Degree Name
Nursing Practice, DNP
Publication Date
11-29-2025
First Advisor
Lisa Drake
Second Advisor
Jacquie Sands
Abstract
Medication reconciliation represents a critical safety process in psychiatric healthcare, where medication discrepancies affect up to 67% of hospitalized patients, with 30-40% potentially causing significant harm. This quality improvement project implemented a standardized medication reconciliation training program at a Texas mental health facility to address knowledge and confidence gaps among clinical staff. Using Kotter's 8-Step Change Model and the Iowa Model of Evidence-Based Practice, this quasi-experimental pre-post intervention study delivered three 30-minute interactive sessions to 12 multidisciplinary healthcare professionals. The evidence-based intervention introduced a 3-phase reconciliation model focused on obtaining accurate medication histories, documentation, and discrepancy resolution. Data collection used the self-developed Medication Reconciliation Knowledge Assessment and the validated Susan Grundy Confidence Scale (C-Scale). Results revealed statistically significant improvements in knowledge scores (22.5 percentage points increase, p < .001) with large effect size (d =1.68) and confidence ratings (2.17-point increase on 5-point scale, p < .001) with very large effect size (d = 2.95). The 100% retention rate demonstrated implementation feasibility within clinical workflows. Despite limitations including small sample size and self-reported measures, the findings confirm that structured educational interventions effectively improve medication reconciliation practices in psychiatric settings. This project advances patient safety by establishing standardized reconciliation protocols that enhance medication accuracy, strengthen interprofessional collaboration, and foster adherence to safe prescribing standards.
Rights Management
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
Recommended Citation
Obi, Christologus, "Quality Improvement Project: Standardized Medication Reconciliation Process Training: A Path to Improve Staff Medication Confidence" (2025). Doctor of Nursing Practice Projects. 244.
https://arch.astate.edu/dnp-projects/244
