Date of Conferral

2-18-2026

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Barbara Niedz

Abstract

The purpose of this Doctor of Nursing Practice (DNP) staff education project was to enhance psychiatric nursing staff's knowledge and attitudes regarding the promotion of hygiene among adult behavioral health inpatients. Hygiene neglect is a widespread concern in psychiatric units as patients often experience psychomotor retardation, hopelessness, and low motivation that hinder self-care. To address this gap, a staff education program was implemented. Staff members (N = 35) participated in live huddle-based education sessions that included case discussions, demonstrations, and reflection exercises. Participants completed pre- and posttests measuring knowledge (10 items) and attitudes (6 Likert-scale items). Following the education, staff demonstrated an increase in both knowledge and confidence in applying hygiene interventions. The mean knowledge score increased by 25.72 points (Z = -5.331, p <.001), and the total attitude score rose by 6 points (Z +-5.916, p <.001), and the Wilcoxon Signed-Rank Test confirmed significance. Recommendations to the site included advisement to monitor patient outcomes with regard to hygiene and to incorporate the training into staff orientation. This project promoted positive social change by empowering nurses to uphold the dignity and equity of psychiatric inpatient populations that have historically been marginalized in self-care and hygiene support. Through motivational communication, behavioral activation, and consistent oral-care practices, nurses have the potential to enhance patient engagement and dignity while reinforcing a culture of compassionate, person-centered care. The initiative ensures that all patients, receive equitable attention to personal hygiene as an essential aspect of holistic health.

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