Date of Award


Document Type

Doctor of Nursing Practice (DNP)

Degree Name

Doctor of Nursing Practice (DNP)



Committee Chair

Rita Ferguson


Evidence-based medicine, Psychiatric nursing, Mental health, Outcome assessment (Medical care)


The Joint Commission on Hospital Accreditation (JACHO) is an accrediting agency requiring specific standards that a facility must meet to qualify for accreditation. One of the criteria is that the outcomes related to patient care must be measurable. Facilities readily replied to this requirement in all areas of nursing except mental health. After much outcry from advocacy agencies, JACHO revised the standard with specific language that requires organizations that provide care for mentally ill patients to have standardized scale instruments to measure patient outcomes (“A National Call for Measurement-Based Care,” 2017). This revised standard went into effect on January 1, 2018. The purpose of this paper is to describe the process of discovering a measurement tool, training psychiatric nurses to administer and use the instrument, and to implement measure-based outcomes for inpatient psychiatric patients.



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