The purpose of the study project was to compare a nonspecific substance screening questionnaire with a well validated, evidence-based substance screening tool designed specifically for the pregnant population Evidence has shown use of an evidence-based screening tool improves maternal and fetal outcomes and reduces the risk of missed cases, stereotyping, and stigma. This study project utilized the social learning theory model, which defines human behavior as a reciprocal, continuous interaction among cognitive, behavioral, and environmental determinants. A pilot observational study project was conducted within a focal organization in a specified women’s health clinic over a 12-week period comparing their currently used nonspecific substance screening questionnaire with the use of a well-validated, evidence-based screening substance screening tool. This study project demonstrated that the SURP-P tool, compared to the EPIC questionnaire, captures a significantly greater number of women in pregnancy at risk for substance abuse. It is important that clinicians are fully trained on this tool and understand how to objectively interpret the results to provide proper follow-up and management for those identified at risk for substance abuse. Adopting this tool within this women’s specialty program will contribute to improved maternal and fetal outcomes. Every woman has the right to be cared for equally and comprehensibly, thus preventing stigmatization, discrimination, and marginalization.



Document Type

Scholarly Project

Degree Name

Doctor of Nursing Practice (DNP)

Level of Degree


First Committee Member

Tamara J. Shannon, DNP, CPNP-PC

Second Committee Member

Mary E. Perez, DNP, MSN,RN-BC


pregnancy, suboxone treatment, screening, referral, substance use, barriers, facilitators, buprenorphine, dependence, fetus, harm, methadone, opioid use disorder, intervention, opioid agonist medication, prenatal exposure, substance use disorder, addiction, treatment outcomes pregnancy