Influences on advance practice nursing education to prescribe medications for opioid use disorder.

Autor: Phoenix BJ; Department of Community Health Systems, University of California San Francisco School of Nursing, San Francisco, CA, USA. Electronic address: beth.phoenix@ucsf.edu., Tierney M; Department of Community Health Systems, University of California San Francisco School of Nursing, San Francisco, CA, USA. Electronic address: matt.tierney@ucsf.edu., Chapman SA; Department of Social and Behavioral Sciences, University of California San Francisco School of Nursing, San Francisco, CA, USA. Electronic address: susan.chapman@ucsf.edu., Spetz J; University of California San Francisco, Philip R. Lee Institute for Health Policy Studies, San Francisco, CA, USA. Electronic address: joanne.spetz@ucsf.edu.
Jazyk: angličtina
Zdroj: Nursing outlook [Nurs Outlook] 2023 May-Jun; Vol. 71 (3), pp. 101963. Date of Electronic Publication: 2023 Mar 30.
DOI: 10.1016/j.outlook.2023.101963
Abstrakt: Background: Opioid misuse is a major public health concern in the United States. Opioid agonist medications are evidence-based treatments for opioid use disorders (OUD) that can be prescribed by advance practice registered nurses (APRNs) with prescriptive authority and appropriate training.
Purpose: Article examines factors influencing preparation to provide medications for opioid use disorder (MOUD) in APRN education.
Methods: Data from semi-structured interviews addressing the role of education in preparing APRNs to provide MOUD were grouped into key themes using thematic analysis. Data were collected in a mixed methods study in four states with high opioid overdose deaths whose main findings were previously published.
Findings: Two overarching themes emerged: "addressing attitudes" and "curriculum change." Sub-themes include affective barriers to providing OUD treatment; motivation to respond to the OUD crisis; and attitude change through experience with MOUD.
Discussion and Conclusion: APRNs can play a key role in reducing the harms caused by OUD. Attention to attitudinal issues, such as stigma, toward people using opioids is important in educating APRNs about providing MOUD.
(Copyright © 2023 The Authors. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: