東華大學圖書館 |

語系: 繁體中文

說明(常見問題)

回圖書館首頁

手機版館藏查詢

登入

回首頁

切換: 標籤 | MARC模式 | ISBD

Implementation of a Substance Use Di...

Cummings, Jordan.

FindBook

Google Book

Amazon

博客來

Implementation of a Substance Use Disorder Bundle at a Birth Center: A Quality Improvement Project.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Implementation of a Substance Use Disorder Bundle at a Birth Center: A Quality Improvement Project./
作者:	Cummings, Jordan.
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2023,
面頁冊數:	59 p.
附註:	Source: Dissertations Abstracts International, Volume: 84-11, Section: A.
Contained By:	Dissertations Abstracts International84-11A.
標題:	Obstetrics. -
電子資源:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30421490
ISBN:	9798379448240

Implementation of a Substance Use Disorder Bundle at a Birth Center: A Quality Improvement Project.
Cummings, Jordan.

Implementation of a Substance Use Disorder Bundle at a Birth Center: A Quality Improvement Project. - Ann Arbor : ProQuest Dissertations & Theses, 2023 - 59 p.

Source: Dissertations Abstracts International, Volume: 84-11, Section: A.

Thesis (D.N.P.)--Georgetown University, 2023.

This item must not be sold to any third party vendors.

A quality improvement (QI) project spanning 10 weeks introduced a substance use disorder (SUD) patient care bundle for peripartum individuals at a midwifery-operated birth center with no preexisting standardized screening for SUD in the workflow. The project aimed to observe the effect of bundle implementation on provider screening, brief Intervention, and referral to treatment (SBIRT) practices as well as feasibility and sustainability of bundle implementation. Staff and certified nurse-midwives (CNMs) received education on SUD, SBIRT, and bundlerelated workflow changes. Universal SUD screening utilizing the 5P Prenatal Substance Abuse Screening tool, motivational interviewing (MI), and a referral process was integrated into the workflow for new obstetrical (NOB), new obstetrical transfer (NOBT), and postpartum (PP) encounters. Pre- and post-implementation chart audits were performed to assess CNM adherence and documentation of SBIRT in eligible encounters. Surveys were conducted to evaluate the birth center staff and CNMs perceived efficacy of the pre-implementation bundle education as well as feasibility and sustainability of bundle implementation at the birth center. Following implementation of the bundle, 84.5% of eligible patient encounters had a CNM-documented SBIRT screening in the electronic medical record (EMR), compared with 3% of encounters in the pre-implementation group, indicating a statistically significant increase (p < 0.001). All preimplementation screening encounters were documented as low risk. Of eligible postimplementation encounters, 98% were documented as low risk, and 2% of screenings had no risk score documented in the EMR. Following implementation, 83% of eligible encounters screened and assigned a risk level received a risk level appropriate intervention from the midwife, including brief advice or reinforcement of behavior. Overall, staff and CNMs strongly agreed that the in-service education provided adequate information on SBIRT and workflow changes associated with the bundle. Post-implementation, data and survey responses demonstrated that the workflow changes associated with bundle implementation were feasible and sustainable at the birth center. Implementation of an evidence-based SUD Patient Care Bundle is a feasible and sustainable practice change for a CNM-led birth center. The Midwifery Model of Care promotes adherence to patient-centered screenings and interventions surrounding SUD.

ISBN: 9798379448240Subjects--Topical Terms:

634501
Obstetrics.
Subjects--Index Terms:

Bundle

Implementation of a Substance Use Disorder Bundle at a Birth Center: A Quality Improvement Project.
LDR:03721nmm a2200421 4500 001 2394685
005 20240429063833.5
006 m o d
007 cr#unu||||||||
008 251215s2023 ||||||||||||||||| ||eng d
020 $a 9798379448240
035 $a (MiAaPQ)AAI30421490
035 $a AAI30421490
040 $a MiAaPQ $c MiAaPQ
100 1 $a Cummings, Jordan. $0 (orcid)0009-0000-3665-5824 $3 3764166
245 1 0 $a Implementation of a Substance Use Disorder Bundle at a Birth Center: A Quality Improvement Project.
260 1 $a Ann Arbor : $b ProQuest Dissertations & Theses, $c 2023
300 $a 59 p.
500 $a Source: Dissertations Abstracts International, Volume: 84-11, Section: A.
500 $a Advisor: Wilkinson, Melody.
502 $a Thesis (D.N.P.)--Georgetown University, 2023.
506 $a This item must not be sold to any third party vendors.
520 $a A quality improvement (QI) project spanning 10 weeks introduced a substance use disorder (SUD) patient care bundle for peripartum individuals at a midwifery-operated birth center with no preexisting standardized screening for SUD in the workflow. The project aimed to observe the effect of bundle implementation on provider screening, brief Intervention, and referral to treatment (SBIRT) practices as well as feasibility and sustainability of bundle implementation. Staff and certified nurse-midwives (CNMs) received education on SUD, SBIRT, and bundlerelated workflow changes. Universal SUD screening utilizing the 5P Prenatal Substance Abuse Screening tool, motivational interviewing (MI), and a referral process was integrated into the workflow for new obstetrical (NOB), new obstetrical transfer (NOBT), and postpartum (PP) encounters. Pre- and post-implementation chart audits were performed to assess CNM adherence and documentation of SBIRT in eligible encounters. Surveys were conducted to evaluate the birth center staff and CNMs perceived efficacy of the pre-implementation bundle education as well as feasibility and sustainability of bundle implementation at the birth center. Following implementation of the bundle, 84.5% of eligible patient encounters had a CNM-documented SBIRT screening in the electronic medical record (EMR), compared with 3% of encounters in the pre-implementation group, indicating a statistically significant increase (p < 0.001). All preimplementation screening encounters were documented as low risk. Of eligible postimplementation encounters, 98% were documented as low risk, and 2% of screenings had no risk score documented in the EMR. Following implementation, 83% of eligible encounters screened and assigned a risk level received a risk level appropriate intervention from the midwife, including brief advice or reinforcement of behavior. Overall, staff and CNMs strongly agreed that the in-service education provided adequate information on SBIRT and workflow changes associated with the bundle. Post-implementation, data and survey responses demonstrated that the workflow changes associated with bundle implementation were feasible and sustainable at the birth center. Implementation of an evidence-based SUD Patient Care Bundle is a feasible and sustainable practice change for a CNM-led birth center. The Midwifery Model of Care promotes adherence to patient-centered screenings and interventions surrounding SUD.
590 $a School code: 0076.
650 4 $a Obstetrics. $3 634501
650 4 $a Mental health. $3 534751
650 4 $a Nursing. $3 528444
650 4 $a Health education. $3 559086
653 $a Bundle
653 $a Intervention
653 $a Midwife
653 $a SBIRT
653 $a Screening
653 $a Substance use
690 $a 0380
690 $a 0347
690 $a 0569
690 $a 0680
710 2 $a Georgetown University. $b Nursing. $3 3557140
773 0 $t Dissertations Abstracts International $g 84-11A.
790 $a 0076
791 $a D.N.P.
792 $a 2023
793 $a English
856 4 0 $u https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30421490