Evidence map›Paper›PMID 35059691›Full record

ArticleJournal of the American College of Emergency Physicians open2022

Compassion, stigma, and professionalism among emergency personnel responding to the opioid crisis: An exploratory study in New Hampshire, USA.

Stephen A Metcalf, Elizabeth C Saunders, Sarah K Moore, Olivia Walsh, Andrea Meier, Samantha Auty, Sarah Y Bessen, Lisa A Marsch

Abstract read
In one paragraph

Article in Journal of the American College of Emergency Physicians open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Stephen A MetcalfCenter for Technology and Behavioral Health Geisel School of Medicine at Dartmouth College Lebanon New Hampshire USA.ORCID https://orcid.org/0000-0001-7000-2966
Elizabeth C SaundersCenter for Technology and Behavioral Health Geisel School of Medicine at Dartmouth College Lebanon New Hampshire USA.
Sarah K MooreCenter for Technology and Behavioral Health Geisel School of Medicine at Dartmouth College Lebanon New Hampshire USA.
Olivia WalshCenter for Technology and Behavioral Health Geisel School of Medicine at Dartmouth College Lebanon New Hampshire USA.
Andrea MeierCenter for Technology and Behavioral Health Geisel School of Medicine at Dartmouth College Lebanon New Hampshire USA.
Samantha AutyCenter for Technology and Behavioral Health Geisel School of Medicine at Dartmouth College Lebanon New Hampshire USA.
Sarah Y BessenGeisel School of Medicine at Dartmouth College Hanover New Hampshire USA.
Lisa A MarschCenter for Technology and Behavioral Health Geisel School of Medicine at Dartmouth College Lebanon New Hampshire USA.

Funding

Treatment Development & Evaluation CoreP30DA029926 · NIDA · DARTMOUTH COLLEGE · PI Lisa A. Marsch · 2011 to 2026
$21.5M
NIDA NIH HHS P30 DA029926
6 · The paper itself

Abstract

objectiveDrug overdoses are the leading cause of death in the United States for those under 50 years of age, and New Hampshire has been disproportionately affected, resulting in increased encounters with the emergency response system. The ensuing impact on emergency personnel has received little attention. The present study aimed to explore the experiences and perspectives of emergency personnel responding to the opioid crisis in NH, with a focus on their views toward people who use opioids.

methodsThirty-six emergency personnel (emergency department clinicians, n = 18; emergency medical service providers, n = 6; firefighters, n = 6; and police officers, n = 6) in 6 New Hampshire counties were interviewed about their experiences responding to overdoses and their perspectives on individuals who use opioids. Directed content analysis was used to identify themes in the transcribed, semistructured interviews. The results were reviewed for consensus.

resultsSeveral categories of themes were identified among emergency personnel's accounts of their overdose response experiences and perspectives, including varied degrees of compassion and stigma toward people who use opioids; associations between compassion or stigma and policy- and practice-related themes, such as prehospital emergency care and the role of emergency departments (EDs); and primarily among personnel expressing compassion, a sense of professional responsibility that outweighed personal biases.

conclusionsDespite the magnitude of the ongoing opioid crisis, some emergency personnel in New Hampshire have sustained or increased their compassion for people who use opioids. Others' perspectives remain or have become increasingly stigmatizing. The associations of compassion and stigma with various policy- and practice-related themes warrant further investigation.

Indexed as

compassiondrug overdoseemergency departmentsemergency respondersopioid crisisqualitative researchsocial stigma

Identifiers

PMID35059691
PMCPMC8758975

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.