Alcohol Screening & Brief Intervention A Self-Paced Program for Nurses
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1 Alcohol Screening & Brief Intervention A Self-Paced Program for Nurses Deborah Finnell,1* Ann M. Mitchell,2 Christine L. Savage,1 Irene Kane,2 Robert Kearns,1 Nathan Poole,1 Hilda Rizzo-Busack,1 Scott Coulson2 1 Johns Hopkins School of Nursing, Baltimore, MD, USA 2 University of Pittsburgh School of Nursing, Pittsburgh, PA, USA
2 Acknowledgements Cooperative Agreement from The Centers for Disease Control and Prevention (CDC RFA OE AACN: 1 U36 OE ). Funding support was provided through the American Association of Colleges of Nursing/Centers for Disease Control and Prevention to Johns Hopkins School of Nursing (01-117WIPFA 14-JU) and the University of Pittsburgh School of Nursing (02-117WIPFA 14-UPITT).
3 Program Overview Nurses are in key positions to plan and implement alcohol screening and brief intervention (alcohol SBI).
4 Program Goal Advance alcohol SBI knowledge & skills of nurses Through the development of a self-paced, online program That is applicable to various roles & setting
5 Presentation Objectives Describe the cooperative agreement for the project Explain the process used to develop the program Showcase sample content from the self-paced modules
6 Funding & Collaboration Centers for Disease Control & Prevention provided funding through The American Association of Colleges of Nursing (AACN) University of Pittsburgh School of Nursing Johns Hopkins University School of Nursing
7 Supporting Nursing Groups CDC and AACN Support Pitt School of Nursing Clinical Nurse Leaders Nurse Administrators Nurse Informaticists JHU School of Nursing Registered Nurses Advanced Practice Nurses
8 Collaboration Methods Creating communication plan between universities Setting up regular meetings between the universities subject experts and development teams Sharing resources and materials for a unified user experience
9 Open Communication Design teams Subject matter experts Universities and CDC
10 Common Definitions
11 Common Definitions: At Risk
12 Common Definitions: At Risk
13 Sharing and Developing Materials Program assessment map Co-branded landing page Module template
14 Sample: Program & Assessment Map
15 Process Development 6/29/15
16 Foundational Material CDC s Planning and Implementing Screening and Brief Intervention for Risky Alcohol Use Source: Centers for Disease Control and Prevention. (2014). Planning and Implementing Screening and Brief Intervention for Risky Alcohol Use: A Step-by-Step Guide for Primary Care Practices. Atlanta, Georgia: Centers for Disease Control and Prevention, National Center on Birth Defects and Developmental Disabilities.
17 Module Creation Module script & storyboard created Request for feedback from the CDC Feedback submitted to JHU/Pitt Requested changes implemented Request for content approval by the CDC Content approval by the CDC
18 Core Alcohol SBI modules Program Content Nursing Leaders modules Application of the Alcohol SBI to Patient Populations modules
19 Alcohol SBI Basics Source: Centers for Disease Control and Prevention. (2014). Planning and Implementing Screening and Brief Intervention for Risky Alcohol Use: A Stepby-Step Guide for Primary Care Practices. Atlanta, Georgia: Centers for Disease Control and Prevention, National Center on Birth Defects and Developmental Disabilities. Page 13.
20 Medications 101 DRUG CLASS INTERACTIONS WITH ALCOHOL
21 FASD Basics
22 Implementation Basics Laying the Groundwork Adapting Alcohol SBI to Your Practice Implementing Alcohol SBI in Your Practice Refining and Promoting
23 Core Alcohol SBI modules Program Content Nursing Leaders modules Application of the Alcohol SBI to Patient Populations modules
24 Nurse Leaders Specialty Modules Clinical Nurse Leader Nurse Informaticist Nurse Administrator
25 Core Alcohol SBI modules Program Content Nursing Leaders modules Application of the Alcohol SBI to Patient Populations modules
26 Applying Alcohol SBI to Patients LGBT+ Veterans Older adults year olds Adults with mental health and medical comorbidites People who may become pregnant
27 Development Samples
28 Before: Storyboard
29 Before: Storyboard
30 After: Development Layout Script that will be narrated: Before we get started, here are some basic demographics regarding older adults, the focus of this module: The older adult population (65+) numbered 43.1 million in 2012, an increase of 21% since By 2030 there will be 72.1 million older adults in the US.
31 Before: Assessment Example Considering the following scenarios, which of the people s drinking may be considered at risk. A. (Correct) Marty, a 72 year-old, drinks a bottle of beer with dinner each night. On Sunday, dinner with his family usually lasts hours, and he tends to drink an extra bottle or two. He is healthy and doesn t take any medications. B. (Correct) Samantha, a 65 year-old, works hard all week, and on Fridays she likes to go out and buy a bottle of wine to treat herself. She usually drinks the entire bottle (which is generally 5 standard drinks) before bed. She only drinks this one time per week, and she is healthy. C. (Correct) Fred, a 74 year-old, likes to go to dinner on the weekends and have a couple of drinks with dinner. He has high-blood pressure and other health problems. D. Anisha, a 80 year-old, is healthy. She enjoys having a small glass of brandy on Sunday, but doesn t drink the rest of the week. Feedback: A. Marty s drinking puts him at risk because he is exceeding the weekly limit of 7 drinks. B. Samantha is at risk because she is exceeding the daily limit of 3 drinks since a bottle of wine is normally 5 glasses. C. Fred is at risk since he has health issues and, if treated with medications for hypertension or his other health problems may be on alcohol-interactive medications. The weekly and daily criteria for at risk is only for healthy adults. D. Anisha is not at risk since she is healthy and does not exceed the daily or weekly limits for alcohol. Text rich questions & feedback
32 After: Assessment Example The text is broken up into a drag and drop activity with popup feedback.
33 Seeing Alcohol SBI in Action We show learners how the alcohol SBI process is applied to multiple patient populations through video scenarios. Feedback Listen for change talk Options
34 Alcohol SBI with an Older Adult View the Sample Scenario This video is a sample. Foundational information, thought questions, and opportunities for reflection are included before and during video in the actual module.
35 Conclusions The alcohol SBI program will be shared with the nursing community across the U.S. and beyond!
36 Conclusions This online educational program will bring evidencebased alcohol SBI to current and future nurses.
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