alcohol screening & brief intervention a self-paced …program goal that is applicable to...
TRANSCRIPT
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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
Alcohol Screening & Brief Intervention
1 Johns Hopkins School of Nursing, Baltimore, MD, USA2 University of Pittsburgh School of Nursing, Pittsburgh, PA, USA
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AcknowledgementsCooperative Agreement from The Centers for Disease Controland Prevention (CDC RFA OE12-1201 AACN: 1 U36 OE00003-01).
Funding support was provided through the AmericanAssociation of Colleges of Nursing/Centers for Disease Controland Prevention to Johns Hopkins School of Nursing (01-117-WIPFA 14-JU) and the University of Pittsburgh School of Nursing(02-117WIPFA 14-UPITT).
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Program OverviewNurses are in keypositions to plan andimplement alcoholscreening and briefintervention (alcohol SBI).
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Program Goal
That isapplicable tovarious roles &setting
Advance alcoholSBI knowledge &skills of nurses
Through thedevelopment ofa self-paced,online program
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Presentation Objectives• Describe the cooperative
agreement for the project
• Explain the process used todevelop the program
• Showcase sample contentfrom the self-paced modules
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Funding & Collaboration
Centers for Disease Control& Prevention provided
funding throughThe American Association ofColleges of Nursing (AACN)
Centers for Disease Control& Prevention provided
funding throughThe American Association ofColleges of Nursing (AACN)
University of PittsburghSchool of Nursing
University of PittsburghSchool of Nursing
Johns Hopkins UniversitySchool of Nursing
Johns Hopkins UniversitySchool of Nursing
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Supporting Nursing GroupsCDC and AACN
SupportCDC and AACN
Support
Pitt School ofNursing
Pitt School ofNursing
Clinical NurseLeaders
Clinical NurseLeaders
NurseInformaticists
NurseInformaticists
NurseAdministrators
NurseAdministrators
JHU School ofNursing
JHU School ofNursing
RegisteredNurses
RegisteredNurses
AdvancedPractice Nurses
AdvancedPractice Nurses
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Collaboration Methods• Creating communication plan
between universities
• Setting up regular meetingsbetween the universities’ subjectexperts and development teams
• Sharing resources and materialsfor a unified user experience
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OpenCommunication
Universitiesand CDC
Universitiesand CDC
Subjectmatterexperts
Subjectmatterexperts
DesignteamsDesignteams
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Common Definitions
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Common Definitions: At Risk
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Common Definitions: At Risk
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Sharing and Developing Materials• Program assessment map
• Co-branded landing page
• Module template
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Sample: Program & Assessment Map
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Process Development
6/29/15
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Source: Centers for Disease Control and Prevention. (2014). Planningand Implementing Screening and Brief Intervention for Risky AlcoholUse: A Step-by-Step Guide for Primary Care Practices. Atlanta,Georgia: Centers for Disease Control and Prevention, National Centeron Birth Defects and Developmental Disabilities.
Foundational MaterialCDC’s Planning and ImplementingScreening and Brief Interventionfor Risky Alcohol Use
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Module Creation
Module script &storyboard
created
Request forfeedback from
the CDC
Feedbacksubmitted to
JHU/Pitt
Requestedchanges
implemented
Request forcontent approval
by the CDCContent approval
by the CDC
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ProgramContent
Core Alcohol SBI modules
Nursing Leaders modulesNursing Leaders modules
Application of the Alcohol SBI toPatient Populations modulesApplication of the Alcohol SBI toPatient Populations modules
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Source: Centers for Disease Control and Prevention. (2014). Planning andImplementing Screening and Brief Intervention for Risky Alcohol Use: A Step-by-Step Guide for Primary Care Practices. Atlanta, Georgia: Centers forDisease Control and Prevention, National Center on Birth Defects andDevelopmental Disabilities. Page 13.
Alcohol SBI Basics
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DRUG CLASSINTERACTIONS
WITH ALCOHOL
Medications 101
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FASD Basics
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Implementation Basics
Laying the GroundworkLaying the Groundwork
Adapting Alcohol SBI to Your PracticeAdapting Alcohol SBI to Your Practice
Implementing Alcohol SBI in Your PracticeImplementing Alcohol SBI in Your Practice
Refining and PromotingRefining and Promoting
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ProgramContent
Core Alcohol SBI modules
Nursing Leaders modules
Application of the Alcohol SBI toPatient Populations modulesApplication of the Alcohol SBI toPatient Populations modules
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Nurse Leaders Specialty Modules
Clinical NurseLeader
NurseInformaticist
NurseAdministrator
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ProgramContent
Core Alcohol SBI modules
Nursing Leaders modules
Application of the Alcohol SBI toPatient Populations modules
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Applying Alcohol SBI to Patients
LGBT+ Veterans Older adults
18-20 year olds Adults with mentalhealth and medical
comorbidites
People who maybecome pregnant
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Development Samples
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Before: Storyboard
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Before: Storyboard
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After: Development LayoutScript that will be narrated:Before we get started, here aresome basic demographicsregarding older adults, thefocus of this module: The olderadult population (65+)numbered 43.1 million in 2012,an increase of 21% since 2002.By 2030 there will be 72.1million older adults in the US.
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Before: Assessment ExampleConsidering 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’ttake any medications.
B. (Correct) Samantha, a 65 year-old, works hard all week, and on Fridays she likes to go out and buy abottle 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 withdinner. 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 drinkthe 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
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After: Assessment ExampleThe text is broken up into a drag and drop activity with popup feedback.
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Seeing Alcohol SBI in ActionWe show learners how the alcohol SBI process is appliedto multiple patient populations through video scenarios.
FeedbackFeedback Listen forchange talkListen for
change talk OptionsOptions
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Alcohol SBI with an Older Adult
This video is a sample. Foundational information, thought questions,and opportunities for reflection are included before and during videoin the actual module.
View the Sample Scenario
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ConclusionsThe alcohol SBIprogram will beshared with thenursing communityacross the U.S. andbeyond!
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Conclusions
This online educational program will bring evidence-based alcohol SBI to current and future nurses.