Patients on antipsychotic medications are at higher risk of developing metabolic syndrome; nevertheless, metabolic screening for patients on antipsychotics is suboptimal. This project implemented a nurse-driven protocol on inpatient psychiatric units to increase metabolic screening compliance rates. The literature on improving metabolic screening as well as the clinical use of nurse-driven protocols were used to develop a protocol. The initial implementation of the protocol showed no change in screening rate; however, when the protocol was updated to include nursing leader involvement, metabolic screening increased. Nurses’ perception of the nurse-driven protocol was examined and found a negative perception and no change in empowerment when nurses were surveyed pre- and post-implementation. Further research is needed to better understand adoptability of nurse-driven protocols in the psychiatric inpatient setting as well as other applications, such as smoking cessation or safety sitters.
","abstract_html":"<p>Patients on antipsychotic medications are at higher risk of developing metabolic syndrome; nevertheless, metabolic screening for patients on antipsychotics is suboptimal. This project implemented a nurse-driven protocol on inpatient psychiatric units to increase metabolic screening compliance rates. The literature on improving metabolic screening as well as the clinical use of nurse-driven protocols were used to develop a protocol. The initial implementation of the protocol showed no change in screening rate; however, when the protocol was updated to include nursing leader involvement, metabolic screening increased. Nurses’ perception of the nurse-driven protocol was examined and found a negative perception and no change in empowerment when nurses were surveyed pre- and post-implementation. Further research is needed to better understand adoptability of nurse-driven protocols in the psychiatric inpatient setting as well as other applications, such as smoking cessation or safety sitters. </p>","abstract_has_math":false,"creators":["Demarco, James Thomas"],"institution":null,"degree_name":"Doctor of Nursing Practice (DNP)","degree_level":"Open Access Thesis","degree_discipline":"Yale University School of Nursing","degree_department":null,"school":null,"contributors":["Joanne DeSanto Iennaco"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2022,"date_issued":"2022-01-01T08:00:00Z","date_published":"2022-01-01T08:00:00Z","updated_at":"2026-07-24T06:16:14Z","subjects":["antipsychotics, autonomy, empowerment, metabolic screening, metabolic syndrome, nurse-driven protocol"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://elischolar.library.yale.edu/ysndt/1132","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Joanne DeSanto Iennaco"]},{"key":"dc:creator","label":"Author","values":["Demarco, James Thomas"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"thesis:degree_discipline","label":"Discipline","values":["Yale University School of Nursing"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Open Access Thesis"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Doctor of Nursing Practice (DNP)"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["antipsychotics, autonomy, empowerment, metabolic screening, metabolic syndrome, nurse-driven protocol"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://elischolar.library.yale.edu/ysndt/1132"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Patients on antipsychotic medications are at higher risk of developing metabolic syndrome; nevertheless, metabolic screening for patients on antipsychotics is suboptimal. This project implemented a nurse-driven protocol on inpatient psychiatric units to increase metabolic screening compliance rates. The literature on improving metabolic screening as well as the clinical use of nurse-driven protocols were used to develop a protocol. The initial implementation of the protocol showed no change in screening rate; however, when the protocol was updated to include nursing leader involvement, metabolic screening increased. Nurses’ perception of the nurse-driven protocol was examined and found a negative perception and no change in empowerment when nurses were surveyed pre- and post-implementation. Further research is needed to better understand adoptability of nurse-driven protocols in the psychiatric inpatient setting as well as other applications, such as smoking cessation or safety sitters.
"]},{"key":"dc:title","label":"Title","values":["A Nurse-Driven Protocol To Increase Metabolic Screening And Interventions For Inpatients On Antipsychotic Medications"]}]}],"canonical_facts":{"dc:contributor":["Joanne DeSanto Iennaco"],"dc:creator":["Demarco, James Thomas"],"dc:description.abstract":["Patients on antipsychotic medications are at higher risk of developing metabolic syndrome; nevertheless, metabolic screening for patients on antipsychotics is suboptimal. This project implemented a nurse-driven protocol on inpatient psychiatric units to increase metabolic screening compliance rates. The literature on improving metabolic screening as well as the clinical use of nurse-driven protocols were used to develop a protocol. The initial implementation of the protocol showed no change in screening rate; however, when the protocol was updated to include nursing leader involvement, metabolic screening increased. Nurses’ perception of the nurse-driven protocol was examined and found a negative perception and no change in empowerment when nurses were surveyed pre- and post-implementation. Further research is needed to better understand adoptability of nurse-driven protocols in the psychiatric inpatient setting as well as other applications, such as smoking cessation or safety sitters.
"],"dc:identifier":["https://elischolar.library.yale.edu/ysndt/1132"],"dc:subject":["antipsychotics, autonomy, empowerment, metabolic screening, metabolic syndrome, nurse-driven protocol"],"dc:title":["A Nurse-Driven Protocol To Increase Metabolic Screening And Interventions For Inpatients On Antipsychotic Medications"],"thesis:degree_discipline":["Yale University School of Nursing"],"thesis:degree_level":["Open Access Thesis"],"thesis:degree_name":["Doctor of Nursing Practice (DNP)"]},"updated_at":"2026-07-24T06:16:14Z"}