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Pharmacists' attitudes toward dispensing naloxone and medications for opioid use disorder: A scoping review of the literature.

dc.contributor.author Muzyk, Andrew
dc.contributor.author Smothers, Zachary PW
dc.contributor.author Collins, Kathryn
dc.contributor.author MacEachern, Mark
dc.contributor.author Wu, Li-Tzy
dc.date.accessioned 2019-09-02T04:53:23Z
dc.date.available 2019-09-02T04:53:23Z
dc.date.issued 2019-08-16
dc.identifier.issn 0889-7077
dc.identifier.issn 1547-0164
dc.identifier.uri https://hdl.handle.net/10161/19269
dc.description.abstract Background: Pharmacists are on the frontline caring for patients at risk of an opioid overdose and for patients with an opioid use disorder (OUD). Dispensing naloxone and medications for OUD and counseling patients about these medications are ways pharmacists can provide care. Key to pharmacists' involvement is their willingness to take on these practice responsibilities. Methods: The purpose of this scoping review is to identify, evaluate, and summarize published literature describing pharmacists' attitudes toward naloxone and medications for OUD, i.e., methadone, buprenorphine, and naltrexone. All searches were performed on December 7, 2018, in 5 databases: Embase.com, PubMed.gov, Cumulative Index to Nursing and Allied Health Literature (CINAHL) via EBSCOhost, Cochrane Central Register of Controlled Trials via Wiley, and Clarivate Web of Science. Articles included original research conducted in the United States, described attitude-related language toward naloxone and medications for OUD, and pharmacists. Results: A total of 1323 articles were retrieved, 7 were included. Five studies reported on pharmacists' attitudes toward naloxone dispensing, 1 study reported on attitudes toward naloxone, buprenorphine, and buprenorphine/naloxone, and 1 reported on attitudes toward buprenorphine/naloxone. Respondents were diverse, including pharmacists from different practice specialties. Studies found that pharmacists agreed with a naloxone standing order, believed that naloxone should be dispensed to individuals at risk of an opioid overdose, and were supportive of dispensing buprenorphine. A minority of pharmacists expressed negative attitudes. Barriers cited to implementation included education and training, workflow, and management support. Conclusions: Pharmacists were positive in their attitudes toward increased practice responsibilities for patients at risk of an opioid overdose or with an OUD. Pharmacists must receive education and training to be current in their understanding of OUD medications, and they must be supported in order to provide effective care to this patient population.
dc.language eng
dc.publisher Informa UK Limited
dc.relation.ispartof Substance abuse
dc.relation.isversionof 10.1080/08897077.2019.1616349
dc.subject Attitudes
dc.subject buprenorphine
dc.subject naloxone
dc.subject opioid
dc.subject pharmacists
dc.subject substance use
dc.title Pharmacists' attitudes toward dispensing naloxone and medications for opioid use disorder: A scoping review of the literature.
dc.type Journal article
duke.contributor.id Muzyk, Andrew|0458002
duke.contributor.id Wu, Li-Tzy|0380644
dc.date.updated 2019-09-02T04:53:20Z
pubs.begin-page 1
pubs.end-page 8
pubs.organisational-group Staff
pubs.organisational-group Duke
pubs.organisational-group Nursing
pubs.organisational-group School of Nursing
pubs.organisational-group Medical Education
pubs.organisational-group School of Medicine
pubs.organisational-group Center for Child and Family Policy
pubs.organisational-group Sanford School of Public Policy
pubs.organisational-group Duke Clinical Research Institute
pubs.organisational-group Institutes and Centers
pubs.organisational-group Duke Institute for Brain Sciences
pubs.organisational-group University Institutes and Centers
pubs.organisational-group Institutes and Provost's Academic Units
pubs.organisational-group Psychiatry & Behavioral Sciences, Social and Community Psychiatry
pubs.organisational-group Psychiatry & Behavioral Sciences
pubs.organisational-group Clinical Science Departments
pubs.organisational-group Medicine, General Internal Medicine
pubs.organisational-group Medicine
pubs.publication-status Published
duke.contributor.orcid Muzyk, Andrew|0000-0002-6904-2466
duke.contributor.orcid Wu, Li-Tzy|0000-0002-5909-2259


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