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Recommended Citation
Mates J. From Policy to Practice: Nurses Shaping Opioid Use in Adult Care. Evidence Based Practice podium presentation at Elevating Nursing Excellence: Purpose, Profession, Passion; Advocate Health Midwest Region Nursing Research & Professional Development Conference 2024; November 13, 2024; virtual.
Presentation Notes
Evidence Based Practice podium presentation at Elevating Nursing Excellence: Purpose, Profession, Passion; Advocate Health Midwest Region Nursing Research & Professional Development Conference 2024; November 13, 2024; virtual.
Abstract
Background/Rationale:
Long-term opioid dependency can begin within five days of use for the treatment of acute pain. Early prescribing patterns for opioid-naïve patients significantly raise the risk of prolonged use. Without intervention, 1.2 million people in the US and Canada will die from opioid overdoses by 2030. Implementing the Centers for Disease Control (CDC) guideline on non-opioid pain management to reduce opioid usage is an evidence-based, patient-centered intervention, yet this guideline has not been widely implemented.
Purpose:
The purpose of the project was to determine the impact of implementing the CDC Guideline for Prescribing Opioids for Pain on opioid use among adult, hospitalized, medical-surgical patients.
Implementation Plan:
In accordance with the CDC Clinical Practice Guideline for Prescribing Opioids for Pain, nurses were educated on the multimodal step-by-step approach to pain management, utilizing non-pharmacologic methods and non-opioid pharmacologic medications, thereby minimizing opioid use. Patients were given information about the negative effects of opioids and alternative pain management options. Each patient was encouraged to participate in an individualized pain management plan. Opioid consumption was monitored in two groups: a comparative group of 142 patients for four weeks before implementation and a group of 172 patients for four weeks after the implementation period.
Outcomes:
A Mann-Whitney U test showed a statistically significant decrease in the median opioid pill consumption [Z (N = 314) = -3.32, p =.000] between the comparative and implementation groups. Clinically, this translated to an average reduction of two opioid pills (40%) and a one-day average decrease in hospital stays per patient in the implementation group.
Implications for Practice:
This project demonstrates with evidence-based pain management and patient education, opioid use can be significantly reduced, leading to improved health outcomes and decreased costs. It also demonstrates the power of evidence-based practices in enhancing patient care and outcomes.
Document Type
Oral/Podium Presentation
Publication Date
11-13-2024
From Policy to Practice: Nurses Shaping Opioid Use in Adult Care
Background/Rationale:
Long-term opioid dependency can begin within five days of use for the treatment of acute pain. Early prescribing patterns for opioid-naïve patients significantly raise the risk of prolonged use. Without intervention, 1.2 million people in the US and Canada will die from opioid overdoses by 2030. Implementing the Centers for Disease Control (CDC) guideline on non-opioid pain management to reduce opioid usage is an evidence-based, patient-centered intervention, yet this guideline has not been widely implemented.
Purpose:
The purpose of the project was to determine the impact of implementing the CDC Guideline for Prescribing Opioids for Pain on opioid use among adult, hospitalized, medical-surgical patients.
Implementation Plan:
In accordance with the CDC Clinical Practice Guideline for Prescribing Opioids for Pain, nurses were educated on the multimodal step-by-step approach to pain management, utilizing non-pharmacologic methods and non-opioid pharmacologic medications, thereby minimizing opioid use. Patients were given information about the negative effects of opioids and alternative pain management options. Each patient was encouraged to participate in an individualized pain management plan. Opioid consumption was monitored in two groups: a comparative group of 142 patients for four weeks before implementation and a group of 172 patients for four weeks after the implementation period.
Outcomes:
A Mann-Whitney U test showed a statistically significant decrease in the median opioid pill consumption [Z (N = 314) = -3.32, p =.000] between the comparative and implementation groups. Clinically, this translated to an average reduction of two opioid pills (40%) and a one-day average decrease in hospital stays per patient in the implementation group.
Implications for Practice:
This project demonstrates with evidence-based pain management and patient education, opioid use can be significantly reduced, leading to improved health outcomes and decreased costs. It also demonstrates the power of evidence-based practices in enhancing patient care and outcomes.