Chronic Opioid Use After Surgery: An Exploratory Study Examining Rural Certified Registered Nurse Anesthetist Strategies to Mitigate Chronic Opioid Use and Their View of Their Role in the Opioid Crisis.

Autor:	White MB; Greater Baltimore Medical Center, Baltimore, Maryland., Dingley E; Anesthesia Associates of New Mexico (AANM), Albuquerque, New Mexico., O'Guin C; Virginia Commonwealth University, Richmond, Virginia., Schirle L; Vanderbilt University, Nashville, Tennessee., Eshkevari L; Georgetown University, Washington DC. Email: eshkevl@georgetown.edu.
Jazyk:	angličtina
Zdroj:	AANA journal [AANA J] 2022 Dec; Vol. 90 (6), pp. 417-423.
Abstrakt:	Certified registered nurse anesthetists (CRNAs) provide most of the anesthesia care in the rural United States. Rural regions of the US also have the highest opioid prescribing rates and opioid-related hospital admissions and deaths. Although CRNAs are the primary anesthesia providers in these regions, little research examines the strategies CRNAs may use to mitigate the development of chronic opioid use after surgery. The purpose of this study was to assess the views of rural CRNAs regarding their role in mitigating chronic opioid use after surgery and to determine what, if any, preventative strategies they may use. A survey was developed and distributed to CRNAs practicing in rural areas of the US with the highest opioid prescribing rates. Of the 160 CRNAs who responded, 73% agreed that they could influence whether their patient developed chronic opioid use after surgery. Those who agreed were more likely to be involved in policy development to decrease opioid use. The survey also found that CRNAs with a doctoral degree, compared with those with master's level preparation, were more likely to report that they could influence whether their patient developed chronic opioid use after surgery. Competing Interests: Name: Mary-Bailey White, BSN Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None. Name: Emily Dingley, BSN Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None. Name: Crystal O’Guin, DNP, CRNA Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None. Name: Lori Schirle, PhD, CRNA Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None. Name: Ladan Eshkevari, PhD, CRNA, FAAN Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author; this author is the corresponding author. Disclosures: None (Copyright © by the American Association of Nurse Anesthetists.)
Databáze:	MEDLINE
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