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Educating Undergraduate Psychiatric Mental Health Nursing Students in Screening, Brief Intervention, Referral to Treatment (SBIRT) Using an Online, Interactive Simulation

Published:November 15, 2016DOI:https://doi.org/10.1016/j.apnu.2016.11.004
      Screening, Brief Intervention, and Referral to Treatment (SBIRT) is an evidence-based practice used to identify, curtail and limit problematic abuse and dependence on alcohol and drugs. (
      • Madras B.K.
      • Compton W.M.
      • Avula D.
      • Stegbauer T.
      • Stein J.B.
      • Clark H.W.
      Screening, brief interventions, referral to treatment (SBIRT) at multiple healthcare sites: Comparision at intake and six months later.
      ). Consisting of three main components, SBIRT has proven to be a successful protocol to decrease the problem of substance abuse by assessing risk, using motivational interviewing skills to create a behavioral change, and identifying those patients whose substance abuse shows a need for specialty treatment (
      • Substance Abuse and Mental Health Services Administration (SAMHSA)
      About screening, brief intervention and referral to treatment.
      ). Use of SBIRT by health care providers identifies substance use that increases risk of chronic illness and disease, mental health problems, and social problems. It can be integrated into many health care settings where health care providers can use a screening tool to assess risk, provide a behavior change strategy focused on helping the patient reduce or stop their use of alcohol and other substances, and link the patient to specialized substance use treatment in conjunction with providing needed support. Studies have shown that investing in SBIRT training for nurses, physicians, counselors, therapists, social workers and pastoral care workers can result in healthcare savings cost ranging from $3.91 to $5.60 for each dollar spent (
      • Barbossa C.
      • Cowell A.
      • Bray C.
      • Aldridge A.
      The cost-effectiveness of alcohol screening, brief intervention and referral to treatment (SBIRT) in emergency and outpatient medical settings.
      ,
      • Quanbeck A.
      • Lang K.
      • Enami K.
      • Brown R.L.
      A cost-benefit analysis of Wisconsin's screening, brief intervention and referral to treatment program: Adding the employer's perspective.
      .)
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      REFERENCES

        • American Association of Medical Colleges
        Total graduates by US medical schools 2014–2015. Washington, DC.
        2016
        • American Nurses Association
        Fast facts. The nursing workforce 2014d.
        in: Growth, salaries, education, demographics & trends. 2014
        • American Psychiatric Association
        Diagnostic and statistical manual of mental disorders.
        5th ed. Author, Washington, DC2013
        • Bambini D.
        • Washburn J.
        • Perkins R.
        Outcomes of clinical simulations for novice nursing students: Communication, confidence, clinical judgement.
        Nursing Education Perspectives. 2009; 30: 79-82
        • Bandura A.
        Self efficacy: Toward a unifying theory of behavioral change.
        Psychological Review. 1997; 84: 191-215
        • Barbossa C.
        • Cowell A.
        • Bray C.
        • Aldridge A.
        The cost-effectiveness of alcohol screening, brief intervention and referral to treatment (SBIRT) in emergency and outpatient medical settings.
        Journal of Substance Abuse Treatment. 2015; 53: 1-8
        • Burns H.K.
        • Puskar K.
        • Flaherty M.T.
        • Mitchell A.M.
        • Hagle H.
        • Braxter B.
        • Woomer G.R.
        Journal of Nursing Education and Practice. 2012; 2: 167-177
        • Dickinson T.
        • Hopton J.
        • Piling M.
        An evaluation of nursing students' perceptions on the efficacy of high fidelity clinical simulation to enhance their confidence, understanding and competence in managing psychiatric emergencies.
        Journal of Clinical Nursing. 2016; 25: 1476-1478
        • Fang D.
        • Li Y.
        • Trautman D.E.
        • Stauffer D.C.
        2015–2016 Enrollment and graduates in Baccalaureate and Graduate Programs in Nursing.
        AACN Washington, DC, 2016
        • Finnell D.S.
        A clarion call for nurse-led SBIRT across the continuum of care.
        Alcoholism: Clinical and Experimental Research. 2012; 35: 1134-1138
        • Finnell D.S.
        • Nowzari S.
        • Reiman B.
        • Fischer L.
        • Pace E.
        • Goplerud E.
        Screening, brief intervention and referral to treatment (SBIRT) as an integral part of nursing practice.
        Substance Abuse. 2014; 35: 114-118
        • Jeffries P.
        A framework for designing, implementing. And evaluating: Simulations used as teaching strategies in nursing.
        Nursing Education Perspectives. 2005; 26: 96-103
        • Kognito
        About Kognito.
        2016 (https://www.kognito.com/about/ retrieved July 31, 2016)
        • Laerd Statistics
        Wilcoxen signed-rank test using SPSS statistics.
        in: Statistical tutorials and software guides. 2015 (Retrieved from https://statistics.laerd.com/)
        • Laerd Statistics
        Statistical tutorials and software guides.
        (Retrieved from)
        • Lee M.J.
        • Ahn Y.M.
        • Cho I.S.
        • Sohn M.
        Effectiveness of simulation integrated with problem based learning on clinical competency and self-efficacy in nursing students.
        Child Health Nursing Research. 2014; 20: 123-131
        • Lubbers J.
        • Rossman C.
        The effects of pediatric community simulation experience on the self-confidence and satisfaction of baccalaureate nursing students: A quasi-experimental study.
        Nurse Education Today. 2016; 39: 93-98
        • Madras B.K.
        • Compton W.M.
        • Avula D.
        • Stegbauer T.
        • Stein J.B.
        • Clark H.W.
        Screening, brief interventions, referral to treatment (SBIRT) at multiple healthcare sites: Comparision at intake and six months later.
        Drug and Alcohol Dependence. 2009; 99: 280-295
        • Mitchell A.M.
        • Puskar K.
        • Hagle H.
        • Gotham H.J.
        • Talcott K.S.
        • Terhorst L.
        • Burns H.K.
        Screening, brief intervention, and referral to treatment: Overview of and student satisfaction with an undergraduate addiction training program for nurses.
        Journal of Psychosocial Nursing and Mental Health Services. 2013; 51: 29-37
        • National Institute on Alcoholism and Abuse
        Rethinking drinking.
        in: NIH publication no. 15–3770. 2016
        • NORC at the University of Chicago
        Guide to adolescent screening, brief intervention and referral to treatment (SBIRT).
        NORC at the University of Chicago, Bethesda, MD2016
        • Park J.Y.
        • Woo. C.H.
        • Yoo J.Y.
        Effects of blended cardiopulmonary resuscitation and defibrillation E-learning on nursing Students' self-efficacy, problem solving and psychomotor skills.
        Computers, Informatics, Nursing. 2016; 34: 272-280
        • Perry P.
        Concept analysis: Confidence/self confidence.
        Nursing Forum. 2011; 46: 218-230
        • Puskar K.
        • Gotham H.
        • Terhorst L.
        • Hagle H.
        • Mitchell A.M.
        • Braxter B.
        • Burns H.K.
        Effects of screening, brief intervention, and referral to treatment (SBIRT) and training on nursing students; attitudes toward working with patients who use alcohol and drugs.
        Substance Abuse. 2012; 34: 122-128
        • Quanbeck A.
        • Lang K.
        • Enami K.
        • Brown R.L.
        A cost-benefit analysis of Wisconsin's screening, brief intervention and referral to treatment program: Adding the employer's perspective.
        Wisconsin Medical Journal. 2010; 109: 9-14
        • Stuart G.
        Keynote presentation at the American psychiatric nurses association 30th annual conference.
        2016 (October 22, 2016)
        • Substance Abuse and Mental Health Services Administration (SAMHSA)
        About screening, brief intervention and referral to treatment.
        (Retrieved Nov. 9, 2015 from)