1. [From 10$/Pg] Petzold Et Al
[From 10$/Pg] Petzold Et AlWeek 8; Peer response RajpatiPICOT The basis for the
proposed DNP project is the following question: For patients, 18 years and older, in a
primary care clinic, does the use of the Opioid Risk Screening Tool improve the
identification and referral rates of chronic pain patients to a pain clinic or pain specialist in
8-10 weeks? The proposed project implements the opioid risk tool (ORT) in the
primary care setting. The ORT tool has been vetted for reliability, validity, ease of use, and
previous service in similar clinical settings (Weber 2005). The implementation process
guiding me is the Knowledge to Action theory (Petzold et al., 2010). Leadership qualities of
communication, knowledge of the topic, and experience in the clinical setting are leadership
qualities that will lead to a higher likelihood of successful project implementation (Porter-
O’Grady, 2018). Nurses are historically leaders and advocates for people in our
communities (Porter-O’Grady, 2018). Using the leadership skills, I have learned and
developed throughout this program, I will meet with stakeholders to discuss the
implementation plan. The implementation process is to educate the staff members by
giving them access to the tool and time for questions. Following education, the adult client
of the clinic receives the test. Once the patient completes the ORT test, the nurse will score
the test and hand it to the medical provider. The medical provider will then discuss the
results with the patient. Milestones for this project are the receptionist handing out the tool,
the nurse scoring it, and the medical provider reviewing the patient’s results. Achieving this
milestone will be performed by being on-site throughout the implementation
process. I have started implementing the ORT test. So far, I have had occasions when
the receptionist forgets to give the test on the initial visit of the patient with CNCP. In these
cases, the staff gave the test to the patients once admitted to being seen by a provider. So
far, everything seems to be progressing slowly as the team becomes accustomed to
instituting this change in practice.ReferencesPetzold, A., Korner-Bitensky, N., & Menon, A.
(2010). Using the knowledge to action process model to incite clinical change *.
Journal of Continuing Education in the Health Professions, 30(3), 167–
171. https://doi.org/10.1002/chp.20077Porter-O’Grady, T.
(2018). Leadership advocacy. Nursing Administration Quarterly, 42(2), 115–
122. https://doi.org/10.1097/naq.00000000
00000278Webster, L.R., & Webster, R. M. (2005). Predicting aberrant behaviors in opioid-
treated patients: Preliminary validation of the Opioid Risk Tool. Pain Medicine
(Malden, Mass.). 6(6), 432-
![[From 10$/Pg] Petzold Et Al
[From 10$/Pg] Petzold Et AlWeek 8; Peer response RajpatiPICOT The basis for the
proposed DNP project is the following question: For patients, 18 years and older, in a
primary care clinic, does the use of the Opioid Risk Screening Tool improve the
identification and referral rates of chronic pain patients to a pain clinic or pain specialist in
8-10 weeks? The proposed project implements the opioid risk tool (ORT) in the
primary care setting. The ORT tool has been vetted for reliability, validity, ease of use, and
previous service in similar clinical settings (Weber 2005). The implementation process
guiding me is the Knowledge to Action theory (Petzold et al., 2010). Leadership qualities of
communication, knowledge of the topic, and experience in the clinical setting are leadership
qualities that will lead to a higher likelihood of successful project implementation (Porter-
O’Grady, 2018). Nurses are historically leaders and advocates for people in our
communities (Porter-O’Grady, 2018). Using the leadership skills, I have learned and
developed throughout this program, I will meet with stakeholders to discuss the
implementation plan. The implementation process is to educate the staff members by
giving them access to the tool and time for questions. Following education, the adult client
of the clinic receives the test. Once the patient completes the ORT test, the nurse will score
the test and hand it to the medical provider. The medical provider will then discuss the
results with the patient. Milestones for this project are the receptionist handing out the tool,
the nurse scoring it, and the medical provider reviewing the patient’s results. Achieving this
milestone will be performed by being on-site throughout the implementation
process. I have started implementing the ORT test. So far, I have had occasions when
the receptionist forgets to give the test on the initial visit of the patient with CNCP. In these
cases, the staff gave the test to the patients once admitted to being seen by a provider. So
far, everything seems to be progressing slowly as the team becomes accustomed to
instituting this change in practice.ReferencesPetzold, A., Korner-Bitensky, N., & Menon, A.
(2010). Using the knowledge to action process model to incite clinical change *.
Journal of Continuing Education in the Health Professions, 30(3), 167–
171. https://doi.org/10.1002/chp.20077Porter-O’Grady, T.
(2018). Leadership advocacy. Nursing Administration Quarterly, 42(2), 115–
122. https://doi.org/10.1097/naq.00000000
00000278Webster, L.R., & Webster, R. M. (2005). Predicting aberrant behaviors in opioid-
treated patients: Preliminary validation of the Opioid Risk Tool. Pain Medicine
(Malden, Mass.). 6(6), 432-](https://image.slidesharecdn.com/petzoldetal-230623112608-86ad2ed6/85/Petzold-Et-Al-docx-1-320.jpg)
