{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T18:36:14Z","timestamp":1779906974835,"version":"3.53.1"},"reference-count":29,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,12,11]],"date-time":"2023-12-11T00:00:00Z","timestamp":1702252800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To explore the experiences primary care Advanced Nurse Practitioners have had in relation to deprescribing opioids in chronic non\u2010malignant pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A qualitative interview study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Primary care Advanced Nurse Practitioners were recruited from across the Northern Ireland GP Federations. Data collection for this study took place between April and June 2022. In total, 10 semi\u2010structured online interviews were conducted. Interviews were audio and visually recorded, transcribed verbatim and interpreted using a thematic analysis framework. The COREQ criteria were used to guide the reporting of this study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The Advanced Nurse Practitioners experienced several challenges associated with opioid deprescribing and the implementation of current chronic pain guidelines. The main barriers identified were difficulties engaging patients in deprescribing discussions, a lack of availability of supportive therapies and poor access to secondary care services. The barriers identified directly impacted on their ability to deliver best practice which resulted in a sense of professional powerlessness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The experiences of the Advanced Nurse Practitioners demonstrate that opioid deprescribing in patients with chronic pain is challenging, and implementation of current chronic pain guidelines is difficult.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>This study contributes to existing literature on the topic of reducing opioid prescribing and as far as the authors are aware, is the first study to examine the experiences of primary care advanced nurse practitioners in this context. These findings will be of interest to other primary care practitioners, and prescribers involved in the management of chronic non\u2010malignant pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>No patient or public contribution.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.15995","type":"journal-article","created":{"date-parts":[[2023,12,12]],"date-time":"2023-12-12T14:43:45Z","timestamp":1702392225000},"page":"2500-2511","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Barriers and facilitators to opioid deprescribing among Advanced Nurse Practitioners: A qualitative interview study"],"prefix":"10.1111","volume":"80","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0168-4275","authenticated-orcid":false,"given":"Claire","family":"McCann","sequence":"first","affiliation":[{"name":"Ulster University  Derry City UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2092-349X","authenticated-orcid":false,"given":"Claire Odile","family":"McCauley","sequence":"additional","affiliation":[{"name":"Ulster University  Derry City UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4627-3189","authenticated-orcid":false,"given":"Deirdre","family":"Harkin","sequence":"additional","affiliation":[{"name":"Ulster University  Derry City UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,12,11]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102017\u2010019491"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/2333393617742282"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-69909-7_3470-2"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1155\/2020\/8380171"},{"key":"e_1_2_11_6_1","unstructured":"Centres for Disease Control and Prevention. (2022).Understanding the Opioid Overdose Epidemic. Retrieved August 25 2022 from Understanding the Opioid Overdose Epidemic | CDC's Response to the Opioid Overdose Epidemic | CDC."},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(21)00393\u20107"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215\u20100366(18)30471\u20101"},{"key":"e_1_2_11_9_1","unstructured":"Department of Health. (2018).Primary Care Multi\u2010disciplinary teams (MDTs). Retrieved August 9 2022 fromhttps:\/\/www.health\u2010ni.gov.uk\/articles\/primary\u2010care\u2010multi\u2010disciplinary\u2010teams\u2010mdts"},{"key":"e_1_2_11_10_1","unstructured":"Department of Health Social Services and Public Safety. (2016).Advanced practice nursing framework. Retrieved September 16 2021 fromhttps:\/\/www.health\u2010ni.gov.uk\/sites\/default\/files\/publications\/health\/advanced\u2010nursing\u2010practice\u2010framework.pdf"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1370\/afm.2413"},{"key":"e_1_2_11_12_1","unstructured":"Faculty of Pain Medicine. (2021).Core standards for pain management services in the UK 2021:2nd Edition. Retrieved October 6 2021 fromhttps:\/\/FPM\u2010Core\u2010Standards\u20102021_1.pdf"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.3399\/BJGPO.2022.0085"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/imj.15023"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2019.08.009"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000002340"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/pm\/pnaa435"},{"key":"e_1_2_11_18_1","unstructured":"International Classification Disease World Health Organisation. (2021).MG30 Chronic Pain. Retrieved September 16 2021 fromhttp:\/\/id.who.int\/icd\/entity\/1581976053"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1003270"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1093\/pm\/pnx276"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs\u20102020\u2010010881"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp18X695057"},{"key":"e_1_2_11_23_1","volume-title":"Making sense of research in nursing, Health & Social Care","author":"Moule P.","year":"2018"},{"key":"e_1_2_11_24_1","unstructured":"National Institute for Health and Care Excellence. (2021).Chronic pain (primary and secondary) in over 16s: assessment of all chronic pain and management of chronic primary pain. Retrieved June 23 2021 fromhttps:\/\/www.nice.org.uk\/guidance\/ng193"},{"key":"e_1_2_11_25_1","unstructured":"Northern Ireland Audit Office. (2020).Addiction Services in Northern Ireland. Retrieved June 29 2021 fromhttps:\/\/235243NIAO Addictions Services Report__NEW 4.pdf (niauditoffice.gov.uk)"},{"key":"e_1_2_11_26_1","unstructured":"Public Health Scotland. (2022).Inpatient Day Case and Outpatient Stage of Treatment Waiting Times. Retrieved August 1 2021 fromhttps:\/\/Inpatient Day Case and Outpatient Stage of Treatment Waiting Times (publichealthscotland.scot)"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1093\/pm\/pnx048"},{"key":"e_1_2_11_28_1","volume-title":"Dependence and withdrawal associated with some prescribed medicines: An evidence review","author":"Taylor S.","year":"2019"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12875\u2010017\u20100663\u20108"}],"container-title":["Journal of Advanced Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jan.15995","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,11]],"date-time":"2024-05-11T03:03:47Z","timestamp":1715396627000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jan.15995"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,11]]},"references-count":29,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,6]]}},"alternative-id":["10.1111\/jan.15995"],"URL":"https:\/\/doi.org\/10.1111\/jan.15995","archive":["Portico"],"relation":{"has-review":[{"id-type":"doi","id":"10.1111\/JAN.15995\/v3\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.15995\/v2\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.15995\/v1\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.15995\/v1\/review2","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.15995\/v3\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.15995\/v1\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.15995\/v2\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.15995\/v2\/review2","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.15995\/v3\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.15995\/v2\/decision1","asserted-by":"object"}]},"ISSN":["0309-2402","1365-2648"],"issn-type":[{"value":"0309-2402","type":"print"},{"value":"1365-2648","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12,11]]},"assertion":[{"value":"2023-01-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-19","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-12-11","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}