Professional nurses engage in evidence-based practice by balancing clinical experience, rigorous evidence, and patient preference and values in nursing care. The nurses inform their practice decisions by relying on research, and the use of critical thinking to translate research directly to specific situations in patient-care (Houser, 2016). This essay discusses how to translate the multidisciplinary health care team’s evidence into practice in improving heart failure in older adults' medication adherence.
Poor medication adherence among adults diagnosed with heart failure is a common problem. Inadequate adherence leads to reduced physical function, increased health failure exacerbations, and increased hospital admission risks as well as death ( Ruppar, Cooper, Mehr, Delgado, & Dunbar, 2016) . Effective interventions to minimize non-adherence include the use of medication patient education, monitoring reminders, and management tools ( Verloo, Santschi, Chiolero, Kampel, & Kiszio, 2017) . The best way to integrate a translational model to incorporate education intervention evidence is to educate adult patients to improve medication adherence. The education program would include sharing decision-making principles and adopting patient-centered care in providing information to patients about their conditions and treatment fall. The program would raise awareness on the impacts of non-adherence, advice on how to take medicine, and discuss with patients about their health knowledge and beliefs ( Costa et al., 2015) . The educational integration would incorporate other mechanisms such as counseling, self-management skills, and training to increase positive impacts in adherence.
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The education educational intervention program would take place in hospitals as well as patients' homes. Registered nurses would exclusively deliver the intervention or implement it by working closely with other healthcare professionals. The nurse-led intervention would involve verbal advice, comprehensive medication assessments during home visits, and written factsheets, and medical education ( Verloo et al., 2017) . The intervention would also include written and verbal reminders using electronic devices or telephone. Nurse-collaborative interventions would mostly focus on patients' clinic visits, and incorporate comprehensive teaching and counseling by physicians or pharmacists about the importance of medication adherence.
References
Costa, E., Giardini, A., Savin, M., Menditto, E., Lehane, E., Laosa, O., & Marengoni, A. (2015). Interventional tools to improve medication adherence: review of literature. Patient preference and adherence , 9 , 1303.
Houser, J. (2016). Nursing research: Reading, using, and creating evidence . Jones & Bartlett Learning.
Ruppar, T. M., Cooper, P. S., Mehr, D. R., Delgado, J. M., & Dunbar, J. M. (2016). Medication adherence interventions improve heart failure mortality and readmission rates: systematic review and meta‐analysis of controlled trials — Journal of the American Heart Association , 5 (6), e002606.
Verloo, H., Santschi, V., Chiolero, A., Kampel, T., & Kiszio, B. (2017). Nurse interventions to improve medication adherence among discharged older adults: a systematic review. Age and aging , 46 (5), 747-754.
