ArticlePloS one2019
"You're kind of at war with yourself as a nurse": Perspectives of inpatient nurses on treating people who present with a comorbid opioid use disorder.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
34 citing papers in PubMed, 1 synthesis or guideline pooled it, 95 citations in OpenAlex.
- Antiretroviral Postexposure Prophylaxis After Sexual, Injection Drug Use, or Other Nonoccupational Exposure to HIV - CDC Recommendations, United States, 2025.MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports · 2025Guideline
- Nurses' stigmatizing attitudes toward patients with substance use disorders and their impact on care quality.BMC nursing · 2026Article
- Implementation and sustainability of hospital-based harm reduction delivery: a qualitative analysis.Harm reduction journal · 2026Article
- Examining nurses' attitudes toward patients who use substances in the hospital setting: A scoping review.International journal of nursing studies advances · 2026Review
- Influence of a Co-Designed Alcohol and Other Drug Education Program on Clinician Attitudes Toward People Who Use AOD: A Quantitative Evaluation.International journal of mental health nursing · 2026Article
- Exploring Scottish addiction services: provider-based stigma, addiction aetiology beliefs, treatment bias, and burnout among addiction treatment providers.Substance abuse treatment, prevention, and policy · 2026Article
- Association between nurses' knowledge and attitudes and caring behaviors toward people with opioid use disorder.PloS one · 2026Article
- An Advanced Practice Nurse's Contributions to the Care of Opioid-Dependent Patients in an Acute Somatic Hospital: A Qualitative Study.Scandinavian journal of caring sciences · 2025Article
- Reducing stigma in primary care toward people who use drugs: A pilot study exploring the promise and limits of stigma training.Journal of substance use and addiction treatment · 2025Article
- Recommendations for Addressing In-Hospital Substance Use From a National Delphi Consensus Process.JAMA network open · 2025Article
- Ethical Management of Challenging Behaviors in Hospitalized People Who Use Drugs.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025Article
- Comfort in Providing Care and Associations With Attitudes Towards Substance Use: A Survey of Mental Health Clinicians at an Urban Hospital in Vancouver, Canada.Journal of psychiatric and mental health nursing · 2025Article
- OPTIONS-DC: Treatment Course Outcomes Following Outpatient Parenteral Antimicrobial Therapy RN-Led Multidisciplinary Care Conferences for People Who Use Drugs Hospitalized With Complex Infections.Open forum infectious diseases · 2025Article
- Hospital Security Searches Among Patients With Substance-Related Encounters.JAMA network open · 2025Article
- Transforming Alcohol and Other Drug Education Through Co-Design.International journal of mental health nursing · 2025Review
- Empowering Primary Care Nurse Practitioners: A Multilevel Approach to Combating the Opioid Crisis.Journal of advanced nursing · 2024Article
- Barriers and facilitators to implementing treatment for opioid use disorder in community hospitals.Journal of substance use and addiction treatment · 2024Article
- Home care for patients with opioid use disorders: A qualitative study of registered nurses' experiences of pain management.Nursing open · 2024Article
- Providers' Experiences and Perspectives in Treating Patients With Co-Occurring Opioid and Stimulant Use Disorders in the Hospital.Substance use & addiction journal · 2024Article
- Professional stigma towards clients with methamphetamine use disorder - a qualitative study.Journal of pharmaceutical policy and practice · 2024Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundIn the midst of an opioid epidemic, health care workers are encountering an increasing number of patients who have opioid use disorder in addition to complex social, behavioral and medical issues. Of all the clinicians in the hospital, nurses spend the most time with hospitalized patients who have opioid use disorder, yet there has been little research exploring their experiences in caring for this population. The objective of this study was to assess the attitudes, perceptions, and training needs of nurses in the inpatient setting when caring for patients who have opioid use disorder.
methodsOne-on-one in-depth interviews were conducted with nurses working at a large academic medical center in Boston, MA, using a semi-structured interview guide. Nurses were recruited via email notifications and subsequent snowball sampling. Interviews were recorded, transcribed and analyzed using a grounded theory approach.
resultsData from in-depth interviews with 22 nurses were grouped into six themes: (1) stigma, (2) assessing & treating pain, (3) feelings of burn out, (4) communication between providers, (5) safety & security, and (6) opportunities for change. These themes were organized within four ecological levels of the Socio-Ecological Model: I) societal context, II) hospital environment, III) interpersonal interactions, and IV) individual factors. Nurses were cognizant of the struggles that patients who have opioid use disorder confront during hospitalization such as pain, withdrawal and stigma, and elaborated on how these challenges translate to professional and emotional strain among nurses. Nurses offered recommendations by which the hospital could streamline care for this population, including expanded role support for nurses and more structured policies regarding care for patients who present with a comorbid opioid use disorder.
conclusionOur results highlight the need for the development of programs targeting both organizational culture and the inpatient nurse quality of life to ultimately enhance quality of care for patients who present with opioid use disorder.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.