Personal Theory Improvement
Two weeks into the course, I came up with the idea that “enhancing movement goals stored in the brain, and the muscle synergies (concept) aid in minimizing redundancy before and after stroke diagnosis” (Proposition). The weeks that followed were spent refining and expanding my hypothesis utilizing a variety of theoretical frameworks and empirical indicators to obtain information on the specific clinical setting in which I was working. A new theory holds that “a multidimensional strategy and treatments that are specially created for the person will promote long-term adherence to the pharmaceutical regimen.” The first concept in implementing this principle is that alternative medicine distribution systems will help patients stick to their prescription regimens. Another concept is that a diversified strategy will help patients stick to their pharmaceutical regimens for longer periods.
Patients who do not follow their doctor’s instructions and miss dosages and times are operationally considered nonadherent by Ruksakulpiwat et al. (2020). Reminders, weekly bubble packs, pillboxes, and electronic medicine dispensers are all terms used to describe different types of prescription delivery systems. Using more than one intervention at the same time in order to reach adherence is referred to as an operational multifaceted strategy. A prescription schedule is operationally defined as a list of all prescribed drugs for a certain patient.
After then, the study’s attention will be on the empirical indicators’ operational adequacy. In order to do this, indicators must generate both believable and valid data, and these data must be totally in line with the theoretical concepts presented. As a result of this conceptual framework for building structures to evaluate theory, nursing knowledge for advanced practice nurses will be guided and further developed.
Multi-method evaluation would be my go-to strategy when doing a study. According to the “Morisky Medication Adherence Scale (MMAS-8)”, the first seven questions are yes/no, and the eighth item is an estimate of how likely it would be that the patient will adhere to the prescribed medication (Moon et al., 2018). Direct and indirect measuring techniques would also be included in the proposed plan.
References
Moon, S. J., Lee, W.-Y., Hwang, J. S., Hong, Y. P., & Morisky, D. E. (2018). Correction: Accuracy of a screening tool for medication adherence: A systematic review and meta-analysis of the MORISKY medication adherence scale-8. PLOS ONE, 13(4).
https://doi.org/10.1371/journal.pone.0196138
Ruksakulpiwat, S., Liu, Z., Yue, S., & Fan, Y. (2020). The association among medication beliefs, perception of illness and medication adherence in ischemic stroke patients: A cross-sectional study in China. Patient Preference and Adherence, Volume 14, 235–247. https://doi.org/10.2147/ppa.s235107
