Organizational fidelity to a medication management evidence-based practice in the treatment of schizophrenia

Peggy El-Mallakh, Patricia B. Howard, Mary Kay Rayens, Autumn P. Roque, Sarah Adkins

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Organizational support is essential for successful implementation of evidence-based practice (EBP) in clinical settings. This 3-year study used a mixed qualitative and quantitative design to implement a medication management EBP in the treatment of schizophrenia in six community mental health clinics in a south-central state of the United States. Findings from organizational fidelity assessments indicate that support for EBP implementation was moderate. Organizational support was highest for prescriber access to relevant patient information at each medication visit, scheduling flexibility for patients' urgent problems, and availability of medication guidelines. Organizational support was lowest for medication availability and identification of treatment refractory patients. Findings suggest that leadership is essential to support successful implementation. Nurse educators can incorporate implementation research and leadership training into graduate nursing programs to facilitate successful EBP implementation in practice settings.

Original languageEnglish
Pages (from-to)35-44
Number of pages10
JournalJournal of Psychosocial Nursing and Mental Health Services
Issue number11
StatePublished - 2013

ASJC Scopus subject areas

  • General Nursing
  • Psychiatric Mental Health


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