Date of Conferral

2022

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Catherine Garner

Abstract

As a result of an institution-wide campaign to train providers on the administration of opioid reversal agents within a large medical center in the northeastern United States, the practice problem emerged that there was no patient/family education document for healthcare providers to use as a guide to educate patients on opioid risk and proper administration of naloxone to prevent opioid overdose in the outpatient setting. This scholarly project used an interprofessional team to develop comprehensive opioid naloxone education guidelines to close the gap in clinical practice. The purpose of this project was to develop a patient education clinical practice guideline for patients/families receiving naloxone for potential opioid overdose that meets the quality expectations of the AGREE II instrument as determined by a panel of experts. Using the RAND modified Delphi approach and the AGREE II tool, consensus was achieved. The Opioid Naloxone Education Clinical Practice Guideline (ONECPG) was then reviewed by three professional experts who determined that the guideline meets the quality expectations for use in clinical practice. Reviewers scored scope and purpose (100%), stakeholder involvement (94%), rigor of development (92%), and clarity of presentation (100%) as the highest rated scores. Applicability (60%) and editorial independence (86%) rated lowest due to the inapplicability of the items listed within Domains 5 and 6 to the scope of the guidelines. This guideline has the potential to improve clinical care for those using opioids by involving family in the early intervention in cases of potential overdose. This is consistent with social change and social justice for community action to address opioid overdoses and their impact of society at large.

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