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Exploring Perinatal Nursing Care for Opioid Use Disorder: Knowledge, Stigma, and Compassion
Ira Kantrowitz-Gordon1, Cynthia Price, Vania Rudolf
1Child, Family, and Population Health Nursing (Dr Kantrowitz-Gordon and Mss Downey and Castagnola) and Biobehavioral Nursing and Health Informatics (Dr Price), University of Washington School of Nursing, Seattle; and Addiction Recovery Services, Swedish Medical Center, Seattle, Washington (Dr Rudolf).
The Journal of Perinatal & Neonatal Nursing
|October 26, 2022
Summary
Nurses
Area of Science:
- Perinatal Care
- Substance Use Disorders
- Nursing
Background:
- The opioid epidemic has increased pregnant women with opioid use disorder (OUD) and neonatal opioid exposure.
- Stigma from nurses in perinatal settings negatively impacts care experiences for mothers with OUD.
Purpose of the Study:
- To examine nurses' attitudes toward substance use in pregnancy and postpartum.
- To identify challenges and suggest strategies for improving care for mothers with OUD and their newborns.
Main Methods:
- A survey of 89 nurses in the Pacific Northwest United States was conducted.
- Quantitative methods (correlations, t tests, regression) and qualitative analysis of open-ended questions were used.
Main Results:
- Nurses' stigma was negatively correlated with compassion satisfaction, knowledge, and comfort in caring for this population.
- Key challenges identified by nurses included patient defensiveness, lack of trust, and inadequate social support.
Conclusions:
- Improving nursing care for mothers with OUD requires addressing stigma and enhancing support systems.
- Strategies include increased nursing education, clinical guidelines, and improved support for both mothers and nurses.
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