Testing Interventions to Address Bias About Patients with Opioid Use Disorder in the Emergency Department.
Reducing nurse bias about patients with opioid use disorder in the emergency department is critical for providing nonjudgmental care, enhancing patient outcomes, supporting effective communication, and promoting a holistic approach to care. Emergency nurses can make a positive impact on the lives of...
| Published in: | Journal of Emergency Nursing Vol. 50; no. 1; pp. 135 - 145 |
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| Main Authors: | , , , , , , , , , , , |
| Format: | research Journal Article |
| Published: |
Elsevier B.V.
Jan2024
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=174689514&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 174689514 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00991767 1FUG jtl: Journal of Emergency Nursing issn: 00991767 maglogo: N pubinfo: dt: Jan2024 vid: 50 iid: 1 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 174689514 174689514 174689514 10.1016/j.jen.2023.09.008 174689514 ppf: 135 ppct: 10 formats: tig: atl: Testing Interventions to Address Bias About Patients with Opioid Use Disorder in the Emergency Department. aug: au: Yearwood, Kylie Wood, Elyssa Schoem, Lindsay Swengros, Diane Desilvis-Sapsford, Danielle Jenkins, Kenya Brown, April Stanger, Debra Schwindt, Lauren Golino, Amanda Lyons, Shannon Gollenberg, Audra L. sug: subj: Nurse Attitudes Substance Use Disorders Diagnosis Narcotics Emergency Service Stigma Discrimination Human Nonexperimental Studies Pretest-Posttest Design Learning Environment Descriptive Statistics Adolescence Adult Self-Efficacy Simulations Adolescent: 13-18 years Adult: 19-44 years ab: Reducing nurse bias about patients with opioid use disorder in the emergency department is critical for providing nonjudgmental care, enhancing patient outcomes, supporting effective communication, and promoting a holistic approach to care. Emergency nurses can make a positive impact on the lives of individuals diagnosed as having opioid use disorder by providing care that is free from stigma and discrimination. The study used an observational, pretest-posttest design to compare educational sessions addressing bias and stigma toward patients with opioid use disorder. The study population consisted of emergency nurses who self-selected into a virtual learning experience consisting of e-modules or simulation-based experience consisting of simulation-based experience consisting of simulation, discussion, and a speaker. After the intervention, the simulation-based experience group showed an increase in total score postintervention from a mean of 118.6 to a mean of 127.1 (P <.001). The virtual learning experience group also showed an increase in total score postintervention from a mean of 116.3 to 120.7 (P <.001). Although both groups showed an increase in scores over time, the simulation-based experience group had a greater increase (P =.0037). Within the simulation-based experience, there was an increase in scores across all age groups (P <.05) but a significantly greater increase in scores among younger nurses (18-29 years) than the older age groups (P =.006). Opioid use disorder is a complex condition that requires a comprehensive and holistic approach to care. Study results indicate that providing an educational experience to address stigma about patients diagnosed as having opioid use disorder can significantly affect nurse perceptions about these patients and their self-efficacy when working with them. However, investing in a simulation-based educational experience provides a stronger experience and results in greater change, particularly for younger, less experienced emergency nurses. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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