Date of Conferral

2022

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Robert McWhirt

Abstract

Lack of patient compliance is a dangerous, widespread problem, often linked to a patient’s misunderstanding of their diagnosis or treatment plan. This project’s practice questions pertained to exploring the impact of a staff education update on visual presentation and patient evaluation with patients taking factor Xa inhibitors in oral anticoagulants and how the staff education increased patient compliance while taking these medications. A combination of the ADDIE model and Kirkpatrick model were used in the planning, development, and evaluation of this project. A pre and post evaluation survey was used to determine the efficacy of the changes made within the clinic where this project took place. Fourteen advanced practice registered (APRNs) within the clinic participated. Following the pretest survey, participants took part in an educational intervention geared toward proper patient evaluation and education. Upon completion of the posttest survey, data analysis showed that providers had increased their knowledge of proper patient education and various techniques that could be used to ensure patient understanding. The overall pretest/posttest scores were ranked using a Wilcoxon Signed-Rank Test, thus showing they had a mean of 1.08 and a standard deviation of 0.266, indicating that the APRN training on proper patient evaluation and education improved provider abilities to effectively educate patients. Implications for social change include potential to increase the likelihood of patients’ compliance with their treatment plan while taking factor Xa inhibitors in oral anticoagulants due to their ability to understand the education being provided to them by their provider.

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