Date of Conferral

5-22-2025

Date of Award

May 2025

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Margaret Harvey

Abstract

Summary: Treatment noncompliance is a significant problem within the realm of mental health care. Recurrent noncompliance increases symptom severity, the likelihood of a crisis, and the burden placed on mental health care resources. Motivational interviewing (MI) is an evidence-based practice (EBP) demonstrated through extensive research to positively affect patient outcomes. Teaching MI to mental health care providers is one option organizational leaders can choose to address treatment noncompliance. In order for MI to become standard nursing practice, a method of education must be developed and implemented. This necessitates the identification of effective education delivery methods. A staff education project was created in response to the question, In mental health nurses, does education on MI techniques, compared to no education, increase nurses' knowledge on how to utilize MI in practice over 4 weeks? Analytical strategies utilized in management of the project included gap analysis; use of the Organizational Readiness for Implementing Change (ORIC) tool and the stakeholder analysis tool; and strength, weaknesses, opportunities, and threats (SWOT) analysis. Conclusions drawn from the postintervention phase indicated that an interactive, blended education model successfully increased nurses’ knowledge of MI techniques. Project results support the addition of the MI presentation into the yearly required educational modules. The positive social change implications of introducing the MI presentation into yearly learning modules include patient harm reduction, increased quality of life (QoL), decreased exacerbation of symptoms and development of comorbid diseases, and an increase in the accessibility and affordability of mental health care due to diminished strain on mental health services.

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