University of North Carolina Wilmington School of Nursing, Wilmington, North Carolina.
J Am Assoc Nurse Pract. 2023 Oct 1;35(10):638-641. doi: 10.1097/JXX.0000000000000897.
Opioid overdose deaths remain a major public health concern in the United States and led to the recent changes in regulations that allow nurse practitioners (NPs) to prescribe buprenorphine without the previously required Drug Addiction Treatment Act waiver. Previously, waiver requirements included 24 hours of opioid use disorder (OUD) and medications for OUD (MOUD) training. Although this training is no longer required, NPs need education related to providing nonstigmatizing care to individuals with OUD and safe MOUD prescribing practices. A combination of online didactic modules, in-person simulation activities, and experiential learning was provided to psychiatric mental health NP (PMHNP) and family NP (FNP) students enrolled in a Doctor of Nursing Practice (DNP) program. OUD was presented through a chronic care lens to normalize treatment and decrease stigma, and harm reduction principles were included to increase safe prescribing of MOUD. Fifty-six students completed the didactic training, 51 students participated in the simulation, and 11 students completed shadowing experiences with an experienced MOUD provider. Psychiatric mental health NP and FNP graduates of this DNP program have the knowledge and skills to provide MOUD to individuals struggling with OUD, thus potentially increasing access to care and decreasing overdose deaths.
在美国，阿片类药物过量死亡仍是一个主要的公共卫生关注点，这导致了最近的监管规定发生了变化，允许护士从业者（NPs）在没有先前所需的《药物滥用治疗法豁免》的情况下开具丁丙诺啡。此前，豁免要求包括 24 小时的阿片类药物使用障碍（OUD）和治疗 OUD 的药物（MOUD）培训。虽然不再需要这种培训，但 NPs 需要接受与为 OUD 患者提供无污名化护理和安全的 MOUD 处方实践相关的教育。为参加护理实践博士（DNP）课程的精神科心理健康 NP（PMHNP）和家庭 NP（FNP）学生提供了在线理论模块、现场模拟活动和体验式学习的组合。通过慢性病护理视角呈现 OUD，以使其治疗正常化并减少污名化，还包括减少伤害原则，以增加 MOUD 的安全处方。56 名学生完成了理论培训，51 名学生参加了模拟，11 名学生与经验丰富的 MOUD 提供者进行了影子体验。完成该 DNP 项目的精神科心理健康 NP 和 FNP 毕业生具备了为患有 OUD 的个人提供 MOUD 的知识和技能，从而可能增加获得护理的机会并减少过量死亡。
