{"id":{"repo_id":"msu","oai_identifier":"oai:d.lib.msu.edu:dnp_98"},"canonical_url":"https://search.dev.ndltd.org/etd/msu/oai:d.lib.msu.edu:dnp_98","repository":{"repo_id":"msu","name":"Michigan State University","base_url":"https://d.lib.msu.edu/oai"},"display":{"title":"A DNP project : implementation of a monitoring agreement for patients receiving antipsychotic treatment","abstract":"This quality improvement project evaluated the implementation of a standardized antipsychotic monitoring and informed consent form within an outpatient psychiatric practice. The aim was to improve documentation of informed consent and adherence to guideline-based metabolic monitoring among psychiatric mental health nurse practitioners (PMHNPs). Guided by the Iowa Model of Evidence-Based Practice and implemented through Plan-Do-Study-Act (PDSA) cycles, the intervention involved integration of a structured consent form into clinical workflows, supported by provider education and ongoing monitoring. A pre-post design was used, including chart audits and provider surveys. Thirty charts were reviewed (15 pre-intervention, 15 post-intervention). Baseline documentation of monitoring agreements was 0%, increasing to 53% post-intervention. Provider survey results indicated positive perceptions of usability, improved confidence in patient education, and enhanced documentation consistency, though workflow barriers limited full adoption. Findings suggest that implementation of a standardized monitoring consent form is a feasible and effective strategy to improve documentation practices, though integration challenges within the electronic health record impacted uptake. Continued refinement and system-level supports are recommended to enhance sustainability and adherence.","abstract_html":"This quality improvement project evaluated the implementation of a standardized antipsychotic monitoring and informed consent form within an outpatient psychiatric practice. The aim was to improve documentation of informed consent and adherence to guideline-based metabolic monitoring among psychiatric mental health nurse practitioners (PMHNPs). Guided by the Iowa Model of Evidence-Based Practice and implemented through Plan-Do-Study-Act (PDSA) cycles, the intervention involved integration of a structured consent form into clinical workflows, supported by provider education and ongoing monitoring. A pre-post design was used, including chart audits and provider surveys. Thirty charts were reviewed (15 pre-intervention, 15 post-intervention). Baseline documentation of monitoring agreements was 0%, increasing to 53% post-intervention. Provider survey results indicated positive perceptions of usability, improved confidence in patient education, and enhanced documentation consistency, though workflow barriers limited full adoption. Findings suggest that implementation of a standardized monitoring consent form is a feasible and effective strategy to improve documentation practices, though integration challenges within the electronic health record impacted uptake. Continued refinement and system-level supports are recommended to enhance sustainability and adherence.","abstract_has_math":false,"creators":["Marashi, Laila","Budde, Rebecca (Rebecca Clare)"],"institution":null,"degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":["Jones-Brown, Natalie"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2026,"date_issued":"2026","date_published":"2026","updated_at":"2026-07-24T03:16:41Z","subjects":["Informed consent (Medical law)","Patient monitoring","Psychiatric records","Psychotherapy patients--Care"],"languages":["English"],"rights":["In Copyright"],"rights_urls":[],"identifier_entries":[{"key":"dc:identifier","label":"Identifier","values":["dnp:98","oclc:1601633979","local:R_6SI8vCmhyqLgXbv"],"render_values":[{"text":"dnp:98","href":null,"code":true},{"text":"oclc:1601633979","href":null,"code":true},{"text":"local:R_6SI8vCmhyqLgXbv","href":null,"code":true}]}]},"links":{"outbound_url":"https://doi.org/doi:10.25335/hq3j-ct70","outbound_label":"DOI","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Jones-Brown, Natalie"]},{"key":"dc:creator","label":"Author","values":["Marashi, Laila","Budde, Rebecca (Rebecca Clare)"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["2026"]},{"key":"dc:relation","label":"Dc Relation","values":["Doctor of Nursing Practice Projects"]},{"key":"dc:type","label":"Dc Type","values":["Text","Theses"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Informed consent (Medical law)","Patient monitoring","Psychiatric records","Psychotherapy patients--Care"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["English"]},{"key":"dc:rights","label":"Dc Rights","values":["In Copyright"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["dnp:98","oclc:1601633979","local:R_6SI8vCmhyqLgXbv","https://doi.org/doi:10.25335/hq3j-ct70"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["This quality improvement project evaluated the implementation of a standardized antipsychotic monitoring and informed consent form within an outpatient psychiatric practice. The aim was to improve documentation of informed consent and adherence to guideline-based metabolic monitoring among psychiatric mental health nurse practitioners (PMHNPs). Guided by the Iowa Model of Evidence-Based Practice and implemented through Plan-Do-Study-Act (PDSA) cycles, the intervention involved integration of a structured consent form into clinical workflows, supported by provider education and ongoing monitoring. A pre-post design was used, including chart audits and provider surveys. Thirty charts were reviewed (15 pre-intervention, 15 post-intervention). Baseline documentation of monitoring agreements was 0%, increasing to 53% post-intervention. Provider survey results indicated positive perceptions of usability, improved confidence in patient education, and enhanced documentation consistency, though workflow barriers limited full adoption. Findings suggest that implementation of a standardized monitoring consent form is a feasible and effective strategy to improve documentation practices, though integration challenges within the electronic health record impacted uptake. Continued refinement and system-level supports are recommended to enhance sustainability and adherence.","Thesis (D.N.P.)--Michigan State University. Psychiatric mental health practitioner, 2026","Includes bibliographical references (pages 30-31)"]},{"key":"dc:format","label":"Dc Format","values":["56 pages"]},{"key":"dc:title","label":"Title","values":["A DNP project : implementation of a monitoring agreement for patients receiving antipsychotic treatment"]}]}],"canonical_facts":{"dc:contributor":["Jones-Brown, Natalie"],"dc:creator":["Marashi, Laila","Budde, Rebecca (Rebecca Clare)"],"dc:date":["2026"],"dc:description":["This quality improvement project evaluated the implementation of a standardized antipsychotic monitoring and informed consent form within an outpatient psychiatric practice. The aim was to improve documentation of informed consent and adherence to guideline-based metabolic monitoring among psychiatric mental health nurse practitioners (PMHNPs). Guided by the Iowa Model of Evidence-Based Practice and implemented through Plan-Do-Study-Act (PDSA) cycles, the intervention involved integration of a structured consent form into clinical workflows, supported by provider education and ongoing monitoring. A pre-post design was used, including chart audits and provider surveys. Thirty charts were reviewed (15 pre-intervention, 15 post-intervention). Baseline documentation of monitoring agreements was 0%, increasing to 53% post-intervention. Provider survey results indicated positive perceptions of usability, improved confidence in patient education, and enhanced documentation consistency, though workflow barriers limited full adoption. Findings suggest that implementation of a standardized monitoring consent form is a feasible and effective strategy to improve documentation practices, though integration challenges within the electronic health record impacted uptake. Continued refinement and system-level supports are recommended to enhance sustainability and adherence.","Thesis (D.N.P.)--Michigan State University. Psychiatric mental health practitioner, 2026","Includes bibliographical references (pages 30-31)"],"dc:format":["56 pages"],"dc:identifier":["dnp:98","oclc:1601633979","local:R_6SI8vCmhyqLgXbv","https://doi.org/doi:10.25335/hq3j-ct70"],"dc:language":["English"],"dc:relation":["Doctor of Nursing Practice Projects"],"dc:rights":["In Copyright"],"dc:subject":["Informed consent (Medical law)","Patient monitoring","Psychiatric records","Psychotherapy patients--Care"],"dc:title":["A DNP project : implementation of a monitoring agreement for patients receiving antipsychotic treatment"],"dc:type":["Text","Theses"]},"updated_at":"2026-07-24T03:16:41Z"}