{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T04:48:47Z","timestamp":1781066927627,"version":"3.54.1"},"reference-count":49,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,10,27]],"date-time":"2024-10-27T00:00:00Z","timestamp":1729987200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,10,27]],"date-time":"2024-10-27T00:00:00Z","timestamp":1729987200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Mental Health Nurs"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>The Victorian government's Alcohol and other drugs (AOD) workforce policy calls for greater recruitment of alcohol and other drugs nurse practitioners (AODNPs). However, frontline organisations in Victoria report several systemic barriers to their recruitment and retention. Additionally, there is scant Australian literature that examines the experiences of AODNP in opioid agonist treatment (OAT) provision in regional\/rural areas. This research aims to address this gap by examining the AODNP workforce issues in delivering pharmacotherapy treatments in regional\/rural areas of Victoria. Using an interpretative phenomenological approach, we conducted qualitative, in\u2010depth interviews with 11 OAT prescribing AODNP's working in regional or rural Victoria. We analysed transcripts using reflective thematic analysis and generated three themes: (1) Professional motivations and values, (2) Enablers to professional role and (3) Barriers to professional role. The findings suggest that AODNPs in regional\/rural areas are a dedicated workforce who provide holistic and integrated care for OAT clients. AODNPs play an important role in reducing and providing timely and subsidised health care for OAT clients living in regional\/rural locations. AODNPs face many systemic and organisational barriers. These include inadequate funding for AODNP positions to prescribe pharmacotherapy treatments, lack of understanding of the AODNP professional role at the executive\/management level within organisations and irregular access to supervision, mentoring, training and education. Also, endemic stigma in the health system acts as a barrier in recruiting and supporting AODNP positions that focus on care for OAT clients.<\/jats:p>","DOI":"10.1111\/inm.13434","type":"journal-article","created":{"date-parts":[[2024,10,28]],"date-time":"2024-10-28T02:24:02Z","timestamp":1730082242000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Banging My Head Against a Brick Wall! Enablers and Barriers to Nurse Practitioners Delivering Opioid Agonist Treatments in Regional\/Rural Victoria, Australia"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9625-589X","authenticated-orcid":false,"given":"Tejaswini","family":"Patil","sequence":"first","affiliation":[{"name":"Department of Social Work Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jana","family":"Dostal","sequence":"additional","affiliation":[{"name":"Department of Social Work Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzanne","family":"Nielsen","sequence":"additional","affiliation":[{"name":"Monash Addiction Research Centre Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4980-4096","authenticated-orcid":false,"given":"Niels","family":"Buus","sequence":"additional","affiliation":[{"name":"School of Nursing, Monash University  Melbourne Victoria Australia"},{"name":"Department of Public Health Aarhus University  Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pauline","family":"Molloy","sequence":"additional","affiliation":[{"name":"Ballarat Community Health  Ballarat Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ferghal","family":"Armstrong","sequence":"additional","affiliation":[{"name":"Department of Social Work Turning Point, Eastern Health  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Coventry","sequence":"additional","affiliation":[{"name":"School of Primary and Allied Health Care, Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aron","family":"Shlonsky","sequence":"additional","affiliation":[{"name":"Department of Social Work Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,10,27]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/01612840.2017.1413462"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13722\u2010022\u201000321\u20106"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1370\/afm.2099"},{"key":"e_1_2_13_5_1","unstructured":"Australian Institute of Health and Welfare.2022.\u201cNational Opioid Pharmacotherapy Statistics Annual Data 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Victoria's Drug Treatment System in Crisis.\u201dAge.https:\/\/www.theage.com.au\/national\/victoria\/a\u2010slow\u2010moving\u2010train\u2010wreck\u2010victoria\u2010s\u2010drug\u2010treatment\u2010system\u2010in\u2010crisis\u201020230406\u2010p5cyk0.html."},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.outlook.2021.03.012"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2013.07.004"},{"key":"e_1_2_13_16_1","unstructured":"Department of Health and Human Services.2018.\u201cVictoria's Alcohol and Other Drugs Workforce Strategy 2018\u20132022.\u201dhttps:\/\/www.health.vic.gov.au\/publications\/victorias\u2010alcohol\u2010and\u2010other\u2010drugs\u2010workforce\u2010strategy\u20102018\u20102022."},{"key":"e_1_2_13_17_1","volume-title":"National Health Workforce Dataset: Nurse Practitioner Workforce Factsheet 2019","author":"Department of Health, Commonwealth of 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