Implementation of frostbite and opioid overdose response guidelines at a warming center
Kristeljei Baltazar, RN, BSN- firstname.lastname@example.org and Rachel Turner, RN, BSN- email@example.com
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Nature and Scope of Project: Homelessness is a major crisis within the United States. The instability of the homeless population’s lifestyle exposes them to physical and mental health conditions such as frostbite and opioid use. Due to the harsh winter weather conditions in Minnesota, homeless individuals often experience frostbite. In addition, opioid overdoses continue to rise within this community, with numbers doubling each year. The purpose of this project was to increase staff and volunteer knowledge and confidence levels surrounding the response to frostbite injuries and opioid overdoses by implementing guidelines at a warming center for homeless individuals.
Synthesis and analysis of supporting literature: The Avoid, Spot, Treat infographic developed by the Centers for Disease Control and Prevention and the Opioid Overdose Preparedness & Response in Congregate Housing & Shelters guideline developed by the Boston Health Care for the Homeless Program guided this project.
Project implementation: Training on frostbite and opioid overdose response guidelines was provided to the staff and volunteers during implementation. Pre-and post-implementation assessments were administered to assess knowledge and confidence levels surrounding frostbite and opioid overdose. Challenges encountered included frequent changes to the implementation date and low attendance from staff/volunteers.
Evaluation criteria: The data produced from the knowledge assessments were evaluated using a two-tailed Wilcoxon signed rank test. The confidence assessments were evaluated using a descriptive approach. The project is considered a success if there is a statistically significant increase in knowledge and confidence levels after implementation.
Outcomes: Results of the data showed an overall increase in both knowledge and confidence levels among the staff and volunteers. Furthermore, 100% of the participants stated they believed the guideline training helped them become more confident in responding to opioid overdoses and frostbite injuries.
Recommendations: Implementation of opioid overdose and frostbite response guidelines should occur within facilities serving the homeless population. Future research should be conducted to further evaluate the knowledge and confidence levels of staff working with opioid overdoses and frostbite injuries among the homeless population.
|Type||DNP Capstone Project|
|Review Type||None: Degree-based Submission|
|Evidence Level||Quality Improvement|
|Research Approach||Mixed/Multi Method Research|
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