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Abstract

Much of the opioid crisis in the United States is fueled by illicit opioid consumption that has grown from prescription opioids, typically following elective surgical procedures (Brummett et al., 2017). Alternatives to opioid use during and after surgical procedures can lead to a decrease in persistent opioid use and strong evidence in support of using alternatives to opioid prescription in pain management, yet this approach is not readily adopted by anesthesia providers (Soffin et al., 2018; Velasco et al., 2019). The purpose of this project was to assess the knowledge and attitudes of anesthesia providers as it relates to opioid sparing techniques and their effectiveness, as well as the effect of an education intervention on the willingness of anesthesia providers to change practice. The Logic Model was chosen as the theoretical framework for this project due to the fact that it was easily explained, had clearly defined key concepts, and provided both a schematic and textual way of gathering, sharing and evaluating knowledge that is consistent with the nursing process. The design was a one group pre and post-test quality improvement project, involving a 3-step process; a baseline pretest, an educational intervention, and a post-test evaluation. The intervention was a researcher-developed video describing the opioid crisis, addiction as a surgical complication, and the role of the anesthesia provider in relation to this clinical phenomenon. Twenty of a possible 60 anesthesia providers completed the entire program (N=20, 33%), with the mean responses each of the five Likert-scale questions increasing by an average of .41 points after the educational intervention. Overall, this project proved successful by improving the participants' awareness to the opioid crisis, its relationship to surgical patients, and the potential for the anesthesia provider to play a role in mitigating this epidemic.

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