMINUM of two potential solutions in the
format of two to four sentences each.
11. State the relative strengths and weaknesses of each
alternative solution. Describe at least one strength and one
weakness for each alternative solution.
12. Which solution will you recommend to the CEO and why?
In two to six sentences, fully articulate the exact solution you
would propose and the reason(s) for that choice.
PART 2:
Executive Summary
Write an executive summary of the case for the CEO of
AcuScan. The executive summary should give readers the
essential contents of the master document(s) in approximately
two pages. It should preview the main points of your document,
enabling readers to build a mental framework for organizing and
understanding the detailed information you are presenting, and
helping them determine the key results and recommendations
reported in your document. Be sure to include the following:
13. Purpose and scope of document
14. Summary of the situation
15. Key points relating to the situation
16. Conclusions
17. Recommendations and actions to be taken, and why
18. Other supportive information:
a. The executive summary should be 700 to 1,050 words in
length.
b. The following rubric will be used to grade the executive
summary:
5
4
3
2
1
0
Content/Development 40%
19. The context and purpose of the writing is clear.
20. The situation is concisely summarized.
21. Major points and key details are stated.
22. Reasoning is logical and supported by specific
details/examples.
23. Analysis and conclusions are supported by accurate and
complete information.
24. Clear recommendations are presented for solving the
problem(s).
25. Justification for specific recommendations to solve the
problem(s) is presented.
Organization/Format 20%
26. Structure is well organized and readable.
27. Ideas flow in logical sequence.
28. Introduction provides sufficient background on the topic and
previews major points.
29. Conclusion is logical and clearly stated.
30. Paper meets minimum word-count requirements.
Grammar 20%
31. No grammar errors are present.
32. No punctuation errors are present.
33. No spelling errors are present.
34. No syntax or semantics errors are present.
35. Sentences are complete; no run-ons or fragments.
Style 20%
36. Sentences are fluent and well built.
37. Word choice accurately reflects content.
38. Concepts are cohesive; paper stands together as a whole.
Watch a news report from a major news network. Then, find
another report on the same topic from an online source.
Write a 750- to 1,050-word paper assessing both news stories
for their clarity, relevance, depth, breadth, and significance.
Analyze the reports by answering the following questions for
each:
· Who is the intended audience?
· Was the reasoning in the news report solid?
· Was the report credible?
· Was there any bias in the report?
· What, if anything, was presented as fact, that should be
presented as debatable?
· Were the questions and answers relevant?
· Was there any sociocentric thinking in either report?
· What were the main differences in the two reports?
· What outside pressures could account for the different manner
in which the stories were written?
Submit your assignment.
This is a three-part, 1,400- to 2,100-word paper in which you
reflect on your personal and professional growth during your
University of Phoenix program of study.
Part 1:
Reflect on where you were in your personal and professional
life when you started at University of Phoenix.
· How did you feel about the role of learning and its importance
to your personal growth and development?
· What was your level of professional competence in problem
solving, written and oral communication skills, information
retrieval and utilization, and collaboration?
· What were your career goals?
Evaluate the growth you experienced during your program of
study.
· Evaluate how your courses and experiences contributed to
your growth, problem solving, written and oral communication
skills, information retrieval and utilization, and collaboration.
· Identify the two general education courses and the two core
courses during your program of study that had the greatest
effect on your current or potential employment. Explain why
you selected these courses and how they affected your personal
or work life positively. Be specific.
· Recommend any changes or accommodations that would have
enhanced or improved your experience. Explain how your
recommendations enhance or improve the program for future
students.
Analyze the effect of completing the bachelor's program on your
current and future professional goals.
· Now that you are completing your program, how do you feel
about the role of lifelong learning and its importance to your
personal growth and development?
· What are your personal, professional, and educational goals
for the next 5 years?
· What programs will you attend?
· What skills or competencies will you develop?
· What professional organizations have you joined or will you
join?
· What conferences or workshops will you attend?
· What additional degrees might you pursue?
Part 2:
Create a personal mission statement in 100 words or less. Your
Mission Statement will help you to identify who you want to be,
to what you will dedicate your life, the ideals that you hold
dear, and the legacy you wish to leave.
Answering the five bullet points below will help you define
your passions.
Consider the following in your mission statement:
· How will your unique skills or strengths shape your future
work?
· What do you believe?
· How can you use your academic major to make a difference in
society?
· What is the one thing you have learned from disappointment
or failure?
· If "Groundhog Day" the movie, or a time warp, allowed you to
go back to your first day at University of Phoenix, and begin
again - What would you do differently?
Part 3:
Review the six stages of critical thinking development
from Week 1 article Critical Thinking: A Stage Theory of
Critical Thinking: Part II.
· Are you at the same stage of critical thinking as you were
when you started in your academic program?
· How have you grown in your current program?
· What can you do to include the six stage theory in your
personal mission statement?
Format your paper consistent with APA guidelines.
Submit your assignment.
Week Five: Consultant Scenario Paper and Presentation
0. Finalize a 2,800 to 3,500-word paper that includes the
following:
A summary of the type of consulting firm and the services you
will offer
A description of the roles of each team member
A detailed analysis of how the content or concepts from at least
five undergraduate core courses facilitated the analysis,
development, and preparation of your weekly assignments and
your final presentation: Identify the courses and the specific
content or concepts from each course.
A reference list with at least 10 resources used in the analysis
and development of your weekly assignments and your final
presentation
Prepare the consulting presentation.
Prepare a 15- to 20-minute presentation, pitching your
consulting company to a business. Convince the class that your
firm should be hired. Use any appropriate visual aids.
All team members must participate.

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Page consulting scenario paper and presentation gen480 vers

  • 1. PAGE Consulting Scenario Paper and Presentation GEN/480 Version 3 1 University of Phoenix Material Consulting Scenario Paper and Presentation Your Learning Team must create a consulting firm. To do this, incorporate the team members’ skills and talents. You will also demonstrate professional competence, critical thinking, problem solving, communication, information retrieval and utilization, and collaboration skills learned, enhanced, and practiced during your programs of study. 1. This assignment is cumulative. You and your team create and submit a component of the assignment each week. 2. In the final week, you deliver a 15- to 20-minute presentation, pitching your consulting company to a business. Convince the class to hire you as a consulting firm. You also submit a 2,800- to 3,500-word paper. 3. Use specific content from at least five undergraduate courses in preparing your weekly assignments, and your final paper and presentation. 4. Your team must submit a reference list with at least 10 resources used in your project analysis and development. Week Two: Skills Assessment Paper and Matrix 5. Conduct an in-depth analysis ofteam member skills and strengths based on education and experience. a. Create a matrix of team skills. b. Analyze your matrix for potentially needed skills that are missing,and discuss strategies for obtaining the skills. 6. Discuss the types of consulting firms that might use team members’ skills.
  • 2. 7. Prepare a 350- to 700-word paper that includes the following: a. A summary of the skills b. A list of three types of possible consulting firms that will use all team members’ skills and an explanation of why the skills are appropriate c. A statement of any identified needed skills and plans to obtain them d. A copy of your matrix Week Three: Analysis of Business Specialties 8. Identify the type of consulting firm your Learning Team will create. a. Based on your skill matrix, discuss the pros and cons of the types of consulting firms you identified in Week Two. b. Discuss the types of problems or issues your company will address in its consulting capacity. This might include a specialty. c. Discuss the types of services your firm will offer. d. Analyze the need for these firms. This may require some research. 9. Select the consulting firm you will create. This may be from your Week Two list, or it may be a new idea based on your review of your skill matrix or needs assessment. 10. Write a 350- to 700-word paper that includes the following: a. The name of your firm b. A description of the firm you will create c. A description of the types of problems and issues your firm will address d. A description of the services your firm will offer e. A statement explaining why this firm is well suited to the team members’ skills Week Four: Role Identification 11. Identify the roles of each member of the firm.
  • 3. a. Using the skill matrix created in Week Two and the description of your consulting firm created in Week Three, determine the roles of the firm’s members. b. Discuss why each member’s skills are suited for the prescribed roles. c. Discuss how the established roles will interact to win consulting contracts. 12. Establish responsibilities of each member of the firm. a. Conduct an in-depth discussion to determine the duties and responsibilities associated with each role identified by the group. b. Divide the responsibilities and duties based on the team member’s skills. 13. Write a 350- to 700-word paper that includes the following: a. The name of your consulting firm b. A list and description of the identified roles of each member of the consulting firm c. A list of the duties and responsibilities assigned to each member d. A statement explaining why each member is best suited to his or her established role and his or her duties and responsibilities: This must include a description of how each member’s education—especially his or her program of study—and experience prepared him or her for the roles and duties. Make reference to specific courses that assisted in the preparation. Week Five: Consultant Scenario Paper and Presentation 14. Finalize a 2,800 to 3,500-word paper that includes the following: a. A summary of the type of consulting firm and the services you will offer b. A description of the roles of each team member
  • 4. c. A detailed analysis of how the content or concepts from at least five undergraduate core courses facilitated the analysis, development, and preparation of your weekly assignments and your final presentation: Identify the courses and the specific content or concepts from each course. d. A reference list with at least 10 resources used in the analysis and development of your weekly assignments and your final presentation 15. Prepare the consulting presentation. a. Prepare a 15- to 20-minute presentation, pitching your consulting company to a business. Convince the class that your firm should be hired. Use any appropriate visual aids. b. All team members must participate. PAGE 26 Improving Medication Adherence in Diabetic Patients in Home Health Care Settings Comment by Author: Bola, please use the updated DPI template that I shared with you previously. There are specific things within the template that are required. Your cover pages for example needs to follow the template. Submitted by Bola Odusola-Stephen Direct Practice Improvement Project Proposal Doctor of Nursing Practice
  • 5. Grand Canyon University Phoenix, Arizona January 30, 2021 GRAND CANYON UNIVERSITY Improving Medication Adherence in Diabetic Patients in Home Health Care Settings by Bola Odusola-Stephen Proposed January 30, 2021 DPI PROJECT COMMITTEE: Mary Guhwe, DNP, Manuscript Chair Bamidele Jokodola, DNP, Committee Member Abstract Home healthcare programs have been effective in the current environment as they provide a techniq ue for improving health
  • 6. outcomes for diabetes patients. At the project site, although staff consistently assesses for patient medication adherence, there is no standardized process for addressing medication adherence when it is identified. Medication adherence project (MAP) resources have been utilized to improve medication adherence in chronic disease management. The purpose of this quantitative quasi-experimental project is to determine if or to what degree the implementation of Medication Adherence Project resources that include the Questions to Ask Pad, the Questions to Ask Poster, and the Adherence Assessment Padimpact medication adherence among Type II diabetic home healthcare patients, ages 35 to 64, at a home healthcare organization located in urban Texas. The theoretical frameworks guiding the project include ………….This paper shall assess the program in line with various articles that promote adoption of the technique. The peer reviewed journal articles would ensure the paper has factual information that ensure implementation of the home healthcare program would occur seamlessly. The inclusion of home healthcare providers promotes the validity of the program. Medication adherence rates will be abstracted from the EHR based on documentation from home health personnel and compared with baseline medication adherence rates.The project would use the proposed initiatives to enhance home healthcare provision based on the need to improve health departments. The project shall assess the validity of the proposed home healthcare initiative based on the availability of trained personnel to monitor patient outcomes. The methodology that shall get applied is using quantitate approach by studying various research articles about diabetes and home- based care. The quantitative approach shall get applied to determine how the proposed MAP resources would promote patient outcomes. The population size for the project shall be persons living with Diabetes in Texas. It shall be possible to enhance the project’s outcome based on the metrics mentioned. Keywords: home-based care, MAP resources, quantitative approach, medication adherence, diabetes mellitus type II.
  • 7. Table of Contents Chapter 1: Introduction to the Project 1 Background of the Project 5 Problem Statement 6 Purpose of the Project 7 Clinical Question(s) 9 Advancing Scientific Knowledge 11 Significance of the Project 13 Rationale for Methodology 14 Nature of the Project Design 15 Definition of Terms 17 Assumptions, Limitations, Delimitations 20 Summary and Organization of the Remainder of the Project 23 Chapter 2: Literature Review 25 Theoretical Foundations 27 Review of the Literature 29 Theme 1 31 Theme 2 32 Summary 36 Chapter 3: Methodology 40 Statement of the Problem 41 Clinical Question 42 Project Methodology 44 Project Design 46 Population and Sample Selection 48 Instrumentation or Sources of Data 51 Validity 52 Reliability 53 Data Collection Procedures 54 Data Analysis Procedures 56 Potential Bias and Mitigation 59 Ethical Considerations 62 Limitations 64 Summary 66 References 68
  • 8. Appendix A 70 Appendix B 72 Appendix C 74 2 Chapter 1: Introduction to the Project According to the CDC (2020) diabetes impacts one in 10 Americans. Furthermore, the prevalence of diabetes continues to rise and is projected to increase by 0.3 % per year until 2030 (Lin et al., 2018). There are two types of diabetes that plague a large proportion of Americans. Type I diabetes is dependent on insulin whereby the pancreas produces little amounts of insulin (Bellou, 2018). Type II diabetes is impairment related to the body’s ability to regulated glucose (Bellou, 2018). There are ways to curtail the onset of Type II diabetes; however, once individuals are diagnosed with diabetes, there is no cure (Kvarnström, 2017). Among individuals with Type II diabetes, proper and effective medication adherence is critical (Kvarnström, 2017). According to the World Health Organization (2003), “increasing the effectiveness of adherence interventions may have a far greater impact on the health of the population than any improvements in specific medication treatment.” Furthermore, Kvarnström (2017) stated that more than half of the population does not adhere to the prescribed medication regiment, thereby resulting in various health-related challenges. Health-related challenges associated with poor medication adherence include limited knowledge of patients, lack of proper technique of providing dosage, lac of patient self-management, and lifestyle constraints (Kvarnström, 2017). For individuals with Type II diabetes, lacking medication adherence can mean the difference between life and death (Rathish, 2019).
  • 9. Various researchers have denoted the critical role that home healthcare providers play in promoting enhanced medication adherence (Bussell et al., 2017). Furthermore, the World Health Organization (WHO), as cited by Brown and Bussell (2011), explained that there are five factors that impact medication adherence, which include: (1) patient-related factors, (2) socioeconomic factors, (3) therapy-related factors, (4) condition-related factors, and (5) the health system/health care team-related factors. For the purpose of this project, the project investigator (PI) will focus on the role that health care team members play in addressing patient related factors that affect medication adherence among home health care diabetic patients. Background of the Project Home-based healthcare has existed since 1909 (Choi et al., 2019). Since its inception, home-based healthcare has been perceived as a more costly method of patient care as compared to expenses associated with hospitalization (Singletary, 2019). In the early 20th century, home-based healthcare was mainly practiced due to financial disparities, specifically since many individuals were unable to afford hospitalized care. Furthermore, home-based healthcare was also practiced due to medical inaccessibility, which often existed in African- American communities to due to limited access to resources (Choi et al., 2019). Present day, home-based healthcare is often selected due to an individual’s personal preferences. There are some situations in which individuals prefer the comforts of their own home as compared to that of a hospital or group home. As older generations continue to age, they often prefer to remain in thei r home for as long as possible. Given the needs of older generations and the impact of advances in healthcare and technology, home-based healthcare has grown exponentially (Wong et al., 2020). While home-based healthcare is not appropriate for all patients, Szanton et al. (2016) noted that this care option is best when an individual’s condition can be managed without admission to a hospital. Patients who have
  • 10. diabetes and/or hypertension are often recipients of home-based healthcare (Wong et al., 2020). Home healthcare providers often visit patients three and engage in assessment of the patient’s blood pressure, cognitive functioning, and adherence to treatment proposals. During patient visits, home healthcare providers are responsible for biological assessment of patients (Wong et al., 2020). One of the paramount functions of home healthcare providers is to ensure that patients are adhering to their medication regiment (Wong et al., 2020). According to Wong et al. (2020), medication adherence is predicated on medication understanding and education, which should be conveyed by home healthcare providers (Wong et al., 2020). Adhering to diabetes medication regiment requirements can be complex. In fact, in a study by Rauofi et al., (2018), researchers noted that 0.1 % of diabetic patients did not properly monitor their glucose levels nor did they adhere to medication requirements. Dr. Goldbach, who is the Chief Medical Officer for Health Dialogue, stated, “Especially for people with chronic illness that are facing challenges like depression, or transportation, or complexity of medication regimens – that these interpersonal, trusted interactions with a nurse tend to be very effective” (Heath, 2019). Patients with diabetes often express difficulties in adhering to medication regimens, thereby reinforcing the critical role of receiving education from home healthcare providers (Wong et al., 2020). In a study by Wong et al. (2020), home healthcare patients expressed that they did not have sufficient knowledge about the requirements associated with diabetes treatment. Often times, diabetic home healthcare patients fail to practice medication adherence, thereby resulting in health complications, which is due to unmanaged health conditions. Problem Statement It is not known if or to what degree the implementation of Medication Adherence Project resources that include the Questions to Ask Pad, the Questions to Ask Poster, and the
  • 11. Adherence Assessment Pad will impact medication adherence among Type II diabetic home healthcare patients, ages 35 to 64, of a home healthcare organization located in urban Texas. At the selected project site, which is a home healthcare organization located in urban Texas, the stakeholders have cited that medication adherence among diabetic patients is lacking. In fact, according to data attained from the site’s electronic health record (EHR), home healthcare providers have documented that 0.1 % of diabetic home health care patients are not adhering to their medication regiment. Although this percentage is lower than other percentages cited in the literature for medication non adherence in chronic disease management, Vvarious researchers have noted the implications associated with lacking adherence to medication regiments, specifically among diabetic patients (Heath, 2019), thereby reinforcing the need for this practice improvement project. Comment by Author: This is not such a huge percentage compared to the other percentages cited in the literature for non-medication adherence. Probably better for you to give a number of patients instead of the percentage. Also make sure this percentage is not based on calculations using the home health entire patient population as the denominator but rather only diabetic patients as the denominator and the non- adherent diabetic patients as the numerator. According to (Kvarnström et al., 2017) healthcare providers play a critical role in ensuring medication adherence. While there are many reasons for lacking adherence among patients, for the purpose of this project, the WHO’s (2019) focus on the role of healthcare team members in enhancing medication adherence will be addressed. As previously noted, among diabetic patients, lacking medication inherence at the project site is 45 %. Nationally, in home healthcare settings, lacking adherence to diabetic regiment is 14 % (Ong et al., 2018). In hopes of improving patient-related outcomes and reducing preventable issues, home healthcare nursing staff members will utilize medication
  • 12. adherence project tools, which were created by Starr and Sacks (2010). The tools utilized in this study, which are from the MAP Toolkit and Training Guide resources (Starr & Sacks, 2010), include: (1) a Questions to Ask Pad, (2) A Questions to Ask Poster, (3) a Medication Adherence Pad, and (4) the My Medications List. Before implementing these tools, the project investigator (PI) will provide a 30 minute information session on this project as well as the MAP resources . Comment by Author: Please review your manuscript for inconsistencies and make sure the details are aligned. On page 4, you said this percentage was 0.1% and I even remarked that the percentage was small, please review and edit for the final percentage and make sure it aligns throughout. If it is really 45% then please edit the number on the previous page and the sentence that follows that addresses the prior small percentage that was listed Comment by Author: You need to edit your entire project and make sure you take out any references of the project as a study. I will not highlight all instances Comment by Author: Make sure you edit the rest of your manuscript to make sure that you do not use the word educate for the information session you will have the staff about the project. If you refer to it as education, you will need to measure an outcome for that education. So really important to keep it as an information session and edit that throughout your manuscript During the onset of this project, once home healthcare nursing staff members have attended the educational training sessi on, patients will be assessed for patient specific medication adherence barriers using the medication adherence pad and then educated about the importance of diabetes-related medication adherence as well as other medication related questions that they can ask their healthcare provider or pharmacist using the Questions to Ask Pad and the Questions to Ask Poster. All of this assessment and education will be documented in the HER per current documentation process.. Finally, after providing patient-specific education, home healthcare nursing staff members will ask patients to complete the My Medications List
  • 13. to ensure an accurate medication list is maintained in the EHR. To explore the impact of the intervention, the PI will compare pre implementation medication non adherence rates in diabetic patients receiving home health services at the project site to post implementation medication non adherence rates after implementing the MAP resources. Medication adherence data is available through the project site’s EHR. This project will take place over a four-week period. Purpose of the Project The purpose of this quantitative quasi-experimental project is to determine if or to what degree the implementation of the MAP resources, which will be delivered by home healthcare nursing staff members, will impact medication adherence when compared to current practice among Type II diabetic patients, ages 35 to 64 in a home healthcare setting in urban Texas. Medication adherence, which is the independent variable explored in this project, will be measured using data attained through the project site’s EHR. The MAP resources, which serve as the dependent variable explored in this project, include the (1) a Questions to Ask Pad, (2) A Questions to Ask Poster, (3) a Medication Adherence Pad, and (4) the My Medications List. Comment by Author: Make sure this matched your purpose statement from prior pages that I corrected Comment by Author: This is incorrect. Medication adherence is the dependent variable. You have it right in other parts of your manuscript so this is all editing that just needs to be updated. I will not highlight this throughout the manuscript so make sure you edit your manuscript throughout Comment by Author: This is the independent variable. Make sure you edit this throughout your manuscript and ensure it aligns and is corrected throughout. I will not highlight this throughout the manuscript The selected project site, which is located in urban Texas, serves 100 patients, on average, each month. Of the total number of patients, approximately 20 patients have Type II diabetes. Patients with Type II diabetes, who are between the ages of 35 and 64, and are of sound mental status, will be the
  • 14. target population for this project. The goal of the PI is to improve medication adherence among Type II diabetic patients, through the implementation of the MAP resources. Comment by Author: Anytime you speak of the goal of the project you are discussing the purpose of the project so really to stick to the same purpose statement anything you speak of the goal or objective of the project. Please edit throughout your manuscript and ensure that it aligns throughout The project is significant since home based healthcare enhances the outcome of treatment initiative. Wong et al. (2020) stated that physicians visit patients to ensure proper status of patient’s blood pressure, cognitive functioning, and adherence to treatment proposals. Starr and Sacks (2010) explained that engagement with health care providers was imperative to ensure expected outcomes. Biological assessments get conducted to ensure treatment approaches at home would not be affect by social encounters. The project is vital as it enhances positive outcomes after assessing diabetes occurrence, effects, and management. Clinical Question This project will explore the impact of the MAP resources, which include the (1) a Questions to Ask Pad, (2) A Questions to Ask Poster, (3) a Medication Adherence Pad, and (4) the My Medications List, on improving medication adherence among diabetic patients, ages 35 to 64, who are receiving home-based care through the selected project site. The PI will explore how the use of the newly implemented MAP protocol contributes to medication adherence among patients over a four-week period. Pre-project data will be analyzed from March to April using the project site’s electronic health record, to determine medication adherence among patients. After the four-week implementation of the newly revised medication adherence protocol, using MAPS, post-project data will be explored. Comment by Author: See comments about when you discuss what goal objective or purpose for the project Comment by Author: Please edit and remove this word throughout the manuscript. Your
  • 15. project is not going to explore….it is going to evaluate ….the two are different in that exploration is more qualitative and evaluation is more quantitative Comment by Author: I edited this in your abstract so please use that edited version and edit this section and throughout your manuscript to make sure it aligns throughout. I will not highlight every instance Currently, the nursing staff members of the selected project site assessed medication adherence using interviews and observations of the site. Unfortunately, the method of assessing medication adherence differs among nursing staff members. The medication adherence assessment in documented in the EHRSince there is not site-specific patient protocol developed/utilized to encourage medication adherence among patients, this project is necessary to ensure standardization of the process as well as ensure appropriate addressing of any patient specific medication adherence barriers. At the selected project site, issues associated with nonadherence to medication regimens, among diabetic patients, has been an ongoing problem. In fact, according to nurses from the project site, 20 % of diabetic home healthcare patients do not adhere to the medication regimen. Therefore, in hopes of improving medication adherence, which can result in improved patient- related outcomes (e.g., control of glucose levels and moderate production of insulin), the PI has selected MAP’s resources. Through introducing MAP resources into practice, when home healthcare providers interact with diabetic patients, it is likely that medication adherence will be improved. Comment by Author: This number keeps changing throughout the manuscript . You 0.1% initially and then it changed to 45% and now it is 20%. Really need to pin this down and be consistent throughout the manuscript as well as the 10 strategic points document. The following PICOT question will guide this project: To what degree does the implementation of Medication Adherence Project resources that include the Questions to Ask Pad, the Questions to Ask Poster, and the Adherence Assessment Pad impact medication adherence among Type II diabetic home
  • 16. healthcare patients, ages 35 to 64, of a home healthcare organization located in urban Texas over a period of 4 weeks.The following clinical question guide this quantitative project: Q1: Does using the MAP resources improve medication adherence among diabetic patients in home health?Advancing Scientific Knowledge This quality improvement project seeks to enhance medication adherence among diabetic home healthcare patients through the use of the MAP resources. As previously noted, at the selected project site, medication adherence among home healthcare patients is lacking. In fact, according to Polonsky & Henry (2016), of all home healthcare patients, diabetes patients of the project site have the highest rates of medication nonadherence. According to information gathered from the home healthcare’s electronic health record, from 2018 to 2019 10% of diabetic patients did not adhere to their prescribed medication regimen. Issues associated with lacking medication adherence/nonadherence include high medical bills for future management, limited glycemic control, and frequent hospital visits (Polonsky & Henry, 2016). Various researchers have noted the critical role that patients and providers play in medication adherence. In fact, according to Polonsky & Henry (2016), patients often do not adhere to their medication regimens because ignorance. To enhance medication adherence, providers can provide education about the critical nature of adherence, can offer information about issues associated with nonadherence, can assist patients in overcoming noted medication concerns, and more. For the purpose of this project, the aforementioned provider-specific medication adherence support will be provided using (1) a Questions to Ask Pad, (2) A Questions to Ask Poster, (3) a Medication Adherence Pad, which all comprise aspects of the MAP protocol. In addition to the important role that nursing staff members play in terms of a patient’s medication adherence, patients also need to be committed to ensuring they are complying with their
  • 17. medication regimen. Lacking adherence to the prescribed medication regimen, by diabetic patients, can result in inability to control glucose and insulin levels (Polonsky & Henry, 2016). At the selected project site, issues associated with lacking diabetes medication adherence have resulted in inability to offer suitable diagnosis to some patients. Through providing patients with resources and support related to medication adherence, through the three MAP resources, and by empowering patients to keep track of their medication regimen, patient adherence can improve. To empower patients to enhance their medication adherence, the My Medications List, which is available through MAP, will be utilized. In addition to project site-specific medication adherence issues, various researchers have noted that medication adherence among diabetic patients is lacking a great deal. In fact, in a study conducted by Ong et al., (2018), medication adherence among diabetic patients was 7 %. Furthermore, Ong et al., (2018), noted that medication adherence, despite the implementation of nurses’ participation only improved by 50%. Various researchers have cited the benefits associated with patient-provider engagement and collaboration in improving medication adherence. Therefore, to answer a call by researchers (Ong et al., 2018, Polonsky & Henry, 2016 and Wong et al., 2017) to improve medication adherence among diabetic patients, the MAP protocol will be used. Ultimately, through improving medication adherence among diabetic patients, of the selected project site, using the MAP protocol, it is likely that a sitewide protocol can be utilized to enhance medication adherence among all patients. Although the project targets diabetes patients, the findings might provide insight about how to improve medication adherence among other home- based care populations (i.e., those with hypertension, heart disease, etc.). Significance of the Project The rise in chronic diseases has resulted in the need for more patient care options (Polonsky & Henry, 2016). Lately, to meet the unique needs of various population groups, home-based care
  • 18. has gained popularity. Individuals who qualify for home-based care options must meet the criteria of having type 1 or type 2 diabetes and have inability to cope well without intervention. When individuals/patients receiving home-based care fail to adhere to the care requirements set forth, negative outcomes can ensue (Polonsky & Henry, 2016). Medication adherence among home-based healthcare patients is of the upmost importance (Polonsky & Henry, 2016). In fact, in a study conducted by Polonsky & Henry (2016). medication adherence among home healthcare patients was lacking a great deal. Due to lacking medication adherence/nonadherence, home healthcare patients experienced limited conformity to objectives of the study, thereby, at points, resulting in discontinuation of home-based healthcare. Through empowering healthcare providers to adequately address medication questions and patient concerns and by ensuring the patients keep track of their medication regiment, it is likely that medication adherence can improve, thereby resulting in a reduction in adverse events. According to a study by Holecki et al., (2018) when the MAP resources were utilized, adherence to medication increased by a large margin. The findings noted by Holecki et al., (2018) reinforce the beneficial nature of implementing the MAP resources, as this can improve the quality of patient care received. Caring for diabetes includes assessment of their grooming and diet. The condition often causes patients to have blisters, gum disease and dry mouth. It is thus imperative for the care giver to ensure proper adherence to the care procedures so that it would be possible to limit stress related to the other outcomes of diabetes. The cost of managing diabetes is often high due to the effects of low- and middle-income areas. Rationale for Methodology To answer the PICOT question, the PI will utilize a quantitative methodology. Specifically, the PI will examine if implementing the MAP resources will improve medication adherence over a four-week period as compared to a four-week period before,
  • 19. when no medication adherence protocol was utilized. Medication adherence data, at the selected project site, is available through the site’s electronic health record. When homecare providers meet with patients, they attain information about medication adherence. Before the implementation of this project, there was not universal, site-specific protocol used by providers to encourage medication adherence among patients. Therefore, when meeting with patients, healthcare providers only asked, “Are you taking your medications?” Based upon the response of the patient, the healthcare provider updated the patient’s chart, in the EHR, accordingly. During the implementation of this project, healthcare providers will begin by addressing patient-specific questions through the use of three MAP resources: a Questions to Ask Pad, (2) A Questions to Ask Poster, and (3) a Medication Adherence Pad. Any patient-specific concerns regarding medication, medication accessibility, etc. will be addressed. These concerns will also be documented by nursing staff members in the patient’s paper- based files and electronic chart. After the patient’s questions and concerns are addressed, the MAP resource entitled the “My Medications List” will be presented to patients. The healthcare provider will explain the My Medications List and determine an appropriate medication timeline for patients to adhere to, which should encourage medication adherence. During each subsequent visit, with the patient, over the four-week period, the healthcare provider will ask patients if they have additional questions about their medication(s) or prescribed regimen. Then, providers will ask if patients are adhering to their “My Medications List” requirements. Pre project and post project medication adherence will be analyzed. Specifically, the PI will report the impact of the newly implemented protocol on improving medication adherence among diabetes patients through comparing adherence rates from the month during which the project took place to adherence rates, in in the same month, during 2020 and 2021.
  • 20. A quantitative methodology is appropriate for this project, as numerical data regarding adherence will be analyzed. According to Creswell and Creswell (2017), a quantitative methodology is best suited for projects that require data in numerical form. Quantitative research is presented using charts and graphs. These charts and graphs will allow readers to compare medication adherence rates pre-project implementation and post-project implementation. Nature of the Project Design A quantitative methodology, which employs a quasi- experimental design, will be used for this project. Quasi - experimental designs are used to compare data before and after the implementation of an initiative/intervention. According to Chiang (2015), “In a pretest-posttest design, the dependent variable is measured once before the treatment is implemented … Case Study Assignment GEN/480 Version 5 1 University of Phoenix Material Critical Thinking Case Study Assignment Overview Prepare a report for the CEO of AcuScan about the situation described in the GEN 480 Critical Thinking Case Study. Your report should include the following two parts: 1. Part 1: Respond to the specific questions on the worksheet that follows. 2. Part 2: Write an executive summary for the CEO of AcuScan. PART 1:
  • 21. Use the case materials to complete this assignment. Analysis 3. Describe all assumptions seen in any of documents provided in the case study. Differentiate between inferences and assumptions. For full credit, provide AT MINIMUM four to six assumptions held by Kelly; six to nine assumptions held by Pat; two to three assumptions held by Cliff; two to three assumptions held by Chris. a. Kelly b. Pat c. Cliff d. Chris 4. Explain the arguments made by each of these people. Explanations should comprise two to six sentences for each of the following: a. Cliff O’Connor b. Pat Lambert c. Kelly Thomas d. Chris Martinas 5. Evaluate each argument listed above as sound or unsound and why. Indicate whether they are emotional or logical in nature. Evaluations should comprise two to six sentences for each of the following:
  • 22. a. Cliff O’Connor b. Pat Lambert c. Kelly Thomas d. Chris Martinas 6. Describe specific fallacious arguments, and identify the people who hold them. For full credit, provide AT MINIMUM four to six fallacious arguments. Conclusions 7. Describe all problems in this situation. Describe a minimum of two to three problems that characterize the situation. Single-sentence format is acceptable. 8. For each problem listed above, describe the data, arguments, and reasoning that contribute to the problem. Describe in two to six sentences the issues of data, arguments, and reasoning related to each problem. 9. What is the underlying problem that is the base cause of the conflict within AcuScan? Present the underlying problem in one to four sentences. 10. What alternative solutions would you propose for this situation? Present a MIMINUM of two potential solutions in the format of two to four sentences each. 11. State the relative strengths and weaknesses of each alternative solution. Describe at least one strength and one weakness for each alternative solution.
  • 23. 12. Which solution will you recommend to the CEO and why? In two to six sentences, fully articulate the exact solution you would propose and the reason(s) for that choice. PART 2: Executive Summary Write an executive summary of the case for the CEO of AcuScan. The executive summary should give readers the essential contents of the master document(s) in approximately two pages. It should preview the main points of your document, enabling readers to build a mental framework for organizing and understanding the detailed information you are presenting, and helping them determine the key results and recommendations reported in your document. Be sure to include the following: 13. Purpose and scope of document 14. Summary of the situation 15. Key points relating to the situation 16. Conclusions 17. Recommendations and actions to be taken, and why 18. Other supportive information: a. The executive summary should be 700 to 1,050 words in length. b. The following rubric will be used to grade the executive summary:
  • 24. 5 4 3 2 1 0 Content/Development 40% 19. The context and purpose of the writing is clear. 20. The situation is concisely summarized. 21. Major points and key details are stated. 22. Reasoning is logical and supported by specific details/examples.
  • 25. 23. Analysis and conclusions are supported by accurate and complete information. 24. Clear recommendations are presented for solving the problem(s). 25. Justification for specific recommendations to solve the problem(s) is presented. Organization/Format 20%
  • 26. 26. Structure is well organized and readable. 27. Ideas flow in logical sequence. 28. Introduction provides sufficient background on the topic and previews major points. 29. Conclusion is logical and clearly stated. 30. Paper meets minimum word-count requirements.
  • 27. Grammar 20% 31. No grammar errors are present. 32. No punctuation errors are present. 33. No spelling errors are present. 34. No syntax or semantics errors are present.
  • 28. 35. Sentences are complete; no run-ons or fragments. Style 20% 36. Sentences are fluent and well built. 37. Word choice accurately reflects content. 38. Concepts are cohesive; paper stands together as a whole.
  • 29. Watch a news report from a major news network. Then, find another report on the same topic from an online source. Write a 750- to 1,050-word paper assessing both news stories for their clarity, relevance, depth, breadth, and significance. Analyze the reports by answering the following questions for each: · Who is the intended audience? · Was the reasoning in the news report solid? · Was the report credible? · Was there any bias in the report? · What, if anything, was presented as fact, that should be presented as debatable? · Were the questions and answers relevant? · Was there any sociocentric thinking in either report? · What were the main differences in the two reports? · What outside pressures could account for the different manner in which the stories were written? Submit your assignment. This is a three-part, 1,400- to 2,100-word paper in which you reflect on your personal and professional growth during your University of Phoenix program of study. Part 1: Reflect on where you were in your personal and professional life when you started at University of Phoenix. · How did you feel about the role of learning and its importance to your personal growth and development? · What was your level of professional competence in problem solving, written and oral communication skills, information retrieval and utilization, and collaboration?
  • 30. · What were your career goals? Evaluate the growth you experienced during your program of study. · Evaluate how your courses and experiences contributed to your growth, problem solving, written and oral communication skills, information retrieval and utilization, and collaboration. · Identify the two general education courses and the two core courses during your program of study that had the greatest effect on your current or potential employment. Explain why you selected these courses and how they affected your personal or work life positively. Be specific. · Recommend any changes or accommodations that would have enhanced or improved your experience. Explain how your recommendations enhance or improve the program for future students. Analyze the effect of completing the bachelor's program on your current and future professional goals. · Now that you are completing your program, how do you feel about the role of lifelong learning and its importance to your personal growth and development? · What are your personal, professional, and educational goals for the next 5 years? · What programs will you attend? · What skills or competencies will you develop? · What professional organizations have you joined or will you join? · What conferences or workshops will you attend? · What additional degrees might you pursue? Part 2: Create a personal mission statement in 100 words or less. Your Mission Statement will help you to identify who you want to be, to what you will dedicate your life, the ideals that you hold
  • 31. dear, and the legacy you wish to leave. Answering the five bullet points below will help you define your passions. Consider the following in your mission statement: · How will your unique skills or strengths shape your future work? · What do you believe? · How can you use your academic major to make a difference in society? · What is the one thing you have learned from disappointment or failure? · If "Groundhog Day" the movie, or a time warp, allowed you to go back to your first day at University of Phoenix, and begin again - What would you do differently? Part 3: Review the six stages of critical thinking development from Week 1 article Critical Thinking: A Stage Theory of Critical Thinking: Part II. · Are you at the same stage of critical thinking as you were when you started in your academic program? · How have you grown in your current program? · What can you do to include the six stage theory in your personal mission statement? Format your paper consistent with APA guidelines. Submit your assignment. Week Five: Consultant Scenario Paper and Presentation 0. Finalize a 2,800 to 3,500-word paper that includes the
  • 32. following: A summary of the type of consulting firm and the services you will offer A description of the roles of each team member A detailed analysis of how the content or concepts from at least five undergraduate core courses facilitated the analysis, development, and preparation of your weekly assignments and your final presentation: Identify the courses and the specific content or concepts from each course. A reference list with at least 10 resources used in the analysis and development of your weekly assignments and your final presentation Prepare the consulting presentation. Prepare a 15- to 20-minute presentation, pitching your consulting company to a business. Convince the class that your firm should be hired. Use any appropriate visual aids. All team members must participate.