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Document Type

DNP - University Access Only

Award Date


Degree Name

Doctor of Nursing Practice (DNP)


Graduate Nursing

First Advisor

Mary Kay Nissen


Introduction: The current status of the opioid epidemic in the United States (US) involves large quantities of opioids prescribed daily for chronic pain management. This increases the risk of accidental opioid deaths and recreational opioid abuse. More than 100 people in the US die daily from accidental or recreational opioid overdose. Current organizational guidelines recommend that providers use risk mitigation practices when managing chronic pain with opioid medications. However, the use of education programs and risk mitigation practices is not standardized throughout the US. Providers should be educated on the importance of risk mitigation practices through continuing education programs such as SCOPE.
Methods: The literature review resulted in nine supporting articles graded from level I to V by the Johns Hopkins Nursing Evidence-Based Practice model. Gaps: Due to the lack of standard education and requirements for providers, there is limited research linking the use of risk mitigation practices to opioid abuse statistics.
Recommendations: Research shows that providers who receive continuing education on guidelines related to the use of risk mitigation practices are more likely to use these practices when prescribing opioids. By standardizing this education and the use of risk mitigation practices, further research could be done on the actual effect of risk mitigation practices on opioid use, abuse, and overdose.

Library of Congress Subject Headings

Opioid abuse -- Prevention.



Number of Pages



South Dakota State University


Copyright © 2020 Chelsea Jones