Columbia University School of Nursing, New York, New York, USA.
Division of Primary Care, Yale School of Nursing, Orange, Connecticut, USA.
Nurs Forum. 2022 Sep;57(5):869-873. doi: 10.1111/nuf.12753. Epub 2022 May 26.
The COVID-19 pandemic has further limited access to treatment for opioid use disorder (OUD). Advanced practice registered nurses can reduce opioid related complications and overdose by obtaining a Drug Enforcement Administration (DEA) regulated X-waiver that allows for prescription of medications for OUD (MOUD) in general medical settings. Graduate nursing education, where advanced practice nurse practitioner (NP) students are educated, has not incorporated this content into standard curricula. We describe an innovative approach to incorporate DEA X-waiver training in a required community health NP in partnership with addiction medicine clinicians. Advanced practice NP students (N = 114) either completed fully online or hybrid (virtual didactic and online) X-waiver training on MOUD. We describe how an interprofessional partnership to incorporate MOUD education into graduate nursing curricula is a feasible method for training students to treat OUD in the context of the pandemic. This approach is responsive to the crucial need for more health care providers to address the opioid overdose crisis.
COVID-19 大流行进一步限制了阿片类药物使用障碍 (OUD) 的治疗机会。高级实践注册护士可以通过获得药物管制局 (DEA) 监管的 X 豁免来减少阿片类药物相关并发症和过量用药，该豁免允许在一般医疗环境中开处用于 OUD（MOUD）的药物。研究生护理教育（高级实践护士从业者 (NP) 学生接受教育的地方）尚未将此内容纳入标准课程。我们描述了一种与成瘾医学临床医生合作，在社区卫生 NP 中纳入 DEA X 豁免培训的创新方法。高级实践 NP 学生（N=114）通过完全在线或混合（虚拟理论和在线）方式完成了 MOUD 的 X 豁免培训。我们描述了如何通过多专业合作将 MOUD 教育纳入研究生护理课程，这是一种培训学生在大流行背景下治疗 OUD 的可行方法。这种方法响应了更需要医疗保健提供者来解决阿片类药物过量危机的关键需求。
