First Advisor

Christine Finn

Second Advisor

Patsy Cullen


Rueckert-Hartman College for Health Professions

Degree Name

Doctor of Nursing Practice


Loretto Heights School of Nursing

Document Type

Thesis - Open Access

Number of Pages

82 pages


Oftentimes, primary care providers lack the knowledge, confidence, and time to monitor chronic pain patients closely resulting in possible inappropriate prescribing of opioids. Purpose: The project aim was to improve primary care provider knowledge and confidence in managing chronic pain patients in the primary care setting using a step model that was developed based on the Centers for Disease Control (CDC) guidelines as well as online education modules produced by the CDC. Methods: The project design was a quantitative pretest-posttest design. The primary outcome was to provide training on the CDC guidelines for prescribing opioids for chronic pain as well as implementation of a step model for primary care providers increasing their knowledge and confidence in management of chronic, non-malignant (CNMP) pain patients. Outcomes and Results: There were seven questions on the pre- and posttest that were analyzed using Wilcoxon Signed Ranks Test. Of the seven questions, five were statistically significant. The project data showed that the education module and step model increased knowledge and confidence in managing CNMP and prescribing opioid medication for this population (n=7). It also demonstrated a lack of education related to management of CNMP and opioid medications highlighting the need for increased education on chronic pain management and opioid therapy for physicians in the sample population as evidenced by statistically significant improvement between the pretest and posttest scores.

Date of Award

Spring 2019

Location (Creation)

Colorado (state); Denver (county); Denver (inhabited place)

Rights Statement

All content in this Collection is owned by and subject to the exclusive control of Regis University and the authors of the materials. It is available only for research purposes and may not be used in violation of copyright laws or for unlawful purposes. The materials may not be downloaded in whole or in part without permission of the copyright holder or as otherwise authorized in the “fair use” standards of the U.S. copyright laws and regulations.