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Nurse-Sensitive Indicators in the Care of Individuals With Opioid Use Disorder

Nurse-Sensitive Indicators in the Care of Individuals With Opioid Use Disorder Abstract Patients with opioid use disorder (OUD) seek care in primary care settings where nurses support the provision of medication-assisted treatment. Office-based opioid treatment (OBOT) that includes buprenorphine hydrochloride administration under the supervision of a nurse for stabilization and maintenance therapy has the potential to improve outcomes for patients with OUD in primary care settings. However, the first step is to determine if OBOT nurses provide nurse-sensitive care, which consists of activities that have been shown to make a difference in patient outcomes. Content analysis of 368 nursing notes from 100 patients enrolled in an OBOT program in an urban hospital-based primary care clinic was conducted. Data were analyzed descriptively according to quantity and qualitatively according to the content. Entries indicative of care coordination and transition management were extracted. Seven content categories within care coordination were identified, including harm reduction, medication management, symptom management, communication between providers, promoting adherence, self-management goal setting, and patient education. Four areas within transition management were identified including supporting connections to resources, referrals for care, medication reconciliation, and communication with other facilities. Care coordination was documented more frequently than transition management. The presence of nurse-sensitive indicators provides evidence for and distinguishes the role of the nurse in OUD care. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Addictions Nursing Wolters Kluwer Health

Nurse-Sensitive Indicators in the Care of Individuals With Opioid Use Disorder

Bernhardt, Jean M.
Journal of Addictions Nursing , Volume 34 (1) – Jan 1, 2023
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6 pages

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Publisher
Wolters Kluwer Health
Copyright
Copyright © 2021 International Nurses Society on Addictions
ISSN
1088-4602
eISSN
1548-7148
DOI
10.1097/jan.0000000000000431
Publisher site
See Article on Publisher Site

Abstract

Abstract Patients with opioid use disorder (OUD) seek care in primary care settings where nurses support the provision of medication-assisted treatment. Office-based opioid treatment (OBOT) that includes buprenorphine hydrochloride administration under the supervision of a nurse for stabilization and maintenance therapy has the potential to improve outcomes for patients with OUD in primary care settings. However, the first step is to determine if OBOT nurses provide nurse-sensitive care, which consists of activities that have been shown to make a difference in patient outcomes. Content analysis of 368 nursing notes from 100 patients enrolled in an OBOT program in an urban hospital-based primary care clinic was conducted. Data were analyzed descriptively according to quantity and qualitatively according to the content. Entries indicative of care coordination and transition management were extracted. Seven content categories within care coordination were identified, including harm reduction, medication management, symptom management, communication between providers, promoting adherence, self-management goal setting, and patient education. Four areas within transition management were identified including supporting connections to resources, referrals for care, medication reconciliation, and communication with other facilities. Care coordination was documented more frequently than transition management. The presence of nurse-sensitive indicators provides evidence for and distinguishes the role of the nurse in OUD care.

Journal

Journal of Addictions Nursing – Wolters Kluwer Health

Published: Jan 1, 2023

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