Ursuline College Medications for Opioid Use Disorder Training Program
Project Abstract Summary
Ursuline College (UC) Medications for Opioid Use Disorder (MOUD) Training Program (UC-MOUD) will partner with the University of Pittsburgh Program Evaluation and Research Unit (PERU) to integrate MOUD and other substance use disorder (SUD) education into the Breen School of Nursing curricula to train nursing students to deliver effective patient MOUD treatment within diverse clinical settings.
The program's population of focus is UC's graduate nursing students. The program will train 45 unique students in year 1, 45 in year 2, and 45 in year 3, for total of 135 students trained during the entire project period. In Fall 2021, UC's graduate nursing student enrollment was 100 students, of which 70% were White, 22% Black, 5% Asian, 2% Hispanic/Latino, and 1% American Indian/Alaska Native. The primary language was English, with <3% of students speaking English as a second language. Students were 88% female, 11% male, and <1% identified as other/did not disclose. UC student ages range from 25 to 61, with 50% of Fall 2021 graduates over the age of 25. UC does not collect detailed information from students on sexual orientation but estimates that 24% of students identify as LGBTQ+ based on national prevalence. The geographic catchment area includes UC students living in Cuyahoga County, Ohio (OH). Cuyahoga County residents are mainly White (64%) with a higher percentage of Black residents (31%) compared to the OH state population. Cuyahoga County residents have a lower median household income ($51,741) than OH ($58,116), and a higher proportion of persons possessing at least a bachelor's degree (34%) than OH (29%). The median age of Cuyahoga County residents in 2019 was 40 years. Adults (aged +18) who identified their sexual orientation as LGBTQ+ represent 4.3% of the OH population. The 2020-2021 UC graduate student outcomes report indicates that 99% of graduates are employed or furthering their education, with 79% of nursing graduates licensed to practice in OH. These professionals provide services to residents of Cuyahoga County, which has an average rate of 49.4% of patients with a primary diagnosis of OUD in 2022.
UC-MOUD program goals include Goal 1) By Sept. 2025, the UC-MOUD program will increase the number of nurse practitioners (NPs) trained by 135 to meet x-waiver requirements for expanded capacity to provide effective MOUD treatment to patients in OH. Goal 2) By Sept. 2025, the UC-MOUD program will increase the number of NPs waivered by 135 to provide MOUD in OH. Goal 3) By Sept. 2025, the UC-MOUD program will increase the amount of SUD training within the Master of Science in Nursing (MSN) and Psychiatric Mental Health NP (PMHNP) post-mater's certificate program curricula by three hours. Goal 4) By Sept. 2025, the UC-MOUD program will increase students' perceived OUD/SUD treatment confidence and proficiency through virtual patient simulation exercises measured through a proficiency checklist. Goal 5) By Sept. 2025, EC/UC will ensure 100% of students shadow experienced MOUD practitioners. Goal 6) Beginning Nov. 2022, UC/PERU will ensure 100% of required (GPRA) and supplemental data is collected and reported accurately to evaluate the curriculum's impact on students and the UC curriculum. Goal 7) By sept. 2025, the Executive Committee (EC) will develop one sustainability plan that includes ongoing MOUD and SUD training integration at UC post-grant. Goal 8) By Sept. 2025, the EC will implement and support MOUD-focused curricula as part of a residency or fellowship training program.