| OCR Text |
Show Identifying Opioid-Prescribing Barriers: Educating Primary Care Providers on Evidence-Based Opioid-Managed Pain Kourtney Herrera BSN, RN, DNP-Student • • • • PURPOSE/OBJECTIVES IMPLEMENTATION EVALUATION Purpose The purpose of this project was to support efforts to decrease opioid misuse, abuse, and death by providing education and resources regarding CDC opioid guidelines to primary care providers (PCPs) in Carbon County. Pre-Education Survey Asked PCP-s (N=12 ) why they feel Carbon County is #1 for opioid-related deaths, how deaths can be decreased, and what protocols/policies do they have in place Pre-Education Survey • PCPs’ barriers included - lack of time with patients, lack of pain management training, past negative experiences with patients, lack of trust, and lack of resources • PCPs’ solutions included - naloxone kits, provider opioid education, prescribe fewer opioids, providers following protocols Objectives Collaborate with health department on an opioid initiative Identify barriers perceived by PCPs in evidence-based prescribing of opioids Educate PCPs on 2016 CDC opioid guidelines Create a positive impact on PCPs’ awareness, knowledge, and confidence related to prescribing opioids Opioid Education Delivered Detailed results of the survey, 2016 CDC opioid guidelines, and local resources presented to PCPs (N=12) during 3 clinical presentations Post-Education Survey PCPs were surveyed (N=12) about their knowledge, awareness, and confidence in evidence-based prescribing of opioids after presentation of the CDC guidelines, and about their ability to implement the guidelines into their practice PCP evidence-based opioid prescribing awareness, knowledge, and confidence • 92% of PCPs strongly agreed/agreed the presentation was beneficial, were able to utilize new information in practice, and felt their patient also benefited from new information • 100% of PCPs strongly agreed/agreed that opioid-related deaths would decrease if all PCPs followed CDC guidelines, they would recommend all PCPs to follow CDC opioid guidelines, and learned new information regarding opioids CONCLUSIONS BACKGROUND • PCPs have surpassed all other clinicians in the quantity of opioid prescriptions • Deemed as an epidemic by the CDC, resulting in 12 CDC opioid guidelines produced in 2016 • Utah is ranked #4 in the nation for opioid-related deaths, with Carbon County ranked #1 in Utah • Deaths involving opioid analgesics, including intentional and unintentional overdoses, quadrupled from 1999 to 2008 • Rural and underserved areas are showing higher rates of misuse, abuse, and deaths when compared to urban areas Project Chair: Andrea Wallace PhD, RN Value of Project: Provider education can increase awareness, knowledge, and confidence in prescribing evidence-based opioid therapy Limitations: Scheduling presentation and receiving surveys • Had to hold several presentations to reach all 12 PCPs, only 4 were present at original date • Challenge in receiving all complete pre- and post-education surveys Recommendations: Continuation of PCP education • PCP evidence-based opioid prescribing awareness, knowledge, and confidence can be improved with education • PCPs are the leading specialty in opioids prescribed, and education should be targeted to this population Content Expert: Debbie Marvidikis B.S. |
