Date of Conferral

2022

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Courtney Nyange

Abstract

Existing evidence indicates that medications alone are not able to fully manage the psychotic symptoms associated with schizophrenia. Inadequately treated schizophrenia not only affects a patient's physical and mental health but also can lead to the onset of more complex issues such as substance and alcohol abuse disorders, homelessness, family conflicts, and violent behavior. Cognitive behavioral therapy (CBT) can assist in bridging the gaps associated with the use of medications in the treatment of schizophrenia. The purpose of this project was to increase the knowledge of nurses working at a private healthcare facility regarding the effective utilization of CBT as a treatment for schizophrenia. The Johns Hopkins nursing evidence-based practice model and Lewin’s change theory were used to guide the development and implementation of a staff education program. Pre- and postintervention surveys were used to assess the providers’ readiness to adopt the proposed change in practice. Prior to their administration, the surveys were assessed for credibility and approved by two CBT -certified psychiatrists practicing in another mental health facility located in the state. The results of the surveys showed that the educational intervention was effective in improving the providers’ knowledge about CBT treatment and willingness to refer patients with the psychotic disorder to CBT-certified social workers and therapists by 40%. Improving providers’ knowledge of CBT for schizophrenia and their readiness to apply it may result in positive social change by potentially optimizing the treatment outcomes of patients with a psychotic disorder such as schizophrenia. Improving treatment outcomes may prevent the various social challenges related to inadequately treated schizophrenia.

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