RESUMEN
BACKGROUND: Direct support professionals support people with intellectual and developmental disabilities with essential health and community living needs. Despite an unrelenting workforce shortage crisis, limited evidence-based resources exist for their support. Resilience, or the ability to thrive in the face of challenges, is a target for health care professional wellbeing initiatives. As an "invisible" workforce interspersed throughout various community-based settings, direct support professionals may benefit from resources provided via mobile health apps. OBJECTIVES: To assess direct support professionals' acceptability of and preferences for the design of a mobile health app prototype to support their resilience, DSP Thrive. METHOD: This concept generation and prototype design study employed a two-phase qualitative-descriptive design. Phase 1 assessed direct support professionals' acceptability of and preferences for a mobile health app for direct support professional resilience. Phase 2 elicited feedback on mock-up images of an initial prototype. Data were collected via qualitative interviews (n = 13), and transcripts were analyzed using content analysis. RESULTS: Phase 1: Direct support professionals identified three primary opportunities for an app to support their resilience: learning via educational resources, practicing resilience strategies, and cultivating a peer support network. Based on these findings, the DSP Thrive app prototype was designed with Learn, Practice, and Connect functions. Phase 2: User feedback on walk-throughs of mock-up images indicated initial acceptability of the prototype design with considerations for further development identified. CONCLUSIONS: Engaging direct support professionals in user-centered design of mobile health apps may help to bridge the gap to resilience resources for this essential workforce population.
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Personas con Discapacidad , Aplicaciones Móviles , Resiliencia Psicológica , Telemedicina , Humanos , Diseño Centrado en el UsuarioRESUMEN
ABSTRACT: Stress experienced by family caregivers of individuals with opioid use disorder (OUD) contributes to caregiver burden. To understand the stressors experienced by family caregivers of individuals with OUD and the factors that influence their personal resiliency, data were collected from a convenience sample of family caregivers who answered two open-ended questions about sources of stress and factors that affect their personal resilience as part of an online survey. Yin's thematic analysis revealed five objective and two subjective burden themes and four resilience themes. Results indicate OUD places significant burden on families and may contribute to decreased physical and mental well-being in caregivers. Caregivers who perceived adequate support were able to use their experience and innate knowledge to cope and emerge with more resilience. Results of this study support the need for translational research to increase resilience and coping in this population of caregivers.
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Cuidadores , Trastornos Relacionados con Opioides , Humanos , Adaptación Psicológica , Salud Mental , Bienestar PsicológicoRESUMEN
Family caregivers of individuals with substance use disorder (SUD) experience a significant burden and have few evidence-based resources available.To obtain a consensus of expert views on the needs, and resources available, to family caregivers of individuals with SUD given the COVID-19 pandemic and other sociopolitical factors.Quantitative design using the Classic e-Delphi method of multiple iterations of questioning to reach a consensus among expert panelists. Purposive sampling was used to recruit a multidisciplinary, nationwide panel of SUD experts from professional contacts, professional organization list servers, websites relevant to support groups for family caregivers, flyers, and word of mouth. In round 1 panelists (n = 96) responded to open-ended questions about the support provided to family caregivers, and the additional needs of family caregivers. In subsequent rounds, the panel rated collated responses in terms of agreement (n = 54) and importance (n = 48).Thematic content analysis identified ten needs in the resources available to family caregivers. Consensus was obtained across thematic categories and the remaining items were ranked according to importance.Participatory-based SUD research that includes the expertise of healthcare providers, support leaders, and family caregivers is necessary to develop evidence-based interventions to increase caregiver resilience and facilitate coping. Several clear conclusions that address social and structural determinants of health emerged, including the need for increased access to healthcare and community services, more self-care strategies for families, and focused public advocacy to reduce SUD-related stigma.
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COVID-19 , Trastornos Relacionados con Sustancias , Humanos , Cuidadores , Consenso , Técnica Delphi , Pandemias , Trastornos Relacionados con Sustancias/terapiaRESUMEN
This theory synthesis provides a theoretical model for nursing researchers to examine factors that influence resilience and burden in family caregivers of individuals with opioid use disorder. Two frameworks, the Resiliency Model and the Conceptual Framework for Family Involvement with Adults with Co-occurring Substance and Mental Disorders, were synthesized and modified by incorporating concepts and conceptual relationships from recent research studies and experiential knowledge from clinical practice to develop a new model. The model predicts the impact of caregiver characteristics, caregiver support, stressors, and caregiver-care recipient dyad characteristics on caregiver well-being.
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Cuidadores , Trastornos Relacionados con Opioides , Adulto , Humanos , FamiliaRESUMEN
PURPOSE: Patients with opioid use disorder (OUD) and associated complexities are presenting to hospitals in increasing numbers. Preparation of perianesthesia nurses caring 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 does not translate into feelings of competence in nursing care. The purpose of this study was to identify correlates and predictors that affect TA and empowerment among perianesthesia nurses caring for patients with OUD. DESIGN: A cross-sectional, correlation design was used to identify correlates and predictors of TA and empowerment in a national sample of perianesthesia nurses (N = 215) METHODS: A national survey collected data from perianesthesia nurses. The Perianesthesia Nurse Empowerment and Therapeutic Attitude Model was the guiding framework. Pearson product-moment correlation and hierarchical multiple regression analyses were used to examine relationships between personal factors, the professional practice environment and societal factors of perianesthesia nurses. FINDINGS: The standardized regression coefficients indicated the professional practice environment (ß = -0.28), drug user stigma (ß = 0.27), access to a pain specialist (ß = 0.25), and exposure to drug users (ß = 0.25) were the strongest predictors of TA. Access to a pain specialist (ß = -0.15) and the professional practice environment (ß = 0.72) 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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Enfermeras y Enfermeros , Atención de Enfermería , Trastornos Relacionados con Opioides , Estudios Transversales , Humanos , DolorRESUMEN
Gamification has gained popularity among clinical nurse educators as a method to engage novice and experienced nurses in higher-level thinking. Classic board games can be cost-effectively transformed into educational games; however, it is important to use a clinical reasoning framework to ensure that learning outcomes focus on stimulating higher-level thinking. This article describes the development of a game as an innovative approach to designing new methods that better prepare new graduate nurses for current nursing practice. [J Contin Educ Nurs. 2021;52(9):413-416.].