NURS4900: Capstone Project For Nursing Paper

Assessing the Problem: Leadership, Collaboration, Communication, Change Management, and Policy Considerations

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Alcoholism is a chronic disease characterized by uncontrolled drinking and a preoccupation with alcohol. The chronic disease is characterized by an inability to control alcohol consumption and has far-reaching medical, social, and psychological consequences on both the individual and their family. It not only affects the physical and mental health of the person who has alcoholism but also disrupts family dynamics, leading to financial difficulties, emotional stress, and strained relationships (Nehring & Freeman, 2020). According to the National Institute on Alcohol Abuse and Alcoholism (NIAAA), approximately 29.5 million adults in the United States had Alcohol Use Disorder (AUD) in 2021, which demonstrates the prevalence and severity of the issue (National Institute on Alcohol Abuse and Alcoholism, 2023)NURS4900: Capstone Project For Nursing Paper. It is a pervasive issue that requires comprehensive strategies for management and treatment. This paper aims to define and assess alcoholism as a family health problem, exploring it from a leadership, collaboration, communication, change management, and policy perspective.

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Patient Identification

Through familial ties, I chose the Bricker family. The family of four includes the head of the family, Mr. Bricker, his wife, and the two children, 12 and 15. Mr. Bricker is a forty-five-year-old construction worker who has been battling alcohol-use disorder for over ten years. The disease has caused him to develop liver-related complications as well as hypertension. In addition, alcoholism has caused tension within the family, the loss of multiple jobs, and, therefore, the lack of adequate financial stability. Mrs. Bricker, a schoolteacher, has been struggling with her husband’s addiction, trying to both maintain the economic stability of the family and look after the children.

Significance of the problem to family

The effects of alcoholism are no secret to society, especially the terrible impact it has on families. Research has further pointed out that more conflicts, lesser emotional support, and more cases of family violence characterize families that have a member with this disorder (Jokinen et al., 2020). According to the CDC, several studies suggest that the risks associated with consuming more than safe drinking levels are responsible for more than 178,307 deaths each year in the United States (CDC, 2024; Esser, 2024)NURS4900: Capstone Project For Nursing Paper. The effects of Mr. Bricker’s addiction were numerous for the family; they have experienced many emergencies that often require hospitalization, debts accrued from payment bills, and wages lost due to the illness and stress.

Relevance to Nursing Practice

As a baccalaureate-prepared nurse, it is imperative to address the multifaceted impacts of alcoholism not only on the individual but also on the family unit. Nurses play a crucial role in identifying and managing substance use disorders through screening, patient education, and coordination of care. Nurses often encounter patients and families affected by alcoholism in various healthcare settings, necessitating knowledge of effective interventions and support mechanisms. This approach aligns with holistic nursing practices considering health’s physical, emotional, and social dimensions. By focusing on the Bricker family, I can implement evidence-based interventions and collaborate with multidisciplinary teams to improve their overall well-being. The aim is to develop a comprehensive care plan that includes medical treatment for Mr. Bricker, emotional support for Mrs. Bricker and the children, and community resources to aid in recovery and stabilization. Addressing this problem aligns with nursing competencies related to patient-centered care, health promotion, and collaboration with other healthcare professionals. This experience will enhance my skills in managing chronic conditions and supporting families in crisis, which are essential competencies in nursing practice.

Analysis of Evidence from Peer-Reviewed Literature and Professional Sources

Evidence from Literature

Peer-reviewed literature provides substantial evidence on nursing actions related to managing alcoholism. In the study conducted by Almansour et al. (2023), motivational interviewing (MI) is regarded as a useful tool for patients with alcohol use disorder (AUD). The study points to the possibilities of the use of MI as a strategy for curbing alcohol intake and improving compliance to therapy in tandem with the practices learned in clinical settings that have embraced the use of MI to effect behavioral change among the affected individuals. Likewise, McCrady (2021) points out the importance of the family therapy approach in treating AUD. According to their findings, the inclusion of family members in therapy sessions leads to better treatment outcomes due to an intervention focus on the patterns within the family that contribute to alcoholism. These findings align with my observations in nursing practice, where integrating family therapy and motivational interviewing has shown positive outcomes. For instance, patients participating in family-inclusive programs often demonstrate better adherence to treatment plans and report higher levels of support, which is crucial for recovery NURS4900: Capstone Project For Nursing Paper.

Assessing Data Reliability

The reliability of data depends on the method used in the research, sample size, and the possibility of different biases. Reliable studies incorporate large and diverse sample populations and use sound methodological approaches such as randomized controlled trials (RCT) or systematic reviews. For instance, the works discussed above employ large sample sizes and control groups that suggest high reliability of the conclusions. On the other hand, a larger impact of bias may be expected with studies of low methodological quality, small sample size, or the presence of a conflict of interest.

Barriers to Evidence-Based Practice

Implementing evidence-based practices (EBPs) in managing alcoholism encounters several barriers. One is social gaps, particularly the social stigmatization of alcoholism, that may dissuade people from receiving the much-needed help and sticking to treatment plans (Farhoudian et al., 2022)NURS4900: Capstone Project For Nursing Paper. Furthermore, there are few resources and practice support for healthcare providers by which EBPs could be integrated proficiently. According to Nadkarni et al. (2022), a lack of training in some forms of treatment, particularly motivational interviewing and family therapy, could decrease the use of these methodologies in clinical practice settings.

Effectiveness of Nursing Standards and Policies

Research has shown that nursing standards and policies can significantly improve outcomes for families dealing with alcoholism. Green et al. (2022) evaluated the impact of standardized screening and brief intervention (SBI) protocols in primary care settings. The findings indicate that these protocols lead to early identification and intervention, reducing the severity of AUD and its associated complications. Furthermore, policies that support continuous professional development and training for nurses enhance their ability to deliver effective care.

Role of Nurses in Policy Making

The available literature indicates that nursing is key to policy development regarding enhancing health systems. Overall, it can be noted that the participation of nurses in policy advocacy should enhance policy advancement aimed at concocting meaningful public health approaches in the fight against alcoholism. For instance, Chiu et al. (2021) described how nurses use their knowledge and power of persuasion concerning the care of substance users to shape policies regarding the treatment and prevention of the disease. This involvement also ensures that policies developed are politically palatable, clinically feasible, supportive of patients, and clinically relevant.

Theoretical Frameworks

Several nursing theories and conceptual frameworks can guide nursing actions during the practicum. The Chronic Care Model (CCM) is mostly appropriate, following a patient-oriented, preventive approach to chronic diseases such as AUD. Community resource integration, self-management, and ongoing care are all part of the CCM framework, essential for alcoholism treatment plans (Grudniewicz et al., 2023)NURS4900: Capstone Project For Nursing Paper. Moreover, by introducing Orem’s Self-Care Deficit Nursing Theory (SCDNT), one can supplement the intervention strategies and focus on supporting patients and their families in achieving the best possible care and improving their general health outlook.

Impact of Nursing Practice Standards and Policies

Effectiveness of Standards and Policies

State board nursing practice standards and organizational or governmental policies play a crucial role in addressing alcoholism within families. Nursing boards’ mandated standard screening and brief intervention (SBI) policies have proven successful in the early identification and treatment of alcohol use disorders. Green et al. (2022) conducted a study showing that SBI techniques in primary care environments drastically cut alcohol consumption and associated risks among consumers. This study emphasizes the need for such criteria to enhance patient outcomes by utilizing early identification and quick intervention, supporting timely intervention.

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Role of Nurses in Policy Making

The current body of research emphasizes how important nurses are to policy-making to lower hospital readmissions, enhance health outcomes, and prevent disease. By bringing useful clinical insights and patient advocacy to the policy-making process, nurses help guarantee that policies are practical and patient-centered. For example, a study by Benton et al. (2020) found that nurse-led policy initiatives resulted in the creation of thorough community-based alcohol prevention programs, notably lowering alcohol-related hospital admissions. This participation shows how nurses can affect policies to establish encouraging surroundings for the management of alcoholism.

Effects of Local, State, and Federal Policies

Local, state, and federal policies significantly impact the nursing scope of practice, particularly in managing alcoholism. For example, the Affordable Care Act (ACA) has expanded access to substance abuse treatment services by mandating insurance coverage. According to a study by Mulia et al. (2022), the ACA’s expansion of Medicaid improved access to treatment for alcohol use disorders, resulting in better patient outcomes and reduced healthcare costs. Thanks to this policy, nurses can offer patients complete treatment free from financial restrictions. Policies supporting nurse practitioner (NP) autonomy have improved nurses’ ability to effectively treat patients with alcohol use disorders at the state level. States allowing NPs to practice independently have reported better management of chronic diseases, including alcoholism (Mulia et al., 2022) and better access to care. These laws enable nurses to apply their whole scope of practice, so improving the quality of treatment given to patients and families coping with alcoholism NURS4900: Capstone Project For Nursing Paper.

Leadership Strategies to Improve Outcomes, Patient-Centered Care, and Patient Experience

Leadership Strategies and Role of Leadership

Research highlights the effectiveness of transformational leadership in improving healthcare outcomes. Transformational leaders inspire and motivate their teams, creating a supporting environment that improves patient care and outcomes, claims Cummings et al. (2018). This method is especially successful for managing chronic diseases like alcoholism, where recovery depends on ongoing support and drive. By fostering an open and supportive culture, leadership has to be important in combating alcoholism. Leaders should support laws that lower stigma, give medical professionals evidence-based intervention training, and guarantee that resources are ready for all-encompassing treatment (Davis & O’Neill, 2022). Good leadership calls for well-defined objectives, ongoing education, and easy access to support systems.

Collaboration and Communication Strategies

Collaboration among multidisciplinary teams is essential. This includes collaborating closely with social workers, mental health experts, and addiction experts to offer comprehensive treatment. Good communication techniques guarantee flawless coordination of treatment using frequent team meetings and the application of shared electronic health records (Almansour et al., 2023)NURS4900: Capstone Project For Nursing Paper. Support for the patient’s recovery also depends on including family members in treatment plans via family therapy sessions.

Change Management Strategies

The implementation of change management strategies is essential for the surmounting of obstacles to evidence-based practices. Necessary steps include engaging stakeholders, providing training, and establishing a sense of urgency. Implementing new practices can be guided by Kotter’s 8-Step Change Model, which provides empowering action and creating a vision for change (Miles et al., 2023). Changes are sustained and effective through continuous monitoring and feedback.

Conclusion

Addressing alcoholism requires a comprehensive approach that considers the multifaceted impacts on both the individual and their family. This paper has examined the issue from leadership, collaboration, communication, change management, and policy perspectives. Through the implementation of evidence-based practices, collaboration among multidisciplinary teams, and effective leadership strategies, it is feasible to enhance patient-centered care and improve outcomes. This project emphasizes the significance of patient-centered, holistic care and demonstrates the critical role of nurses in managing chronic conditions such as alcoholism by concentrating on the Bricker family. This experience will improve nursing practice by fostering individuals’ well-being and assisting families in crisis NURS4900: Capstone Project For Nursing Paper.

References

Almansour, M., AlQurmalah, S. I., & Razack, A. (2023). Motivational interviewing—an evidence-based, collaborative, goal-oriented communication approach in lifestyle medicine: A comprehensive review of the literature. Journal of Taibah University Medical Sciences, 18(5). https://doi.org/10.1016/j.jtumed.2023.03.011

Benton, D., Ferguson, S., & del Pulgar, M. G. (2020). Exploring the influence of the nursing and medical professions on policy and politics. Nursing Management, 27(1), 33–41. https://doi.org/10.7748/nm.2020.e1896

CDC. (2024, May 15). Alcohol Use. https://www.cdc.gov/alcohol/index.html

Chiu, P., Cummings, G. G., Thorne, S., & Makaroff, K. S. (2021). Policy advocacy and nursing organizations: A scoping review. Policy, Politics, & Nursing Practice, 22(4), 276–296. https://doi.org/10.1177/1527154421105061

Cummings, G. G., Tate, K., Lee, S., Wong, C. A., Paananen, T., Micaroni, S. P. M., & Chatterjee, G. E. (2018). Leadership styles and outcome patterns for the nursing workforce and work environment: A systematic review. International Journal of Nursing Studies, 85(85), 19–60.

Davis, C. N., & O’Neill, S. E. (2022). Treatment of alcohol use problems among rural populations: A review of barriers and considerations for increasing access to quality care. Current Addiction Reports, 9(4), 432–444. https://doi.org/10.1007/s40429-022-00454-3

Esser, M. B. (2024). Deaths from excessive alcohol use — United States, 2016–2021. MMWR. Morbidity and Mortality Weekly Report, 73(8). https://doi.org/10.15585/mmwr.mm7308a1

Farhoudian, A., Razaghi, E., Hooshyari, Z., Noroozi, A., Pilevari, A., Mokri, A., Mohammadi, M. R., & Malekinejad, M. (2022). Barriers and facilitators to substance use disorder treatment: An overview of systematic reviews. Substance Abuse: Research and Treatment, 16(16). https://doi.org/10.1177/11782218221118462

Green, P. P., Cummings, N. A., Ward, B., & McKnight-Eily, L. R. (2022). Alcohol screening and brief intervention: Office-Based primary care physicians, U.S., 2015–2016. American Journal of Preventive Medicine, 62(2), 219–226. https://doi.org/10.1016/j.amepre.2021.07.013 NURS4900: Capstone Project For Nursing Paper

Grudniewicz, A., Gray, C. S., Boeckxstaens, P., Maeseneer, J. D., & Mold, J. W. (2023). Operationalizing the chronic care model with goal-oriented care. The Patient: Patient-Centered Outcomes Research, 16(6), 569–578. https://doi.org/10.1007/s40271-023-00645-8

Jokinen, T., Alexander, E. C., Manikam, L., Huq, T., Patil, P., Benjumea, D., Das, I., & Davidson, L. L. (2020). A systematic review of household and family alcohol use and adolescent behavioral outcomes in low- and middle-income countries. Child Psychiatry & Human Development, 52(4), 554–570. https://doi.org/10.1007/s10578-020-01038-w

McCrady, B. (2021). The role of the family in alcohol use disorder recovery for adults. Alcohol Research: Current Reviews, 41(1). https://doi.org/10.35946/arcr.v41.1.0

Miles, M. C., Richardson, K. M., Wolfe, R., Hairston, K., Cleveland, M., Kelly, C., Lippert, J., Mastandrea, N., & Pruitt, Z. (2023). Using Kotter’s change management framework to redesign departmental GME recruitment. Journal of Graduate Medical Education, 15(1), 98–104. https://doi.org/10.4300/JGME-D-22-00191.

Mulia, N., Lui, C. K., Bensley, K. M. K., & Subbaraman, M. S. (2022). Effects of Medicaid expansion on alcohol and opioid treatment admissions in U.S. racial/ethnic groups. Drug and Alcohol Dependence, 231, 109242. https://doi.org/10.1016/j.drugalcdep.2021.109242

Nadkarni, A., Gandhi, Y., Bhatia, U., & Velleman, R. (2022). Closing the treatment gap for alcohol use disorders in low- and middle-income countries. Cambridge Prisms: Global Mental Health, 10. https://doi.org/10.1017/gmh.2022.57

National Institute on Alcohol Abuse and Alcoholism. (2023). Alcohol use disorder (AUD) in the United States: Age groups and demographic characteristics. Accessed 18^th June 2024 from www.niaaa.nih.gov. https://www.niaaa.nih.gov/alcohols-effects-health/alcohol-topics/alcohol-facts-and-statistics/alcohol-use-disorder-aud-united-states-age-groups-and-demographic-characteristics

Nehring, S. M., & Freeman, A. M. (2020). Alcohol use disorder. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK436003/

Assessing the Problem: Quality, Safety, and Cost Considerations

The chronic disease, alcoholism is manifested in the inability to manage alcohol consumption and has extensive negative implications on the medical, social, and psychological aspects of a person and their family. Chronic alcoholism poses excellent consequences on the quality of health care and patient safety, in addition to incurring high costs. In this assessment, the emphasis will be placed on the Bricker family, about Mr. Bricker, a 45-year-old construction worker who was diagnosed with AUD in the past ten years. This paper focuses on how the effects of AUD span across the various domains on the Bricker family, with the impact of this health issue on the quality of care, patient safety, and the financial aspects brought to light. These practices and consultation with subject matter experts guide this research at the practicum site NURS4900: Capstone Project For Nursing Paper.

Impact on Quality of Care, Patient Safety, and Costs

Quality Of Care

Alcoholism significantly impacts the quality of care for both individuals and their families. In the case of Mr Bricker, the AUD manifests in recurring hospitalization owing to complications arising from the liver and hypertension. These medical conditions render the patient to require regular and frequent health care services such as ED visits and hospital admissions. For this reason, due to the chronicity of AUD, the patient receives inconsistent, disjointed, and exceptionally reactive care instead of proactive. This form of care delivery is ineffective and will also prove harmful to the patient’s general well-being. Also, AUD aggravates other disorders, meaning that patients will have worse health if they are diagnosed with a combination of AUD and other illnesses.

According to research on AUD patients, they experience inconsistent medical treatment since they present to health care services in some particular instances (MacKillop et al., 2022). This inequality further declines their general health condition and well-being. Looking again at Mr. Bricker’s medical history, one can see that the patient has undergone many acute-acuity episodes, but the patient has never had a comprehensive chronicity management plan. These fragmented forms of the care delivery system do not solve the problem, and health problems recur with the deterioration of life quality NURS4900: Capstone Project For Nursing Paper.

Patient Safety

The safety of patients like Mr. Bricker is severely compromised by the complications associated with chronic alcoholism. Excessive drinking hurts a consumer’s brain and body, including cognitive and motor coordination; this results in higher probabilities of falls, accidents, and medication mistakes (Chikritzhs & Livingston, 2021). The situations faced by the Bricker family expose all these critical safety issues. For example, we have seen in the case of Mr Bricker several episodes that have precipitated emergency medical attention, including alcohol-induced accidents and adverse effects of medications. Research indicates that patients with AUD are more prone to accidents and possible complications with medication, which increases their risk of developing more severe health complications (Jokinen et al., 2020)NURS4900: Capstone Project For Nursing Paper. This case shows that there needs to be a coordinated set of safety measures and ongoing surveillance to prevent such danger on the part of the Bricker family. Efforts to prevent the reoccurrence of these events should involve introducing effective measures like health examinations and individualized action plans.

Costs to the System and Individual

The cost of AUD is significant, bearing the brunt of expenses in health care and individuals’ pockets. The financial loss on hospital admissions and the requirement for the administration of medications implies that Mr Bricker’s older patient incurs significant healthcare charges. These are complemented by the hidden expenses, which can be proper wages due to employment insecurity. Mr Bricker’s health condition has led to the loss of jobs, which were the family’s primary source of income, hence increasing their economic problems.

Moreover, research shows that AUD consumes a significant amount of healthcare spending, making it among the costliest chronic diseases. They are a result of multiple admissions, emergencies, and chronic conditions (Rautiainen et al., 2020)NURS4900: Capstone Project For Nursing Paper. Economically, the Bricker family experiences a thorough loss of the AUD from Mr. Bricker’s viewpoint, starting with medical costs. The family struggles to come up with extra bills needed, especially in terms of wages due to illnesses and the costs of managing chronic illness. These forms of health issues demonstrate AUD’s overall financial stress, thus raising the importance of employing comprehensive support mechanisms to manage these costs. Such support systems could be health insurance for long-term treatment, financial assistance, or employment support services to cater to the economic effects of special needs health conditions experienced by families like the Brickers.

Influence of Nursing Standards and Policies

State Board Nursing Practice Standards

Nursing practice standards are crucial in addressing the challenges of alcohol use disorder (AUD). State board standards, such as those mandating screening and brief intervention (SBI) protocols, play a vital role in the early identification and management of AUD. The protocols open doors for early initiation of action, boosting patient care. Research reveals that the effectiveness of SBI, if standardized and integrated into primary healthcare settings, minimizes the severity of AUD and its outcomes (Green et al., 2022)NURS4900: Capstone Project For Nursing Paper. Strict compliance with these standards enhances the quality-of-care delivery by a provider as well as the outcome of clients like Mr. Bricker. Green et al. (2022) also showed that those protocols pointed out that the identification of AUD was done earlier, so there was a more suitable way and an opportunity to work on that. One great preventive measure leads to the improvement of the health of the patient and the overall efficiency of the healthcare industry instead of worsening the number of patients who are inflicted with alcohol-related diseases and disorders. In formal practice, following these standards guarantees comprehensive and consistent minor services, which are paramount in managing chronic conditions such as AUD.

Organizational and Governmental Policies

Organizational and governmental policies significantly impact AUD management. The Affordable Care Act (ACA) exemplifies this by expanding access to substance abuse treatment services, thus improving patient outcomes and reducing healthcare costs. In specific situations, such as in the case of Mr. Bricker, the ACA provides for required health insurance coverage for substance abuse treatment, and this will provide necessary care without the costs implied. Mullia et al. (2022) showed that the ACA’s Medicaid expansion helped enhance the treatment options for AUD, with subsequent positive impacts on health among affected populations. This policy indicates that although treating the affective component of AUD is possible, the most significant problem pertains to the system, which would require more supportive legislation. ACA’s insurance coverage ensures more individuals access to necessary treatments, enabling earlier interventions and better managing AUD NURS4900: Capstone Project For Nursing Paper.

These standards and policies provide a framework for evidence-based practice, guiding nursing actions. Implementing SBI protocols, as mandated by state board standards, equips nurses to effectively identify and manage AUD, aligning with preventive care and chronic disease management principles. Adherence to these guidelines reduces severe alcohol-related health issues, improving patient safety and lowering the financial burden on the healthcare system and individuals. By following these standards, nurses can deliver comprehensive and effective care.

Effects of Local, State, and Federal Policies

Local, state, and federal policies significantly influence the scope of nursing practice, particularly in managing AUD. Policies like the ACA and state mandates for SBI protocols directly impact care delivery. The ACA’s substance abuse treatment coverage requirement allows nurses to offer comprehensive care plans without patients worrying about financial barriers. State policies granting nurse practitioners (NPs) greater autonomy improve AUD management. States with expanded NP practice authority report better outcomes in managing chronic conditions, including AUD (Mulia et al., 2022)NURS4900: Capstone Project For Nursing Paper. These policies empower nurses to utilize their full practice scope, enhancing care quality and patient outcomes.

Strategies to Improve Care Quality, Enhance Safety, and Reduce Costs

Evidence-Based Strategies

Implementing evidence-based strategies is crucial for improving care quality, enhancing patient safety, and reducing costs associated with AUD. For the treatment of AUD, motivational interviewing (MI) family therapy is beneficial. Almansour et al. (2023) noted that there is a possibility of using MI to enhance behavioral change, especially among patients with AUD, to enhance compliance with treatment regimens. Further, family therapy has been recognized as effective for substance use disorder as it helps to change the family patterns related to alcohol use and dependence (McCrady, 2021)NURS4900: Capstone Project For Nursing Paper. MI aids the patient in finding the decision-making conflict in changing their behavior and encourages decision-making; therefore, it is a strategic tool for managing AUD. Family therapy, on the other hand, targets the patient and the family, as kinship relations are discussed about the disorder in question and how the loved one can help the patient throughout the process of rehabilitation.

Benchmark Data and Resources

Access to relevant benchmark data is essential for evaluating the effectiveness of interventions. Data on the readmission rate of patients, consumption of medication, and patients’ satisfaction scores can be used by organizations to enhance their quality improvement efforts. For example, it would be possible to assess how often Mr. Bricker undergoes hospitalizations and ED visits and how frequently changes have occurred in recent years to evaluate the success of the measures and notice improvements that should be made. Information from such sources as the National Institute on Alcohol Abuse and Alcoholism (NIAAA) helps compare the various key performance indicators and treatment outcomes against national benchmarks (National Institute on Alcohol Abuse and Alcoholism, 2023)NURS4900: Capstone Project For Nursing Paper. This is because the methods for implementation are evidence-based. Hence, the interventions are updated periodically to meet the standards.

Practicum Experience and Reflection

Interactions and Learning

During the practicum hours, I met with the Bricker family and consulted with addiction specialists to understand the comprehensive impact of AUD. The discussions revealed the significant strain on the family’s emotional and financial well-being, emphasizing the need for holistic and family-centered care approaches.

Reviewing evidence-based practice documents and websites provided valuable insights into effective interventions for AUD. The literature review reinforced the importance of integrating family therapy and motivational interviewing into treatment plans, aligning with my observations from the practicum interactions.

Leadership and Collaboration

Exploring the influence of leadership, collaboration, communication, change management, and policy on AUD highlighted several barriers. The Bricker family initially resisted the idea of family therapy, viewing it as an intrusion. Employing leadership and communication skills, I created a sense of urgency by presenting data on the benefits of family-inclusive treatment plans, eventually leading to their agreement.

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The practicum experience underscored the importance of leadership in driving change and fostering collaboration among multidisciplinary teams. Engaging stakeholders and providing continuous support were critical strategies for overcoming barriers and facilitating effective interventions.

Conclusion

To extensively treat the complex repercussions that it imposes, it is imperative to come up with a broad concept of practicing alcoholism treatment. In this assessment, I have employed the Bricker family to elaborate on concerns arising from AUD’s negligence and adverse impacts on the quality of care, patient safety, and costs incurred within the healthcare setting. Sustaining evidence-based practices, favorable policies, and exemplary leadership, as well as promoting the patient-centered care and progress of those humans and families challenged with AUD, is possible NURS4900: Capstone Project For Nursing Paper.

References

Chikritzhs, T., & Livingston, M. (2021). Alcohol and the risk of injury. Nutrients, 13(8), 2777. https://doi.org/10.3390/nu13082777

Esser, M. B. (2024). Deaths from Excessive Alcohol Use — United States, 2016–2021. MMWR. Morbidity and Mortality Weekly Report, 73(8). https://doi.org/10.15585/mmwr.mm7308a1

MacKillop, J., Agabio, R., Feldstein Ewing, S. W., Heilig, M., Kelly, J. F., Leggio, L., Lingford-Hughes, A., Palmer, A. A., Parry, C. D., Ray, L., & Rehm, J. (2022). Hazardous drinking and alcohol use disorders. Nature Reviews Disease Primers, 8(1). https://doi.org/10.1038/s41572-022-00406-1

McCrady, B. (2021). The role of the family in alcohol use disorder recovery for adults. Alcohol Research: Current Reviews, 41(1). https://doi.org/10.35946/arcr.v41.1.06

National Institute on Alcohol Abuse and Alcoholism. (2023). Alcohol Use Disorder (AUD) in the United States: Age Groups and Demographic Characteristics. Www.niaaa.nih.gov. https://www.niaaa.nih.gov/alcohols-effects-health/alcohol-topics/alcohol-facts-and-statistics/alcohol-use-disorder-aud-united-states-age-groups-and-demographic-characteristics

Rautiainen, E., Ryynänen, O.-P., Laatikainen, T., & Kekolahti, P. (2020). Factors associated with 5-year costs of care among a cohort of alcohol use disorder patients: A Bayesian network model. Healthcare Informatics Research, 26(2), 129–145. https://doi.org/10.4258/hir.2020.26.2.129 NURS4900: Capstone Project For Nursing Paper