Date of Graduation
Fall 12-13-2024
Document Type
Project
Degree Name
Doctor of Nursing Practice (DNP)
College/School
School of Nursing and Health Professions
Department/Program
Nursing
Program
Family Nurse Practitioner
First Advisor
Dr. Jo Loomis
Second Advisor
Dr. Alicia Kletter
Third Advisor
Dr. Alexa Colgrove Curtis
Abstract
Background: Alcohol use disorder disproportionately impacts American Indian and Alaska Native (AIAN) populations at higher rates of disease morbidity and mortality. In the primary care setting, few treatment resources are available to patients outside of medication-only options.
Local Problem: While the intervention site (rural Tribal Federally Qualified Health Center [FQHC]) was known to have a well-established medication-assisted treatment (MAT) program for opiate use disorder (OUD), the was a need for alcohol use disorder (AUD) resources.
Methods: A review of current evidence was conducted to explore best practices for addressing AUD in the AIAN outpatient clinic setting.
Intervention(s): A quality improvement (QI) pilot protocol was developed by the DNP student project leader for an outpatient peer support group for AUD. The protocol was implemented with the interdisciplinary substance use disorder (SUD) clinic team over a 12-month period. The pilot guide included a suggested group curriculum and guidance for implementation in an effort to increase access to AUD treatment options within the setting.
Results: An efficacy survey was created and distributed to collect qualitative and quantitative data related to staff satisfaction with the intervention, current practices, and recommendations. All survey participants (100%) indicated that they perceived the intervention to be beneficial to patients and that they were “very likely” to refer patients in the future.
Conclusions: Over 12 months, the pilot was expanded to another clinic and made a permanent resource at both locations. Further research would be indicated to address limitations to promote impact and sustainability.
Keywords: Addiction, Alaska Native, American Indian, interdisciplinary, peer support, primary care, quality improvement, substance use
Recommended Citation
Timmerman, Kylie M., "Addressing Alcohol Use Disorder in the Outpatient Indigenous Health Clinic Setting" (2024). Doctor of Nursing Practice (DNP) Projects. 361.
https://repository.usfca.edu/dnp/361
Included in
Behavioral Medicine Commons, Cognitive Behavioral Therapy Commons, Community Health Commons, Community Health and Preventive Medicine Commons, Family Medicine Commons, Family Practice Nursing Commons, Primary Care Commons, Psychiatric and Mental Health Commons, Psychiatric and Mental Health Nursing Commons, Public Health and Community Nursing Commons, Public Health Education and Promotion Commons, Quality Improvement Commons, Substance Abuse and Addiction Commons
