Educating Ambulatory Care Nurses to Address Substance Use

J Nurs Care Qual. 2020 Oct/Dec;35(4):353-358. doi: 10.1097/NCQ.0000000000000466.

Abstract

Background: Screening, brief intervention, and referral to treatment (SBIRT) for substance use has an impact on morbidity and mortality and health care cost.

Local problem: Nurses in ambulatory care settings may lack knowledge about evidence-based substance use SBIRT.

Methods: A comparison of pre- and postintervention data was performed to determine whether knowledge improved and to identify facilitators and barriers to SBIRT implementation.

Interventions: Nurses completed an online self-paced program focusing on alcohol and drug use screening, motivational interviewing used in a brief intervention, and referral to specialty treatment.

Results: Postintervention knowledge scores increased (P < .001). Facilitator and barrier themes included time, education, resources, receptivity, and interprofessional collaboration.

Conclusions: The implementation of the SBIRT online program was feasible for nurses to complete during work hours and resulted in increased SBIRT-related knowledge.

MeSH terms

  • Ambulatory Care*
  • Female
  • Humans
  • Internet
  • Male
  • Mass Screening
  • Middle Aged
  • Motivational Interviewing*
  • Nursing Staff / education*
  • Referral and Consultation*
  • Substance-Related Disorders / therapy*