"Staff Education on Medication Nonadherence for Patients with Bipolar D" by JULIUS CHICK ABAM

Date of Conferral

2-18-2025

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Mary Garner

Abstract

Summary From both the literature and the staff observation in this private practice, bipolar disorder (BD) patients who do not comply with medication are at a higher risk of hospitalization and poor quality of life. The purpose of the project was to implement staff training focused on adherence strategies, including motivational interviewing and psychoeducation to improve medication adherence rates among BD patients. The project question was: Does providing an interactive education program using case studies improve staff knowledge and self-confidence? Different studies support the effectiveness of both psychoeducation and motivational interviewing in improving adherence and functionality in BD. An interprofessional team developed both the didactic content, which included the pathophysiology of BD, the role of various medications in modification of symptoms, and barriers to non-adherence. After the didactic session, the 10 participants then worked as a group to discuss and practice practical communication skills in a didactic and interactive case-based training program developed by an interprofessional team. The mean baseline knowledge scores improved from 5.6 to 7.35; mean self-confidence scores improved from 8.5 to 9.75. The improvement was slight, as the pre-education knowledge and confidence level were high in this small group. Tracking practice change requires following through with the evaluation of patient outcomes of adherence rates variables, subsequent morbidity, and hospitalization rates. Education and support for psychiatric nurses assists in patient-centered care and may result in improved outcomes for bipolar patients, impacting a diverse population in an equitable and inclusive manner.

Download

Included in

Nursing Commons

Share

 
COinS