Safe opioid prescribing through proper screening
View File(s)
PDF (830.6Kb)
Visitor Statistics
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Country | Visits |
---|
Top Visiting Cities
City | Visits |
---|
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Carson, Joelle M. by View
Title | Page Views |
---|
Popular Works for Carson, Joelle M. by Download
Title | Downloads |
---|
View Citations
Citations
The citations below are meant to be used as guidelines. Patrons must make any necessary corrections before using. Pay special attention to personal names, capitalization, and dates. Always consult appropriate citation style resources for the exact formatting and punctuation guidelines.
Item Information
Item Link - Use this link for citations and online mentions.
Abstract
It is known in today’s healthcare that opioid abuse is on the rise in the United States. The project site noted aberrant behaviors and the seeking of narcotics from certain clients in the occupational health clinic. The purpose of this quantitative quasi-experimental quality improvement project was to determine if the implementation of Webster’s Opioid Risk Tool (ORT) would impact the number of opioid prescriptions written for acute pain among patients seen an occupational health clinic in central Indiana over four-weeks. The theoretical frameworks utilized in the project included Skinner’s behaviorist theory, Bandura’s social cognitive theory, and Orem’s self-care deficit theory. The sample population included 46 patients n=22 in the comparative group and n=24 in the implementation group. Data was obtained from the electronic medical record. A chi-square test revealed a statistical and clinically significant decline in opioid prescription rates from the comparative (n =22, 100%) to the implementation group (n= 9, 37.5%), X2 (1, N=46) = 20.40, p = .000. The results indicated the implementation of Webster’s ORT may reduce the number of opioid prescriptions for acute pain patients in the occupational health setting. Recommendations include sustaining the project, disseminate the findings along other settings where acute pain prescriptions are utilized, and future research to include implementation of multiple care modalities in patients with aberrant behavior.
Description
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 28320406; ProQuest document ID: 2506474801. The author still retains copyright.
Repository Posting Date
2021-07-15T14:16:29Z
Notes
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
Type Information
Type | Dissertation |
Acquisition | Proxy-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Category Information
Evidence Level | Quality Improvement |
Research Approach | Quantitative Research |
Keywords | Chronic Pain; Opioid Prescriptions; PTSD; Skinner's Behaviorist Theory; Webster's Opioid Risk Tool; Formal Screening |
Degree Information
Grantor | Grand Canyon University |
Advisor | Price, Linda; Fetter, Catherine |
Level | DNP |
Year | 2021 |
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Related items
Showing items related by title, author, creator and subjects.
-
Safely prescribing opioids for chronic pain in primary care using risk mitigation strategies
Howard, MindyBackground: Safely prescribing opioids in primary care for adults with chronic non-cancer related pain has become a cornerstone of fighting the current opioid epidemic. The statistics are alarming, with the Centers for ... -
Implementation & evaluation of safe opioid prescribing guidelines for chronic non-cancer pain in primary care
Parsons, NicoleUptake of evidence-based guidelines varies among primary care providers when treating chronic non-cancer pain patients in managed primary care settings. This project aimed to determine the feasibility and compliance of the ... -
Weight status among prescription opioid users with chronic pain
Bigand, Teresa LouiseBackground: Greater than 70% of the United States (US) adult population is overweight as defined by body mass index (BMI) greater than 25 kg/m2. Adults who are overweight are more likely to report chronic pain than those ... -
Chronic pain: A systematic review of current treatment approaches and the impact on patient outcomes
O'Hare, Anne M. (2015-08-04)Objective: To explore the effectiveness of treatment modalities considered alternative to opioid medication for non-malignant chronic pain. Design: A systematic review of the literature was performed using the Preferred ... -
A screening tool to identify patients at high risk for perioperative neuropathy
Ibbotson, Carla M.Purpose: This project aimed to evaluate anesthesia provider attitudes surrounding the clinical topic of perioperative peripheral nerve injury. Additionally, the project sought to introduce anesthesia providers to a novel ...