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

Practicum Experience Plan (PEP)

Practicum Experience Plan (PEP) PRACTICUM EXPERIENCE PLAN As you establish your goals and objectives for this course, you are committing to an organized plan that will frame your practicum experience in a clinical setting, including planned activities, assessment, and achievement of defined outcomes. In particular, they must address the categories

Study Plan

Study Plan Can you imagine an athlete deciding to run a marathon without training for the event? Most ambitious people who have set this goal will follow a specific training plan that will allow them to feel confident and prepared on the big day. Similarly, if you want to feel

help with home work

Health care policy briefs provide succinct overviews of health care policy topics. The intended audience is policymakers, journalists, and others concerned about improving health care in the United States. The briefs explore arguments from varying perspectives of a policy proposal. They guide available research behind each perspective. Experts in the

Pressure ulcers

Homework  1 1 Outcomes, Approach, and Budget [Remove brackets & insert Your Full Name Here] Nightingale College [Remove brackets & insert Your Course Number: Course Title] [Remove brackets & insert Your instructor’s name using Professor __________] [Remove brackets & insert Month Day, Year] Outcomes, Approach, and Budget [The introduction to

Mm week 4 ppt

Mm week 4 ppt In this assignment, you will analyze the team structure and process in your own practice setting and identify the essential members who will contribute to the success of your proposed graduate project. You will present this analysis in a professional, visually engaging slide presentation.Title (1 slide) Include your

presentation

Rapid Response vs Code Blue: Knowing When to Act Staff Education In-Service Presenter Name / Date / Clinical Area Learning Objectives By the end of this session, participants will be able to: Identify the difference between Rapid Response and Code Blue events. Explain when each activation should occur based on

Pt case study

pt case study help  Week 2 Case Study Assignment Building a Health History: Communicating Effectively to Gather Appropriate Health-Related Information 👩‍⚕️ Patient Scenario You have been assigned the case of  S.J., a 28-year-old Lebanese Muslim female who is in her first year of graduate school and living in university housing.

PPT

Assigment The term “knowledge worker” was first coined by management consultant and author Peter Drucker in his book,  The Landmarks of Tomorrow  (1959). Drucker defined knowledge workers as high-level workers who apply theoretical and analytical knowledge, acquired through formal training, to develop products and services. Does this sound familiar? Nurses are

Mental Health PTSD

Mental Illness Creative Paper Assignment “A Day Living With My Mental Illness” Each student will write a one-page paper in first person as if you are living with your assigned mental illness. Be creative but realistic. The goal is to demonstrate understanding of what daily life might feel like for

discussion question

discussion question  Topic: healthcare providers shortages 1. Access the Policy Map Blog and view the blog listings (There are many pages of entries). 2. Briefly summarize (2-3 sentences) policy map blog and address the socio-political, ethical, and or nursing workforce implications of the topic. 3. APA format for references

Peer response

  The development of advanced practice nursing roles globally shows how important quality and safety competencies are in guiding practice. When looking at the variability in education, regulation, and scope of practice across countries, it becomes clear that standardized competencies are essential to ensure safe and consistent care (Wheeler et

nursing

see file In this two-part deliverable assessment, first, create a 5–7 slide elevator-speech style presentation that you will present to stakeholders that provides an overview of policy implementation, including rationale and data that reflect the need for the new policy. Second, create a detailed, annotated training agenda for the pilot

nursing

see file Propose an organizational policy and practice guidelines that you believe will lead to an improvement in quality and performance associated with the benchmark underperformance you advocated for improving in Assessment 1. Be precise, professional, and persuasive in demonstrating the merit of your proposed actions. The policy proposal requirements

case study

Nursing Skills & Reasoning © 2023 KeithRN LLC. All rights reserved. No part of this case study may be reproduced, stored in retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior written permission of KeithRN Blood Transfusion 1. Which

casestudy

Nursing Skills & Reasoning © 2023 KeithRN LLC. All rights reserved. No part of this case study may be reproduced, stored in retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior written permission of KeithRN Blood Transfusion 1. Which

CASE STUDY ANALYSIS

PLEASE READ ALL ATTACHED Week 2 Case Study Prompt  A 28-year-old African American woman presents with 4 months of worsening fatigue, joint  pain, and intermittent low-grade fevers. She reports: • Symmetrical pain and stiffness in hands and wrists (morning stiffness ~1 hour) • Photosensitivity • Facial rash that worsens with

STRENGTHS AND LIMITATIONS OF SECONDARY DATA SOURCES

find attached n use the rubrics In this information age, where data are readily accessible and there is both a great demand for accelerated research projects and strict limitations on research funding, using existing data makes sense. Data used in this way are called secondary data; they come in many

Evaluation and Management

Evaluation and Management (E/M) Insurance coding and billing is complex, but it boils down to how to accurately apply a code, or CPT (current procedural terminology), to the service that you provided. The payer then reimburses the service at a certain rate. As a provider, you will have to understand