Document Type

DNP Project


School of Nursing

Date of Degree

Spring 2021


Doctor of Nursing Practice (DNP)

Primary Advisor

Mercedes Echevarria DNP, APN, CNE; Charles Canfield, MD


Buprenorphine; Opioid Use Disorder; Provider Use


Background: Buprenorphine (BNX) is used in Opioid Use Disorder (OUD) deterrence. Optimal long-term duration with BNX is unclear, but evidence shows that there is a high risk for relapse when medicine is discontinued even if maintenance has been stable for some time.

Outcomes: The purpose of this project was to decrease barriers for providers implementing BNX therapy for individuals diagnosed with OUD. Outcomes measured included: (1) knowledge of and barriers to implementing current guidelines, (2) factors preventing use of guidelines, (3) recommendations for BNX maintenance as per guidelines.

Methods: Using a pre-post intervention design, participant knowledge on BNX guidelines, factors preventing use and motivation for practice change were measured using non-standardized questionnaires. Participants were instructed on current guidelines and recommendations to overcome barriers.

Results: Both providers completed surveys in full. Both providers showed consistency and knowledge in the field. DEA limitations with lack of resources and poor treatment models contributing to poor guideline adherence was a concern for both providers. One provider believed it is beneficial to discontinue BNX at some point while the other encourages more long-term use. The clinic was pursuing expansion of resources and more providers to alleviate barriers.

Conclusions: Adhering to BNX guidelines have implications on quality of care impacting clinical, policy, leadership, and ultimately safety levels placing relapse wellbeing states at risk. Results were of value as they discussed important factors necessary to address and ways to improve such thus improving outcomes. Greater attention to guidelines and continuous advocation is vital for sustainability.

Open Access


Included in

Nursing Commons



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