通过高级实践护理激活关闭阿片类药物治疗差距:课程设计和初步结果。

Matthew Tierney, Elizabeth Castillo, Adam Leonard, Emily Huang
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引用次数: 0

摘要

丁丙诺啡是治疗阿片类药物使用障碍(mod)的有效药物,可减少阿片类药物过量等相关危害,但在mod需求与治疗之间存在显著差距,特别是对边缘人群。从历史上看,在高级执业注册护士(APRNs)的推动下,低模治疗能力正在上升。研究生护理课程旨在提高APRNs公平的丁丙诺啡治疗交付。我们报告了一项采用前测后测设计的课程评价研究的基线结果。设计:电脑调查评估学员对课程的满意度,学员提供mod的知识,以及学员与吸毒者合作的满意度。方法:采用李克特量表进行定量调查。结果:基线前调查显示,不到一半(44%)的APRN学生同意/强烈同意他们对毒品和毒品相关问题有工作知识,37%的人同意/强烈同意他们对毒品问题的原因有足够的了解,可以在与吸毒者合作时发挥作用。大约三分之二的APRN学生同意或强烈同意他们想与吸毒者合作(63%),与吸毒者合作是令人满意的(66%),与吸毒者合作是值得的(63%)。几乎所有的学生都对这门课程非常满意。结论:APRN学生对一门以健康公平为基础的新课程表示高度满意,这门课程有可能减少健康差距,加速消除mod治疗差距,特别是对少数种族/民族、农村人口和过渡年龄青年。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Closing the Opioid Treatment Gap Through Advance Practice Nursing Activation: Curricular Design and Initial Outcomes.

Introduction: Buprenorphine, an effective medication for opioid use disorder (MOUD), reduces opioid-related harms including overdose, but a significant gap exists between MOUD need and treatment, especially for marginalized populations. Historically, low MOUD treatment capacity is rising, driven by advanced practice registered nurses (APRNs). A graduate nursing course was designed to increase equitable buprenorphine treatment delivery by APRNs. We report on baseline findings of a curriculum evaluation study with a pretest-posttest design.

Design: Computerized surveys assessed trainee satisfaction with the course, trainee knowledge for providing MOUD, and trainee satisfaction in working with people who use drugs.

Methods: Quantitative survey results utilizing Likert scales are presented.

Results: Baseline precourse surveys revealed less than half (44%) of APRN students agreed/strongly agreed that they had a working knowledge of drugs and drug-related problems and 37% agreed/strongly agreed that they knew enough about the causes of drug problems to carry out their roles when working with people who use drugs. Approximately two thirds of APRN students agreed/strongly agreed that they want to work with people who use drugs (63%), that it is satisfying to work with people who use drugs (66%), and that it is rewarding to work with people who use drugs (63%). Nearly all students reported high satisfaction with the course.

Conclusion: APRN students reported high satisfaction with a novel course grounded in health equity that has potential to reduce health disparities and accelerate the closure of the MOUD treatment gap, particularly for racial/ethnic minorities, rural populations, and transition-age youth.

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