Date of Award

Spring 5-27-2017

Document Type

Doctor of Nursing Practice Final Manuscript

Degree Name

Doctor of Nursing Practice



First Advisor

Michael Terry, DNP, APRN

Second Advisor

Carolina Osorio, MD


Purpose: To increase psychiatric providers’ adherence to the recommendations set forth in the American Psychiatric Association Consensus Guideline for metabolic management of patients prescribed second generation antipsychotic medications (SGAs).

Background: Research suggests that SGAs increase the indicators of metabolic syndrome and a need exists in collecting patients’ biometrics that influences metabolic management.

Methods: Guided by the Iowa Model of Research in Practice, baseline data was collected on blood pressure and body mass index documentation. Metabolic management education was provided to providers in a community behavioral health clinic and four weeks of post data was collected.

Results: A 70% increase in the compliance of blood pressure documentation and a 58.23% increase in body mass index documentation were noted from the baseline data to the post education data.

Conclusions: This evidence-based practice project is the first step in the process of shifting psychiatric provider behavior in adhering to the guidelines for metabolic management of the patients prescribed SGAs.

Available for download on Thursday, May 17, 2018