Date of Conferral

2-9-2026

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Cara Krulewitch

Abstract

The purpose of this doctoral project was to implement a quality improvement educational initiative to strengthen provider understanding of antidepressant side effects in an outpatient behavioral health setting. The project was conducted to address gaps in staff knowledge related to identifying and managing antidepressant adverse effects, which are essential skills for safe medication practices in mental health care. Addressing this gap was significant because unrecognized antidepressant side effects can contribute to poor adherence, worsening symptoms, preventable complications, and negative patient outcomes. The results of the project demonstrated meaningful improvements in provider knowledge. Six staff members completed pre- and posttest assessments. Their pretest scores ranged from 6 to 10 (M = 8.0), and their posttest scores increased to 11 to 14 (M = 12.7), representing a 58.8% average gain. The scores of all participants improved, with the greatest gains in recognizing serotonin syndrome, distinguishing SSRI and SNRI side-effect patterns, and identifying antidepressant discontinuation syndrome, which are areas frequently associated with clinical safety risks. These results indicate that the educational intervention effectively enhanced provider competency in monitoring and managing antidepressant side effects. Improved provider knowledge supports safer medication practices, strengthens patient counseling, and promotes earlier detection of adverse responses, contributing to more equitable and patient-centered mental health care.

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