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Quality Improvement Initiative to Improve Healthcare Providers’ Attitudes towards Mothers with Opioid Use Disorder

INTRODUCTION: Individuals with opioid use disorder often report feelings of shame and describe feeling judged negatively. These feelings are especially true for pregnant women with opioid use disorder. The Ohio Perinatal Quality Collaborative conducted a multimodal quality improvement initiative for...

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Autores principales: Ford, Susan, Clarke, Leslie, Walsh, Michele C., Kuhnell, Pierce, Macaluso, Maurizio, Crowley, Moira, McClead, Richard, Wexelblatt, Scott, Lannon, Carole, Kaplan, Heather C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8389895/
https://www.ncbi.nlm.nih.gov/pubmed/34476305
http://dx.doi.org/10.1097/pq9.0000000000000453
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author Ford, Susan
Clarke, Leslie
Walsh, Michele C.
Kuhnell, Pierce
Macaluso, Maurizio
Crowley, Moira
McClead, Richard
Wexelblatt, Scott
Lannon, Carole
Kaplan, Heather C.
author_facet Ford, Susan
Clarke, Leslie
Walsh, Michele C.
Kuhnell, Pierce
Macaluso, Maurizio
Crowley, Moira
McClead, Richard
Wexelblatt, Scott
Lannon, Carole
Kaplan, Heather C.
author_sort Ford, Susan
collection PubMed
description INTRODUCTION: Individuals with opioid use disorder often report feelings of shame and describe feeling judged negatively. These feelings are especially true for pregnant women with opioid use disorder. The Ohio Perinatal Quality Collaborative conducted a multimodal quality improvement initiative for infants born with Neonatal Abstinence Syndrome (NAS). An important component of the project was focused on improving staff attitudes toward mothers of infants with NAS. METHODS: The Ohio Perinatal Quality Collaborative implemented an education program for healthcare providers at 39 participating hospital units regarding opioid use as a chronic disease and principles of nonjudgmental, trauma-informed care. Healthcare providers partnered with the mother of infants with NAS in the care of the infant and connected with local community resources. This work was a subcomponent of an overall multimodal quality improvement project. Healthcare provider attitudes were measured with the “Attitude Measurement: Brief Scales” questionnaire anonymously, at 3 different time points throughout the project. Attitude change was measured by pretraining and posttraining scores. ANOVA methods were used to compare individual items and a summary score across the 3 surveys. RESULTS: Summary scores improved significantly from 18.99 at baseline (January–March 2014) to 19.94 (P < 0.0001) in February 2015 and were maintained at 20.05 in July 2016. CONCLUSIONS: A nonjudgmental attitude toward mothers of infants with NAS is an important component of compassionate care. Improving healthcare provider attitudes can benefit a mother of an infant with NAS and help preserve the mother–infant dyad.
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spelling pubmed-83898952021-09-01 Quality Improvement Initiative to Improve Healthcare Providers’ Attitudes towards Mothers with Opioid Use Disorder Ford, Susan Clarke, Leslie Walsh, Michele C. Kuhnell, Pierce Macaluso, Maurizio Crowley, Moira McClead, Richard Wexelblatt, Scott Lannon, Carole Kaplan, Heather C. Pediatr Qual Saf Multi-institutional collaborative and QI network research INTRODUCTION: Individuals with opioid use disorder often report feelings of shame and describe feeling judged negatively. These feelings are especially true for pregnant women with opioid use disorder. The Ohio Perinatal Quality Collaborative conducted a multimodal quality improvement initiative for infants born with Neonatal Abstinence Syndrome (NAS). An important component of the project was focused on improving staff attitudes toward mothers of infants with NAS. METHODS: The Ohio Perinatal Quality Collaborative implemented an education program for healthcare providers at 39 participating hospital units regarding opioid use as a chronic disease and principles of nonjudgmental, trauma-informed care. Healthcare providers partnered with the mother of infants with NAS in the care of the infant and connected with local community resources. This work was a subcomponent of an overall multimodal quality improvement project. Healthcare provider attitudes were measured with the “Attitude Measurement: Brief Scales” questionnaire anonymously, at 3 different time points throughout the project. Attitude change was measured by pretraining and posttraining scores. ANOVA methods were used to compare individual items and a summary score across the 3 surveys. RESULTS: Summary scores improved significantly from 18.99 at baseline (January–March 2014) to 19.94 (P < 0.0001) in February 2015 and were maintained at 20.05 in July 2016. CONCLUSIONS: A nonjudgmental attitude toward mothers of infants with NAS is an important component of compassionate care. Improving healthcare provider attitudes can benefit a mother of an infant with NAS and help preserve the mother–infant dyad. Lippincott Williams & Wilkins 2021-08-26 /pmc/articles/PMC8389895/ /pubmed/34476305 http://dx.doi.org/10.1097/pq9.0000000000000453 Text en Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Multi-institutional collaborative and QI network research
Ford, Susan
Clarke, Leslie
Walsh, Michele C.
Kuhnell, Pierce
Macaluso, Maurizio
Crowley, Moira
McClead, Richard
Wexelblatt, Scott
Lannon, Carole
Kaplan, Heather C.
Quality Improvement Initiative to Improve Healthcare Providers’ Attitudes towards Mothers with Opioid Use Disorder
title Quality Improvement Initiative to Improve Healthcare Providers’ Attitudes towards Mothers with Opioid Use Disorder
title_full Quality Improvement Initiative to Improve Healthcare Providers’ Attitudes towards Mothers with Opioid Use Disorder
title_fullStr Quality Improvement Initiative to Improve Healthcare Providers’ Attitudes towards Mothers with Opioid Use Disorder
title_full_unstemmed Quality Improvement Initiative to Improve Healthcare Providers’ Attitudes towards Mothers with Opioid Use Disorder
title_short Quality Improvement Initiative to Improve Healthcare Providers’ Attitudes towards Mothers with Opioid Use Disorder
title_sort quality improvement initiative to improve healthcare providers’ attitudes towards mothers with opioid use disorder
topic Multi-institutional collaborative and QI network research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8389895/
https://www.ncbi.nlm.nih.gov/pubmed/34476305
http://dx.doi.org/10.1097/pq9.0000000000000453
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