Emergency Department-based Opioid Harm Reduction: Moving Physicians From Willing to Doing

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Elizabeth A SamuelsEdward Bernstein

Abstract

Develop and internally validate a survey tool to assess emergency department (ED) physician attitudes, clinical practice, and willingness to perform opiate harm reduction (OHR) interventions and to identify barriers and facilitators in translating willingness to action. This study was an anonymous, Web-based survey based on the Theory of Planned Behavior of ED physicians at three tertiary referral centers. Construction and internal validation of scaled questions was assessed through principal component and Cronbach's alpha analyses. Stepwise linear regression was conducted to measure impact of physician knowledge, attitudes, confidence, and self-efficacy on willingness to perform OHR interventions including opioid overdose education; naloxone prescribing; and referral to naloxone, methadone, and syringe access programs. A total of 200 of 278 (71.9%) physicians completed the survey. Principal component analysis yielded five components: attitude, confidence, self-efficacy, professional impact factors, and personal impact factors. Overall, respondents were willing to perform OHR interventions, but few actually do. Willingness was correlated with attitude, confidence, and self-efficacy (R(2)  = 0.50); however, overall physicians la...Continue Reading

References

Jan 1, 1996·Substance Use & Misuse·J R CaplehornJ G Nisbet
Sep 8, 2006·Journal of Addictive Diseases·Sarz MaxwellSuzanne Carlberg-Racich
Dec 6, 2006·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Leo BeletskyScott Burris
Jun 24, 2008·Substance Use & Misuse·Tinka Markham PiperSandro Galea
Jul 30, 2008·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Karen E A BurnsUNKNOWN ACCADEMY Group
Aug 5, 2008·JAMA : the Journal of the American Medical Association·H Irene HallUNKNOWN HIV Incidence Surveillance Group
Jan 20, 2009·American Journal of Public Health·Daniel KimKaveh Khoshnood
Apr 14, 2009·American Journal of Public Health·Maya Doe-SimkinsPeter Moyer
Oct 23, 2010·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Lauren EnteenJoshua D Bamberger
Feb 22, 2011·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Leonard J PaulozziHema A Desai
Jul 21, 2011·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Alex S BennettAlex H Kral
Jan 2, 2013·Annals of Internal Medicine·Phillip O Coffin, Sean D Sullivan
Feb 21, 2013·JAMA : the Journal of the American Medical Association·Christopher M JonesLeonard J Paulozzi
May 20, 2015·The Western Journal of Emergency Medicine·Kristin DwyerEdward Bernstein

❮ Previous
Next ❯

Citations

Apr 19, 2018·Pain Management·Robert B Dunne
Nov 23, 2017·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Kathryn HawkSteven L Bernstein
Oct 24, 2017·Expert Opinion on Emerging Drugs·Eduardo R Butelman, Mary Jeanne Kreek
Aug 4, 2018·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Elizabeth A SamuelsMichael J Mello
Jan 31, 2019·Drug and Alcohol Review·Taylor J HollandBetty Chaar
Aug 7, 2018·Addiction Science & Clinical Practice·Kathryn Hawk, Gail D'Onofrio
Mar 28, 2019·Emergency Medicine Australasia : EMA·Taylor V KlineAnthony J Bell
Feb 19, 2020·Substance Abuse Treatment, Prevention, and Policy·Benedikt FischerWayne Jones
Nov 16, 2018·The Western Journal of Emergency Medicine·Alexander H GunnAndrew J Muzyk
Nov 28, 2020·The American Journal of Emergency Medicine·Bennett H LaneCaroline E Freiermuth
Feb 14, 2021·Annals of Emergency Medicine·Wendy Macias-KonstantopoulosRalph J Riviello
Jun 15, 2020·The American Journal of Emergency Medicine·Gillian A BeauchampDavid M Richardson
Dec 22, 2020·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Kathryn HawkGail D'Onofrio
Mar 9, 2021·Translational Research : the Journal of Laboratory and Clinical Medicine·Alex S Bennett, Luther Elliott
Apr 4, 2021·Joint Commission Journal on Quality and Patient Safety·Mary FunkeStephanie A Eucker
Jun 29, 2021·Journal of the American College of Emergency Physicians Open·Kristen HuntleyWilson Compton
Jun 18, 2021·Journal of Substance Abuse Treatment·Megan McElhinnyKara Geren
Jul 9, 2021·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·James G LinakisUNKNOWN Pediatric Emergency Care Applied Research Network.
Nov 6, 2021·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Brendan P JackaElizabeth A Samuels

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.