Title
A Multi-faceted Intervention to Improve Naloxone Co-Prescription Rates Among Primary Care Providers
Date of Award
4-26-2018
Degree Type
Evidence-Based Project Report
Degree Name
Doctor of Nursing Practice (DNP)
Department
Nursing
First Advisor
Julie A. Koch
Abstract
It is estimated that 91 Americans die every day due to opioid overdoses, with at least half of those overdoses involving an opioid prescription (CDC, 2016d). To address this issue, the U.S. Department of Health and Human Services (USDHHS) has initiated an opioid initiative, and the Centers for Disease Control and Prevention (CDC) has released a clinical guideline, both of which include a focus on increasing use of naloxone. Despite these recommendations, providers often fail to co-prescribe naloxone to patients at increased risk of opioid overdose. The purpose of this evidence-based practice (EBP) project was to evaluate the effect of a multi faceted intervention (including the use of academic detailing sessions, provider reminders, and a clinical champion) to increase naloxone co-prescription rates within an Indian Health Services Tribal Health Department in the Midwestern United States. The Iowa Model of Evidence-based Practice and Kotter’s Change Model were used to guide this project, which was supported by 10 pieces of evidence obtained through a systematic search of the literature. Retrospective chart audits were conducted on patients receiving opioid prescriptions of 30 days or greater during the 12-week intervention period and the same time period in 2016. Descriptive statistics were used to compare the frequency of naloxone co-prescriptions pre-intervention (0 of 48 eligible patients; 0%) and post-intervention (10 of 40 eligible patients; 25%). The 25-percentage point increase in co-prescribing was consistent with the supportive evidence and reflected a statistically significant association between the multi-faceted intervention and naloxone co- prescription distribution (X2 = 13.538, p
Recommended Citation
Conklin, Jolane S., "A Multi-faceted Intervention to Improve Naloxone Co-Prescription Rates Among Primary Care Providers" (2018). Evidence-Based Practice Project Reports. 112.
https://scholar.valpo.edu/ebpr/112
Poster
Included in
Analytical, Diagnostic and Therapeutic Techniques and Equipment Commons, Health and Medical Administration Commons, Nursing Commons, Primary Care Commons, Public Health Commons, Substance Abuse and Addiction Commons
Comments
Some materials used with permission from ADAPT Pharma.