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Medication interventions for African‐American adults: Practice‐based evidence from two nurse‐led clinics
Author(s) -
Taani Murad H.,
Ellis Julie L.,
Zabler Bev,
Kelber Sheryl T.,
Tsai PeiYun
Publication year - 2020
Publication title -
public health nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.471
H-Index - 55
eISSN - 1525-1446
pISSN - 0737-1209
DOI - 10.1111/phn.12835
Subject(s) - psychological intervention , medicine , family medicine , regimen , intervention (counseling) , nursing interventions classification , nursing , gerontology , african american , test (biology) , paleontology , ethnology , biology , history
Objective This study was conducted to describe and examine the impact of medication intervention practices among African‐American clients in two nurse‐led community nursing centers (CNCs). Methods This study used a retrospective‐descriptive design. Omaha System data from visits of 196 African‐American adults living with chronic disease and having two or more CNC visits in which medication regimen was an identified problem and the main reason for the visit was analyzed. Results The sample had a mean age of 53.1 (6.67) and was primarily women (82%), uninsured, and with high school or less education. A total of 9,259 Medication regimen interventions were documented and implemented during 1,146 client CNC visits. A paired samples t test revealed statistically significant improvements in Knowledge ( t = 2.434, p < .01). Behavior ( t = 0.077, p = .94) and Status ( t = 1.489, p = .14) remained unchanged, although the ratings trended toward improvement for each. Conclusion This study provides evidence that the nursing center model of care does improve the knowledge of medications among African‐American clients. The study also demonstrated the Omaha System's utility to evaluate the impact of nursing interventions in community settings.