Background: Poor access to gender-specific, pregnancy-focused medication-assisted treatment for perinatal opioid use disorder greatly contributes to adverse outcomes for pregnant patients, infants, and society, at large. It is well established that Emergency Department-initiated pharmacotherapy for opioid use disorder is safe, effective, and can be rapidly adopted by hospital systems to improve access to care for people who misuse opioids. Like the Emergency Department, perinatal hospital services are well positioned to serve as critical access points in the treatment of perinatal opioid use disorder. However, concerns such as lack of training, workflow inefficiencies, and bias act as barriers to co-located, integrated care. Objective: Patterned after the California Bridge Model for Emergency Department-initiated medication-assisted treatment, this Doctor of Nursing Practice project developed and implemented a pilot training program designed to educate registered nurses and social workers on the requisite and contextualized knowledge, skills, and resources needed to improve the quality of care for patients with opioid use disorder. Design: A one-group, test-retest, evidence-based quality improvement project evaluated how a pre-recorded, 20-minute, asynchronous, on-demand educational intervention impacted knowledge acquisition and opioid use disorder care plan utilization.
","abstract_html":"<p>Background: Poor access to gender-specific, pregnancy-focused medication-assisted treatment for perinatal opioid use disorder greatly contributes to adverse outcomes for pregnant patients, infants, and society, at large. It is well established that Emergency Department-initiated pharmacotherapy for opioid use disorder is safe, effective, and can be rapidly adopted by hospital systems to improve access to care for people who misuse opioids. Like the Emergency Department, perinatal hospital services are well positioned to serve as critical access points in the treatment of perinatal opioid use disorder. However, concerns such as lack of training, workflow inefficiencies, and bias act as barriers to co-located, integrated care. Objective: Patterned after the California Bridge Model for Emergency Department-initiated medication-assisted treatment, this Doctor of Nursing Practice project developed and implemented a pilot training program designed to educate registered nurses and social workers on the requisite and contextualized knowledge, skills, and resources needed to improve the quality of care for patients with opioid use disorder. Design: A one-group, test-retest, evidence-based quality improvement project evaluated how a pre-recorded, 20-minute, asynchronous, on-demand educational intervention impacted knowledge acquisition and opioid use disorder care plan utilization.</p>","abstract_has_math":false,"creators":["Thomas, Devin C."],"institution":null,"degree_name":"Doctor of Nursing Practice (DNP)","degree_level":"Open Access Thesis","degree_discipline":"Yale University School of Nursing","degree_department":null,"school":null,"contributors":["David Vlahov"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2024,"date_issued":"2024-01-01T08:00:00Z","date_published":"2024-01-01T08:00:00Z","updated_at":"2026-07-24T06:16:14Z","subjects":["buprenorphine, California Bridge, fentanyl, harm reduction, maternal health care, perinatal opioid use disorder"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://elischolar.library.yale.edu/ysndt/1178","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["David Vlahov"]},{"key":"dc:creator","label":"Author","values":["Thomas, Devin C."]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"thesis:degree_discipline","label":"Discipline","values":["Yale University School of Nursing"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Open Access Thesis"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Doctor of Nursing Practice (DNP)"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["buprenorphine, California Bridge, fentanyl, harm reduction, maternal health care, perinatal opioid use disorder"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://elischolar.library.yale.edu/ysndt/1178"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Background: Poor access to gender-specific, pregnancy-focused medication-assisted treatment for perinatal opioid use disorder greatly contributes to adverse outcomes for pregnant patients, infants, and society, at large. It is well established that Emergency Department-initiated pharmacotherapy for opioid use disorder is safe, effective, and can be rapidly adopted by hospital systems to improve access to care for people who misuse opioids. Like the Emergency Department, perinatal hospital services are well positioned to serve as critical access points in the treatment of perinatal opioid use disorder. However, concerns such as lack of training, workflow inefficiencies, and bias act as barriers to co-located, integrated care. Objective: Patterned after the California Bridge Model for Emergency Department-initiated medication-assisted treatment, this Doctor of Nursing Practice project developed and implemented a pilot training program designed to educate registered nurses and social workers on the requisite and contextualized knowledge, skills, and resources needed to improve the quality of care for patients with opioid use disorder. Design: A one-group, test-retest, evidence-based quality improvement project evaluated how a pre-recorded, 20-minute, asynchronous, on-demand educational intervention impacted knowledge acquisition and opioid use disorder care plan utilization.
"]},{"key":"dc:title","label":"Title","values":["The California Bridge Model For Emergency Department-Initiated Medication-Assisted Treatment For Opioid Use Disorder: Adaptations For Perinatal Hospital Services"]}]}],"canonical_facts":{"dc:contributor":["David Vlahov"],"dc:creator":["Thomas, Devin C."],"dc:description.abstract":["Background: Poor access to gender-specific, pregnancy-focused medication-assisted treatment for perinatal opioid use disorder greatly contributes to adverse outcomes for pregnant patients, infants, and society, at large. It is well established that Emergency Department-initiated pharmacotherapy for opioid use disorder is safe, effective, and can be rapidly adopted by hospital systems to improve access to care for people who misuse opioids. Like the Emergency Department, perinatal hospital services are well positioned to serve as critical access points in the treatment of perinatal opioid use disorder. However, concerns such as lack of training, workflow inefficiencies, and bias act as barriers to co-located, integrated care. Objective: Patterned after the California Bridge Model for Emergency Department-initiated medication-assisted treatment, this Doctor of Nursing Practice project developed and implemented a pilot training program designed to educate registered nurses and social workers on the requisite and contextualized knowledge, skills, and resources needed to improve the quality of care for patients with opioid use disorder. Design: A one-group, test-retest, evidence-based quality improvement project evaluated how a pre-recorded, 20-minute, asynchronous, on-demand educational intervention impacted knowledge acquisition and opioid use disorder care plan utilization.
"],"dc:identifier":["https://elischolar.library.yale.edu/ysndt/1178"],"dc:subject":["buprenorphine, California Bridge, fentanyl, harm reduction, maternal health care, perinatal opioid use disorder"],"dc:title":["The California Bridge Model For Emergency Department-Initiated Medication-Assisted Treatment For Opioid Use Disorder: Adaptations For Perinatal Hospital Services"],"thesis:degree_discipline":["Yale University School of Nursing"],"thesis:degree_level":["Open Access Thesis"],"thesis:degree_name":["Doctor of Nursing Practice (DNP)"]},"updated_at":"2026-07-24T06:16:14Z"}