Campus Location

Dallas Campus (Online)

Date of Award


Document Type

DNP Project



Degree Name

Doctor of Nursing Practice

Committee Chair or Primary Advisor

Dr. Ugochi Irikannu

Second Committee Member or Secondary Advisor

Dr. Faisal Aboul-Enein

Third Committee Member or Committee Reader

Dr. Catherine Garner


This study examined the impact of direct nursing care on patient engagement and medication adherence within the practice setting of specialty pharmacy. It investigated the problem statement, “Among patients with specialty pharmacy dispensed medications, will direct interaction with nurses impact patient engagement and improve medication adherence?” Patient engagement in healthcare is a growing area of knowledge for the effectiveness of care. The research uncovered patient engagement as a predictor of improved medication adherence through effective direct nursing involvement. Methods to measure engagement were the utilization of the ACE™ Altarum Consumer Engagement (ACE) Measure™. By using a proven, researched tool to measure patient engagement, the study captured those engagement scores and compared the impact of direct nursing engagement to telephonic engagement. The engagement information was lined up with historical and current medication adherence data to determine if any correlation. Results were calculated and compared against patient ordering during the study. In conclusion, healthcare providers influenced patient engagement. The influence shaped a patient’s overall experience and outcomes. Nurses, the front-line contact for the patients, were the factor that effectively impacted medication adherence outcomes by improving patient engagement. Keywords: nursing, alternative site of care, patient engagement, patient experience, medication adherence, knowledge deficit, specialty pharmacy

Creative Commons License

Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.



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