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Understanding the Office-Based Addiction Treatment Nurse's Contributions to the Recovery of Interprofessional Team Patients: A Quality Improvement Project.

Authors :
Bernhardt, Jean M.
Benoit, Elizabeth B.
Source :
Nursing Economic$. Jan/Feb2023, Vol. 41 Issue 1, p16-22. 7p. 2 Charts.
Publication Year :
2023

Abstract

Interprofessional teams are useful in providing complex care to patients with substance use disorder. Predictors of treatment outcomes, such as age, socioeconomic status, and social supports, have been studied in addiction treatment. Individual contributions of the office-based addiction treatment nurse in the care of patients with opioid use disorder are not well understood. Through the lens of the Nursing Role Effectiveness Model, nursing interventions related to care coordination and transition management in patients on medication-assisted treatment were examined. Documentation from interprofessional team members was reviewed and collected in REDCap. Linear regression was conducted to identify significant factors in predicting time to stabilization, defined as achieving a third opiate-free toxicology screen. Logistic regression was used to identify significant associations between patient demographics, care team members, and documented interventions. Overall, patients' time to stability on buprenorphine was decreased by approximately five months when a recovery coach was on the nurses' team (p = 0.03) and by seven months when the patient was referred for and received counseling services (p = 0.001). Our results support the role of the nurse in care coordination involves bringing together clinicians, particularly those who can provide counseling, to support recovery efforts. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
07461739
Volume :
41
Issue :
1
Database :
Academic Search Index
Journal :
Nursing Economic$
Publication Type :
Academic Journal
Accession number :
162124410
Full Text :
https://doi.org/10.62116/nec.2023.41.1.16