Date of Graduation

Fall 12-16-2022

Document Type


Degree Name

Doctor of Nursing Practice (DNP)


School of Nursing and Health Professions




Psychiatric Mental Health Nurse Practitioner Executive Summary

First Advisor

Dr. Trinette Radasa

Second Advisor

Dr. Grashika Devendra



This paper describes a DNP project that was designed to address the issue of rural mental telehealth implementation barriers. One of the main barriers to rural telehealth programs has been a technical infrastructure incapable of adequately hosting the telehealth programs. Low-Earth orbit (LEO) internet technology has emerged as a way to solve the rural telehealth conundrum by offering an improved rural technical infrastructure. An integrated review was completed based on the following PICOT question: In rural providers, how does an educational outreach compared to no educational outreach affect provider adoption of new technologies? The evidence showed educational sessions as efficacious in enhancing provider buy-in for new technologies. Lewin’s Change Theory served as the project’s framework. The project planned to offer rural providers education sessions that cover how to implement LEO-supported telehealth programs, the technology’s capabilities, and reimbursement requirements. It measured the providers’ knowledge and interest before and after the educational outreach. It aimed to improve provider knowledge, interest, and overall buy-in. Data analysis for the project utilized the SPSS program to conduct dependent t-tests, Cohen’s d, Cronbach’s alpha, and a post hoc power analysis. Ethical considerations were navigated using the ANA Code of Ethics and Jesuit values. Statistically significant results were found in pre versus post knowledge test and interest survey scores with improvements in both. Limitations were identified around provider attendance concerns and having a sufficient study population. Overall, LEO technology appears to be an ideal option for overcoming short-term and long-term implementation barriers to rural telehealth.

Included in

Nursing Commons