As a causal factor in more than 200 diseases and conditions, the harmful use of alcohol ranks among the top five risk factors for disease, disability, and death worldwide. The serious acute and chronic health conditions combined with the social and economic consequences underscore the need for nurses to deliver alcohol screening and brief intervention (SBI) as a clinical preventative service.
This online self-paced program is provided for current and future nurses and other health care providers to increase knowledge and skills in delivering SBI and promote the skills of nurse leaders to redesign systems for integrating alcohol SBI as a standard of care for all adult patients in all settings where health care is provided.
The program is based on guidelines from the Centers for Disease Control and Prevention (CDC). The first module, Screening and Brief Intervention (SBI) 101 lays the foundation for the program by presenting the SBI flow process. The SBI flow process is applied in each of the six population modules. Three additional core modules provide information about fetal alcohol spectrum disorders, alcohol-interactive medications, and implementation of SBI in practice. Each of three role-specific modules focus on informatics nurse specialists, nurse administrators, or clinical nurse leaders.
Development and Funding
These training materials were supported by a Cooperative Agreement from The Centers for Disease Control and Prevention (CDC RFA OE12-1201 AACN: 1 U36 OE00003-01). Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention.
Modules 1 through 7 were developed by the University of Pittsburgh School of Nursing (02-117WIPFA14-UPITT).
Modules 8-13 were developed by Johns Hopkins School of Nursing (02-117WIPFA14-JH).
The Overall Training Details
The program is specifically developed for nursing students, Registered Nurses, and nurses in advanced practice roles. Other current or future health care providers who are similarly engaged in this public health approach to alcohol screening and brief intervention may also benefit from this educational program.
Each of the six population modules address alcohol screening, assessment and appropriate interventions. Each module follows the Feedback, Listen, Options (FLO) process, as described in Module 1: Alcohol SBI 101, and provides video examples of the nurse-patient conversation. Additional vignettes provide the learner with opportunities to virtually interact with a patient. Questions posed throughout the modules are used to reinforce learning.
Module 1: Alcohol Screening and Brief Intervention 101 (60 minutes)
This module introduces the learner to content from the CDC document, Planning and Implementing Screening and Brief Intervention for Risky Alcohol Use: A Step-by-Step Guide for Primary Care Practices. The flow of the SBI is presented to lay the foundation for role- and population-specific modules.
Module 2: Fetal Alcohol Spectrum Disorder 101 (30 minutes)
Fetal Alcohol Spectrum Disorders (FASDs) describe the range of effects that can occur in an individual who was exposed to alcohol in utero. This module provides information about the effects, which may include physical, mental, behavioral, and/or learning disabilities with possible lifelong implications.
Module 3: Medication 101: The Impact of Alcohol (30 minutes)
The effects of combining alcohol and medication can vary with the duration, amount, and rate of alcohol consumption. This module focuses on alcohol-interactive medications, including prescribed and over-the-counter.
Module 4: Implementation Basics: Alcohol Screening and Brief Intervention (60 minutes)
The United States Preventive Services Task Force, among many professional organizations and guidelines, recommend that alcohol screening and brief intervention be provided to all adults in primary care settings. This module describes a four-phase framework to guide implementation of Alcohol SBI in settings where health care is provided. This module will be particularly helpful for nurses leading change in today’s complex health care environment.
Module 5: Alcohol Screening and Brief Intervention for Clinical Nurse Leaders (20 minutes)
The Clinical Nurse Leader (CNL) exercises leadership across all settings in which health care is delivered. By using a team-based approach, the CNL facilitates effective communication, continuing education, policy implementation, and interprofessional practice. The CNL designs, implements, and evaluates patient care plans, resulting in improved outcomes uniquely positioning the CNL to promote evidence-based practices, such as Alcohol SBI.
Module 6: Alcohol Screening and Brief Intervention for Nurse Administrators (20 minutes)
The Alcohol SBI program for Nurse Administrators (NA) is vested in the American Nurses Association’s Nursing Administration Scope and Standards of Practice. These standards advocate for the NA to collect, analyze, implement, evaluate issues or problems, and employ strategies to foster health promotion, health teaching, and the provision of other services and resources for nurses.
Module 7: Alcohol Screening and Brief Intervention for Informatics Nurse Specialists (20 minutes)
All nurses need basic informatics competencies to practice in the current health care system. The Informatics Nurse Specialist uses evidence-based technology resources to improve health care. The implementation of Alcohol SBI is an example of an evidence-based practice. Implementing Alcohol SBI through the use of the Electronic Health Record system provides an opportunity for all members of the health care team to share information. This module explains a step-by-step process for integrating Alcohol SBI into the Electronic Health Record system.
Module 8: Alcohol SBI for Nursing Practice: Reducing Risk in 18-20 Year Olds (60 minutes)
This module recognizes that persons under the legal age of 21 years are vulnerable because of access and exposure to alcohol.
Module 9: Alcohol SBI for Nursing Practice: People Who May Become Pregnant (60 minutes)
This module focuses on people who may become pregnant given the risks of harm to the developing fetus. The module addresses effective birth control and at-risk alcohol use.
Module 10: Alcohol SBI for Nursing Practice: LGBT+ Populations (60 minutes)
This module focuses on persons who are lesbian, gay, bisexual, transgender, and other populations. Members of the LGBT+ community are at increased risk for a number of health threats, including those related to alcohol use, when compared to those outside of this population. These persons may experience discrimination, provider hostility and insensitivity, strict binary gender (male/female) segregation within programs, and lack of acceptance in gender-appropriate recovery groups. Beginning with an understanding that cultural competence impacts LBGT+ people and their health care, the module provides opportunities for the learner to apply the alcohol SBI process with members of the LBGT+ community.
Module 11: Alcohol SBI for Nursing Practice: A Focus on Veterans (60 minutes)
This module focuses on the veteran population. Unique in this module is the type of evidence-based screening tool used, yet following the same FLO process in conducting alcohol SBI. Learners have the opportunity to experience two situations with a veteran who is not at risk because of alcohol use and a veteran at risk because of alcohol use who is resisting the intervention.
Module 12: Alcohol SBI for Nursing Practice: People with Medical Conditions (60 minutes)
The medical consequences of alcohol use are evident in almost every organ system of the body. This module focuses on persons with existing medical conditions for which alcohol use may place them at higher risk for acute or chronic health problems.
Module 13: Alcohol SBI for Nursing Practice: Reducing Risk in Older Adults (People over 65) (60 minutes)
Older adults have a variety of risk factors that are exacerbated by alcohol. This module focuses on a growing population where the prevalence of alcohol use is concerning.
*total training: approximately 10 hours
Types of Pricing Price Individual cost FREE (until March 1, 2019) Group purchase cost (3 or more) Email SON-ExecEd@jhu.edu