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- Title
Chronic Opioid Use After Surgery: An Exploratory Study Examining Rural Certified Registered Nurse Anesthetist Strategies to Mitigate Chronic Opioid Use and Their View of Their Role in the Opioid Crisis.
- Authors
White, Mary-Bailey
- Abstract
Certified registered nurse anesthetists (CRNAs) provide most of the anesthesia care in the rural United States. Rural regions of the US also have the highest opioid prescribing rates and opioid-related hospital admissions and deaths. Although CRNAs are the primary anesthesia providers in these regions, little research examines the strategies CRNAs may use to mitigate the development of chronic opioid use after surgery. The purpose of this study was to assess the views of rural CRNAs regarding their role in mitigating chronic opioid use after surgery and to determine what, if any, preventative strategies they may use. A survey was developed and distributed to CRNAs practicing in rural areas of the US with the highest opioid prescribing rates. Of the 160 CRNAs who responded, 73% agreed that they could influence whether their patient developed chronic opioid use after surgery. Those who agreed were more likely to be involved in policy development to decrease opioid use. The survey also found that CRNAs with a doctoral degree, compared with those with master's level preparation, were more likely to report that they could influence whether their patient developed chronic opioid use after surgery.
- Subjects
UNITED States; SUBSTANCE abuse prevention; OCCUPATIONAL roles; RESEARCH; STATISTICS; NURSES' attitudes; OPIOID epidemic; RURAL conditions; NURSE anesthetists; POSTOPERATIVE period; PSYCHOSOCIAL factors; NURSES; DRUG prescribing; DESCRIPTIVE statistics; CHI-squared test; OPIOID analgesics; PHYSICIAN practice patterns; DATA analysis software; DATA analysis
- Publication
AANA Journal, 2022, Vol 90, Issue 6, p417
- ISSN
0094-6354
- Publication type
Article