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Piloting an Opioid Risk Screening Tool in Clinical Practice
Godfrey Aneke1, Jeffery Wade Forehand2, Brandy Simpler3
1Health Carousel Locum Network, Cincinnati, OH, USA.
Journal of Doctoral Nursing Practice
|March 27, 2024
Summary
The Opioid Risk Tool (ORT) may improve nurse practitioners' confidence in prescribing opioids. This screening tool aids in identifying patients at risk for opioid misuse and dependence.
Area of Science:
- Nursing
- Public Health
- Pharmacology
Background:
- The United States faces a persistent opioid epidemic, with significant daily mortality.
- Overdose deaths result from both prescription and illicit opioid use.
Purpose of the Study:
- To evaluate the impact of implementing the Opioid Risk Tool (ORT) on nurse practitioners' (NPs) attitudes and beliefs regarding opioid prescribing.
- To assess the feasibility of using the ORT in clinical practice for pain management.
Main Methods:
- A pilot quality improvement project employing a pre-post design.
- Intervention involved a presentation on the ORT and its use over 8 weeks.
- Participants were recruited from a private NP Facebook group.
Main Results:
- A limited number of participants completed both pre- and post-surveys (19/46).
- Statistical significance was not achieved, but notable clinical trends emerged.
- The ORT demonstrated potential in enhancing provider confidence for opioid prescribing.
Conclusions:
- The Opioid Risk Tool (ORT) is a feasible method for screening opioid misuse risk.
- ORT assists providers in assessing a patient's risk for opioid dependence.
- The tool supports clinical decision-making in pain management strategies.
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