Preventing Opioid Misuse and Potential Abuse: The Nurse's Role in Patient Education

Costello, Margaret; Thompson, Sarah

doi:10.1016/j.pmn.2014.09.008

Cited by 22 publications

(12 citation statements)

References 15 publications

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“…[40,45,47] However, other studies in our review showed no significant relationship between nurses' years of experience with their knowledge and attitude toward opioid. This finding is in line with the findings in a study conducted by Costello and Thompson (2015) [48] that assessed nurses' knowledge of opioid use and their years of experiences. These authors concluded that nurses' lack of sufficient training about pain management was a primary factor, not their years of nursing practice.…”

Section: Discussionsupporting

confidence: 91%

Factors influencing nurses’ knowledge and attitudes toward patients in chronic pain with opioid use disorder: A literature review

Abdulwahab¹,

Kehyayan²,

Al-Tawafsheh³

2020

JNEP

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Background and objective: Chronic pain is a common symptom among patients worldwide. This issue leads health care professionals to manage patients’ chronic pain by using opioids. However, some patients tend to abuse these medications and develop opioid use disorder. The aim of the study was to identify and explore factors that influence nurses’ knowledge and attitudes toward patients in chronic pain with opioid use disorder.Methods: A literature review was conducted. CINAHL, Medline, and PsychINFO databases were used to search for relevant articles. A total of 12 articles that met the inclusion criteria were retrieved.Results: This literature review showed several factors that influence nurses’ knowledge and attitudes. These factors were nurses’ education, role support, demographic factors, nurses’ experiences, and nurses’ beliefs and culture.Conclusions: The findings of this literature review will inform the development of an educational program to promote nurses’ knowledge and attitudes toward patients in chronic pain with opioid use disorder.

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Section: Discussionsupporting

confidence: 91%

Factors influencing nurses’ knowledge and attitudes toward patients in chronic pain with opioid use disorder: A literature review

Abdulwahab¹,

Kehyayan²,

Al-Tawafsheh³

2020

JNEP

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“…Include skilled pharmacists and/or nurses on teams to educate patients on appropriate use of opioids and other medications. (70)(71)(72) GRADE Quality: Low; Strength: Weak…”

Section: Recommendationmentioning

confidence: 99%

Canadian Guidelines on Opioid Use Disorder Among Older Adults

et al. 2020

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BackgroundIn Canada, rates of hospital admission from opioid overdose are higher for older adults (≥ 65) than younger adults, and opioid use disorder (OUD) is a growing concern. In response, Health Canada commissioned the Canadian Coalition of Seniors’ Mental Health to create guidelines for the prevention, screening, assessment, and treatment of OUD in older adults.MethodsA systematic review of English language literature from 2008–2018 regarding OUD in adults was conducted. Previously published guidelines were evaluated using AGREE II, and key guidelines updated using ADAPTE method, by drawing on current literature. Recommendations were created and assessed using the GRADE method.ResultsThirty-two recommendations were created. Prevention recommendations: it is key to prioritize non-pharmacological and non-opioid strategies to treat acute and chronic noncancer pain. Assessment recommendations: a comprehensive assessment is important to help discern contributions of other medical conditions. Treatment recommendations: buprenorphine is first line for both withdrawal management and maintenance therapy, while methadone, slow-release oral morphine, or naltrexone can be used as alternatives under certain circumstances; non-pharmacological treatments should be offered as an integrated part of care.ConclusionThese guidelines provide practical and timely clinical recommendations on the prevention, assessment, and treatment of OUD in older adults within the Canadian context.

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“…47 Previous studies have also highlighted the critical role nurses may play in the opioid epidemic and the clear gaps in knowledge and skills to meet these new demands. 48,49 Researchers found that screening, brief intervention, and referral to treatment (SBIRT) education may facilitate increased understanding and reduced stigma among nurses caring of patients who use opioids and other substances. 50 Costello et al (2016) also found that nurses' knowledge of opioid safety was associated with patients' knowledge about opioid use.…”

Section: Resultsmentioning

confidence: 99%

<p>Women’s Perspectives On Provider Education Regarding Opioid Use</p>

Kalinowski

Wallace

Williams

et al. 2020

JPR

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Objective: To elucidate women's experiences with opioid medications and their perspectives on provider education regarding opioid use, risks and safety. Methods: Women with a self-reported history of pain who had been prescribed opioids were recruited in 2016 using a convenience sampling approach that included an online social media campaign. Participants (N=154) completed online surveys and open-ended questions regarding their experiences with pain and opioids, and their perspectives on the quality of education they received from their providers. Results: Participants reported receiving insufficient education about opioid-related side effects, as reflected in both ratings for the quantity and quality of education they received from their providers. Non-white participants reported lower quantity and poorer quality of provider education (p<0.05). Themes identified from the qualitative data included frustrations with pain management options, fear of opioids, stigma associated with opioid use, and the need for improved provider education and patient-provider communication. Conclusion: Findings suggest that from a patient's perspective, there is a need for enhanced patient-provider communication and education regarding pain management and potential opioid-related side effects. Improved physician communication and education could promote shared decision-making and result in enhanced satisfaction with care and health outcomes.

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Preventing Opioid Misuse and Potential Abuse: The Nurse's Role in Patient Education

Cited by 22 publications

References 15 publications

Factors influencing nurses’ knowledge and attitudes toward patients in chronic pain with opioid use disorder: A literature review

Factors influencing nurses’ knowledge and attitudes toward patients in chronic pain with opioid use disorder: A literature review

Canadian Guidelines on Opioid Use Disorder Among Older Adults

<p>Women’s Perspectives On Provider Education Regarding Opioid Use</p>

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