Date on Paper


Document Type

Doctoral Paper

Degree Name




Committee Chair

Ruth Staten

Committee Member

Mary-Beth Coty

Author's Keywords

opioid use disorder, substance use disorder, primary care, stigma, social capital, attitudes, nursing education, therapeutic relationship


Background: In the United States, more people die from drug overdoses related to increased heroin and fentanyl use than homicides and car accidents combined (Sederer & Marino, 2018). Frustrations and negative perceptions (stigma) on behalf of primary healthcare providers may result in negative health outcomes for patients, poor therapeutic relationships and lack of opportunity to engage clients in substance use treatment (Khenti et al., 2017).

Purpose: The purpose of this project was to implement a contact-didactic education module to improve adult gerontology primary care (AGPCNP) and family nurse practitioner (FNP) students’ attitudes towards OUD patients, and to increase their therapeutic commitment to and confidence in working with patients seeking primary care treatment with co-occurring opioid use disorders.

Methods: The project utilized a pre and post-test design. The Drug and Drug Problems Questionnaire (DDPPQ) and a nurse practitioner confidence scale (NPCS) were administered pre and post intervention to AGPCNP and FNP students finishing their second year of a Doctor of Nursing Practice (DNP) program.

Significance: The implemented education module resulted in statistically significant decrease in scores on the DDPPQ, indicating reduced stigma, and increased NPCS scores indicating increased confidence. A statistically significant inverse correlation was noted between NPCS scores and DDPPQ scores.

Included in

Nursing Commons