Date of Award

January 2024

Document Type

Open Access Thesis

Degree Name

Doctor of Nursing Practice (DNP)

Department

Yale University School of Nursing

First Advisor

David Vlahov

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.

Comments

This is an Open Access Thesis.

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