Nursing Education in the Midst of the Opioid Crisis

Compton, Peggy; Blacher, Suzan

doi:10.1016/j.pmn.2019.06.006

Cited by 34 publications

(23 citation statements)

References 39 publications

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“…There is a paucity of research focusing on the experiences of nurses—clinicians on the front lines of caring for hospitalized people with comorbid OUD. Examination of nursing education in the context of an opioid crisis has found inadequate content related to SUD and subsequent high degrees of discomfort among nursing students in caring for patients who have OUD in the inpatient setting [16,17]. In order to improve patient outcomes, reduce stigma, and avoid clinician burn-out, the perspectives of nurses must be heard and addressed proactively.…”

Section: Introductionmentioning

confidence: 99%

“You’re kind of at war with yourself as a nurse”: Perspectives of inpatient nurses on treating people who present with a comorbid opioid use disorder

et al. 2019

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BackgroundIn the midst of an opioid epidemic, health care workers are encountering an increasing number of patients who have opioid use disorder in addition to complex social, behavioral and medical issues. Of all the clinicians in the hospital, nurses spend the most time with hospitalized patients who have opioid use disorder, yet there has been little research exploring their experiences in caring for this population. The objective of this study was to assess the attitudes, perceptions, and training needs of nurses in the inpatient setting when caring for patients who have opioid use disorder.MethodsOne-on-one in-depth interviews were conducted with nurses working at a large academic medical center in Boston, MA, using a semi-structured interview guide. Nurses were recruited via email notifications and subsequent snowball sampling. Interviews were recorded, transcribed and analyzed using a grounded theory approach.ResultsData from in-depth interviews with 22 nurses were grouped into six themes: (1) stigma, (2) assessing & treating pain, (3) feelings of burn out, (4) communication between providers, (5) safety & security, and (6) opportunities for change. These themes were organized within four ecological levels of the Socio-Ecological Model: I) societal context, II) hospital environment, III) interpersonal interactions, and IV) individual factors. Nurses were cognizant of the struggles that patients who have opioid use disorder confront during hospitalization such as pain, withdrawal and stigma, and elaborated on how these challenges translate to professional and emotional strain among nurses. Nurses offered recommendations by which the hospital could streamline care for this population, including expanded role support for nurses and more structured policies regarding care for patients who present with a comorbid opioid use disorder.ConclusionOur results highlight the need for the development of programs targeting both organizational culture and the inpatient nurse quality of life to ultimately enhance quality of care for patients who present with opioid use disorder.

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Section: Introductionmentioning

confidence: 99%

“You’re kind of at war with yourself as a nurse”: Perspectives of inpatient nurses on treating people who present with a comorbid opioid use disorder

et al. 2019

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“…This situation clearly contributes to the sharp rise in opioid‐related morbidity and mortality. Crucial must‐know items for every nurse involved in the care of patients treated with opioid medications include strong knowledge of opioid pharmacology; optimal treatment duration; methods to keep these drugs secure and methods of disposal; considerations concerning the administration to patients; signs and symptoms of tolerance, dependence, and withdrawal; characteristics of patients at risk of misuse; and the awareness of the worsening problem of opioid misuse (Compton & Blacher, 2020; Costello, 2015; Manworren & Gilson, 2015). These overlooked topics should be incorporated into continuing education courses for clinicians and revisited and reinforced across the nursing curriculum before the nurses enter the workplace.…”

Section: Discussionmentioning

confidence: 99%

Attitudes, perceptions, self‐efficacy and knowledge levels of Israeli nurses in relation to opioid misuse: A cross‐sectional survey

Nusbaum

Farkash

2021

J of Nursing Scholarship

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Background:In an opioid epidemic that is imposing heavy health burdens on individuals, families and health systems, nurses are the main front-line caregivers in the battle against the unrelenting increase in opioid medication misuse. Yet, little research has been conducted on nurses' opinions and knowledge surrounding this issue worldwide and in Israel as well.Objectives: To evaluate Israeli nurses' attitudes, their knowledge about opioid use and misuse, their perception of institutional support, and their perception of their role and self-efficacy in preventing and treating opioid misuse.Design: Cross-sectional study. Methods:The data were collected through an electronic questionnaire from 414 Israeli registered nurses using the Qualtrics platform for on-line surveys. Results:The majority of the sample perceived their role positively, held positive attitudes toward people with opioid addiction, and were willing to take care of persons who misused opioids. Nurses reported low scores on knowledge, perceived institutional support, and self-efficacy relating to the issues surrounding opioid pain medication use and misuse. Conclusions: The results clearly indicate a lack of up-to-date knowledge among nurses concerning opioids use. This situation must be urgently corrected through revisiting the subject of opioids across undergraduate, graduate, and continuing nursing education programs. Improved knowledge, combined with a supportive organizational culture, should strengthen nursing care provided to this frequently neglected patient population. Clinical relevance: Broad insight into nurses' attitudes, their level of knowledge about opioid use and misuse, and their perceptions of their own role in preventing and treating such misuse are essential for creating targeted, relevant educational interventions for nurses with the aim of providing safe and effective opioid treatment for individuals with pain.

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“…Good knowledge should be given since nurses are still pursuing formal education. Nurses must own particular competencies in handling addiction client problems [21].…”

Section: Theme 4: Hopementioning

confidence: 99%

Exploration the Needs of Nursing Care of Drugs Addiction Service Institutions in Indonesia

Susanti

Wardani

Fitriani

et al. 2022

Open Access Maced J Med Sci

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BACKGROUND: To explores the nurses and health professionals' views about the need for nursing care for drug addiction clients. AIM To explores the nurses and health professionals' views about the need of nursing care to care for drug addiction clients. METHODOLOGY: This study used qualitative research and the data collection used interviews. The study involved ten nurses and ten health profession recruited from the three government centres of addiction services in the capital city of Indonesia. The analysis of the data using thematic analysis. RESULTS: There were four themes Gray Area between Nurses and Other Health Workers in handling clients, The Role of Drug Addiction Nurses, Challenges and Strategies in caring for addiction clients and hopes. CONCLUSION: Nurses in carrying out their duties must be equipped with knowledge, attitudes and special skills. The presence of a psychiatric nurse in the setting of drug addiction services needs to be considered a step in resolving the dilemma of drug addiction nursing services in Indonesia. Exceptional guidance and training for nurses in drug addiction services must be provided to improve nurses' knowledge, skills, abilities, and behaviour in handling drugs addiction clients.

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Nursing Education in the Midst of the Opioid Crisis

Cited by 34 publications

References 39 publications

“You’re kind of at war with yourself as a nurse”: Perspectives of inpatient nurses on treating people who present with a comorbid opioid use disorder

“You’re kind of at war with yourself as a nurse”: Perspectives of inpatient nurses on treating people who present with a comorbid opioid use disorder

Attitudes, perceptions, self‐efficacy and knowledge levels of Israeli nurses in relation to opioid misuse: A cross‐sectional survey

Exploration the Needs of Nursing Care of Drugs Addiction Service Institutions in Indonesia

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