Dissertation
Impact of opioid overdose education with take home naloxone in the emergency department
Doctor of Nursing Practice (D.N.P.), Drexel University
Mar 2019
DOI:
https://doi.org/10.17918/qexa-a910
Abstract
Abstract Background: The numbers of patients that misuse both prescription and illicit drugs resulting in dependency and overdose is causing an increase in utilization of emergency department (ED) services. It is estimated that in 2010 there were 135,971 ED visits for opioid overdose across the nation with an associated cost of 2.3 billion dollars (Yorkell, et al. 2014). Opioid misuse disorder patients that come to the emergency department for care present a unique opportunity for overdose prevention and naloxone take home education. This effort can contribute to saving lives with this patient population. Methods: The main objective of this quality improvement project using a PDCA project design was to show the impact of opioid overdose education and take-home naloxone in the emergency department using a pretest posttest method. Using the BOOKs questionnaire, participants received a pretest, opioid overdose education, risk reduction strategies and instruction on naloxone use. After ED discharge, a follow up was made and the post test administered. Results: Sixteen participants were recruited for this project. Follow up was made successfully to 6. There was a loss to follow up of 62.5% for various reasons. Data analysis of the pre and post test data using Fisher's exact test did not provide statistically significant results. Conclusions: Pretest and posttest data was analyzed by individual question and knowledge domain. No statistical significance was realized from the data. The overall sample was small making it difficult for any type of conclusion about the education provided. Further projects with a larger group and longer period are needed to be able to have conclusive results.
Metrics
76 File views/ downloads
80 Record Views
Details
- Title
- Impact of opioid overdose education with take home naloxone in the emergency department
- Creators
- Karen L. Toulson - DU
- Contributors
- Al Rundio (Advisor) - Drexel University (1970-)Terry Horton (Advisor) - Drexel University (1970-)
- Awarding Institution
- Drexel University
- Degree Awarded
- Doctor of Nursing Practice (D.N.P.)
- Publisher
- Drexel University; Philadelphia, Pennsylvania
- Number of pages
- 64, [14] pages
- Resource Type
- Dissertation
- Language
- English
- Academic Unit
- Doctoral Nursing; Nursing (Graduate); College of Nursing and Health Professions; Drexel University
- Other Identifier
- 9629; 991014632158204721