"Because of this rotation, this is what I want to do": Implementation and evaluation of a telehealth opioid use disorder clinical placement for nurse practitioner students.
"Because of this rotation, this is what I want to do": Implementation and evaluation of a telehealth opioid use disorder clinical placement for nurse practitioner students.
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“因为这次轮换，这就是我想做的事情”：为护士实习生实施和评估远程医疗阿片类药物使用障碍临床安置。
DOI：
10.1097/jxx.0000000000000949
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发表时间：
2023
影响因子：
1.2
通讯作者：
Aronowitz,ShoshanaV
中科院分区：
文献类型：
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作者：
French,Rachel;Lyons,Erica;Schachter,Allison;Treston,JuneA;Marshall,Ami;Lattimer,Jennie;Bisaga,Adam;Behar,Emily;Aronowitz,ShoshanaV
缺乏临床医生开出丁丙诺啡处方是阿片类药物使用障碍（OUD）患者获得丁丙诺啡的障碍。因此，远程保健OUD治疗诊所Ophelia为执业护士（NP）学生启动了临床培训方案。本研究的目的是评估一种基于远程医疗的OUD临床培训模式。为了评估该计划，我们(1)确定了学生在与Ophelia临床轮转前后对患者提供OUD护理的相关知识，(2)表征了学生在与Ophelia临床轮转后对提供OUD护理的态度。在线前后调查分别对57名和29名学生进行了调查，并对19名完成奥菲莉亚临床轮转的学生进行了半结构化访谈。我们采用定量描述性分析对调查前后结果进行比较，并对定性访谈数据进行专题分析。我们从访谈中确定了三个主题：学习机会的连续性，参与者临床轮转后提供OUD治疗的舒适性，以及所有NP学生物质使用障碍临床轮转的相关性。这项调查也支持了这些发现。值得注意的是，在治疗OUD的知识、准备和技能的获得方面，调查前和调查后的反应存在描述性差异。使用远程医疗临床轮转为NP学生学习OUD治疗可能是增加可以开丁丙诺啡的临床医生数量的重要一步。这些发现可以为针对临床医生培训障碍的干预措施和政策提供信息。
The lack of clinicians comfortable prescribing buprenorphine is a barrier to access for people with opioid use disorder (OUD). Accordingly, a telehealth OUD treatment clinic, Ophelia, launched a clinical training program for nurse practitioner (NP) students. The goal of this study was to assess a telehealth-based model of OUD clinical training. To evaluate the program, we (1) identified students' knowledge related to providing OUD care to patients before and after their clinical rotation with Ophelia and (2) characterized students' attitudes about providing OUD care following their clinical rotation with Ophelia. Online pre-and postsurveys were conducted with 57 and 29 students, respectively, and semistructured interviews were conducted with 19 students who completed clinical rotations with Ophelia. We used quantitative descriptive analysis to compare presurvey and postsurvey results and conducted thematic analysis to analyze qualitative interview data. We identified three themes from the interviews: the continuum of learning opportunities, the comfort providing OUD treatment following participants' clinical rotation, and the relevance of a substance use disorder clinical rotation for all NP students. The survey also supported these findings. Of note, there were descriptive differences between presurvey and postsurvey responses related to an increase in knowledge, preparedness, and acquisition of skills to treat OUD. Using a telehealth clinical rotation for NP students to learn about OUD treatment may represent an important step in increasing the number of clinicians who can prescribe buprenorphine. These findings can inform interventions and policies that target clinician training barriers.