The Impact of Automated Text Messaging System Education on the Self-Efficacy of Medical Office Staff
Degree Name
Nursing Practice, DNP
Publication Date
Spring 2025
Upload Date
4/28/2025
First Advisor
Mary Newkirk
Second Advisor
Chandra Carter
Abstract
Abstract
Inadequate patient bowel preparation is a leading cause of canceled or repeated colonoscopies, negatively impacting both outcomes and healthcare costs. While automated text messaging systems have improved patient adherence in other clinical areas, they remain underutilized by endoscopy staff due to low self-efficacy. This quality improvement project aimed to evaluate the effect of structured education on the self-efficacy of endoscopy nursing staff in using an automated text messaging system for outpatient colonoscopy preparation at a rural VA Medical Center (VAMC). Guided by Bandura’s Social Cognitive Theory and using the Plan-Do-Study-Act model, this project implemented a one-day, hands-on training session with follow-up support. The General Self-Efficacy Scale (GSES) measured nurse self-efficacy pre- and post-intervention. A paired t-test revealed a statistically significant increase in post-intervention scores, with a large effect size, indicating that the intervention improved staff competence and intent to use the system. These results suggest that targeted education can address staff reluctance, streamline pre-procedure education, and potentially enhance patient preparation outcomes. The findings support the broader implementation of automated communication tools in nursing practice and reinforce the value of structured, evidence-based educational models in promoting technology adoption.
Keywords: nurse self-efficacy, colonoscopy preparation, nursing education, automated text messaging, quality improvement
Rights Management
This work is licensed under a Creative Commons Attribution 4.0 International License.
Recommended Citation
Jorgensen, Jim S., "The Impact of Automated Text Messaging System Education on the Self-Efficacy of Medical Office Staff" (2025). Doctor of Nursing Practice Projects. 110.
https://arch.astate.edu/dnp-projects/110
