Addiction Nursing Competencies

Wason, Kristin; Potter, Annie; Alves, Justin; Loukas, Vanessa L; Lastimoso, Charmaine S.; Sodder, Shereen; Caputo, Andrea; LaBelle, Colleen

doi:10.1097/nna.0000000000001041

Cited by 8 publications

(9 citation statements)

References 19 publications

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“…1 To address this, all nurses must have the education and clinical training necessary to care for individuals with substance use disorder. 12 Nurses with education on addiction and possessing well-developed clinical skills in the management of patients with SUD can play a major role in improving the care of this marginalized patient population and reducing negative attitudes toward them. 10 Thus, there is a clear need to establish additional addiction nursing fellowships across the country.…”

Section: Discussionmentioning

confidence: 99%

“…Selected self-directed learning materials are open-access and cover a range of topics related to nursing care of persons who use substances with an aim to meet, and exceed, the addiction nursing skills and educational competencies as described by Wason et al 12 and Finnell et al 13 Additionally, the curriculum utilizes no-cost and widely accessible remote live and pre-recorded trainings available through the Grayken Center for Addiction Training and Technical Assistance (TTA) program and the Providers Clinical Support System (PCSS). These programs provide free, publicly-available up-to-date, multidisciplinary, evidence-based education, and continuing education units (CEU) for nurses, which can be used to meet the requirement to sit for the CARN examination.…”

Section: Educational Curriculummentioning

confidence: 99%

“…The OBAT model (aka the “Massachusetts Model”) is widely accepted as best practice in delivering office-based treatment of opioid use disorder. 12,13,19…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The Creation of an Addiction Nursing Fellowship Program for Registered Nurses: A Unique Approach to Enhancing the Addiction-Treatment Workforce

Fox,

Wason,

Beers

et al. 2023

Substance Abuse

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In 2020, Boston Medical Center and the Grayken Center for Addiction launched an addiction nursing fellowship to enhance registered nurses’ knowledge and skills related to the care of patients with substance use disorders and to improve patient experience and outcomes. This paper describes the development and essential components of this innovative fellowship, to our knowledge the first of its kind in the United States, with the goal of facilitating replication in other hospital settings.

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Section: Discussionmentioning

confidence: 99%

Section: Educational Curriculummentioning

confidence: 99%

See 1 more Smart Citation

The Creation of an Addiction Nursing Fellowship Program for Registered Nurses: A Unique Approach to Enhancing the Addiction-Treatment Workforce

Fox,

Wason,

Beers

et al. 2023

Substance Abuse

Self Cite

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“…Recent evidence has shown that nurse-led clinics and the expansion of MOUD address critical gaps in these essential services for PWID, particularly in rural areas (Auty et al, 2020;Barnett et al, 2019;Cos et al, 2021;Klein et al, 2022;Sorrell et al, 2020). Additionally, nurses and nurse case managers working in the primary care setting play a critical role in addressing the holistic care needs of patients, including some barriers identified by this review, and can engage PWID in primary care long term (Beharie et al, 2022;Wason et al, 2021).…”

Section: Clinic Al Rele Van Cementioning

confidence: 91%

“…Recent evidence has shown that nurse‐led clinics and the expansion of MOUD address critical gaps in these essential services for PWID, particularly in rural areas (Auty et al, 2020; Barnett et al, 2019; Cos et al, 2021; Klein et al, 2022; Sorrell et al, 2020). Additionally, nurses and nurse case managers working in the primary care setting play a critical role in addressing the holistic care needs of patients, including some barriers identified by this review, and can engage PWID in primary care long term (Beharie et al, 2022; Wason et al, 2021). Overall, nurses in the primary care setting play an important role in addressing barriers to care engagement, improving access to essential substance use and primary care services, and developing meaningful patient–nurse and patient‐care team relationships.…”

Section: Clinical Relevancementioning

confidence: 99%

Barriers and facilitators to primary care engagement for people who inject drugs: A systematic review

Heidari

Tormohlen

Dangerfield

et al. 2022

J of Nursing Scholarship

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Introduction People who inject drugs (PWID) have a greater burden of multimorbid chronic diseases than the general population. However, little attention has been paid to the engagement in primary care for services related specifically to injection drug use and management of underlying chronic comorbid diseases for this population. This systematic review identified facilitators and barriers to healthcare engagement in the primary care setting among PWID. Design and Methods Studies were identified by a literature search of PubMed, CINAHL, and EMBASE, and by searching the references of retrieved articles. Studies were included if they measured active injection drug use, and outcomes related to primary care engagement characterized by: diagnosis of a health condition, linkage or retention in care, health condition‐related outcomes, and reported patient–provider relationship. Results Twenty‐three articles were included. Using the behavioral model, factors within predisposing, enabling, need, and health behavior domains were identified. Having co‐located services and a positive patient–provider relationship were among the strongest factors associated with healthcare utilization and engagement while active injection drug use was associated with decreased engagement. Conclusions To our knowledge, this is the only review of evidence that has examined factors related to primary care engagement for people who inject drugs. Most articles were observational studies utilizing descriptive designs. Although the assessment of the evidence was primarily rated ‘Good’, this review identifies a significant need to improve our understanding of primary care engagement for PWID. Future research and intervention strategies should consider these findings to better integrate the holistic care needs of PWID into primary care to reduce morbidity and mortality associated with injection drug use and chronic disease. Clinical relevance Primary care engagement is important for preventative care, early diagnosis of disease, and management of chronic diseases, including addressing problems of substance use. This review highlights factors nurses can utilize to facilitate primary care engagement of PWID.

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