Interprofessional Evidence-Based Solution for Alcohol Screening Using Technology

2.50
Hdl Handle:
http://hdl.handle.net/10755/603301
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Title:
Interprofessional Evidence-Based Solution for Alcohol Screening Using Technology
Other Titles:
Promoting Health Through Evidence [Session]
Author(s):
Puskar, Kathryn
Lead Author STTI Affiliation:
Eta
Author Details:
Kathryn Puskar, FAAN, krp12@pitt.edu
Abstract:
Session presented on Sunday, November 8, 2015: Purpose: Communication and coordination between clinical providers across all disciplines is needed to deliver efficient and effective care for patients with risky substance use, misuse, or substance use disorders. Universal screening identifies patients who may be at risk for problems related to substance misuse. Nurses receive limited content in nursing school curricula or continuing education about interprofessional education and evidence-based substance use screening or brief interventions. The purpose is to share results of an interprofessional evidence based practice solution for Alcohol Screening in rural areas using technology. Methods: A mixed method design employing both quantitative pre-to post-survey and qualitative focus group and key informant interview methods was used. Measures: The Alcohol and Alcohol Problems Perceptions Questionnaire (AAPPQ), drug (DDPPQ), and the Interdisciplinary Education Perception Scale (IEPS) questionnaires were administered. Results: Data demonstrates statistically significant improvement in confidence and competence. (Piper1) Two products resulted: online training module offering Continuing Education Units (CEU’s) and a training manual titled Substance Use Education Manual for Nurses, both available online for distribution. AAPPQ: Scores on both subscales of the AAPP questionnaire increased over time. The average score for role security, a measure on a 2 to 10 scale of self-perceived skill and legitimacy in working with problem drinkers, increased significantly from the pre-training period ( M =7.5, SD =1.4) to the post-training period ( M =8, SD =1) and to the follow up period ( M =8.3, SD =1.7), F (2,65)=6.24, p <.01. The average score for Therapeutic Commitment to working with problem drinkers, measured on a 3 to 15 scale, increased significantly from the pre-training period ( M =10.7, SD =1.8) to the post-training period ( M =11.1, SD =1.7) and to the follow up period ( M =11.2, SD =2.4), F (2,64)=1.8, p =.17. DDPPQ: Scores on both subscales of the DDPP questionnaire increased over time. The average score for role security increased non-significantly from the pre-training period ( M =7.5, SD =1.3) to the post-training period ( M =7.8, SD =1.1) and to the follow up period ( M =8, SD =1.7), F (2,64)=2.36, p =.1. The average score for therapeutic commitment also increased non-significantly from the pre-training period ( M =10.7, SD =2.2) to the post-training period ( M =11, SD =2.1) and to the follow up period ( M =11.45, SD =3), F (2,65)=1.77, p =.18. IEPS: The average score for perceived autonomy of one’s profession measured on a 1 to 6 scale increased significantly from baseline ( M =4.7, SD =.81) to the post-training period ( M =4.9, SD =.8) and to the follow up period ( M =5.1, SD =.82), F (2,139)=4.08, p =.02.  The average increase (0.36) in Autonomy between pre training and follow up was statistically significant ( p <0.01). Average Actual Cooperation scores increased from baseline ( M =4.9, SD =.7) to post-training ( M =5.1, SD =.75) and to the follow-up assessment ( M =5.3, SD =.7), F (2,143)=6.21, p <.01 . The average increase (0.39) in Actual Cooperation between pre training and follow up was statistically significant ( p <0.01). Conclusions: Our findings have implications for nursing and healthcare systems and policy. Integration of substance misuse screening throughout the lifespan of patients into all nursing curricula is essential to address substance use as a domestic and global public health issue using interprofessional and technology focus. (Piper1)
Keywords:
Interprofessional; Alcohol; SBIRT
Repository Posting Date:
21-Mar-2016
Date of Publication:
21-Mar-2016
Other Identifiers:
CONV15C07
Conference Date:
2015
Conference Name:
43rd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Las Vegas, Nevada, USA
Description:
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.titleInterprofessional Evidence-Based Solution for Alcohol Screening Using Technologyen
dc.title.alternativePromoting Health Through Evidence [Session]en
dc.contributor.authorPuskar, Kathrynen
dc.contributor.departmentEtaen
dc.author.detailsKathryn Puskar, FAAN, krp12@pitt.eduen
dc.identifier.urihttp://hdl.handle.net/10755/603301en
dc.description.abstractSession presented on Sunday, November 8, 2015: Purpose: Communication and coordination between clinical providers across all disciplines is needed to deliver efficient and effective care for patients with risky substance use, misuse, or substance use disorders. Universal screening identifies patients who may be at risk for problems related to substance misuse. Nurses receive limited content in nursing school curricula or continuing education about interprofessional education and evidence-based substance use screening or brief interventions. The purpose is to share results of an interprofessional evidence based practice solution for Alcohol Screening in rural areas using technology. Methods: A mixed method design employing both quantitative pre-to post-survey and qualitative focus group and key informant interview methods was used. Measures: The Alcohol and Alcohol Problems Perceptions Questionnaire (AAPPQ), drug (DDPPQ), and the Interdisciplinary Education Perception Scale (IEPS) questionnaires were administered. Results: Data demonstrates statistically significant improvement in confidence and competence. (Piper1) Two products resulted: online training module offering Continuing Education Units (CEU’s) and a training manual titled Substance Use Education Manual for Nurses, both available online for distribution. AAPPQ: Scores on both subscales of the AAPP questionnaire increased over time. The average score for role security, a measure on a 2 to 10 scale of self-perceived skill and legitimacy in working with problem drinkers, increased significantly from the pre-training period ( M =7.5, SD =1.4) to the post-training period ( M =8, SD =1) and to the follow up period ( M =8.3, SD =1.7), F (2,65)=6.24, p <.01. The average score for Therapeutic Commitment to working with problem drinkers, measured on a 3 to 15 scale, increased significantly from the pre-training period ( M =10.7, SD =1.8) to the post-training period ( M =11.1, SD =1.7) and to the follow up period ( M =11.2, SD =2.4), F (2,64)=1.8, p =.17. DDPPQ: Scores on both subscales of the DDPP questionnaire increased over time. The average score for role security increased non-significantly from the pre-training period ( M =7.5, SD =1.3) to the post-training period ( M =7.8, SD =1.1) and to the follow up period ( M =8, SD =1.7), F (2,64)=2.36, p =.1. The average score for therapeutic commitment also increased non-significantly from the pre-training period ( M =10.7, SD =2.2) to the post-training period ( M =11, SD =2.1) and to the follow up period ( M =11.45, SD =3), F (2,65)=1.77, p =.18. IEPS: The average score for perceived autonomy of one’s profession measured on a 1 to 6 scale increased significantly from baseline ( M =4.7, SD =.81) to the post-training period ( M =4.9, SD =.8) and to the follow up period ( M =5.1, SD =.82), F (2,139)=4.08, p =.02.  The average increase (0.36) in Autonomy between pre training and follow up was statistically significant ( p <0.01). Average Actual Cooperation scores increased from baseline ( M =4.9, SD =.7) to post-training ( M =5.1, SD =.75) and to the follow-up assessment ( M =5.3, SD =.7), F (2,143)=6.21, p <.01 . The average increase (0.39) in Actual Cooperation between pre training and follow up was statistically significant ( p <0.01). Conclusions: Our findings have implications for nursing and healthcare systems and policy. Integration of substance misuse screening throughout the lifespan of patients into all nursing curricula is essential to address substance use as a domestic and global public health issue using interprofessional and technology focus. (Piper1)en
dc.subjectInterprofessionalen
dc.subjectAlcoholen
dc.subjectSBIRTen
dc.date.available2016-03-21T16:47:38Zen
dc.date.issued2016-03-21en
dc.date.accessioned2016-03-21T16:47:38Zen
dc.conference.date2015en
dc.conference.name43rd Biennial Conventionen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationLas Vegas, Nevada, USAen
dc.description43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`en
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