Implementing an Alcohol Withdrawal Protocol

Holt, Cynthia; Dearmon, Valorie; Lawrence, Sherry; Lewis, Chrystal L.

doi:10.1097/ncq.0000000000000231

Cited by 3 publications

References 11 publications

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Why Seek a Doctorate-Prepared Nurse to Join Your Team?

Stuart

2018

Health Care Manag

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Increasing numbers of doctoral-prepared nurses are joining interprofessional health care teams. Interestingly, the evolving doctoral programs for nurse leaders can be confusing to other health care professionals. Advanced education for nursing leaders is driven by a growing need for cost-effective implementation of evidence-based practices. Professional nursing organizations and nursing education programs have redefined education to respond to the call for knowledgeable experts to lead evidence-based quality improvements. As interprofessional health care management teams face the daunting task of selecting team members, an understanding of the differences in nursing doctoral programs is needed. A doctor of nursing practice degree-prepared nurse can strengthen the health care team by providing a skill set that includes not only the ability to translate evidence into best practice, but also the ability to communicate effectively with all members of the interprofessional team.

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Why Seek a Doctorate-Prepared Nurse to Join Your Team?

Stuart

2018

Health Care Manag

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Alcohol Withdrawal Assessment Tool

et al. 2018

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Purpose/Aims: The purpose of this study was to validate a tool to assess alcohol withdrawal in acute care patients. Study aims included (1) establish content validity, (2) examine criterion-related validity, (3) test interrater reliability, and (4) assess nurse usability. Design: A psychometric research study was designed to evaluate the Alcohol Withdrawal Assessment Tool. Methods: Validation was conducted using an expert panel to determine content validity. The Clinical Institute Withdrawal Assessment for Alcohol–Revised was used as comparison for the criterion related validity. Interrater reliability was determined by having 2 investigators simultaneously complete the assessment on the same patients. Usability was determined using a Likert scale survey. Results: The average age of participants was 53 years, with a range of 27 to 81 years. Interrater reliability was supported by a κ statistic range of 0.61 to 0.6957, and content validity was supported by a content validity index of 1.0. Criterion-related validity was supported with a Pearson r correlation of 0.665 (P < .000). Of nurses surveyed, all answered agree or strongly agree to the usability survey. Conclusions: The assessment tool may be an effective alternative to utilize in the acute care setting. It is easy to use and drives frequency of assessment and appropriate pharmacologic treatment.

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Implementing an Evidence-Based Practice Change for Alcohol Withdrawal in an Acute Care Hospital

Carroll¹

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Practice Problem: Alcohol Use Disorders (AUD) affects a significant portion of the population in the United States. When AUD is either unrecognized or inadequately treated in the acute care setting it can lead to medical complications, increased length or stay (LOS), increased healthcare expense, and increased patient mortality. PICOT: In a population of adult patients admitted to an acute care hospital progressive care unit (P), how does applying an initial evidence-based screening tool to detect risk for moderate to severe alcohol withdrawal, the PAWSS (I), compare to no standard screening or assessment for potential alcohol withdrawal symptoms (C) affect the occurrence of patient deterioration for acute alcohol withdrawal symptoms (O) within an eight week timeframe (T)? Intervention: The PAWSS tool was utilized to screen all patients admitted to the progressive care unit. Patients identified at moderate to severe risk by a score of ≥4 were treated according to the standard facility practice with included CIWA-Ar monitoring and medication management with benzodiazepine medication. Outcome: The project was able to demonstrate a significant decrease in the mean LOS for those patients identified at risk and treated for AWS, with an average decrease of 50 hours in length of stay for those patients treated during the project implementation. Conclusion: Early recognition of patients at risk for AWS is an important component of effective management and treatment. Further study is needed into best practices for treatment of patients at risk, and internal compliance measures within the organization.

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Implementing an Alcohol Withdrawal Protocol

Cited by 3 publications

References 11 publications

Why Seek a Doctorate-Prepared Nurse to Join Your Team?

Why Seek a Doctorate-Prepared Nurse to Join Your Team?

Alcohol Withdrawal Assessment Tool

Implementing an Evidence-Based Practice Change for Alcohol Withdrawal in an Acute Care Hospital

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