Date of Conferral

12-2-2024

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Mary Martin

Abstract

Medication noncompliance is a significant challenge in managing schizophrenia, a chronic and severe mental health disorder characterized by symptoms such as delusions, hallucinations, disorganized thinking, and impaired functioning. Schizophrenia presents both positive symptoms, which involve exaggerated thoughts or behaviors, and negative symptoms, which reflect a lack of normal mental activity. Consistent medication management is important for stabilizing this condition. However, research shows that many patients with schizophrenia struggle with medication adherence. In this executive summary, I outline the staff education program I designed to equip mental health nurses with skills, knowledge, and strategies to address medication noncompliance. The practice-focused question I sought to answer was, does an educational program delivered to staff nurses increase nurses’ knowledge of how to encourage medication adherence among patients diagnosed with schizophrenia? I based the program on the health belief model (HBM) with the intent to help participating nurses understand the factors contributing to noncompliance and provide actionable strategies to promote adherence. The program’s effectiveness was assessed through pre- and post-surveys, with the data analyzed using a paired t test and Pearson correlation. The results demonstrated a significant increase in knowledge, with a p value of less than 0.05, indicating the program’s success in improving nurses’ ability to manage medication adherence. Medication noncompliance has serious consequences for both individuals and society, including symptoms exacerbation, frequent hospitalizations, and a decline in patients’ quality of life. By enhancing nurses’ knowledge, this program may enable nurses to better educate patients and promote medication compliance.

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