Abstract

Opioid use disorder (OUD) is common, with the rate of opioid-related hospitalizations doubling from 2006 to 2016. Surgical patients with OUD are at significantly higher risk of prolonged length of stay, in-hospital mortality, and readmission. Postoperative care for patients with OUD is particularly challenging for nurses whose responsibilities include pain and withdrawal management, care team coordination, patient assessment, and patient teaching. A large body of evidence suggests better outcomes for surgical patients when they are cared for in hospitals with strong nursing resources. This study sought to determine whether variations in nursing resources (i.e., education, staffing, and work environment) were associated with postsurgical outcomes (i.e., length of stay, in hospital 30-day mortality, and 7, 30, 60, and 90-day readmission) for patients with and without OUD (Aim 1).

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 28545488; ProQuest document ID: 2572600638. The author still retains copyright.

Author Details

Rachel E. French, PhD

Sigma Membership

Theta Tau

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Cross-Sectional

Research Approach

Other

Keywords:

Opioid Use Disorder, Postoperative Care, Pain Management, Postsurgical Outcomes

Advisor

Margo Brooks Carthon

Second Advisor

Matthew D. McHugh

Third Advisor

Linda Aiken

Fourth Advisor

Peggy Compton

Degree

PhD

Degree Grantor

University of Pennsylvania

Degree Year

2021

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2022-05-23

Full Text of Presentation

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