Author Type

Graduate Student

Date of Award

Fall 4-18-2025

Document Type

Dissertation

Publication Status

Version of Record

Submission Date

December 2025

College Granting Degree

Christine E. Lynn College of Nursing

Degree Name

Doctor of Nursing Practice (DNP)

Thesis/Dissertation Advisor [Chair]

Tracian Kelly

Abstract

This quality improvement project aimed to improve continuity of care for individuals with schizophrenia and bipolar I disorder by implementing an evidence-based protocol to increase the use of long-acting injectable (LAI) antipsychotics in an outpatient psychiatric setting. Guided by the Iowa Model and Jean Watson's Theory of Human Caring, the intervention focused on the early identification of individuals at risk of relapse, the adoption of standardized protocols, education for both patients and caregivers and structured staff training. The protocol, adapted from the Taiwanese Society of Biological Psychiatry and Neuropsychopharmacology (TSBPN), provided clear criteria for LAI initiation and follow-up care. Outcomes were measured using validated tools such as the Bipolar Recovery Questionnaire and Recovery Assessment Scale, alongside adherence and readmission metrics. The project resulted in improved staff knowledge, enhanced patient engagement, and a projected 25% increase in LAI use over three months. These findings support the role of nurse-led, person-centered interventions in advancing evidence-based psychiatric care and reducing hospital readmissions among vulnerable populations.

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