Date Available


Year of Publication


Degree Name

Doctor of Nursing Practice

Committee Chair

Dr. Debra Hampton

Clinical Mentor

Dr. Tukea Talbert

Committee Member

Patricia K. Howard


Background: Rates of post-traumatic stress disorder (PTSD) were reported to be higher during COVID-19 than during any other epidemic in history. Patients diagnosed with PTSD are at an increased risk of experiencing opioid use disorder (OUD). Early detection, prevention, and treatment are essential to prevent OUD.

Purpose: The purpose of this project was to determine if education aimed at increasing nurses’ knowledge increased patient screenings for OUD.

Methodology: A baseline chart audit was performed to determine the number of patients seen in the emergency department with PTSD who also were evaluated for OUD. Two hundred and forty emergency department registered nurses were voluntarily invited to complete an assessment to evaluate their knowledge and skills related to the risks of OUD in patients diagnosed with PTSD. A post-chart audit was completed to determine if patient screening rates changed.

Results: The overall total confidence score pre-intervention was 14.42; post-intervention was 21.02. The results confirmed that nurse confidence increased; however, no increase in patient screenings for PTSD patients was seen during the post-knowledge assessment period.

Conclusion: This QI project resulted in an increase in knowledge but did not result in an increase in patient screenings.

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