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Evaluating a nurse-managed alcohol withdrawal syndrome pathway: A symptom-triggered protocol study
Megan Burnette1, Amy Cooley1, Mary Mills1
1Missouri Baptist Medical Center, 3015 N Ballas Rd, St. Louis, MO, 63131, United States of America.
Early nursing assessment for Alcohol Withdrawal Syndrome (AWS) significantly reduces patient Length of Stay (LOS). Standardized protocols empower nurses, improving clinical efficiency and patient outcomes.
Area of Science:
- Nursing Research
- Clinical Protocols
- Patient Outcomes
Background:
- Alcohol Withdrawal Syndrome (AWS) poses significant challenges to healthcare resource utilization.
- Current symptom-triggered protocols lack empirical evidence for nurse-managed medication titration models.
Purpose of the Study:
- Evaluate the effectiveness of a standardized, stepwise, nurse-managed protocol for AWS.
- Determine the association between nursing process measures, specifically Time to First AWS Assessment, and inpatient Length of Stay (LOS).
Main Methods:
- Retrospective analysis of 419 patients managed under a nurse-led Lorazepam protocol.
- Hierarchical multiple regression used to identify predictors of LOS, controlling for demographics and baseline severity.
Main Results:
- The median time to the first AWS assessment was 7 hours.
- A significant association was found between Time to First AWS Assessment and LOS (p < 0.05).
- Delays in initial assessment correlated with increased inpatient stay duration.
Conclusions:
- Structured nursing protocols enhance clinical efficiency by formalizing nurse autonomy.
- Early nursing intervention is a critical factor in reducing LOS for AWS patients.
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