Examination of Factors Affecting Therapeutic Attitude and Empowerment of Perianesthesia Nurses Who Care for Patients With Opioid Use Disorder |
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| Institution: | 1. Complexo Hospitalario Universitario de A Coruña. A Coruña, Spain;2. Department of Anesthesiology, Perioperative Care and Pain Medicine. Complexo Hospitalario Universitario de A Coruña. A Coruña, Spain;1. Trakya University, Faculty of Health Sciences, Department of Child Health and Disease Nursing, Edirne, Turkey;2. Trakya University, Faculty of Health Sciences, Department of Surgery Nursing, Edirne, Turkey;3. Trakya University, Faculty of Medicine, Department of Biostatistics and Medical Informatics, Edirne, Turkey;1. Clinic of Anesthesiology and Reanimation, Pendik District Hospital, Dogu Mah., Nevbahar Sok., No:1, Pendik, 34890, Istanbul, Turkey. This clinical study was conducted where the author formerly worked at Clinic of Anesthesiology and Reanimation, Kartal Ko?uyolu Research and Training Hospital, Denizer Cad., No:2, Cevizli, Kartal, 34865, Istanbul, Turkey;2. Department of Anesthesiology and Reanimation, Faculty of Medicine, Trakya University, Edirne, Turkey;3. Department of Anesthesiology and Reanimation, Ad?yaman University Training and Research Hospital, Ad?yaman, Turkey;4. Department of Anesthesiology and Reanimation, Surreyyapasa Pulmonary Diseases and Thoracic Surgery Research and Training Hospital, Istanbul, Turkey;1. Surgical and Perianesthesia Nurse, Complexo Hospitalario Universitario de A Coruña, As Xubias, 84, 15006, A Coruña, Spain;2. Anesthesiology Consultant, Department of Anesthesiology, Perioperative Care and Pain Medicine, Complexo Hospitalario Universitario de A Coruña, As Xubias, 84, 15006, A Coruña, Spain |
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| Abstract: | PurposePatients with opioid use disorder (OUD) and associated complexities are presenting to hospitals in increasing numbers. Preparation of perianesthesia nurses caring for this patient population has lagged, with noted deficits in continuing education, resources, and role support. Previous research found education without considering therapeutic attitude (TA), empowerment and factors that influence nursing practice does not translate into feelings of competence in nursing care. The purpose of this study was to identify correlates and predictors that affect TA and empowerment among perianesthesia nurses caring for patients with OUD.DesignA cross-sectional, correlation design was used to identify correlates and predictors of TA and empowerment in a national sample of perianesthesia nurses (N = 215)MethodsA national survey collected data from perianesthesia nurses. The Perianesthesia Nurse Empowerment and Therapeutic Attitude Model was the guiding framework. Pearson product-moment correlation and hierarchical multiple regression analyses were used to examine relationships between personal factors, the professional practice environment and societal factors of perianesthesia nurses.FindingsThe standardized regression coefficients indicated the professional practice environment (β = -0.28), drug user stigma (β = 0.27), access to a pain specialist (β = 0.25), and exposure to drug users (β = 0.25) were the strongest predictors of TA. Access to a pain specialist (β = -0.15) and the professional practice environment (β = 0.72) were the strongest predictors of empowerment.ConclusionsThe professional practice environment directly influenced the degree of empowerment and TA reported by perianesthesia nurses. Exposure to persons with OUD and personal stigmatization of persons who misuse drugs decreased TA but had no association with empowerment. Access to a pain specialist was moderately predictive of empowerment and negatively associated with TA suggesting a lack of role legitimacy and the need for further research into perianesthesia nurses’ perceptions of their role when caring for this population. |
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