Rebecca D. Lynch, DNP, FNP-BC, Donna J. Biederman, DrPH, MN, RN, CPH, FAAN, Susan Silva, PhD, and Kim Demasi, DNP, RN, LADC, Duke University School of Nursing, Durham, North Carolina.
J Addict Nurs. 2021;32(2):152-158. doi: 10.1097/JAN.0000000000000402.
Drug use, specifically opioid use, is a public health crisis in the United States. Harm reduction programs, including syringe service programs, show efficacy in improving individual and public health outcomes. Healthcare provider perceptions are an important initial assessment when considering implementing a syringe service program.
The objective of this quality improvement project, completed in a Northeastern Veterans Affairs Medical Center (NEVAMC), was to lay the groundwork for implementation of a syringe service program.
This multiphase project included an initial needs assessment with stakeholders to determine the scope of substance use disorder within the facility and initiated the change process needed for syringe service program implementation. We administered an online survey, the Drug and Drug Problems Perceptions Questionnaire (DDPPQ), to better understand staff perspectives of and comfort in working with people who use drugs. Two educational modules were developed and conducted for staff to increase their knowledge, skills, and trauma-informed practices when working with people who use drugs. Standardized document templates for program implementation in federal systems were also developed.
The needs assessment identified 266 patients who could benefit from expanded harm reduction services and a recognition that staff perception be assessed within the facility. The DDPPQ, completed by 153 staff members, indicated positive perceptions of people who use drugs and ability to counsel/treat people who use drugs. The median DDPPQ total score was 73, indicative of an overall positive perception. Sixty-eight staff members attended the initial education session, and 35 attended the second session designed specifically for mental health service line professionals.
The findings indicate NEVAMC staff members have a high level of comfort working with people who use drugs. The staff educational programs were well received and have become a part of routine staff training at the NEVAMC. The standardized document templates are available for persons developing a syringe service program within a federal system.
药物滥用，特别是阿片类药物的使用，是美国的一个公共卫生危机。减少伤害计划，包括注射器服务计划，在改善个人和公共卫生结果方面显示出疗效。医疗保健提供者的看法是在考虑实施注射器服务计划时进行的重要初步评估。
本质量改进项目在东北退伍军人医疗中心（NEVAMC）完成，旨在为实施注射器服务计划奠定基础。
该多阶段项目包括与利益相关者进行初步需求评估，以确定该设施内药物使用障碍的范围，并启动实施注射器服务计划所需的变革过程。我们对员工进行了在线调查，即药物和药物问题感知问卷（DDPPQ），以更好地了解他们对使用药物的人的看法和工作舒适度。为了增加他们在与使用药物的人合作时的知识、技能和创伤知情实践，开发并进行了两个教育模块。还为在联邦系统中实施计划制定了标准化文件模板。
需求评估确定了 266 名可能受益于扩大减少伤害服务的患者，并且需要在该设施内评估员工的感知。DDPPQ 由 153 名员工完成，表明对使用药物的人的积极看法和对使用药物的人进行咨询/治疗的能力。DDPPQ 总得分中位数为 73，表明整体看法积极。68 名员工参加了初始教育课程，35 名员工参加了专门为心理健康服务线专业人员设计的第二课程。
调查结果表明，NEVAMC 员工在与使用药物的人合作方面具有高度的舒适度。员工教育计划受到好评，并已成为 NEVAMC 常规员工培训的一部分。标准化文件模板可供在联邦系统内开发注射器服务计划的人员使用。
