Date of Conferral

2022

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Lilo Fink

Abstract

Opioid addiction is a widespread chronic disease affecting millions of Americans each year, resulting in medical, social, financial, and societal detriments. Patients experiencing opioid withdrawal benefit from a standardized and evidence-based approach to care. The purpose of this doctoral nursing project was to provide inpatient nursing education for a standardized clinical practice approach to optimize patient outcomes. The research question examined the impact of an educational program for nurses presenting a new standardized opioid withdrawal clinical practice guideline inclusive of assessment, nursing interventions, a symptom triggered order set, and follow up plan of care in terms of knowledge gained and optimization of care. Symptom triggered management is supported by Ida Jean Orlando’s nursing theory which involves nurse responses to patient behavior and resulting interventions to relieve distress. Staff education was conducted using the analysis, design, development, implementation, evaluation model of professional development. Anonymous pre- and post-assessment surveys (n=16) were conducted with participant consent. The subjective assessment results, analyzed using statistical software, indicated the education program increased participant knowledge and confidence regarding this topic. Objective result assessed through post education examination of knowledge indicated a need for additional and ongoing education on this topic. Social change implications of this study will be achieved through application of evidence-based practice into bedside nursing care, resulting in nurses’ improved ability to relate to patients, provide optimal evidence-based care, and improve patient outcomes.

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