Date of Conferral

2021

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Cynthia Fletcher

Abstract

Miscommunication between patients and healthcare professionals is common in U.S. hospitals and is considered one of the chief factors in reduced patient satisfaction with care. Collaboration with the nurse researcher who reviewed the Hospital Consumer Assessment of Healthcare Providers and Systems Survey (HCAHPS) data for a local hospital noted that negative ratings were directly related to the miscommunication between the patient and care providers. Further identified that the nursing staff was not knowledgeable about evidenced-based strategies needed to communicate effectively with the patients. The purpose of this DNP project was to develop an education program to increase nurses' knowledge about Motivational Interviewing techniques to improve their ability to communicate effectively with patients. The Analysis, Design, Development, Implementation, and Evaluation (ADDIE) model and Knowles theory guided the development and implementation of a staff education program for 11 nurses in the target hospital's cardiovascular unit. A pretest/posttest design was implemented to assess the participants' knowledge before and after receiving the staff education. Descriptive statistics were calculated. The mean test score increased by 21%, reflecting an increase in the nurses' knowledge. Increasing nurses' knowledge about MI techniques have the potential to empower them to develop strategies to communicate more effectively with their patients, and improve their ability to appropriately assess, diagnose, and develop a patient-centered treatment plan. Health facility managers should evaluate the gaps in communication and implement relevant interventions to bridge them.

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