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Influences on advance practice nursing education to prescribe medications for opioid use disorder
Bethany J Phoenix1, Matthew Tierney1, Susan A Chapman2
1Department of Community Health Systems, University of California San Francisco School of Nursing, San Francisco, CA, USA.
Background:
Opioid misuse is a major public health concern in the United States. Opioid agonist medications are evidence-based treatments for opioid use disorders (OUD) that can be prescribed by advance practice registered nurses (APRNs) with prescriptive authority and appropriate training.
Purpose:
Article examines factors influencing preparation to provide medications for opioid use disorder (MOUD) in APRN education.
Methods:
Data from semi-structured interviews addressing the role of education in preparing APRNs to provide MOUD were grouped into key themes using thematic analysis. Data were collected in a mixed methods study in four states with high opioid overdose deaths whose main findings were previously published.
Findings:
Two overarching themes emerged: "addressing attitudes" and "curriculum change." Sub-themes include affective barriers to providing OUD treatment; motivation to respond to the OUD crisis; and attitude change through experience with MOUD.
Discussion And Conclusion:
APRNs can play a key role in reducing the harms caused by OUD. Attention to attitudinal issues, such as stigma, toward people using opioids is important in educating APRNs about providing MOUD.
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