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.

Author Details

Joelle M. Carson, DNP, FNP

Sigma Membership

Unknown

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Quality Improvement

Research Approach

Quantitative Research

Keywords:

Chronic Pain, Opioid Prescriptions, PTSD, Skinner's Behaviorist Theory, Webster's Opioid Risk Tool, Formal Screening

Advisor

Linda Price

Second Advisor

Catherine Fetter

Degree

DNP

Degree Grantor

Grand Canyon University

Degree 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.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2021-07-15

Full Text of Presentation

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