Date of Conferral

2-9-2026

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Deborah Lewis

Abstract

This Doctor of Nursing Practice project was a staff education quality improvement initiative designed to optimize telehealth training for nurses to improve medication adherence in adults with posttraumatic stress disorder (PTSD). Telehealth has become an essential modality for delivering mental health care, yet its effectiveness depends heavily on nurses’ ability to communicate effectively, build trust, and engage patients in treatment discussions. Medication nonadherence remains a significant challenge in PTSD care and is closely linked to the quality of clinician communication and patient engagement during care encounters. The practice-focused question guiding this project asked how a staff education project on PTSD telehealth could improve staff knowledge and self-reported confidence for nurses. The purpose of the project was to develop, implement, and evaluate a structured education program that strengthened nurses’ knowledge regarding enhanced trauma-informed communication and supported adherence-focused care during telehealth visits. A pre- and posttest was used to assess for a change in knowledge and self-reported confidence. Using the normalized learning gain formula demonstrated a 57% gain in knowledge representing a moderate to high learning gain and a positive change in the nurses’ level of knowledge and self-reported confidence. These findings support the effectiveness of structured telehealth staff education in improving nurse preparedness and reinforces the social change value of interactive, skills-based training for enhancing medication adherence and improving health for individuals with PTSD.

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