Date of Award

Fall 12-15-2023

Document Type

Scholarly Project

Degree Name

Doctor of Nursing Practice (DNP)

First Advisor

Karen Johnson

Second Advisor

Kristee Frisbee

Third Advisor

Chris Spera


The purpose of this quality improvement project was too assess the knowledge and attitudes of nursing staff toward assessing patients diagnosed with alcohol dependence who are detoxing from alcohol in a mental health facility. An educational intervention was done with nursing staff to assess their knowledge of the Clinical Institute Withdrawal Assessment for Alcohol (CIWA) scale and to stress the importance of frequent and accurate use of the scale. Data was collected for three months before the educational intervention and three months after the educational intervention on the total number of patients admitted to the facility with a diagnosis of alcohol dependence, the number of alcohol-related withdrawal seizures decreased as well as the number of patients transferred to the ER. This project supports adequate training of nursing staff on frequent and accurate CIW scoring to improve patient outcomes and nursing satisfaction.