Date on Paper

7-2020

Document Type

Doctoral Paper

Degree Name

D.N.P.

Department

Nursing

Committee Chair

Nash, Whitney

Committee Member

Anderson, Debra

Author's Keywords

opioids; education; total knee arthroplasty; total hip arthroplasty; epidemic; addiction

Abstract

Opioids are commonly prescribed for the treatment of acute pain symptoms such as surgical pain. The United States is struggling to deal with abuse, misuse, and accidental death associated with prescription opioids. Lack of knowledge regarding safe opioid use is partly to blame for this crisis. The purpose of this evidence-based quality improvement project is to implement a dual-modality (written and spoken) opioid educational intervention to both health care providers and patients. Intended outcomes include increased opioid knowledge for providers yielding more effective opioid education to patients. A pre- and post-test design was used to evaluate provider knowledge and intent to implement, and a one-way repeated analysis of variance was used to analyze this data. Secondary outcome measures were gathered via a follow-up telephone survey to patients to evaluate their satisfaction of the opioid education and whether there was a successful transfer of increased knowledge relative to safe opioid use behavior. This education protocol was implemented to all pre-admission testing providers and adult patients scheduled for total knee arthroplasty (TKA) or total hip arthroplasty (THA) at a large acute care hospital system in the Midwest/south. Increasing safe opioid use knowledge among health care providers and TKA/THA patients can promote the appropriate use of prescription opioids and reduce the misuse and abuse that continues to contribute to the current opioid epidemic.

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