Date of Graduation

Fall 12-12-2025

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)

College/School

School of Nursing and Health Professions

Program

MSN project

First Advisor

Tania Borja-Rodrigues

Second Advisor

Robert Patterson

Abstract

Objective: Inappropriate psychotropic medication use and documentation poses a risk to patient safety and health as well as premature death while also leading to regulatory noncompliance (Bednarczyk et al., 2022). Improving nurse documentation can help patients maintain safe and adequate prescriptions and doses. Context: Baseline data collected within our microsystem revealed gaps in nurse comfort and knowledge around documentation requirements. The nursing staff (LVNs/RNs), who we received the baseline data from, are responsible for assessments, documentation, and patient monitoring, for which there is significant variability in understanding the required expectations. Interventions: The education for the skilled nursing staff as well as the standardized flow sheets were provided to increase staff knowledge, comfort, and adherence to documentation standards. Methods: Pre- and post-intervention surveys assessed nursing staff knowledge, confidence, and documentation methods over a 6 week period. Results: Average staff confidence in psychotropic medication documentation increased from 44.4% to 60.7%. Nurse knowledge of the documentation processes improved from 80% to 85.7%. Conclusion: Focused education paired with structured tools enhance nursing staff competency, supports compliance, and promotes safer, high-quality patient care. Improvements were observed, but findings also show a need for a continued education on psychotropic medication use in addition to standardizing documentation practices due to the percentage decrease in knowledge between the pre and post intervention surveys. Future efforts will include ongoing staff education on psychotropic medication requirements and evidence-based interventions and EHR charting review and training as requested by staff.

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