Degree Name
Nursing Practice, DNP
Publication Date
6-24-2025
First Advisor
Lisa Drake
Second Advisor
Beverly Clark
Abstract
No-shows are widely reported in behavioral health venues. They hinder continuity of care, decrease clinic efficiency, and compromise patient care. The solution requires addressing patients’ behavior and internal facility processes. This quality improvement (QI) project aimed to reduce no-show rates by providing staff with tools and enhancing their self-efficacy in managing appointments. The project was conducted in a rural East Texas behavioral clinic. Clinic staff reported challenges with patient reminders, scheduling, and follow-up issues that cause increased no-shows. The QI project aimed to empower staff by providing evidence-based scheduling strategies and decision support resources to enhance their confidence and attendance rates. The project employs a quasi-experimental design with three phases: pre-intervention, mid-intervention, and post-intervention. Five staff members received training in communication, scheduling, and using eClinicalWorks decision-support tools. GSES was administered at the start, middle, and conclusion of the intervention. Clinic data were collected over four weeks to track trends in no-show rates. The impact on staff self-efficacy and facility attendance was significant. GSES experienced an increase from 27.8 to 32.8, and a decrease in no-show rates of 7.3%. A paired samples t-test, t (4) = −7.91, p = 0.001, revealed a significant increase in confidence ratings. This QI project demonstrates that greater self-assuredness on the part of staff can improve the clinic's productivity and encourage higher patient arrival rates. It is a straightforward and cost-effective model that other practices can follow to improve patient care and reduce no-show rates.
Rights Management
This work is licensed under a Creative Commons Attribution 4.0 International License.
Recommended Citation
Wabang, Aaron, "Quality Improvement Project Enhancing Self-Efficacy in Managing Patient No-Shows: A Staff-Focused Intervention" (2025). Doctor of Nursing Practice Projects. 188.
https://arch.astate.edu/dnp-projects/188
