Date of Conferral

2-19-2025

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Catherine Fant

Abstract

This doctoral project is a quality improvement initiative to enhance staff knowledge and confidence through expert feedback validating educational interventions at a mental health outpatient clinic. The practice problem highlighted staff preparedness gaps to effectively address patient-specific barriers, impacting patient engagement and care delivery, resulting in high appointment no-shows. Addressing this issue within nursing practice was essential, as consistent care was critical for managing psychiatric conditions effectively. The question guiding the project was as follows: How does implementing a specialized staff training program impact staff knowledge and confidence in reducing no-shows? This project aimed to equip staff with evidence-based tools to reduce appointment no-shows and validate this training’s effectiveness through expert feedback using the ADDIE Model. Expert evaluations were prioritized to validate the educational content, followed by pre- and post-intervention assessments to measure staff knowledge and confidence differences. The evidence sources for this project were carefully selected to ensure reliability and credibility. Peer-reviewed journal articles were identified through comprehensive database searches on PubMed, CINAHL, and Google Scholar platforms. The project showed a quantifiable increase in staff knowledge and confidence. Recommendations included continuous education, helping nurses anticipate patient-specific challenges, personalized reminders as part of standard practice, addressing social determinants of health, and leveraging telehealth options. This project has broad implications for nursing practice, including fostering a culture of patient-centered care, reducing healthcare disparities, and enhancing diversity, equity, and inclusion.

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