Abstract：
Naloxone is a life-saving medication that reverses opioid overdose; naloxone can be provided on a \'take-home\' basis so naloxone can be administered outside of the health-care setting. The Overdose Response and Take Home Naloxone (ORTHN) project established a model of care for take-home naloxone (THN) interventions across alcohol and other drug and harm reduction services in NSW, Australia. This paper evaluates the staff training and credentialing program, and examines staff attitudes and perspectives regarding the provision of THN interventions in these settings.
Staff across seven services were trained through a \'train-the-trainer\' credentialing model to deliver ORTHN, including naloxone supply. Staff were surveyed regarding their experience, attitudes and knowledge on THN prior to and after training, and after 6 months. At the 6 months follow up, staff were asked about the interventions they provided, barriers and enablers to uptake, and opinions regarding future rollout.
A total of 204 staff were trained and credentialed to provide the ORTHN intervention. Most (60%) were nurses, followed by needle syringe program workers and allied health/counsellors (32%). Linear and logistic regression analyses indicated that the training program was associated with significant improvements in staff knowledge and attitudes towards overdose and THN; however, only attitudinal improvements were maintained over time. There were high rates of staff satisfaction with the ORTHN intervention and training.
The ORTHN program is \'fit for purpose\' for broad implementation in these settings. A number of potential barriers (e.g. time, medication and staffing costs) and enablers (e.g. peer engagement, regulatory framework for naloxone supply) in implementing THN interventions were identified.
Staff across seven services were trained through a \'train-the-trainer\' credentialing model to deliver ORTHN, including naloxone supply. Staff were surveyed regarding their experience, attitudes and knowledge on THN prior to and after training, and after 6 months. At the 6 months follow up, staff were asked about the interventions they provided, barriers and enablers to uptake, and opinions regarding future rollout.
A total of 204 staff were trained and credentialed to provide the ORTHN intervention. Most (60%) were nurses, followed by needle syringe program workers and allied health/counsellors (32%). Linear and logistic regression analyses indicated that the training program was associated with significant improvements in staff knowledge and attitudes towards overdose and THN; however, only attitudinal improvements were maintained over time. There were high rates of staff satisfaction with the ORTHN intervention and training.
The ORTHN program is \'fit for purpose\' for broad implementation in these settings. A number of potential barriers (e.g. time, medication and staffing costs) and enablers (e.g. peer engagement, regulatory framework for naloxone supply) in implementing THN interventions were identified.
摘要：
纳洛酮是一种挽救生命的药物，可以逆转阿片类药物过量；纳洛酮可以在“带回家”的基础上提供，因此纳洛酮可以在医疗保健环境之外使用。过量用药反应和带回家纳洛酮（ORTHN）项目建立了新南威尔士州酒精和其他药物以及减少伤害服务中的带回家纳洛酮（THN）干预措施的模型，澳大利亚。本文对员工培训和认证计划进行了评估，并检查工作人员对在这些环境中提供THN干预措施的态度和观点。
七项服务的工作人员通过“培训师培训”认证模型进行培训，以交付ORTRN，包括纳洛酮供应。对员工的经历进行了调查，培训前后对THN的态度和知识，6个月后。在6个月的随访中，工作人员被问及他们提供的干预措施，吸收的障碍和推动者，以及关于未来推出的意见。
共有204名工作人员接受了培训和认证，以提供ORTRN干预。大多数（60%）是护士，其次是针头注射器计划工作人员和专职卫生/顾问（32％）。线性和逻辑回归分析表明，培训计划与员工对用药过量和THN的知识和态度的显着改善有关；但是，随着时间的推移，只有态度上的改善得以维持。员工对ORTRN干预和培训的满意度很高。
ORTHN程序是“适合目的”，可在这些设置中广泛实施。一些潜在的障碍(例如时间，药物和人员成本)和推动者(例如，同行参与，确定了实施THN干预措施的纳洛酮供应监管框架)。
七项服务的工作人员通过“培训师培训”认证模型进行培训，以交付ORTRN，包括纳洛酮供应。对员工的经历进行了调查，培训前后对THN的态度和知识，6个月后。在6个月的随访中，工作人员被问及他们提供的干预措施，吸收的障碍和推动者，以及关于未来推出的意见。
共有204名工作人员接受了培训和认证，以提供ORTRN干预。大多数（60%）是护士，其次是针头注射器计划工作人员和专职卫生/顾问（32％）。线性和逻辑回归分析表明，培训计划与员工对用药过量和THN的知识和态度的显着改善有关；但是，随着时间的推移，只有态度上的改善得以维持。员工对ORTRN干预和培训的满意度很高。
ORTHN程序是“适合目的”，可在这些设置中广泛实施。一些潜在的障碍(例如时间，药物和人员成本)和推动者(例如，同行参与，确定了实施THN干预措施的纳洛酮供应监管框架)。
