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Perinatal Drug Abuse Intervention: Policy Development for Drug Screening.

机译：围产期药物滥用干预：药物筛查的政策制定。

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摘要

Perinatal drug abuse is becoming a profound issue facing the health and wellbeing of neonates. The community serviced by the project site, which lies within the boundaries of an Indian Reservation, suffers from perinatal drug abuse at a higher rate than state and federal averages. The purpose of this project was to provide the project site with a policy to consistently screen for perinatal drug abuse. Lave's theory of situational learning and the Sanford Way model for quality improvement framed this project. To guide policy development, data were compiled through a systematic review of current literature, national and state guidelines, state law, local tribal government, and community stakeholders. Data included: (a) studies completed in the past 10 years specifically targeting drug abuse in child-bearing aged women, with intentional exclusion of tobacco and alcohol studies; (b) prevalence of illicit drug abuse in child bearing aged women at a local, state, and national levels; and (c) local, state, and national guidelines, as well as state law, for perinatal drug abuse intervention and screening. In addition, interviews and meetings with local stakeholders were completed and their feedback was incorporated into the development of the perinatal drug abuse screening and intervention policy. To evaluate policy effectiveness, it is proposed that perinatal drug screens ordered at the project site be monitored for six months prior to and after implementation of the new policy. The desired outcome will be that providers consistently intervene with perinatal drug abuse in a non-biased fashion. This quality improvement project will create a positive social change by allowing non-biased intervention with perinatal drug abuse using evidence-based practice and by promoting nursing-driven policy development.
机译：围产期药物滥用正成为新生儿健康和福祉面临的重大问题。由项目所在地提供服务的社区位于印第安人保留区的边界内，其围产期药物滥用的发生率高于州和联邦的平均水平。该项目的目的是为项目现场提供一项政策，以持续筛查围产期药物滥用情况。 Lave的情境学习理论和用于提高质量的Sanford Way模型构成了该项目的框架。为了指导政策制定，通过对当前文献，国家和州指南，州法律，地方部落政府和社区利益相关者进行系统回顾来收集数据。数据包括：（a）在过去十年中完成的专门针对育龄妇女的药物滥用的研究，有意排除了烟草和酒精的研究； （b）在地方，州和国家各级，育龄妇女的非法药物滥用流行率； （c）围产期药物滥用干预和筛查的地方，州和国家准则以及州法律。此外，与当地利益相关者的访谈和会议也已完成，他们的反馈意见已纳入围产期药物滥用筛查和干预政策的制定中。为了评估政策的有效性，建议在实施新政策之前和之后六个月，对在项目现场订购的围产期药物筛查进行监测。理想的结果将是提供者以无偏见的方式持续干预围产期药物滥用。该质量改进项目将通过基于证据的做法允许对围产期药物滥用进行无偏见干预，并促进护理驱动的政策制定，从而带来积极的社会变革。

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  • 作者

    Larson, Joeanna.;

  • 作者单位

    Walden University.;

  • 授予单位 Walden University.;
  • 学科 Nursing.;Public health.;Obstetrics.;Behavioral psychology.
  • 学位 D.N.P.
  • 年度 2016
  • 页码 74 p.
  • 总页数 74
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 建筑科学;
  • 关键词

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