Implementation of Screening, Brief Intervention, and Referral to Treatment (SBIRT): Crosscutting Students and Settings
Alcohol, tobacco, and other drug use and misuse are a public health problem resulting in high healthcare and societal costs. This presentation will review the implementation of screening, brief intervention, and referral to treatment (SBIRT) across multiple groups of students and settings. These include: an undergraduate nursing school curricula, five emergency departments, and within two advanced practice graduate nursing school curricula. Results of the curricula infusion across multiple measures including improvements in knowledge, skills, attitudes and perceptions will be presented. Policy support for SBIRT utilization comes from the U.S. Preventive Services Task Force, the American Nurses Association, and the American College of Surgeons, the Joint Commission, and the Centers for Medicare and Medicaid.
A mixed-method approach was used to measure the effects of training and curriculum infusion of SBIRT into three nursing educational settings: undergraduate, professional continuing education, and advanced practice. Pre-to-post attitude surveys of nurses and nursing students towards working with individuals with alcohol or other drug problems were measured as well as knowledge post training.
SBIRT training and education positively influenced participants attitudes towards working with individuals with alcohol or drug problems. SBIRT training and education had the most pronounced significant effect on indicators of Role Security, including role adequacy and role legitimacy, (p <.05) across all types of settings. Effects on indicators of Therapeutic Commitment, including motivation and role support, varied depending upon setting. Knowledge surveys indicated a significant increase in post-training knowledge of SBIRT across all settings (p<.05).
SBIRT training and education infused into multiple settings has positive effects on nurses’ role adequacy, legitimacy, and work satisfaction. These results have policy implications, suggesting that training and educating nurses in an evidenced-based practice such as SBIRT can increase their role adequacy for providing care to individuals with alcohol and drug use problems.
Learning Areas:Administer health education strategies, interventions and programs
Implementation of health education strategies, interventions and programs
Other professions or practice related to public health
Planning of health education strategies, interventions, and programs
Describe how screening, brief intervention, and referral to treatment can be infused into multiple curricula and settings. Compare pre-to-post survey results on alcohol and drug knowledge and attitude and perception questionnaires between undergraduate and graduate nursing programs.
Keyword(s): Alcohol Use, Evidence-Based Practice
Qualified on the content I am responsible for because: I have worked developing and delivering training and technical assistance activities for the last 12 years.
These training and technical assistance activities have lead to the acquisition of 6 federally funded grant projects.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.