Date of Award

5-12-2020

Degree Type

Evidence-Based Project Report

Degree Name

Doctor of Nursing Practice (DNP)

Department

Nursing

First Advisor

Scarlet R. Spain

Abstract

Substance use disorders are a worldwide problem, according to the Center for Disease Control (CDC) there were 70,237 drug overdose deaths that occurred in the United States in 2017, of which 47,600 were opioid related. Illinois had a 14.3% increase of opioid deaths from 2016-2017 (CDC, 2017). Numerous interventions exist to address this health concern, yet evidence shows that Motivational Interviewing (MI) was the most efficient and effective way to promote behavioral change. The purpose of this EBP project was to provide evidence that MI increased referrals and promoted compliance with appointments to treatment programs. The sample for this project included adults with an opioid use disorder (OUD) from a general medicine clinic in Chicago, IL. Motivational Interviewing involves four steps: (1) express empathy (2) support self-efficacy (3) roll with resistance and (4) develop discrepancy. The first group included patients from September 2019 through December 2019 who received MI during their visit and were compared to patients seen September 2018 through December 2018 which consist of patients who did not have MI included in their visit. The primary outcome was to measure and compare the number of agreed referrals to treatment among those who received MI and those that did not. The secondary measurement was to measure and compare the compliance for appointments among those who received MI and those that did not. Data collected was analyzed using a chi-square of independence to determine if the use of MI increases referrals and increases appointment compliance for treatment of OUD. Findings from this project demonstrated that there was a statistically significant behavioral change among the patients whom received MI to those that did not by increasing the number of agreed referrals and compliance to treatment for the disease.

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Creative Commons Attribution-Noncommercial 4.0 License
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K. Roberts DNP poster.pdf (206 kB)
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