NR 443 Week 6 Direct Care Project Part 4

Grace J.
August 9, 2025August 9, 2025
CU BSN, NR-443

Student Name

Chamberlain University

NR-443 RN Community Health Nursing

Prof. Name

Date

Direct Care Project Part 4: Evaluating the Project

Student Name: _________________
Date: 08/16/2022

1. Title of presentation

Screening, Brief Intervention, and Referral to Treatment (SBIRT) for Alcohol Use Disorder – Dallas, Texas

2. Date presentation completed

08/13/2024

3. Tables of results

Pre-Survey Results

#	Strongly Agree	Agree
1	XX	XX
2	XX	XX
3	XXX	X
4	XX	XX
5	X	XXX
6	X	XXX
7	X	XXX
8	XX	XX

Post-Survey Results

#	Strongly Agree	Agree
1	XXX	X
2	XXX	X
3	XXX	X
4	XXX	X
5	XXX	X
6	X	XXX
7	X	XXX
8	XX	XX

4. Comprehensive interpretation of results

a. Comprehensive summary of pre and post survey data in tables

The pre-survey results indicated that approximately half of the participants demonstrated awareness and knowledge regarding alcohol use disorder (AUD) in the community, while the other half lacked understanding of its broader impact on vulnerable populations. Around 75% of participants strongly agreed that AUD poses a serious health concern, yet more than three-fourths were unaware of the connection between AUD and broader social issues.

Many healthcare providers, particularly nurses, recognized AUD as an individual problem but showed limited awareness of its effect on young adults and strategies for prevention. Therefore, the presentation emphasized the nature of AUD, its community-level impact, and prevention measures. This focus was crucial, considering that approximately 14.5 million people in the U.S. live with AUD (SAMHSA, 2019).

Post-survey data showed a marked improvement in awareness and agreement. Following the educational session, most participants either agreed or strongly agreed that AUD is a significant public health concern and understood its link to other health conditions. The post-presentation responses reflected not only increased awareness but also readiness to apply prevention strategies in their communities.

b. Include any positive or negative changes in pre- and post-survey data

The shift from the pre- to post-survey demonstrated a significant positive trend. Initially, awareness was split evenly, with 50% knowledgeable and 50% unaware of prevention strategies for AUD. After the session, all participants expressed agreement that nurses should play a proactive role in addressing this issue within their communities. Additionally, participants felt empowered to implement the knowledge gained into community health initiatives.

From a personal perspective, the presentation was both challenging and rewarding. The unexpectedly high number of attendees added pressure but also enriched the learning experience. Engaging with experienced professionals fostered meaningful discussions and validated the presentation’s practical relevance.

5. Overall experience with the project

This project proved to be both educational and professionally enriching. Selecting AUD as a topic required extensive preparation to ensure accuracy and relevance, especially given its complexity as a community health concern. Collecting supporting data strengthened the argument for intervention and helped to build credibility.

The feedback provided by the professor prior to delivery was invaluable, enabling a confident and engaging presentation. The unexpectedly high turnout further boosted my confidence in public health education delivery. Although challenging, the experience has enhanced my skills in health promotion and patient education.

6. Summary of outcomes from the pre and post surveys

The pre/post comparison revealed a significant increase in participants’ willingness to acknowledge and address AUD. Initially, only half of the participants recognized AUD’s broader implications for vulnerable populations, and few discussed it openly. Post-presentation, 100% of participants recognized it as a health concern and indicated readiness to promote SBIRT practices.

Audience discussions highlighted cultural and social norms surrounding alcohol use, including its role in celebrations and social gatherings. Many acknowledged that these cultural perceptions make it harder to identify and address AUD early, underscoring the importance of ongoing public health education.

7. Barriers in the project (i.e., participant interest, time, limited resources, willingness for change, etc.)

The primary challenge encountered was scheduling. Participants came from varying work shifts, with some just finishing night duty and others preparing for upcoming shifts. This affected engagement and necessitated a faster-paced in-person presentation. In retrospect, delivering the session virtually might have allowed for greater flexibility and participation.

8. Implications for future practice

This project reinforced the importance of continuous professional development in nursing. Beyond holding a degree, maintaining specialty certifications and pursuing ongoing education are essential for safe, evidence-based practice. Knowledge gained through projects like this can enhance both patient outcomes and community health initiatives.

In future practice, I plan to incorporate SBIRT principles into routine assessments, advocate for community-based prevention programs, and mentor other nurses on the value of early intervention in substance use disorders.

9. Additional insights on alcohol use disorder and SBIRT

Chronic alcohol misuse can result in thiamine (B-1) deficiency, potentially leading to irreversible brain damage (Yang et al., 2018).
Long-term use can damage the frontal lobe, impairing cognitive and executive functions (Yang et al., 2018).
AUD is linked to serious conditions such as cardiomyopathy, liver cirrhosis, cancer, and psychiatric disorders (Yang et al., 2018).
Mental health conditions, including bipolar disorder and schizophrenia, can exacerbate alcohol consumption (Yang et al., 2018).
Environmental and social influences—such as peer pressure, availability of alcohol, and family drinking habits—increase risk (Nehring & Freeman, 2022).