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Educating Psychiatric Nurse Practitioners to Use Motivational Interviewing to Address Poor Clinical Insight Among Patients with Schizophrenia
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Abstract
Background: Schizophrenia is a major mental illness which causes significant disability. Impaired clinical insight is common in patients with schizophrenia and is associated with lower socio-occupational functioning, poorer engagement in treatment, and greater symptom severity. Purpose: The purpose of this DNP project was to educate Psychiatric Nurse Practitioners in the use of motivational interviewing as a therapeutic technique to increase clinical insight in patients with schizophrenia.
Methods: A pre- and post-intervention design was used to assess the effectiveness of an educational intervention. Psychiatric Nurse Practitioners were invited to participate in a self-paced computer-based educational intervention on motivational interviewing and its use in patients with schizophrenia. Participants completed a adapted version of the Motivational Interviewing Knowledge Test as a pre- and post-test assessment and a survey evaluation of the educational intervention. Data were analyzed through descriptive statistics. Findings were disseminated to the clinical project site.
Results: Three nurse practitioners participated in the educational intervention. All participants had a higher score on the post-test than on the pre-test. The average MIKT score increased by 27 percentage points from pre-test to post-test.
Conclusion: Motivational Interviewing can be an effective intervention to address poor clinical insight in patients with schizophrenia. Psychiatric Nurse Practitioners can incorporate motivational interviewing into psychopharmacology appointments to enhance the clinical value of care provided to these vulnerable patients.
Type
Capstone Project (Campus Only)
Date
2024-05
Publisher
License
Attribution-NonCommercial-NoDerivatives 4.0 International
License
http://creativecommons.org/licenses/by-nc-nd/4.0/