Date of Graduation

Summer 8-15-2016

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions

First Advisor

Dr. Elena Capella


The Clinical Nurse Leader project focused on the provision of education on intranasal naloxone administration to healthcare providers in Lake County in order to educate patients, their families, peers, and members of their social network. Fatal opioid overdose rates from prescribed or illicit opioids are four times greater in Lake County than California. The setting is Lake County, California, with a population of 65, 000, a radius of 1,300 square miles, and an annual per capita income of $21,000, with 24.3 % living in poverty. The CNL project focused on the Clinical Nurse Leader elements: Systems Analyst/Risk Anticipator, Outcomes Manager, and Educator. The specific aim statement was to reduce the number of fatal opioid overdoses in the county by 75 percent within 12 months by providing education for local healthcare providers on intranasal naloxone administration for opioid users or their family, friends, peers, or members of their social network.

The Institute of Healthcare Improvement Model for Improvement was used to implement and test change cycles through the Plan-Do-Study-Act (PDSA) design. Education on intranasal naloxone was delivered to five clinics, including the local public health department. Approximately 100 healthcare staff members were provided with education and demonstration of intranasal naloxone, with resultant decreased opioid overdose incidence expected within one year. Published material utilized in the project included patient education materials from the San Francisco Department of Public Health, Prescribe to Prevent, Partnership HealthPlan of California, and the Harm Reduction Coalition.

The CNL project is expected to realize reduced rates of opioid overdose within 12 months. Continued efforts will be exercised through the Safe Rx Lake County Coalition.