Table 2.
Relationships between Organizational Factors and Pracitioner Attitudes towards OUD Treatment in the ED
| Supports MAT for OUD in ED | Supports best practices to treat OUD | Self-efficacy to treat OUD | |||||||
|---|---|---|---|---|---|---|---|---|---|
| OR | 95% CI | p value | OR | 95% CI | p value | OR | 95% CI | p value | |
| Age | 0.962 | 0.911, 1.016 | 0.167 | 1.030 | 0.976, 1.087 | 0.282 | 0.976 | 0.924, 1.030 | 0.375 |
| Female | 0.596 | 0.265, 1.339 | 0.210 | 1.481 | 0.677, 3.241 | 0.325 | 0.568 | 0.269, 1.202 | 0.139 |
| Latino | 0.624 | 0.272, 1.432 | 0.271 | 0.761 | 0.348, 1.663 | 0.513 | 0.918 | 0.431, 1.958 | 0.795 |
| Years in ED | 1.054 | 0.767, 1.449 | 0.746 | 1.020 | 0.743, 1.401 | 0.901 | 1.075 | 0.790, 1.462 | 0.647 |
| Rolea | |||||||||
| Nurse or nurse assistant | 3.201* | 1.244, 8.238 | 0.016 | 2.780* | 1.134, 6.817 | 0.025 | 2.010 | 0.846, 4.776 | 0.114 |
| Manager or director | 12.7934** | 1.904, 85.956 | 0.009 | 4.232 | 0.716, 25.011 | 0.111 | 1.606 | 0.267, 9.672 | 0.605 |
| Other | 1.913 | 0.515, 7.106 | 0.333 | 2.881 | 0.844, 9.836 | 0.091 | 1.445 | 0.421, 4.961 | 0.559 |
| High leadership | 2.405 | 0.985, 5.872 | 0.054 | 0.504 | 0.218, 1.167 | 0.110 | 0.892 | 0.402, 1.979 | 0.778 |
| Psychological safety | 1.116 | 0.652, 1.911 | 0.689 | 1.155 | 0.678, 1.968 | 0.597 | 0.783 | 0.476, 1.287 | 0.335 |
| Innovation climate | 0.984 | 0.591, 1.640 | 0.952 | 1.974** | 1.179, 3.308 | 0.010 | 0.859 | 0.521, 1.418 | 0.553 |
| Readiness for change | 7.023*** | 2.431, 20.285 | 0.000 | 2.512* | 1.007, 6.264 | 0.048 | 0.667 | 0.276, 1.613 | 0.369 |
| Attitudes towards EBP | |||||||||
| Requirements | 0.543* | 0.325, 0.905 | 0.019 | 1.147 | 0.743, 1.771 | 0.536 | 0.846 | 0.551, 1.301 | 0.447 |
| Appeal | 1.814 | 0.889, 3.705 | 0.102 | 0.832 | 0.444, 1.558 | 0.566 | 1.114 | 0.607, 2.045 | 0.728 |
| Openness | 0.647 | 0.358, 1.172 | 0.151 | 1.216 | 0.678, 2.183 | 0.512 | 2.153** | 1.199, 3.866 | 0.010 |
| Divergence | 2.151* | 1.107, 4.182 | 0.024 | 1.840 | 0.974, 3.475 | 0.060 | 1.500 | 0.826, 2.723 | 0.183 |
Note. ED, Emergency Department, EBP, Evidence based practices, OUD, opioid use disorders
Resident/Attending as reference
OR: odds ratio; SE: standard error; CI: confidence interval
p<0.05,
p<0.01,
p<0.001