"IT'S A TOOL IN THE TOOLBOX": PERCEPTIONS OF PUBLIC HEALTH EMPLOYEES TO AN OPIOID HARM REDUCTION APPROACH IN A RURAL STATE.

This qualitative case study examines how frontline employees within local public health units (LPHUs) interpret and implement a video-enabled naloxone distribution intervention across North Dakota, a largely rural state. Semi-structured interviews were conducted with 20 representatives from 17 LPHUs...

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Publicado en:Journal of Ethnographic & Qualitative Research Vol. 18; no. 3; pp. 243 - 260
Autores principales: Weber, Christina D., Skoy, Elizabeth, Ford, Jada, Stevenson, Kimaria, Hodges, Alyssa I., Werremeyer, Amy, Lowe, Lauren, Eukel, Heidi N.
Formato: Artículo
Publicado: Ethnographic & Qualitative Research, LLC Spring2026
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Spring2026
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      pub: Ethnographic & Qualitative Research, LLC
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        atl: "IT'S A TOOL IN THE TOOLBOX": PERCEPTIONS OF PUBLIC HEALTH EMPLOYEES TO AN OPIOID HARM REDUCTION APPROACH IN A RURAL STATE.
      aug:
        au:
          Weber, Christina D.
          Skoy, Elizabeth
          Ford, Jada
          Stevenson, Kimaria
          Hodges, Alyssa I.
          Werremeyer, Amy
          Lowe, Lauren
          Eukel, Heidi N.
        affil: North Dakota State University
      su:
        North Dakota
        Community education
        Social stigma
        Qualitative research
        Rural health
        Bystander involvement
        Naloxone
        Opioid abuse
      sug:
        subj:
          Community education
          Social stigma
          Qualitative research
          Rural health
          Bystander involvement
          North Dakota
          Naloxone
          Opioid abuse
      keyword:
        harm reduction
        naloxone
        opioid
        overdose
        stigma
        harm reduction
        naloxone
        opioid
        overdose
        stigma
      ab: This qualitative case study examines how frontline employees within local public health units (LPHUs) interpret and implement a video-enabled naloxone distribution intervention across North Dakota, a largely rural state. Semi-structured interviews were conducted with 20 representatives from 17 LPHUs that implemented ONEboxes®, portable opioid overdose reversal kits containing nasal naloxone, personal protective equipment, and an embedded instructional video. Using an inductive, teambased coding process, five primary themes were identified: impacts, successes, challenges, promotion, education tactics, and community reactions. Participants described ONEboxes® not only as overdose reversal tools but also as mechanisms for community education regarding harm reduction efforts such as naloxone interventions, stigma reduction towards opioid use and overdose, and empowerment of community members. The embedded instructional video was viewed as critical in increasing bystander confidence and reducing hesitation during emergencies.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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