Doctor of Nursing Practice (DNP) Projects
Access Control
Open Access
Embargo Period
5-3-2020
Degree Program
Doctor of Nursing Practice
Degree Track
Psychiatric Mental Health Nurse Practitioner (PMHNP)
Year Degree Awarded
2020
Month Degree Awarded
May
Keywords
alcohol screening, screening attitudes, alcohol screening barriers, obstacles to alcohol screening, nurses and alcohol screening, SBI implementation
Advisor
Rachel Walker, PhD
Abstract
Background: Excessive alcohol use is responsible for 88,000 deaths in the United States each year. Alcohol Screening and Brief Intervention (ASBI) is highly effective for the prevention and treatment of harmful alcohol use in community healthcare settings; however, this intervention is not widely used by healthcare professionals. A structured search of bibliographic databases was conducted to locate evidence-based articles pertaining to barriers to ASBI. Evidence suggests that the lack of knowledge and confidence is responsible for the underutilization of ASBI. Purpose: To assess the impact of ASBI training on nursing staff knowledge, attitude, and confidence and to make ASBI a routine and systematic practice. Methods: Fifteen participants attended two ASBI education workshops. Case scenarios in the form of screening simulation were utilized to reinforce key concepts. Nine participants completed a paper-based survey questionnaire administered before and after ASBI training. Data was collected using a quantitative approach via self-report numeric rating questions. To draw conclusions about the true impact of ASBI training, pre and post-survey scores were compared, and the main outcome means were analyzed using a paired-sample t-test. Results: Four questions related to ASBI knowledge, attitude, and confidence were included in the questionnaire. Post-training mean scores were higher than pre-training mean scores and results in the main training outcome were statistically significant. Conclusion: The successful implementation of this project provides evidence that education interventions can be effective at improving competence and comfort in delivering alcohol screening and brief intervention in community healthcare settings
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