Role of NPs and prescribing practices |
Nurse prescribing is at various stages of development across jurisdictions in terms of; training, prescribing autonomy and scope of practice |
The importance of prescribing legislation |
There is a direct relationship with passing legislation to allow nurse prescribing of MOUD and increasing access to, and increasing numbers in MOUD treatment |
Underserved regions: access, support and needs |
Where there are more nurse prescribers, people living in rural areas and those receiving state-supported care are more likely to access MOUD treatment |
Importance of practice and institutional support |
Access to institutional support and education for nurse prescribers will increase the numbers of prescribing nurses |
External factors influencing NP uptake |
There is higher NP uptake in areas where there is; pro-social messaging from recruiters, already high numbers of NPs, and greater practitioner autonomy [i.e., no medical oversight] |
Barriers to uptake of MOUD; NP’s perceptions of people who are dependent on opiates |
Negative attitudes of prescribers towards people who are dependent on opiates and social stigma. Perceived complexity, e.g., chronic health issues, risk of violence, drug use and diversion of prescribed medication |