2.50
Hdl Handle:
http://hdl.handle.net/10755/308525
Category:
Abstract
Type:
Presentation
Title:
Emergency Nurses Address Substance Use in the Rural Hospital
Author(s):
Kane, Irene; Talcott, Kimberly; Christy, Laurie; Houze, Martin P; Boucek, Lynn O.; Puskar, Kathryn; Owens, Kimberly; Aiello, James L.; Lindsay, Dawn; Mitchell, Ann M.; Hagle, Holly
Lead Author STTI Affiliation:
Eta
Author Details:
Irene Kane, PhD, MSN, RN, CNAA, HFI, irk1@pitt.edu; Kimberly Talcott, MPA; Laurie Christy, RN; Martin P Houze, MA; Lynn O. Boucek, BSN; Kathryn Puskar, DrPH, MN, MPH, FAAN; Kimberly Owens, MSN, BSN, CS; James L. Aiello, MA, MEd; Dawn Lindsay, PhD; Ann M. Mitchell, PhD, RN, FAAN; Holly Hagle, MA
Abstract:

Session presented on: Monday, November 18, 2013

Background: Rural emergency departments (EDs) offer strategic opportunities to screen and intervene with underserved patients for high-risk alcohol and other drug use (AOD) associated with immediate/ long-term health problems necessitating the ED visit. Nationally, over 23.1 million individuals aged 12 and older need substance use treatment, but less than 10% receive treatment. Emergency department registered nurses (EDRNs) can readily assess patients for high-risk substance use through implementing the evidence-based screening, brief intervention, and referral to treatment (SBIRT) program.  

Methods: University of Pittsburgh School of Nursing partnered with a rural sole-provider community hospital (14,135 annual ED visits) and trainers from a non-profit training institute to teach SBIRT to 16 EDRNs, 6 ICU RNs (ED rotate), 4 supervisors, 2 MDs, 9 ED staff. Face-to-face training sessions followed by an online course review, one-on-one booster guidance, and nurse champion development comprised the program focused on developing patient-centered knowledge and skills to improve quality of care for patients whose AOD use may not warrant specialized professional care, but require earlier identification along the continuum of substance use, abuse, dependence to prevent major health complications.

Results: Outcome data indicate EDRNs and other staff responded positively to the training with significant perceptions and knowledge improvement from pre-training to post-training as reported on the Alcohol and Alcohol Problems Perceptions Questionnaire, Drug and Drug Problems Perceptions Questionnaire, and the SBIRT Knowledge Scale. Qualitative data indicated EDRNs and staff retained basic SBIRT knowledge, but documenting the SBIRT process requires additional informatics upgrades.  

Conclusions and Implications for Nursing Practice: Incorporating SBIRT into rural sole-provider hospitals offers opportunities for EDRNs to identify AOD use and briefly intervene to divert problematic use before specialty care is required. Further, the improved quality of ED patient-centered SBIRT care for this rural population provides compliance with newly proposed hospital addictions Joint Commission screening performance measures.

Keywords:
Evidence-Based Practice; Substance Use; Emergency Room Nurses
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleEmergency Nurses Address Substance Use in the Rural Hospitalen_GB
dc.contributor.authorKane, Ireneen_GB
dc.contributor.authorTalcott, Kimberlyen_GB
dc.contributor.authorChristy, Laurieen_GB
dc.contributor.authorHouze, Martin Pen_GB
dc.contributor.authorBoucek, Lynn O.en_GB
dc.contributor.authorPuskar, Kathrynen_GB
dc.contributor.authorOwens, Kimberlyen_GB
dc.contributor.authorAiello, James L.en_GB
dc.contributor.authorLindsay, Dawnen_GB
dc.contributor.authorMitchell, Ann M.en_GB
dc.contributor.authorHagle, Hollyen_GB
dc.contributor.departmentEtaen_GB
dc.author.detailsIrene Kane, PhD, MSN, RN, CNAA, HFI, irk1@pitt.edu; Kimberly Talcott, MPA; Laurie Christy, RN; Martin P Houze, MA; Lynn O. Boucek, BSN; Kathryn Puskar, DrPH, MN, MPH, FAAN; Kimberly Owens, MSN, BSN, CS; James L. Aiello, MA, MEd; Dawn Lindsay, PhD; Ann M. Mitchell, PhD, RN, FAAN; Holly Hagle, MAen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308525-
dc.description.abstract<p>Session presented on: Monday, November 18, 2013</p>Background: Rural emergency departments (EDs) offer strategic opportunities to screen and intervene with underserved patients for high-risk alcohol and other drug use (AOD) associated with immediate/ long-term health problems necessitating the ED visit. Nationally, over 23.1 million individuals aged 12 and older need substance use treatment, but less than 10% receive treatment. Emergency department registered nurses (EDRNs) can readily assess patients for high-risk substance use through implementing the evidence-based screening, brief intervention, and referral to treatment (SBIRT) program.   <p>Methods: University of Pittsburgh School of Nursing partnered with a rural sole-provider community hospital (14,135 annual ED visits) and trainers from a non-profit training institute to teach SBIRT to 16 EDRNs, 6 ICU RNs (ED rotate), 4 supervisors, 2 MDs, 9 ED staff. Face-to-face training sessions followed by an online course review, one-on-one booster guidance, and nurse champion development comprised the program focused on developing patient-centered knowledge and skills to improve quality of care for patients whose AOD use may not warrant specialized professional care, but require earlier identification along the continuum of substance use, abuse, dependence to prevent major health complications. <p>Results: Outcome data indicate EDRNs and other staff responded positively to the training with significant perceptions and knowledge improvement from pre-training to post-training as reported on the Alcohol and Alcohol Problems Perceptions Questionnaire, Drug and Drug Problems Perceptions Questionnaire, and the SBIRT Knowledge Scale. Qualitative data indicated EDRNs and staff retained basic SBIRT knowledge, but documenting the SBIRT process requires additional informatics upgrades<b>.  </b><p>Conclusions and Implications for Nursing Practice: Incorporating SBIRT into rural sole-provider hospitals offers opportunities for EDRNs to identify AOD use and briefly intervene to divert problematic use before specialty care is required. Further, the improved quality of ED patient-centered SBIRT care for this rural population provides compliance with newly proposed hospital addictions Joint Commission screening performance measures.en_GB
dc.subjectEvidence-Based Practiceen_GB
dc.subjectSubstance Useen_GB
dc.subjectEmergency Room Nursesen_GB
dc.date.available2013-12-19T17:32:29Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:32:29Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
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