"Improving self-care deficit in schizophrenia patients" by Ihuoma Onwanma Chuks

Date of Conferral

1-28-2025

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Corinne Wheeler

Abstract

Schizophrenia adversely affects the brain, leading to impaired perception, emotion, and behavior, making it one of the leading conditions that results in self-care deficit. The self-care deficit problem will emerge due to the inability of a patient with schizophrenia to take care of themselves due to behavioral, perceptual, or cognitive issues. The purpose of this project was to implement a staff education program for nurses working in a Mid-Atlantic behavioral and mental health hospital on how to assist patients who have schizophrenia manage their self-care. The questions that guided this project focused on if there was an improvement in nurses’ perceived strengths in self-care management and knowledge about effective strategies that promote self-care in patients who have schizophrenia. Evidence for the project was found in professional databases, including CINAHL, PsycINFO, Cochrane Collection, Medline, Web of Science, and PubMed. The ADDIE (analysis, design, development, implementation and evaluation) model served as the theoretical framework for this project. The implementation of educational sessions proved to be beneficial in educating nurses about self-care management for patients with schizophrenia. The mean scores were calculated for the 15 participants, showing their total preeducation score (M = 3.34) increased in the posteducation survey (M = 4.61), resulting in an overall increase of 73%. This increase in the post-education survey indicated a positive association between the staff education program and the participants’ improved self-perceived practice in self-care management. The project’s potential implications for nursing practice and positive social change include helping nurses maximize self-care among patients with schizophrenia and improve patient outcomes.

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