Date of Graduation

Spring 5-20-2022

Document Type


Degree Name

Doctor of Nursing Practice (DNP)


School of Nursing and Health Professions


Psychiatric Mental Health Nurse Practitioner

First Advisor

Trinette Radasa

Second Advisor

Alexia Curtis



Alcohol Use Disorder (AUD) is a major public health concern in the United States. Ria Health is a growing telehealth provider delivering AUD treatment through pharmacotherapy combined with behavioral health counseling.

Local Problem

Ria Health employs six California licensed nurse practitioners, but two of them have not yet met all the California provisions to practice independently without protocols. Ria Health has not put any standardized protocols in place.


This DNP project involved the creation of an evidence-based standardized protocol for AUD. The Student Satisfaction and Self-Confidence in Learning questionnaire was disseminated to participating nurse practitioners to measure student satisfaction and self-confidence in learning.


Because the nursing curriculum for most nurse practitioners does not include addiction medicine, the implementation of a standardized protocol is likely to improve quality significantly by setting high standards of care through evidence-based practices.


The standardized protocol was successfully implemented for only one out of two nurse practitioners not already authorized to practice independently. One, who helped edit the protocol, joined in its implementation. The other was dissatisfied with the orientation, did not find the protocol helpful, and declined to participate in its implementation.


Standardized protocols are the legal authority for the nurse practitioner to exceed the usual scope of practice from a registered nurse. Involvement in drafting the standard protocol may affect the willingness of participants to implement it. This DNP project may also benefit other AUD programs which may not have standardized protocols in place.