Examination of factors affecting therapeutic attitude and empowerment of perianesthesia nurses who care for patients with opioid use disorder: a dissertation in Nursing

Christine Ann Fournier Bell

doi:10.62791/19777

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Examination of factors affecting therapeutic attitude and empowerment of perianesthesia nurses who care for patients with opioid use disorder: a dissertation in Nursing

Dissertation

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Examination of factors affecting therapeutic attitude and empowerment of perianesthesia nurses who care for patients with opioid use disorder: a dissertation in Nursing

Christine Ann Fournier Bell

Doctor of Philosophy (PHD), University of Massachusetts Dartmouth

2021

DOI:

https://doi.org/10.62791/19777

Abstract

Background: Patients with opioid use disorder (OUD) and associated medical and mental health complexities are presenting to hospitals in increasing numbers. Preparation of perianesthesia nurses to care 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 (personal, societal and the practice environment) does not translate into feelings of competence in nursing care. The purpose of this study was to identify factors that affect TA and empowerment among perianesthesia nurses who care for patients with OUD. Design: A cross-sectional, correlation design was used to identify correlates and predictors of TA and empowerment in perianesthesia nurses who care for patients with OUD. A national survey was used to collect data from perianesthesia nurses (n=215) using an online platform. Pearson product-moment correlation and hierarchical multiple regression analyses were used to examine relationships between personal factors, the professional practice environment and societal factors (stigma) of perianesthesia nurses to test a new model. Results: The standardized regression coefficients indicated access to a pain specialist (β =.251), the professional practice environment (β = -.280), drug user stigma (β = .266), and exposure to drug users (β = .252) were the strongest predictors of TA. Access to a pain specialist (β = -.152) and the professional practice environment (β = .718) were the strongest predictors of empowerment. Conclusions: The 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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Title: Examination of factors affecting therapeutic attitude and empowerment of perianesthesia nurses who care for patients with opioid use disorder
Creators: Christine Ann Fournier Bell
ORCID: 0000-0002-4940-7085
Contributors: Mary McCurry (Advisor) - University of Massachusetts Dartmouth, Department of Adult Nursing
Mirinda Tyo (Committee Member) - University of Massachusetts Dartmouth, Department of Adult Nursing
Jennifer Dunbar Viveiros (Committee Member) - University of Massachusetts Dartmouth, Department of Adult Nursing
Number of pages: ix, 119 pages
Illustrations: illustrations
Table of contents: List of figures -- List of tables -- Section 1. Introduction -- Section 2. Problem statement -- Introduction -- Background and significance -- Statement of the problem -- Theoretical framework -- Purpose of the study -- Research questions -- Summary of the methodology -- Significance of the study -- Section 3. Review of the literature and theoretical framework -- Introduction -- Perianesthesia nurses -- Opioid use disorder -- Theoretical/Conceptual perspectives -- Therapeutic attitude theory -- Figure 1. Model of therapeutic attitude -- Concept of empowerment -- The model of Perianesthesia nurse empowerment and therapeutic attitude -- Figure 2: Model of Perianesthesia nurse empowerment and therapeutic attitude (PaNETA) -- Dependent variables -- Empirical literature -- Personal factors -- Professional practice environment factors -- Societal factors -- Section summary -- Section 4. Methods -- Sample and setting -- Power analysis -- Data collection procedures -- Measurement of independent and dependent variables -- Data analysis -- Research questions and analysis plan -- Ethical considerations -- Limitations -- Section five: executive summary -- References -- Appendix A. Demographic questionnaire -- Appendix B. Professional practice work environment inventory -- Appendix C. Permission to use professional practice work environment inventory -- Appendix D. Conditions for work effectiveness questionnaire II -- Appendix E. Permission to use conditions for work effectiveness questionnaire II -- Appendix F. drug and drug problems perceptions questionnaire -- Appendix G. Permission to use drug and drug problems perceptions questionnaire -- Appendix H. Exposure to drug users index -- Appendix I. Stigma of drug users scale -- Appendix J. Stigma of drug users scale -- Appendix K. Permission to use stigma scales -- Appendix L. Informed consent -- Appendix M. IRB approval -- Appendix N. Flyer.
References: Includes bibliographical references (pages 67-90).
Awarding Institution: University of Massachusetts Dartmouth
Degree Awarded: Doctor of Philosophy (PHD)
Degree in: Nursing
Academic Unit: College of Nursing and Health Sciences
Language: English
Resource Type: Dissertation
DOI: https://doi.org/10.62791/19777
Record Identifier: 9914424810501301