“I didn't feel like a number”: The impact of nurse care managers on the provision of buprenorphine treatment in primary care settings

Beharie, Nisha; Kaplan-Dobbs, Marissa; Urmanche, Adelya; Paone, Denise; Harocopos, Alex

doi:10.1016/j.jsat.2021.108633

Cited by 12 publications

(14 citation statements)

References 24 publications

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“…In the New York City nurse care management program, Beharie et al (2022) described the emotional, clinical and logistical support nurses provided for patients receiving buprenorphine as a part of intensive case management. In a separate ethnographic study, nursing care was observed at a methadone clinic over 9 months to inform a theoretical model of nursing care in this setting.…”

Section: Resultsmentioning

confidence: 99%

The impact of nursing on health outcomes of people receiving medication for opioid use disorder: An integrative review

Alexander

Smith

Gerolamo

et al. 2022

J of Nursing Scholarship

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Introduction This integrative review aimed to understand the impact of nursing on the health outcomes of people with opioid use disorder (OUD). Methods Whittemore and Knafl's (2005) integrative review methodology guided the review process. The authors searched PubMed, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), and OVID databases for peer‐reviewed, English language articles describing nursing care for people receiving medications for OUD. The literature search followed the Preferred Reporting Items for Systematic Reviews and Meta‐analyses (PRISMA) guidelines. Results A total of 773 articles were identified through the database searches after duplicates were removed; 15 articles met inclusion criteria and were included in the final review from the United States, Canada, Ireland, England, and the Netherlands. Two themes emerged: (1) The effect of nurse‐led care on patient outcomes and (2) Nursing roles and the environment of care. Studies emphasized the aspects of nursing care that promote patient‐centeredness and patient satisfaction. Conclusions The importance of the registered nurse in providing quality care for people receiving medications for OUD is clear from the literature reviewed. The studies in the review highlighted important aspects of the registered nurses' role in affecting outcomes for people receiving medications for OUD including communication and care coordination. Clinical relevance This review highlights the need for role delineation and further development of nurse‐sensitive indicators in the OUD treatment setting.

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Section: Resultsmentioning

confidence: 99%

The impact of nursing on health outcomes of people receiving medication for opioid use disorder: An integrative review

Alexander

Smith

Gerolamo

et al. 2022

J of Nursing Scholarship

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“…Recent evidence has shown that nurse-led clinics and the expansion of MOUD address critical gaps in these essential services for PWID, particularly in rural areas (Auty et al, 2020;Barnett et al, 2019;Cos et al, 2021;Klein et al, 2022;Sorrell et al, 2020). Additionally, nurses and nurse case managers working in the primary care setting play a critical role in addressing the holistic care needs of patients, including some barriers identified by this review, and can engage PWID in primary care long term (Beharie et al, 2022;Wason et al, 2021).…”

Section: Clinic Al Rele Van Cementioning

confidence: 91%

“…Recent evidence has shown that nurse‐led clinics and the expansion of MOUD address critical gaps in these essential services for PWID, particularly in rural areas (Auty et al, 2020; Barnett et al, 2019; Cos et al, 2021; Klein et al, 2022; Sorrell et al, 2020). Additionally, nurses and nurse case managers working in the primary care setting play a critical role in addressing the holistic care needs of patients, including some barriers identified by this review, and can engage PWID in primary care long term (Beharie et al, 2022; Wason et al, 2021). Overall, nurses in the primary care setting play an important role in addressing barriers to care engagement, improving access to essential substance use and primary care services, and developing meaningful patient–nurse and patient‐care team relationships.…”

Section: Clinical Relevancementioning

confidence: 99%

Barriers and facilitators to primary care engagement for people who inject drugs: A systematic review

Heidari

Tormohlen

Dangerfield

et al. 2022

J of Nursing Scholarship

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Introduction People who inject drugs (PWID) have a greater burden of multimorbid chronic diseases than the general population. However, little attention has been paid to the engagement in primary care for services related specifically to injection drug use and management of underlying chronic comorbid diseases for this population. This systematic review identified facilitators and barriers to healthcare engagement in the primary care setting among PWID. Design and Methods Studies were identified by a literature search of PubMed, CINAHL, and EMBASE, and by searching the references of retrieved articles. Studies were included if they measured active injection drug use, and outcomes related to primary care engagement characterized by: diagnosis of a health condition, linkage or retention in care, health condition‐related outcomes, and reported patient–provider relationship. Results Twenty‐three articles were included. Using the behavioral model, factors within predisposing, enabling, need, and health behavior domains were identified. Having co‐located services and a positive patient–provider relationship were among the strongest factors associated with healthcare utilization and engagement while active injection drug use was associated with decreased engagement. Conclusions To our knowledge, this is the only review of evidence that has examined factors related to primary care engagement for people who inject drugs. Most articles were observational studies utilizing descriptive designs. Although the assessment of the evidence was primarily rated ‘Good’, this review identifies a significant need to improve our understanding of primary care engagement for PWID. Future research and intervention strategies should consider these findings to better integrate the holistic care needs of PWID into primary care to reduce morbidity and mortality associated with injection drug use and chronic disease. Clinical relevance Primary care engagement is important for preventative care, early diagnosis of disease, and management of chronic diseases, including addressing problems of substance use. This review highlights factors nurses can utilize to facilitate primary care engagement of PWID.

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“…Few studies (n=6, 21.4%) described other primary care needs (e.g., vaccinations [68], diabetes [69]), and lacked specific details on the care provided (e.g., was listed as 'other health needs' [65] or 'other clinics' [64]).…”

Section: Innovation: Virtual Carementioning

confidence: 99%

“…Beharie et al [65] Understand patient perspectives and experiences of care provided by nurse managers.…”

Section: Authormentioning

confidence: 99%

Virtual Primary Care for People with Opioid Use Disorder: A Scoping Review of Current Strategies, Benefits, and Challenges

Narayan,

Gooderham,

Spencer

et al. 2023

Preprint

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BackgroundThere is a pressing need to understand the implications of the rapid adoption of virtual primary care for people with opioid use disorder. Potential impacts, including disruptions to opiate agonist therapies, and the prospect of improved service accessibility remain underexplored. This scoping review synthesizes current literature on virtual primary care for people with opioid use disorder, with a specific focus on benefits, challenges, and strategies.MethodsWe followed the Joanna Briggs Institute methodological approach for scoping reviews and reported our findings consistent with the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews. We conducted searches on MEDLINE, Web of Science, CINAHL Complete, and Embase using our developed search strategy with no date restrictions. We incorporated all study types that included the three concepts (i.e., virtual care; primary care; people with opioid use disorder). We excluded research on minors, asynchronous virtual modalities, and care not provided in a primary care setting. We used Covidence to screen and extract data, pulling information on study characteristics, health system features, patient outcomes, and challenges and benefits of virtual primary care. We conducted inductive content analysis and calculated descriptive statistics. We appraised the quality of studies using the Quality Assessment with Diverse Studies tool and categorized findings using the Consolidated Framework for Implementation Science.ResultsOur search identified 1474 studies. We removed 536 duplicates, leaving 936 studies for title and abstract screening. After a double review process, we retained 28 studies for extraction. Most studies described virtual primary care delivered via phone (n=18, 64.3%) rather than video. While increased healthcare accessibility was a significant benefit (n=13, 46.4%) to the adoption of virtual visits, issues around access to technology and digital literacy stood out as the main challenge (n=12, 42.9%).ConclusionsThe available studies highlight the potential for enhancing accessibility and continuous access care for people with opioid use disorder using virtual modalities. Future research and policies must focus on bridging gaps to ensure virtual primary care does not exacerbate or entrench health inequities.

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“I didn't feel like a number”: The impact of nurse care managers on the provision of buprenorphine treatment in primary care settings

Cited by 12 publications

References 24 publications

The impact of nursing on health outcomes of people receiving medication for opioid use disorder: An integrative review

The impact of nursing on health outcomes of people receiving medication for opioid use disorder: An integrative review

Barriers and facilitators to primary care engagement for people who inject drugs: A systematic review

Virtual Primary Care for People with Opioid Use Disorder: A Scoping Review of Current Strategies, Benefits, and Challenges

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