{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T23:19:53Z","timestamp":1771456793799,"version":"3.50.1"},"reference-count":24,"publisher":"SLACK, Inc.","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Psychosoc Nurs Ment Health Serv"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:p>\n            The purpose of the current study was to determine if the amount of confidence in completing the Clinical Opiate Withdrawal Scale (COWS) varied among participants and whether consistency in scoring outcomes to patients occurred with COWS assessment among groups assigned to simulation and debriefing conditions. Sixty nursing staff were randomized into three groups: (a) scenario; (b) scenario and simulation; and (c) scenario, simulation, and debriefing. Staff were administered a questionnaire to assess their confidence before (i.e., pretreatment) and after (i.e., posttreatment) the simulation exercise and at 30-day follow up. The COWS assessment tool was completed by nursing staff during treatment and follow-up sessions. Significant improvements in confidence were found in all three treatment conditions. Highest consistency in scoring outcomes of the COWS to patients was found with the scenario, simulation, and debriefing condition. All participants reported having increased confidence completing the COWS. The amount of confidence among groups was not significant. Although nursing confidence did not differ among groups, increased scoring outcome reliability was found in groups using simulation and debriefing. [\n            <jats:italic>Journal of Psychosocial Nursing and Mental Health Services, 56<\/jats:italic>\n            (10), 27\u201335.]\n          <\/jats:p>","DOI":"10.3928\/02793695-20180503-05","type":"journal-article","created":{"date-parts":[[2018,5,9]],"date-time":"2018-05-09T13:01:33Z","timestamp":1525870893000},"page":"27-35","source":"Crossref","is-referenced-by-count":10,"title":["Improving Nursing Confidence and Consistency in Assessment of Opioid Withdrawal: Efficacy of Simulation and Debriefing"],"prefix":"10.3928","volume":"56","author":[{"given":"Deborah","family":"Corrigan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard L.","family":"Mix","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Glen A.","family":"Palmer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen A.","family":"Olson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2308","reference":[{"key":"e_1_3_1_2_1","first-page":"79","article-title":"Outcomes of clinical simulation for novice nursing students: Communication, confidence, clinical judgment","volume":"30","author":"Bambini D.","year":"2009","unstructured":"Bambini D., Washburn J., Perkins R. (2009). Outcomes of clinical simulation for novice nursing students: Communication, confidence, clinical judgment. Nursing Education Perspectives, 30, 79\u201382.","journal-title":"Nursing Education Perspectives"},{"issue":"1","key":"e_1_3_1_3_1","first-page":"10","article-title":"CDC grand rounds: Prescription drug overdoses\u2014A U.S. epidemic","volume":"61","author":"Centers for Disease Control and Prevention","year":"2012","unstructured":"Centers for Disease Control and Prevention. (2012). CDC grand rounds: Prescription drug overdoses\u2014A U.S. epidemic. Morbidity and Mortality Weekly Report, 61(1), 10\u201313.","journal-title":"Morbidity and Mortality Weekly Report"},{"key":"e_1_3_1_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/medu.12432"},{"key":"e_1_3_1_5_1","doi-asserted-by":"publisher","DOI":"10.3109\/0142159X.2012.733451"},{"key":"e_1_3_1_6_1","unstructured":"Department of Veterans Affairs\/Department of Defense. (2015). 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