Crisanti Annette S, Earheart Jennifer, Deissinger Megan, Lowerre Kathryn, Salvador Julie G
Department of Psychiatry and Behavioral Sciences, University of New Mexico, Albuquerque, NM 87131, USA.
Epidemiology and Response Division, New Mexico Department of Health, Santa Fe, NM 87505, USA.
Int J Environ Res Public Health. 2022 Apr 26;19(9):5276. doi: 10.3390/ijerph19095276.
The placement of a peer support workers (PSWs) in emergency departments (ED) is a promising practice for supporting persons with opioid use disorder who are presenting with an overdose or related medical condition. However, this practice is underutilized. The objective of this study was to identify the challenges of employing PSWs in the ED and provide a checklist to increase the likelihood of their successful integration and retention in this environment. Qualitative methods were used to collect data from nineteen key stakeholders who worked in hospital settings. Using a social-ecological model, themes were identified at the system, hospital, and individual levels. To support integration of PSWs and buy in for the ED team, our findings indicate a need for a planning phase that includes collaboration between leadership, ED staff, and PSWs. Specifically, planning should address four areas: (1) hiring a PSW that is a good fit for the fast-paced ED setting, (2) education of ED staff on the value and role of PSWs, (3) establishing workflow protocols, and (4) providing PSWs with training and appropriate supervision.
在急诊科安排同伴支持工作者（PSW）是一种很有前景的做法，可用于支持因过量用药或相关医疗状况前来就诊的阿片类药物使用障碍患者。然而，这种做法并未得到充分利用。本研究的目的是确定在急诊科聘用同伴支持工作者所面临的挑战，并提供一份清单，以增加他们在这种环境中成功融入和留任的可能性。采用定性方法从19名在医院环境中工作的关键利益相关者那里收集数据。使用社会生态模型，在系统、医院和个人层面确定了主题。为了支持同伴支持工作者的融入并获得急诊科团队的认可，我们的研究结果表明需要一个规划阶段，其中包括领导、急诊科工作人员和同伴支持工作者之间的合作。具体而言，规划应涉及四个方面：（1）聘用适合快节奏急诊科环境的同伴支持工作者，（2）对急诊科工作人员进行关于同伴支持工作者的价值和作用的教育，（3）建立工作流程协议，以及（4）为同伴支持工作者提供培训和适当的监督。
