Kibata

Sign In

Our Services

Get 15% Discount on your First Order

Order Now
[rank_math_breadcrumb]

BJ week 6

BJ week 6

2

The Critical Role of Nurses in Improving Medication Adherence for Stroke Patients

Beverly Jordan

Herzing University

NU700 Knowledge for Nursing Practice

Module 4 Resubmission

Dr. Jessica Clark

04/08/2025

The Critical Role of Nurses in Improving Medication Adherence for Stroke Patients

Introduction

Medication nonadherence in stroke survivors is a significant public health issue, and studies suggest that 30-50% of patients do not follow prescribed regimens, resulting in avoidable complications (Arkan et al., 2022). This is a critical concern since the secondary risk for stroke significantly increases when drugs like antihypertensives and anticoagulants are not appropriately taken. Nurses, the first point of contact in health care, have a unique chance to act on this threat through systematic action. Ongoing patient interaction provides real-time evaluation of challenges such as cognitive impairment, budget constraints, and literacy levels (Berardinelli et al., 2024). Targeted education with follow-up enables nurses to act at the right moment to reduce the risk of nonadherence. Medication nonadherence undermines not only individual patient outcomes but also overburdens the health systems with recurrent hospitalization and prolonged recovery. Nurses have excellent chances to detect signs of nonadherence early in their routine care interactions. By detecting it early, they can decrease readmission and healthcare costs. Their ability to visualize the cycle of patient needs enables them to develop tailored approaches that bridge knowledge gaps and improve long-term adherence.

Practice Problem Overview

Medication nonadherence among stroke patients is a complex problem driven by medical, psychological, and socioeconomic determinants. Arkan et al. (2022) established that merely 33.9% of stroke patients showed high adherence, and fear of side effects and lack of confidence in medication overuse were the main discourages. Post-stroke cognitive impairments further complicate compliance by disrupting memories regarding dosing or treatment needs. In addition, cumbersome multidrug regimens on a frequent schedule—a frequent regimen in stroke—induce more confusion and omissions (Kumar et al., 2024). A crossover between supervised medication is a sensitive, vulnerable point during in-hospital treatments. In the absence of proper support, there is a high risk of recurrence, disability, and death, which further provides a rationale for consistent nursing interventions. Most patients are sent home without sufficient support systems, and this heightens the likelihood of missing medication or abandoning it altogether. Most stroke survivors battle depression or anxiety, which also influences motivation to adhere to multifaceted regimens. Without structured guidance, even patients with good intentions will default on treatment. This fact highlights the importance of nurses acting as continued contact points for medication management after discharge.

Literature Review: Potential Intervention

Evidence indicates that interventions by nurses are highly effective at encouraging medication compliance among stroke survivors. Interventions typically integrate patient education, regimen simplification, and technological support to overcome multifactorial barriers to adherence. Berardinelli et al. (2024) conducted a systematic review of patients with chronic diseases, noting that patient education by a nurse in the face-to-face format significantly improved adherence, with particularly robust increases in patients with stroke and cardiovascular diseases. They recognized that nurses’ ability to deliver personalized education on medication aims, potential side effects, and dosing time helped to moderate patients’ misconceptions and concerns, which are crucial risk factors for nonadherence (Arkan et al., 2022). The teach-back method, under which patients repeat instructions to them in their own words verbally, was very effective for stroke patients with cognitive impairments. Informational personalization of the patient’s level of functioning is one of the strongest points of nurse-initiated interventions. By using everyday language, visual aids, and interactive teaching modalities, nurses ensure maximum knowledge retention in patients with cognitive impairments. Second, follow-up frequently helps strengthen learning and enforces accountability. Combined, these steps turn information into action plans that patients can uphold outside the clinical setting.

Technology-enabled nurse interventions were also seen as promising. Zhang et al. (2024) compared several randomized controlled trials of eHealth programs delivered by nurses and registered a 50% reduction in missed doses using digital reminders and virtual follow-up. These programs increased adherence and functional recovery by engaging the patients in the rehabilitation program. Kumar et al. (2024) also demonstrated that structured nurse involvement in stroke care teams led to decreased treatment intervals and higher medication adherence rates, notably risky medication like anticoagulants. Their meta-analysis reported that nurse-led protocols reduced door-to-needle times by nearly 20 minutes and enhanced functional outcomes at three months in the same breath. Online platforms enable nurses to monitor compliance in real-time and initiate timely interventions as required. These systems also engage patients with reminders and progress feedback, enhancing a more incredible feeling of control. Of equal importance is the reality that virtual programs led by nurses remove the burden of transport and scheduling inconvenience, particularly for stroke survivors who have limited mobility. This accessibility ensures that more patients receive organized, ongoing care.

The interventions work because nurses’ unique role is to provide uninterrupted, patient-centered care. By combining education with evidence-based support interventions such as simplified dosing regimens, reminding, and motivational interviewing, the practical and psychological barriers to adherence can be overcome by nurses (Berardinelli et al., 2024). This integrated approach is particularly vital for stroke patients who have complex medication schedules to add to their cognitive and physical impairment. The literature consistently supports nurse-implemented interventions to reduce preventable complications and improve long-term outcomes in this high-risk population.

Conclusion

Medication nonadherence among stroke patients is a highly complex issue of life-and-death consequences. Nurses with evidence-based practice measures like customized education are the best professionals to address this issue. In the literature review, the efficacy of nurse-implemented interventions for improving adherence, reducing the number of stroke recurrences, and enhancing the quality of life in patients is promoted. With the application of these interventions, nurses can implement research into practice and assist patients in receiving the support they need to manage their medications effectively.

References

Arkan, G., Ordin, Y. S., Ozturk, V., & Ala, R. T. (2022). Investigation of medication adherence and factors affecting it in patients with stroke. 
Journal of Neuroscience Nursing, 
54(1), 35-41.

Berardinelli, D., Conti, A., Hasnaoui, A., Casabona, E., Martin, B., Campagna, S., & Dimonte, V. (2024, November). Nurse-Led Interventions for Improving Medication Adherence in Chronic Diseases: A Systematic Review. In 
Healthcare (Vol. 12, No. 23, p. 2337). MDPI.

Kumar, A., Kumar, M., Verma, P., Pal, R., Nagi, M., Mahesh, K. V., … & Khurana, D. (2024). Effects of stroke nurse-led acute stroke management on treatment time benchmarks, intravenous thrombolysis rates, and patient outcomes: A systematic review and meta-analysis. 
Journal of Stroke and Cerebrovascular Diseases, 108216.

Zhang, W., Mei, Z., Feng, Z., & Li, B. (2024). Effects of a nurse-led health program on functional outcomes and quality of life of patients with stroke: A pooled analysis of randomized controlled trials. 
Frontiers in Public Health, 
12, 1395270.

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Order Now

Related Questions

Advance Epidemiology of Nursing

Module 2:  Government Databases Prepare a 500 words essay explaining how government clinical databases can help researchers study different diseases. · · You must present your writing double-spaced, in a Times New Roman, Arial, or Courier New font, with a font size of 12. · Pay attention to grammar rules

Advance Epidemiology of Nursing

Module 1:  Epidemiology Triangle Each student will prepare a paper focused on answering the following guidelines: · Choose a current emerging disease or reemerging disease prevalent in your community or the larger community of the nation or world. · Complete an epidemiology triangle diagram for the chosen disease and thoroughly

Peer response

  What are your initial thoughts after reviewing the AHRQ website? What are your roles and responsibilities related to healthcare literacy? What are some practices as you can use when providing patient care as you transition to the role of APRN? How can you use the website and resources for

Nursing debate assignment

  Debate Assignment: Is the Health Insurance System in the USA the Best? Debate Topic: “The U.S. health insurance system provides better access, cost efficiency, and quality of care compared to other countries.” Instructions for Your Initial Post: Choose a Position: Take a stance for the statement, arguing that the

The Disputed Election or Revolution of 1800

  Describe the historical setting surrounding the Election of 1800.  Assess what constitutional issue the election of 1800 results helped to reveal. What did Congress do to mitigate the issue?  Do you think it was necessary to pass the Twelfth Amendment? Why or why not?  Analyze why the Presidential Election

Population Health and Emerging Disease

  Create an infographic that effectively summarizes the key components of value-based care, particularly in the context of population health and emerging diseases.   The infographic should visually represent the following aspects: Use visuals such as charts, graphs, icons, and text to convey the information.  Definition and Principles of Value-Based Care: 

Anxiety and Panic disorder PPT

please see instructions Using the DSM 5 TR along with other sources please complete 3 separate PPTs for the following: 1. Generalized anxiety disorder 2. Panic disorder 3. Obsessive Compulsive Disorder Instructions Must be done for each Diagnosis/ PPT You might also want to check the DSM-5-TR Clinical Cases text

EPIDEMIOLOGIC STUDY DESIGNS

find attached the instructions As introduced in the first few weeks of this course, investigators use various epidemiological study designs to study health problems and the effects of health interventions. You have examined several study designs, including descriptive designs (in Week 2) and analytic study designs that are observational (in

RANDOMIZED TRIALS IN EPIDEMIOLOGY

use the attached info for this work RANDOMIZED TRIALS IN EPIDEMIOLOGY Imagine that researchers are conducting a randomized controlled trial of a high-fiber supplement as a preventive measure in persons at increased risk of type 2 diabetes. People enrolled in the study are disease free at the time they agree

CASE STUDY ANALYSIS

please read the attached information carefully to understand  week 4 Week 4 Case Study Prompt (Student version) A 67-year-old man presents with progressive shortness of breath over 8 months. He  reports: • Increasing dyspnea with exertion • Dry, persistent cough • Fatigue • Decreased exercise tolerance • Unintentional 10-pound weight

Agency Synopsis

Agency Synopsis The purpose of this assignment is so that you will be able to differentiate between the healthcare policy agencies’ impact on various patient populations. 1. Identify regulatory agencies that regulate health and the health care system in the US. 2. Create a table listing at least 5 regulatory

NUR 650

NUR650 Discussions Submission Instructions: Your initial post should be at least 500 words, formatted and cited in the current APA style Provide support for your work from at least 2 academic sources less than 5 years old. Wk1 Tom’s Parents are Fighting After studying Module 1: Lecture Materials & Resources,

Preventative Care

Following the guidelines of the United States Preventive Service Taskforce (USPSTF), discuss and describe the screening recommendations for the following: Cervical cancer Breast cancer Osteoporosis Colorectal cancer Lung cancer Ovarian cancer Intimate partner violence (IPV).

patient care coordination 1

Develop infographic of a preliminary care coordination plan for a selected healthcare problem identified from the Sentinel-U Family Assessment v5. You determine which healthcare problem you will use FROM the simulation. Include physical, psychosocial, and cultural considerations for this healthcare problem. Listen to the patient simulation and select one of

Peer response

  What are your initial thoughts after reviewing the AHRQ website? What are your roles and responsibilities related to healthcare literacy? What are some practices as you can use when providing patient care as you transition to the role of APRN? How can you use the website and resources for

nursing

( Social Media for Nurses ) ( Objectives Locate, evaluate, and share nursing informatics websites, blogs, forums, or social media platforms Create social media workplace guidelines for nurses ) ( Overview Social networking (e.g., Facebook, LinkedIn); 2. Blogging ( and wikis ( 3. Microblogging (e.g., Twitter); 4. Social bookmarking or

casestudy 3

Emergency Nursing Management Activity 2050 Advanced Skills You are Nursing House Supervisor and work with the Nursing Management team at your local hospital. Your hospital is a level 2 Trauma Center and you have access to all resources that are generally acceptable for current health care practices in this environment.

NUR 650

NUR 650 SMART Goals For this assignment, you will work on setting goals for yourself using the SMART method. You will find an explanation of this method in the module that will guide you in your goal-setting process. You will list a minimum of five professional goals that you would like to accomplish during the clinical experience