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That is largely a function of the fact that the adult diabetes clinic emphasizes the patient counselling and patient education roles of nurses in clinical practice (Hamric, Spross, & Hanson, 2009).
Over the long-term, the outcomes of diabetes clinic practices depend substantially on the abilities of nurses to achieve high levels of patient compliance. This aspect of nursing practice is highly amenable to the Rosswurm-and-Larrabee concept because clinicians have the regular opportunity to evaluate and compare various methods of motivating patient compliance with protocols necessary to maximize the effectiveness of their clinical care. In that environment, clinicians can apply different approaches with different groups of patients, continually compare the relative degrees of compliance and to quantify the results of those differences...
In principle, these elements are the principal conceptual components of the Rosswurm-and-Larrabee model for identifying necessary changes, designing appropriate changes, implementing those changes, and subsequently evaluating the objective value of those changes in clinical outcomes.
References
Donovan, C. And Knobf, T. "An Evidence-Based Project to Advance Oncology Nursing
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English-Long, L., Burkett, K., and McGee, S. "Promotion of Safe Outcomes:
Incorporating Evidence into Policies and Procedures." Nursing Clinics of North
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