Patients with chronic wounds make daily decisions that affect healing and treatment outcomes. Patient-centered education for effective self-management decreases episodes of care and reduces health expenditures while promoting independence. Theoretical frameworks, including the Health Belief Model, Theory of Planned Behavior, Social Cognitive Theory, and Transtheoretical Model of Behavior Change, can assist healthcare providers in identifying strategies that enhance adherence. These strategies include the use of motivational interviewing, a communication technique designed to elicit patients’ perspectives regarding treatment goals, outcome expectations, anticipated barriers, and intentions to follow provider recommendations. GENERAL PURPOSE To educate wound care practitioners about methods of communication that can help promote patient adherence to wound healing recommendations. TARGET AUDIENCE This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care. LEARNING OBJECTIVES/OUTCOMES After participating in this educational activity, the participant will: 1. Distinguish the use of theoretical frameworks to promote patient adherence to prescribed wound healing recommendations. 2. Synthesize the principles of motivational interviewing to best encourage patients to adhere to prescribed wound healing recommendations. 3. Select the appropriate self-care strategies for patients who have nonhealing wounds.
Background: The outbreak of COVID-19 cases and deaths caused havoc in the medical, social, and education arenas, turning the normal routine into a new normal. Health care facilities across the state of Florida closed clinical training sites. Nursing students who were in scheduled clinical rotations suddenly were removed from assigned clinical sites. When students were no longer able to attend their clinical rotations due to COVID-19, panic ensued for students and educators. Method: After clinical rotations came to a halt due to COVID-19, family nurse practitioner faculty promptly began discussions on clinical placement resolutions including creative and innovative strategies to provide clinical alternatives to face-to-face clinical hours. Results: Graduation has been delayed for 69% of the students due to COVID-19 and the inability to complete the required number of direct face-to-face clinical hours. Conclusion: Innovation, dedication, and perseverance allowed faculty to sustain student engagement and retention through quality clinical alternatives. [ J Nurs Educ . 2021;60(7):394–396.]
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