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Nurses who are stretched thin have less time to

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Nurses who are stretched thin have less time to engage in tasks deemed to be less of apriority, for example, non-judgmental holding of space and motivational interviewing about apatient’s rationales for continuing to engage in illicit addictive substance use. These beneficial
10activities (Cochran et al., 2019; Garland et al., 2019) could easily be passed over when there areother patients the nurse must keep in mind that are or are at risk of becoming unstable. Nursesmust constantly triage their patients and when there are more patients to deal with, many tasksend up getting skipped or done poorly due to the limited time allotted to complete everything.According to one study, the likelihood of patient survival was reduced when nurses wereassigned more patients (Lee et al., 2017), which leads one to believe that all other measureswould be reduced as well, such as quality of patient teaching. Understandably, a nurse wouldconsciously or subconsciously elect to skip an opportunity to perform teach-back, for example,when time is of the essence or lives are at stake, regardless of the evidence showing that thismethod results in increased patient comprehension, satisfaction, and health outcomes (Talevski etal., 2020; Yen & Leasure, 2019). Research such as that done by Behner et al. found that toprovide the highest returns on investment for improving the quality of care of patients, thehighest investments were not needed to meet that threshold (1990). In other words, research suchas this is utilized by NRM to determine how to best serve staff and clients alike.NRM plays an important role in the reduction of adverse outcomes for OUD patients. Notonly does NRM control staffing ratios and hospital investment guidance to improve patientsafety, but it can allow for expansions in how well a nurse can provide high-quality interventionsfor the client by ensuring that there are enough materials, such as Naloxone, present for adequatecare to be provided without introducing waste after a report and request is submitted by nursingfollowers, managers and leaders on a unit. NRM can also play an important role in various otherareas such as aiding hospitals in preparing for surge events and other rare but demanding strainson hospital capabilities (Shaffer, 2020), advocating for altering standards as needed such as theJoint Commissions’ suitability of different levels of subjective pain scores for permitting the
11administration of stronger narcotics (The Joint Commission, 2020), and promoting education ofnurses around hospital supply management and understanding of supply chain processes.Evidence-Based Practice, Quality, and SafetyImportant guidelines regarding how nurses within hospitals and other healthcare settingswork to improve the outcomes of OUD patients include discussions of policies around primary,secondary, and tertiary interventions (Demarco et al., 2020). First and foremost, to tackle theopioid crisis, stigmatization must be recognized. Stigma is rooted in the belief that addiction is a

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