Date of Award


Document Type


Degree Name

Doctor of Nursing Practice (DNP)

Committee Chair

Kathy Williams


Lack of acute-care hospital non-psychiatric nurses’ confidence and competence with suicidality has been reported in the literature. Evidence supports multi-modal education to increase recall and improve outcomes. The theory of self-efficacy included concepts of confidence as well as competence and served as the project’s theoretical underpinning. A descriptive design was utilized to examine the effects of an education intervention using various methodologies addressing suicide risk factors, prevention, management, and safe care on nurses’ perceived level of self-efficacy. Methods included a pre-test survey, an education module intervention, and a non-matched post-test survey. The survey used consisted of 11 of the original Suicide Competency Inventory (SCI) statements arranged across three scales. Convenience sampling was used with 26 participants in the pre-survey and 40 in the post-survey groups. A shift toward positive responses was observed for nine statements (range 0.2% to 34.2%). Non-psychiatric nurse positivism concerning competency to treat/care for suicidal patients was 2.141 times more likely after completing the education module. Chi-squared testing revealed statistically significant improvements with the most significant increase in the nurses’ perceived competency scale 2 = 14.513 and p< .0001. Multi-modal education regarding suicidality can improve nurses’ self-efficacy in caring for suicidal patients or those at risk for suicide to promote better outcomes and improved safety.

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Creative Commons Attribution 4.0 License
This work is licensed under a Creative Commons Attribution 4.0 License.