Detrimental Effects of The Opioid Crisis

EBP is different from study. The difference stems from the fact that evidence-based programs look at solving a problem by taking into consideration the expert opinions on methods of improvement, other forms of data and quality improvement data, and research findings. Initially, an evidence-based practice used to be referred to as the practice/research gap because it used to be a blank space between the practice and the conducting of any research. EBP differentiates from research because it helps nurses to identify the reasoning behind the processes and methods for a strategy for improvement. The Healthcare Problem Pain management is an essential component of nursing practice track focus on the impact of the opioids flooding the American communities, thus creating a widespread addiction and deaths due to an overdose on the illicit and medically prescribed drugs.

Many states have significantly contributed to curbing the high-risk prescriber and patient tendencies through the implementation of prescription drug monitoring programs (Suffoletto, Lynch, Pacella, Yealy, & Callaway, 2018). According to the Centre for Disease control, each day sees the death of 115 Americans due to overdose and addiction to opioids such as heroin and pain relievers (Deyo, et al. The individuals that are more concerned about the impact of the opioid overdose-related deaths are the healthcare providers such as physician assistants and nurse practitioners. These healthcare individuals must be knowledgeable of the issues regarding patient safety inclusive of distinguishing signs of misuse and abuse of opioids and identifying patients at risk of misusing opioids (Irvine, Hallvik, Hildebran, Marino, & Beran, 2014). PICO Table Example: P (Patient/Problem) Patient with opioid addiction I (Intervention/ indicator) Monitoring potential for opioid dependency C (Comparison) Not using prescription drug monitoring programs.

The second research article focuses more on the Suffoletto, Lynch, Pacella, Yealy, & Callaway. (2018) which examines the effect of the PDMP mandated by the state on opioid prescribing among providers of emergency medicine. The analysis is carried out on fifteen different hospitals in the healthcare system of the state of Pennsylvania. The steps carried out about literature review begun with evaluating how effective the state drug monitoring program was by gathering information regarding the year of implementation as well as the legislative enactment. The database that provided information regarding the congressional law was the LawAtlas (Suffoletto, Lynch, Pacella, Yealy, & Callaway, 2018). The implementation of the prescription drug monitoring program between 2001 and 2010 resulted in a significant drop of 30% of the rate of opioid prescriptions.

It is essential for futures studies on the matter to take into consideration a comparative examination of the key policies in relation to the reduction of opioid dependency and drug prescription. Deyo, et al Journal of Pain 2018 Qualitative Study 927 An analysis of the general opioid prescribing trends. The determination of whether the prescriber use of the Oregon’s PDMP contributed to a reduction in overdose events and opioid prescriptions that are high risk. III B. As well as emergency medicine. The highest users of the program were physician assistants and physicians. The results also indicate that registered users of the program were more frequent users than non-registered users. A considerable number of non-users of the PDMP program amounting to 49%were not aware that they could register to the PDMP program.

An instance where a patient got a PDMP that was worrying lead to the clinicians engaging the patient in a discussion regarding the potentially dangerous trend they are taking. Both samples of individuals were low users of opioids prior to their registration to the PDMP program. Recommended Change Practice The solution most suitable for reducing deaths and dependency to opiates is the implementation of a program that monitors individuals receiving prescribed drugs. The program is known as the drug prescription monitoring program, PDMP. The structuring of PDMP is such that physicians at the emergency department can identify in patients suffering from acute pain the potential to risk of abusing and misusing opioids (Rutkow, Turner, Lucas, Hwang, & Alexander, 2015). The primary goal of the proposed intervention is to avail interventions for pain that are effective and equally safe for the patients.

Regression models were essential in the prediction of fatalities relating to opioid overdose in states that implemented PDMP and those that did not, and included states that had custom features for their programs. The application of the theoretical framework is suited for the EBP proposal is suitable because a reflective study on the states indicates that when they implemented the monitoring program, it consequentially resulted in a decrease in opioid-overdose related deaths (Bao, et al. The study indicates substantial evidence regarding the effectiveness of PDMP, such as reducing adverse events related to the misuse of and dependency on opioid laced pain relievers. The program is effective in reducing inappropriate opioid prescribing, diversion and reducing doctor shopping. The most crucial aspects of the theoretical framework to the EBP is the number of lives being saved as well as the improvements in the quality of lives of the potentially opioid-dependent individuals.

The change process from a non-application of evidence-based practice to a requirement of using evidence-based concepts in practice is relatively tricky, and most nurses prefer to ignore the whole idea. The strategy to address the implementation barrier because the nurse leaders would involve the utilization of appropriate procedures to show support by the nurse leaders. For instance, the nurse heads could demonstrate the use of the evidence-based practice every time they get a chance to interact with the patient (Suffoletto, Lynch, Pacella, Yealy, & Callaway, 2018). As for the resistance to change, it is essential to establish a strong support system alongside the implantation of change. A support system will address any challenges the nurses will encounter in the process of implementing evidence-based practice in treatment.