2021 TNA Virtual Conference

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TNA VIRTUAL CONFERENCE | 2021: YEAR OF THE NURSE 2.0 - ONE YEAR WASN’T ENOUGH Recommendations for Practice/Research: We recommend the continuation of this project because our survey data suggests it has addressed a significant knowledge deficit, which may ultimately improve relapse rates. By equipping the participants with coping mechanisms, we hope our psychoeducation program will improve sobriety outcomes. Further research would be necessary to determine if, indeed, a psychoeducation program like our project improves relapse rates. Future recommendations for VUSN students continuing this project at The Next Door include: incentivizing attendance, focusing on popular topics (e.g., mindfulness, nutrition, and exercise), and incorporating interactive tools to boost engagement. The addition of a follow-up survey after the participants have completed their 30-day program at TND could provide insight to the long-term impact of the education intervention. Increasing Medication Adherence and Reducing Knowledge Deficits with the Use of a Personal Health Application in the Management of 65- to 70-Year-Olds’ Medication Regimen Problem Addressed: Medication adherence/management Personal Health Application (PHA) MedHelper Objectives: Angela Flemmer, DNP, AGNP (Presenter) 1. Evaluate the effectiveness of the PHA as compared to the MedMaIDE tool for assessing medication adherence 2. Compare self-reporting data from the PHA with verbally-collected, self-reported data. 3. Evaluate the use of a PHA as a tool to increase medication adherence in the older adult population. Methods/Procedures: Quasi-experimental mixed method study with one group pretest-posttest post educational intervention. A paired t-test was used to compare pre and post medications and milligrams listed in the Section A of MedMaIDE tool. Self-reported medication adherence data was collected from the needs assessment and was compared using descriptive statistics to the percentage of adherence found in the MedHelper data. MedHelper data was analyzed by day, week, and entire six-week period that the application was used to determine levels of adherence, and to look for trends in the data. Findings: The MedHelper application contained a total of 2,791 entries from the 24 participants. The entries were assessed in four categories, the participant performed an entry that was adherent to the medication regimen, the participant performed an entry that was one to two hours after the time due in the application, the participant performed an entry that was greater than two hours after the due time in the application and a completely missed entry. The entries were further divided into AM and PM, where AM is anything from 0500 to 1200, and PM was 1201 until 2300. The first category, the adherent entries, was 2093 (75%) of the total entries. These entries were divided into 971 total AM entries and 1112 total PM entries. Week one had 140 AM entries and 171 PM entries, week two had 161 AM entries and 179 PM entries, week three had 151 AM entries and 177 PM entries, week four had 157 AM entries and 186 PM entries, week five had 150 AM entries and 186 PM entries and week six had 137 AM entries and 167 PM entries. Weeks seven through nine had many less entries due to the smaller number of participants. Those weeks had 48, 11, and 16 AM entries and 41, seven, and eight PM entries, respectively. 62
TNA VIRTUAL CONFERENCE | 2021: YEAR OF THE NURSE 2.0 - ONE YEAR WASN’T ENOUGH The second category, one to two hours after scheduled administration, had a total of 150 (5%) of entries. The third category, greater than two hours after the scheduled administration in the application, had a total of 321 entries. The fourth category missed entries, had a total of 253 entries. Overall, there were 10,639 doses of medication entered into the MedHelper application by the 24 participants that had adherence data in their device. Of the 10,639 doses, 6613 doses were AM administration, and 4026 were PM administration. The individual participant’s doses ranged from 172 doses to 836 doses, see table 3. The PI, when determining adherence to the medication regimen, considered each medication individually. A total of 1687 doses were late entries into the MedHelper application during the measured six-week time frame. There were 1301 late entries AM doses and 386 late entry PM doses missed during the six weeks that were measured. A total of 687 doses were not entered into the MedHelper application during the measured six-week time frame. There were 284 non-entered AM doses and 403 non-entered PM doses. Recommendations for Practice/Research: Additional resources need to be spent on a large scale research looking at a Personal Health Application with the older adult population. Problem Addressed: Lessons Learned from Engaging Students in a Geriatric Dementia Clinical Immersion Simulation Lisa (Kay) Murphree, EdD, MSN, RN, CMSRN (Presenter) Of the geriatric dementia simulation literature searched in CINAHL, MEDLINE, PubMed, Science Direct (2018 – 2021) using the search terms: nursing student + dementia + simulation, no articles were identified which provided clinical immersion simulation implementation guidance. Objectives: 1. The participant will be able to identify practical ways to minimize challenges in the planning and implementation of a clinical immersion simulation. 2. The participant will be able to state a positive outcome of engaging nursing students in an active learning strategy focused on understanding aging persons with dementia. Methods/Procedures: n/a Findings: n/a Recommendations for Practice/Research: n/a 63
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