Date of Award

January 2022

Document Type

Open Access Thesis

Degree Name

Doctor of Nursing Practice (DNP)


Yale University School of Nursing

First Advisor

Joanne DeSanto Iennaco


Patients on antipsychotic medications are at higher risk of developing metabolic syndrome; nevertheless, metabolic screening for patients on antipsychotics is suboptimal. This project implemented a nurse-driven protocol on inpatient psychiatric units to increase metabolic screening compliance rates. The literature on improving metabolic screening as well as the clinical use of nurse-driven protocols were used to develop a protocol. The initial implementation of the protocol showed no change in screening rate; however, when the protocol was updated to include nursing leader involvement, metabolic screening increased. Nurses’ perception of the nurse-driven protocol was examined and found a negative perception and no change in empowerment when nurses were surveyed pre- and post-implementation. Further research is needed to better understand adoptability of nurse-driven protocols in the psychiatric inpatient setting as well as other applications, such as smoking cessation or safety sitters.


This is an Open Access Thesis.

Open Access

This Article is Open Access