The Digital Drag and Drop Pillbox: Design and Feasibility of a Skill-based Education Model to Improve Medication Management.

Abstract

We present the design and feasibility testing for the "Digital Drag and Drop Pillbox" (D-3 Pillbox), a skill-based educational approach that engages patients and providers, measures performance, and generates reports of medication management skills.A single-cohort convenience sample of patients hospitalized with heart failure was taught pill management skills using a tablet-based D-3 Pillbox. Medication reconciliation was conducted, and aptitude, performance (% completed), accuracy (% correct), and feasibility were measured.The mean age of the sample (n = 25) was 59 (36-89) years, 50% were women, 62% were black, 46% were uninsured, 46% had seventh-grade education or lower, and 31% scored very low for health literacy. However, most reported that the D-3 Pillbox was easy to read (78%), easy to repeat-demonstrate (78%), and comfortable to use (tablet weight) (75%). Accurate medication recognition was achieved by discharge in 98%, but only 25% reported having a "good understanding of my responsibilities."The D-3 Pillbox is a feasible approach for teaching medication management skills and can be used across clinical settings to reinforce skills and medication list accuracy.

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Citation

Published Version (Please cite this version)

10.1097/JCN.0000000000000402

Publication Info

Granger, Bradi B, Susan C Locke, Margaret Bowers, Tenita Sawyer, Howard Shang, Amy P Abernethy, Richard A Bloomfield, Catherine L Gilliss, et al. (2017). The Digital Drag and Drop Pillbox: Design and Feasibility of a Skill-based Education Model to Improve Medication Management. The Journal of cardiovascular nursing, 32(5). pp. E14–E20. 10.1097/JCN.0000000000000402 Retrieved from https://hdl.handle.net/10161/17769.

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Scholars@Duke

Granger

Bradi Bartrug Granger

Research Professor in the School of Nursing

Dr. Bradi Granger is a Research Professor at Duke University School of Nursing, Director of the Duke Heart Center Nursing Research Program, and adjunct faculty at the University of Gothenburg, Sweden. She is also a core faculty at the Duke-Margolis Center for Health Policy. Dr. Granger received her doctorate in nursing from the University of North Carolina at Chapel Hill, her MSN from Duke University, and her BSN from the University of Tennessee at Knoxville.

Dr. Granger has extensive clinical experience in cardiovascular nursing, and her clinical work as a Clinical Nurse Specialist has been dedicated to overcoming barriers to the use and conduct of research in the service setting through the development of pragmatic tools that change the way nurses learn about, apply, and conduct nursing science. She has developed an innovative model for clinical inquiry and research in the hospital setting, which has been adopted in clinical settings across the U.S. and abroad. Dr. Granger is an active member of the Council for the Advancement of Nursing Science, the American Association of Critical Care Nurses, the American Heart Association, and the European Society for Patient Adherence, Compliance, and Persistence. 

Bowers

Margaret Therese Bowers

Clinical Professor in the School of Nursing

Midge Bowers is a Clinical Professor and Director of the Cardiovascular Specialty at Duke University School of Nursing in Durham, NC. She holds a secondary appointment in the Department of Medicine in the Division of Cardiology as a nurse practitioner. Dr. Bowers earned her BSN from Binghamton University, her MSN as a Clinical Nurse Specialist in critical care at Duke University School of Nursing and completed a Post-Master’s Certificate as a Family Nurse Practitioner at Duke. Subsequently she joined the faculty in 1999. She earned the Doctor of Nursing Practice degree from the University of Colorado-Denver. Her clinical practice focuses on patients with heart failure and her scholarly work is focused on cardiovascular topics and simulation. As an Associate in the American College of Cardiology and a certified health simulation educator she is the only nurse practitioner on the leadership team of the ACC simulation council. She is actively involved in the American Association of Nurse Practitioners engaged in leadership roles in the Gerontological Advanced Practice Nurses Association. She received the American Association of Nurse Practitioners State Award for Excellence in 2014 and was inducted as an AANP Fellow the same year. Her expertise in cardiovascular care was acknowledged as the recipient of the Faculty Clinical Practice Excellence award in 2017. Her contributions to the nursing profession were recognized in 2019 when she was inducted as a Fellow in the American Academy of Nursing.  



Bloomfield

Richard Alan Bloomfield

Adjunct Assistant Professor in the Department of Pediatrics

As a hospitalist at Duke University who takes care of both children and adults, as well as the Director of Mobile Technology Strategy, I get to take care of patients both one at a time as well as a million at a time. Technology has never held so much promise for the improvement of medical care as it does right now.

Gilliss

Catherine Lynch Gilliss

Helene Fuld Health Trust Distinguished Professor Emeritus of Nursing

Catherine Lynch Gilliss, PhD, RN, FAAN, is the Helene Fuld Health Trust Professor of Nursing at the Duke University School of Nursing and holds the rank of Professor in the Department of Community and Family Medicine. Appointed as Dean of the Duke University School of Nursing in 2004, Dr. Gilliss was the first alumna in the history of the School to hold that position. She served for ten years as Dean of the School of Nursing and Vice Chancellor for Nursing Affairs at Duke University, stepping down in August 2014. She will be on leave for the 2014-2015 academic year, during which she will be a Fellow in the Stanford University Distinguished Careers Institute.

For over 40 years, Dr. Gilliss has held faculty appointments in universities offering in baccalaureate and higher degrees in nursing. For the last twenty years she has held significant and progressively more responsible administrative leadership positions in academic nursing, including Chair, UCSF’s Department of Family Health Nursing (1993-1998), Dean, Yale University School of Nursing (1998-2004) and Dean and Vice Chancellor at Duke (2004-2014). Her own engagement in academic leadership and the leadership and governance of professional societies (President, National Organization of Nurse Practitioner Faculties; President, American Academy of Nursing; Regent, University of Portland; Board Member, Triangle Residential Options for Substance Abusers [TROSA]) has strengthened her commitment to leadership development in others. Dr. Gilliss serves as a Director of CHIMERIX, a publically traded biopharmaceutical company devoted to discovery, development and commercialization of novel, oral antivirals in areas of high unmet medical need.

She is a Fellow in the American Academy of Nursing, a member of the North Carolina Institute of Medicine, has been honored as Distinguished Alumna by UCSF and Duke Universities and is a member of Sigma Theta Tau. She has been awarded honorary degrees by Yale University (MHA) and the University of Portland (DHL).


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