Date of Award

Fall 2023

Degree Type

Dissertation/Thesis

Degree Name

Doctor of Nursing Practice (DNP)

School

Leadership and Advanced Nursing Practice

Committee Chair

Dr. Lisa Morgan

Committee Chair School

Leadership and Advanced Nursing Practice

Committee Member 2

Dr. Carolyn Coleman

Committee Member 2 School

Leadership and Advanced Nursing Practice

Abstract

Medication nonadherence (MNA) is a major contributor to hospitalizations and accounts for billions of dollars spent every year on health care. Despite medications being prescribed in nearly 75% of healthcare interactions, it is estimated that 33 to 50% of Americans do not take their medications as prescribed, if at all (Bartlett Ellis et al., 2020; Kleinsinger, 2018). The COM-B (Capability, Opportunity, Motivation, Behavior) Model used in this DNP project suggests that an individual must have the capability, opportunity, and motivation to enact a certain behavior, and should any of these areas be lacking, the behavior is unlikely to occur. This DNP project focused on these influential factors in the form of social determinants of health (SDH) with the affected behavior being compliance with one’s medication regimen. The purpose of this DNP project was to implement a survey to identify the most prevalent factors that negatively affect medication compliance in individuals ages 65 and over. The main barrier noted from this DNP project was forgetfulness with no notable difference in capability, opportunity, or motivation. Not only did this survey have the potential to alert patients of their potentially detrimental practices, but it also aided providers in understanding and addressing their local patient population’s struggles with taking medications.

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