Date of Graduation

Fall 12-2025

Document Type

Project

Degree Name

Doctor of Nursing Practice (DNP)

College/School

School of Nursing and Health Professions

Department/Program

Nursing

Program

Psychiatric Mental Health Nurse Practitioner

First Advisor

Jo Loomis

Second Advisor

Ricky Noorwood

Third Advisor

Alicia Kletter

Abstract

Background: Substance Use Disorder (SUD) and Alcohol Use Disorder (AUD) are major public health concerns, particularly in underserved populations. Screening, Brief Intervention, and Referral to Treatment (SBIRT) is evidence-based models that promote early detection and care. Integrating SBIRT into Family Nurse Practitioner (FNP) curricula prepares future providers to address substance use in primary care. Local Problem: Despite the effectiveness of SBIRT, its use in primary care remains inconsistent. Barriers, including limited training, low confidence, and unfamiliarity with referral resources, hinder implementation. Structured education and protocols are needed to support provider readiness. Methods: SBIRT was integrated into the FNP curriculum of a private northern California university through instruction in screening tools, motivational interviewing, and referral processes. Students applied skills during supervised clinical rotations. Pre- and post-training assessments measured changes in knowledge, attitudes, and self-efficacy. Interventions: This DNP-led quality improvement project enhanced SBIRT education using simulation case studies, structured didactics, and preceptor guidance, thereby strengthening student competency. Results: Post-training assessments showed increases in SBIRT knowledge and confidence. Students demonstrated improved motivational interviewing skills and adopted more compassionate, stigma-reducing approaches to care. Conclusions: Integrating SBIRT into FNP education effectively prepares students to assess patients for SUD and AUD. It supports early intervention, patient-centered care, and better behavioral health outcomes in primary care. Keywords: Substance Use Disorder, SBIRT, Curriculum, Primary Care, Graduate nursing students

Download

Share

COinS