NURS FPX 6025 Assessment 3 Practicum and Scholarly Article


NURS FPX 6025 Assessment 3 Practicum and Scholarly Article

NURS FPX 6025 Assessment 3 Practicum and Scholarly Article


Capella university

NURS-FPX 6025 MSN Practicum

Prof. Name


Practicum and Scholarly Article

The reduction of disparities and the improvement of health status among disadvantaged communities should be a Healthcare priority. However, one group of individuals that is dealing with immense problems is the African American patients with end-stage kidney disease ESKD who receive hemodialysis treatment in the US. In recent years, there has been a shift toward understanding patient-centered strategies, especially those that embed the therapeutic relationship between patients and providers as a critical feature to improve adherence and health outcomes (Walker & Gadegbeku, 2023).

Summary of Evidence-Based Journal Article

The article titled “Interventions Incorporating Therapeutic Alliance to Improve Hemodialysis Treatment Adherence in Black Patients with End-Stage Kidney Disease (ESKD) in the United States: A Systematic Review” focuses on interventions aimed at enhancing hemodialysis treatment adherence among African American patients with end-stage kidney disease (ESKD) in the United States. It underscores the significance of therapeutic alliance, a patient-centered relationship between patients and providers, in improving adherence to hemodialysis treatment.

The review looks explicitly at randomized clinical trials and pre/postintervention studies published within the last decade, focusing on studies including a proportion of Black patients greater than 25%. Despite the higher prevalence of ESKD and hemodialysis treatment among Black patients, the review finds a lack of robust research in this area. Only three intervention studies met the inclusion criteria, but none were exclusively composed of Black patients, nor did they provide specific data for this demographic. The article highlights the need for further research to develop culturally tailored interventions incorporating therapeutic alliance to enhance hemodialysis treatment adherence among Black patients with ESKD (Blumrosen et al., 2020).

Discussion on Article with a Peer

Upon discussing this article with a colleague, we both recognized the critical importance of addressing cultural factors and patient-provider relationships in improving health outcomes, especially in populations with disparities, such as African American patients with ESKD. The emphasis on therapeutic alliance resonated with us as it signifies a shift towards more patient-centered care, acknowledging the influence of social and cultural contexts on health behaviors. We also discussed the need for more comprehensive and tailored interventions considering clinical aspects and psychosocial and cultural factors affecting treatment adherence. This article reinforced the importance of advocating for patient-centered approaches and promoting equity in healthcare delivery to improve outcomes for all patient populations.

NURS FPX 6025 Assessment 3 Practicum and Scholarly Article

After discussing the article with a colleague, we found several areas that need improvement. While the article emphasizes the significance of cultural factors and patient-provider relationships in enhancing health outcomes for African American individuals with end-stage kidney disease (ESKD), several deficiencies need to be addressed. These include the lack of exclusive focus on Black patients in the reviewed studies, insufficient data on cultural tailoring of interventions, a lack of exploration of intervention components, and a call for further research without specific recommendations. We agreed that addressing these gaps would enhance the applicability of the findings and contribute to the development of more effective interventions tailored to the needs of this population (Singh et al., 2022).

Reflection on Practicum Experience

During my practicum, I have encountered significant accomplishments and notable challenges in improving health outcomes, particularly for individuals with chronic conditions such as end-stage kidney disease (ESKD) (Kwame & Petrucka, 2021). One notable accomplishment has been witnessing the tangible implementation of interventions promoting patient participation in their treatment journey. This has included observing how patient education, counseling, and monitoring are utilized to enhance patient compliance and ultimately improve health outcomes. Working closely with patients and healthcare practitioners, I have gained firsthand insight into the effectiveness of these strategies in fostering better adherence to treatment plans and promoting overall well-being.

Despite my successes, I have encountered difficulties that have challenged my ability to adapt and solve problems. One notable challenge has been adjusting to a new cultural setting, where I have had to learn and understand unfamiliar cultural customs and behaviors. Additionally, I have encountered difficulties stemming from socioeconomic factors, such as poverty and lack of social support, which can contribute to non-adherence to treatment regimens. These challenges have highlighted the complex interplay between social determinants of health and patient outcomes, underscoring the importance of addressing these factors in designing and implementing interventions.

Completion of Practicum Hours

During my practicum, which is a total of 20 hours, I have been educating, counseling, and monitoring patients with chronic conditions such as ESKD to assist them in adhering to their treatment plans. This period has covered direct communication with the patients, teamwork with healthcare professionals, and documentation of patient information. My preceptor has previously reviewed and approved the logged hours in the CORE ELMS system, a system that provides evidence of my compliance with the practicum requirements.


The article’s findings further emphasize that our society needs more culturally adjusted interventions that have a therapeutic alliance as their primary objective to help Black patients with ESKD overcome their unique challenges. By acknowledging the impact of various social, cultural, and economic factors on treatment adherence, healthcare professionals can provide better and more equitable healthcare by facilitating appropriate care. In conclusion, through the practicum, I have realized the need to consider these factors in real-life healthcare settings. It depicts that the health care system is trying to achieve a patient-centered approach to improve patient outcomes.


Blumrosen, C., Desta, R., Cavanaugh, K. L., Laferriere, H. E., Bruce, M. A., Norris, K. C., Griffith, D. M., & Umeukeje, E. M. (2020). Interventions incorporating therapeutic alliance to improve hemodialysis treatment adherence in black patients with end-stage kidney disease (ESKD) in the United States: A systematic review. Patient Preference and Adherence, p. 14, 1435–1444.

Kwame, A., & Petrucka, P. M. (2021). A literature-based study of patient-centered care and communication in nurse-patient interactions: Barriers, facilitators, and the way forward. BioMedCentral BMC Nursing20(158), 1–10.

Singh, H., Fulton, J., Mirzazada, S., Saragosa, M., Uleryk, E. M., & Nelson, M. L. A. (2022). Community-based culturally tailored education programs for black communities with cardiovascular disease, diabetes, hypertension, and stroke: Systematic review findings. Journal of Racial and Ethnic Health Disparities, p. 10

NURS FPX 6025 Assessment 3 Practicum and Scholarly Article

Walker, C. S., & Gadegbeku, C. A. (2023). Addressing kidney health disparities with new national policy: The time is now. Cardiovascular Diagnosis and Therapy13(1), 115–121.


Get Free Samples on your Email

For your Capella University BSN/MSN/DNP Class!

Latest Samples

Free BSN Assessments