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Show Addressing Barriers to Substance use Screening During Prenatal Visits Adriana Reid BSN, DNP Student, Catherine H. Schultz DNP, MN, APRN, FNP-BC, Marcela Smid MD, MA, MS Key Findings: Although accessible in the EMR, the evidence- based National Institute on Drug Abuse Quick Screen tool (NIDA QS ) was rarely used to screen OB patients for substance use(SU). The collaboration among different key stakeholders facilitated quality improvement in prenatal care screening. Background Results • Nationally, there has been an increase in substance use (SU) among childbearing women. • Pre- and post-training survey data were available for a total of 14 and 3 participants respectively. • In Utah, the leading cause of pregnancy- related death is opioid overdose. • Legal punishment in the form of incarceration has been used with poor outcomes to address SU in women. Increased SU screening during prenatal visits opens more resources to begin rehabilitation. • The NIDA screening tool is an effective means of screening for SU, but it is underutilized. • There was a 21% increase in use of the NIDA QS tool during the 4 month period. • Top perceived barriers: time constraint, lack of adequate screening skills. • The NIDA QS tool feasibility, usability and satisfaction survey demonstrated that it was an easily accessible and widely accepted tool. . Methods Conclusions • A pre-and post-education survey on behaviors, attitudes and knowledge of the NIDA screening tool was given to providers and clinic support staff (n=14) at the University of Utah Health Center (UUFHC) Women’s Health Clinic. Participants viewed a one-hour online evidence-based training on the NIDA QS tool. • Combining evidence, context, and facilitation influenced the participants’ disposition to use an evidence-based tool. • NIDA QS tool use was monitored for 4 months. • Larger samples are needed to fully measure the impact of the intervention. • A NIDA screening tool feasibility, usability, and satisfaction survey was given to the participants. • Pre- and post-survey qualitative data were analyzed using frequencies and percentages. Pre- and post-survey open-ended questions were analyzed using content analysis. • Participants’ perceived barriers to screen their OB patients for SU. • Next steps could include provision of more robust SU education for healthcare providers and organizational protocols for assisting providers on steps to follow when patients disclose SU. COLLEGE OF NURSING |
