Date of Conferral

7-4-2025

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Maria Revell

Abstract

Medication nonadherence among individuals with psychiatric disorders remains a significant barrier to recovery, ranging from 40% to 60%. Contributing factors include fear of side effects, stigma, cognitive limitations, and complex regimens. This staff education project addressed challenges through the implementation of a structured, evidence-based intervention to improve adherence-supportive practices among 14 outpatient psychiatric nurses. A preimplementation needs assessment revealed inconsistent application of adherence strategies and low staff confidence. The project’s objective was to evaluate whether a structured education program could improve nurses’ knowledge by 15%, confidence by 15%, and willingness by 3.5 points on a Likert scale to promote medication adherence. The staff education covered motivational interviewing, caregiver engagement, and the teach-back method. Pretests and posttests measured performance across knowledge, self-efficacy, and willingness. Results showed mean gains of 35.05% in knowledge, 25.38% in confidence, and 4.04 points in willingness. Evaluation data also confirmed high satisfaction with the training format, with 93% strongly agreeing that objectives were clear and 86% strongly agreeing that materials were helpful. The intervention’s visual, workflow-aligned design enabled immediate use and improved communication. This project offers a scalable model that with follow up and customization has potential to enhance consistency; reduce care gaps; and promote positive social change by providing adherence support for all patients in psychiatric settings. .

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