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赋权社区与加强公共安全:利益相关者对波士顿阿片类药物过量预防策略的看法

Empowering Communities and Enhancing Public Safety: Stakeholders' Perspectives on Opioid Overdose Prevention Strategies in Boston.

作者信息

Kyei Evans F, Zhang Lingling, Ansong Rockson, Kyei Grace K

机构信息

Center for Substance Use Research and Related Conditions, Capstone College of Nursing, The University of Alabama, Tuscaloosa, AL, USA.

Department of Nursing, Manning College of Nursing and Health Sciences, University of Massachusetts Boston, Boston, MA, USA.

出版信息

Community Ment Health J. 2024 Dec 8. doi: 10.1007/s10597-024-01420-1.

DOI:10.1007/s10597-024-01420-1
PMID:39648182
Abstract

The opioid crisis in Boston necessitated multifaceted prevention strategies. This qualitative descriptive study engaged stakeholders' perspectives to explore the role of community empowerment and educational strategies in opioid overdose prevention. Fifteen officials from law enforcement, healthcare, policy, and community organizations participated in semi-structured interviews conducted from January to March 2024. Thematic analysis using Braun and Clarke's approach, facilitated by MAXQDA software, revealed three themes: Perceived Role of Community Empowerment in Opioid Overdose Prevention, highlighting the importance of local leadership, personal recovery, and grassroots initiatives; Effectiveness of Educational Strategies in Opioid Overdose Prevention, focusing on awareness, harm reduction, and bridging gaps post-incarceration; and Challenges and Innovations in Empowering Communities and Enhancing Public Safety, emphasizing the integration of law enforcement with technological solutions and community collaboration. The study underscores the importance of integrating public health approaches with enhanced law enforcement strategies and community-driven solutions to balance immediate intervention with long-term community resilience.

摘要

波士顿的阿片类药物危机需要多方面的预防策略。这项定性描述性研究采用了利益相关者的观点,以探讨社区赋权和教育策略在预防阿片类药物过量方面的作用。来自执法、医疗保健、政策和社区组织的15名官员参与了2024年1月至3月进行的半结构化访谈。在MAXQDA软件的辅助下,采用布劳恩和克拉克的方法进行主题分析,揭示了三个主题:社区赋权在预防阿片类药物过量中的感知作用,强调地方领导力、个人康复和基层倡议的重要性;教育策略在预防阿片类药物过量中的有效性,重点关注意识、减少伤害以及消除监禁后的差距;以及社区赋权和加强公共安全方面的挑战与创新,强调执法与技术解决方案以及社区合作的整合。该研究强调了将公共卫生方法与强化执法策略和社区驱动的解决方案相结合的重要性,以平衡即时干预与长期社区复原力。

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Pain Manag Nurs. 2025 Feb;26(1):65-74. doi: 10.1016/j.pmn.2024.08.007. Epub 2024 Sep 14.
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Integrating Nursing Practice and Policy in Opioid Overdose Prevention: Analysis of the Opioid-Overdose Reduction Continuum of Care Approach Practice Guide.
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