The California Bridge Model For Emergency Department-Initiated Medication-Assisted Treatment For Opioid Use Disorder: Adaptations For Perinatal Hospital Services

<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>

Name thesis:degree_name

Doctor of Nursing Practice (DNP)

Level thesis:degree_level

Open Access Thesis

Discipline thesis:degree_discipline

Yale University School of Nursing

Year

2024

Author dc:creator

• Thomas, Devin C.

Contributors dc:contributor

• David Vlahov

• buprenorphine, California Bridge, fentanyl, harm reduction, maternal health care, perinatal opioid use disorder

Repository record dc:identifier

https://elischolar.library.yale.edu/ysndt/1178

OAI identifier oai:identifier

oai:elischolar.library.yale.edu:ysndt-1177