"It's just another tool on my toolbelt": New York state law enforcement officer experiences administering naloxone.
"It's just another tool on my toolbelt": New York state law enforcement officer experiences administering naloxone.
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DOI：
10.1186/s12954-023-00748-3
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发表时间：
2023-03-06
影响因子：
4.4
通讯作者：
Gelberg, Kitty
中科院分区：
文献类型：
--
作者：
Lloyd, Danielle;Rowe, Kirsten;Leung, Shu-Yin John;Pourtaher, Elham;Gelberg, Kitty
虽然纳洛酮被广泛认为是一种拯救生命的干预措施，也是急救人员的关键工具，但仍有必要探讨执法人员如何适应不断变化的工作范围。过去的研究主要集中在警官的培训，他们管理纳洛酮的能力，以及较少程度上他们的经验和与吸毒者的互动（PWUD）。定性方法用于探讨官员的观点和行为周围的反应，以怀疑阿片类药物过量的事件。在2017年3月至9月期间，对来自纽约州17个县的38名警官进行了半结构化访谈。深入访谈的分析显示，警务人员普遍认为服用纳洛酮的额外责任已成为“工作的一部分”。许多警官报告说，他们感觉自己好像身兼数职，既要担任执法人员，又要担任医务人员，有时还要扮演相互矛盾的角色。对毒品和药物使用的不断演变的看法定义了许多访谈，并认识到与毒品滥用问题合作的惩罚性方法不是解决办法，强调需要有凝聚力的全社区支持战略。对毒品滥用的态度的显著差异似乎受到警官与吸毒者的关系和/或紧急医疗服务背景的影响。纽约州的执法人员正在成为对贫困妇女的持续护理的一个组成部分。我们的发现正在捕捉到一个过渡时期，因为更传统的执法方法似乎正在转向那些优先考虑预防和转移的方法。纽约州执法人员广泛采用纳洛酮管理是将公共卫生干预措施成功纳入警察工作的一个有力例子。
Although naloxone is widely acknowledged as a life-saving intervention and a critical tool for first responders, there remains a need to explore how law enforcement officers have adapted to a shifting scope of work. Past research has focused mainly on officer training, their abilities to administer naloxone, and to a lesser extent on their experiences and interactions working with people who use drugs (PWUD). A qualitative approach was used to explore officer perspectives and behaviors surrounding responses to incidents of suspected opioid overdose. Between the months of March and September 2017, semi-structured interviews were conducted with 38 officers from 17 counties across New York state (NYS). Analysis of in-depth interviews revealed that officers generally considered the additional responsibility of administering naloxone to have become “part of the job”. Many officers reported feeling as though they are expected to wear multiple hats, functioning as both law enforcement and medical personnel and at times juggling contradictory roles. Evolving views on drugs and drug use defined many interviews, as well as the recognition that a punitive approach to working with PWUD is not the solution, emphasizing the need for cohesive, community-wide support strategies. Notable differences in attitudes toward PWUD appeared to be influenced by an officer’s connection to someone who uses drugs and/or due to a background in emergency medical services. Law enforcement officers in NYS are emerging as an integral part of the continuum of care for PWUD. Our findings are capturing a time of transition as more traditional approaches to law enforcement appear to be shifting toward those prioritizing prevention and diversion. Widespread adoption of naloxone administration by law enforcement officers in NYS is a powerful example of the successful integration of a public health intervention into police work.
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