Table 3.
Relationships between Organizational Factors and Practioner Attitudes towards Individuals with Drug Use issues in the ED
| Stereotypes of drug users | Optimism to treat people with OUD | |||||
|---|---|---|---|---|---|---|
| OR | 95% CI | p value | OR | 95% CI | p value | |
| Age | 0.995 | 0.935, 1.058 | 0.879 | 1.037 | 0.984, 1.092 | 0.173 |
| Female | 1.005 | 0.434, 2.320 | 0.992 | 0.499 | 0.232, 1.071 | 0.074 |
| Latino | 0.537 | 0.222, 1.299 | 0.157 | 1.315 | 0.600, 2.882 | 0.455 |
| Years in ED | 1.550 | 1.075, 2.237 | 0.019 | 0.762 | 0.556, 1.046 | 0.092 |
| Rolea | ||||||
| Nurse or nurse assistant | 5.747 | 2.020, 16.393 | 0.001 | 0.276** | 0.114, 0.668 | 0.004 |
| Manager or director | 0.411 | 0.061, 2.755 | 0.360 | 0.447 | 0.076, 2.631 | 0.373 |
| Other | 3.165 | 0.874, 11.494 | 0.079 | 0.460 | 0.14, 1.511 | 0.201 |
| High leadership | 0.532 | 0.193, 1.466 | 0.222 | 0.457 | 0.19, 1.101 | 0.081 |
| Psychological safety | 1.582 | 0.887, 2.825 | 0.121 | 0.947 | 0.569, 1.575 | 0.833 |
| Innovation climate | 0.847 | 0.486, 1.475 | 0.557 | 1.143 | 0.716, 1.823 | 0.575 |
| Readiness for change | 0.423 | 0.159, 1.125 | 0.085 | 1.387 | 0.572, 3.361 | 0.469 |
| Atitudes towards EBP | ||||||
| Requirements | 0.874 | 0.540, 1.414 | 0.583 | 1.048 | 0.677, 1.624 | 0.833 |
| Appeal | 0.620 | 0.305, 1.261 | 0.187 | 1.170 | 0.631, 2.169 | 0.618 |
| Openness | 1.558 | 0.829, 2.924 | 0.168 | 0.968 | 0.552, 1.696 | 0.910 |
| Divergence | 1.316 | 0.665, 2.604 | 0.431 | 0.417** | 0.219, 0.794 | 0.008 |
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