What knowledge might be derived from that data? How would a nurse leader use clinical reasoning and judgment in the formation of knowledge from this experience? 

Scenario focus: Improving Heart Failure Patients’ Medication Adherence

Heart disease is a serious healthcare problem that affects millions worldwide. Patients with heart disease are more likely to have medication problems than usual. This can lead to increased hospitalizations, worsening symptoms and higher healthcare costs. This scenario calls for improving the medication adherence of heart failure patients in order to improve patient outcomes, reduce healthcare costs and decrease overall healthcare expenses.

This issue could be addressed using data such as patient medical records and medication lists. To collect data about medication adherence, it would be necessary to review medication refill rates, conduct interviews and obtain patient self-report information. You can access this information through electronic medical records, and other clinical data systems.

The data analysis could uncover patterns in medication compliance, including factors that lead to non-adherence and which medications patients are having difficulty following. It also may reveal the demographics of those who have trouble adhering. These data could be used to inform medication education and reminder programs.

The ability of nurse leaders to apply clinical reasoning and judgement to interpret the data and create strategies tailored for the needs of each patient is a benefit. Collaboration with interprofessional teams can be used to create and implement effective evidence-based strategies that improve medication adherence. Nurse leaders are able to ensure patient outcomes and medication compliance by providing feedback and ongoing evaluations.

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