Piloting an Opioid Risk Screening Tool in Clinical Practice.

IF 0.2 Q4 NURSING Journal of Doctoral Nursing Practice Pub Date : 2024-03-27 DOI:10.1891/JDNP-2023-0023
Godfrey Aneke, Jeffery Wade Forehand, Brandy Simpler, Amanda Dunagan
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Abstract

Background: Despite much research and many interventions, the opioid epidemic continues to plague the United States. According to the Centers for Disease Control and Prevention (2021), 136 people die daily from both prescription and illicit opioids. Objective: The goal of this pilot quality improvement project is to examine how the implementation of the Opioid Risk Tool (ORT) in clinical practice might impact the beliefs and attitudes of nurse practitioners (NPs) toward prescribing opioid therapy. Methods: A pre-post design was utilized. A convenience sample recruited participants from a private NP Facebook group. The intervention included a prerecorded presentation on the ORT and the use of the ORT for 8 weeks. Results: While 46 NPs completed the presurvey, only 19 NPs completed the postsurvey. Statistical results did not yield significance, but there were several significant clinical trends discovered. Conclusion: Utilizing the ORT to screen for opioid misuse risks has been shown to improve providers' confidence in opioid prescribing. ORT guides providers in discerning patient risk for developing dependence on opioids. Implications for Nursing: Screening for opioid misuse risk is feasible. ORT adds to the clinical context in deciding a course of treatment in pain management.

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在临床实践中试用阿片类药物风险筛查工具。
背景:尽管开展了大量研究并采取了许多干预措施,但阿片类药物的流行仍然困扰着美国。根据美国疾病控制和预防中心(2021 年)的数据,每天有 136 人死于处方和非法阿片类药物。目标:本质量改进试点项目旨在研究在临床实践中实施阿片类药物风险工具(ORT)会如何影响执业护士(NPs)对开具阿片类药物处方的信念和态度。方法:采用前-后设计。从一个私人 NP Facebook 群组中招募方便抽样参与者。干预措施包括预先录制的 ORT 介绍和为期 8 周的 ORT 使用。结果:虽然有 46 名护士完成了事前调查,但只有 19 名护士完成了事后调查。统计结果并不显著,但发现了一些重要的临床趋势。结论:事实证明,利用 ORT 筛查阿片类药物滥用风险可提高医疗服务提供者对阿片类药物处方的信心。ORT 可指导医护人员识别患者对阿片类药物产生依赖的风险。对护理工作的启示:筛查阿片类药物滥用风险是可行的。在决定疼痛治疗方案时,ORT 增加了临床背景。
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CiteScore
0.60
自引率
0.00%
发文量
45
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