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Midnight medicine: Empowering night shift to treat opioid use disorder (OUD)
Jessica Y Chambers1, Kristin M Janzen2, Alanna Boulton3
1University of Texas at Austin Dell Medical School, Austin, Texas. ORCID: https://orcid.org/0000-0002-5786-7671.
Abstract:
Hospitalizations for opioid use disorder (OUD) are rising, yet overnight clinicians rarely receive targeted OUD education. Our interprofessional initiative implemented two overnight training sessions specifically for night-shift physicians, nurses, pharmacists, and advanced practice providers, emphasizing buprenorphine initiation, stigma reduction, harm reduction, and patient-centered communication. Participants in the program demonstrated increased confidence in OUD management and a self-reported rise in overnight buprenorphine initiation, highlighting the impact of this tailored night-shift education. Administrative support enabled participation through scheduling adjustments and incentives, while collaboration with TeachOUD enriched content with community resources. To improve overnight care in resource-limited hospitals, we highlight no-cost resources, including teleconsultation hotlines, quick-reference tools, and training designated night-shift OUD champions, promoting accessible and sustainable strategies to enhance OUD care at all hours of the day.
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