A Nurse-Driven Protocol To Increase Metabolic Screening And Interventions For Inpatients On Antipsychotic Medications

<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>

Name thesis:degree_name

Doctor of Nursing Practice (DNP)

Level thesis:degree_level

Open Access Thesis

Discipline thesis:degree_discipline

Yale University School of Nursing

Year

2022

Author dc:creator

• Demarco, James Thomas

Contributors dc:contributor

• Joanne DeSanto Iennaco

• antipsychotics, autonomy, empowerment, metabolic screening, metabolic syndrome, nurse-driven protocol

Repository record dc:identifier

https://elischolar.library.yale.edu/ysndt/1132

OAI identifier oai:identifier

oai:elischolar.library.yale.edu:ysndt-1131