{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T03:45:57Z","timestamp":1791949557513,"version":"4.3.4"},"reference-count":46,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"publisher","award":["K23DA045242"],"award-info":[{"award-number":["K23DA045242"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"publisher","award":["R25DA058490"],"award-info":[{"award-number":["R25DA058490"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To compare attitudes and perceptions towards opioid use disorder among people with opioid use disorder and emergency providers, describe interactions between the two groups, and identify barriers to providing and receiving care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Mixed methods observational study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Participants were recruited from an academic, tertiary care hospital and a community\u2010based harm reduction agency in New England. Emergency healthcare providers (nurses, physicians, and paramedics) and adult people with opioid use disorder were enrolled. Electronic surveys were administered to providers, and semi\u2010structured interviews were conducted with people with opioid use disorder and a subset of providers. Descriptive statistics were calculated for surveys, and directed content analysis was used to analyse semi\u2010structured interviews.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Sixty\u2010eight providers completed the survey, 11 of whom also completed a semi\u2010structured interview. Twenty\u2010two people with opioid use disorder completed the semi\u2010structured interview. Both providers and people with opioid use disorder agreed that addiction is a disease; however, opinions differed on the extent to which personal choice played a role in the onset of opioid use disorder. Participants described how factors such as experiencing homelessness, alongside other personal or familial challenges, contributed to ongoing substance use and presented barriers to accessing healthcare. There was discordance in priorities between providers and people with opioid use disorder, which often drove conflict and perceived stigma. Both groups described physical and emotional trauma from prior interactions, which shaped expectations of future interactions and biases towards each other.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for the Profession and\/or Patient Care<\/jats:title>\n                    <jats:p>Educational initiatives should arm providers not only with clinical knowledge about opioid use disorder but with skills to recognize implicit biases, navigate unique barriers related to social determinants of health, and effectively deploy shared decision\u2010making techniques. Healthcare organizations should provide support for trauma that emergency care providers are exposed to in caring for people with opioid use disorder.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>Consolidated criteria for reporting qualitative studies (COREQ)\u201332 item checklist.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>This study did not include patient or public involvement in its design, conduct, or reporting.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.70597","type":"journal-article","created":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T11:21:18Z","timestamp":1775042478000},"page":"10015-10028","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["\u201cWe're All in This Together\u201d: A Mixed\u2010Methods Study of Provider and Patient Perceptions of Emergency Care for Opioid Use Disorder"],"prefix":"10.1111","volume":"82","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-6542-2357","authenticated-orcid":false,"given":"Ariana","family":"McFarland","sequence":"first","affiliation":[{"name":"Division of Medical Toxicology, Department of Emergency Medicine UMass T.H. Chan School of Medicine  Worcester Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-9219-899X","authenticated-orcid":false,"given":"Lisa","family":"Chan","sequence":"additional","affiliation":[{"name":"Division of Medical Toxicology, Department of Emergency Medicine UMass T.H. Chan School of Medicine  Worcester Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-6338-9006","authenticated-orcid":false,"given":"Pooja","family":"Lalwani","sequence":"additional","affiliation":[{"name":"Division of Medical Toxicology, Department of Emergency Medicine UMass T.H. Chan School of Medicine  Worcester Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5761-5135","authenticated-orcid":false,"given":"Brittany P.","family":"Chapman","sequence":"additional","affiliation":[{"name":"Division of Medical Toxicology, Department of Emergency Medicine UMass T.H. Chan School of Medicine  Worcester Massachusetts USA"},{"name":"School of Physician Assistant Studies, Massachusetts College of Pharmacy and Health Sciences  Worcester Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3247-2865","authenticated-orcid":false,"given":"Rachel","family":"Davis\u2010Martin","sequence":"additional","affiliation":[{"name":"Division of Research, Department of Emergency Medicine UMass T.H. Chan School of Medicine  Worcester Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nirzari","family":"Kapadia","sequence":"additional","affiliation":[{"name":"Division of Medical Toxicology, Department of Emergency Medicine UMass T.H. Chan School of Medicine  Worcester Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1798-9006","authenticated-orcid":false,"given":"Stephanie","family":"Carreiro","sequence":"additional","affiliation":[{"name":"Division of Medical Toxicology, Department of Emergency Medicine UMass T.H. Chan School of Medicine  Worcester Massachusetts USA"},{"name":"Division of Research, Department of Emergency Medicine UMass T.H. Chan School of Medicine  Worcester Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,1]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003\u20104819\u2010158\u20108\u2010201304160\u201000008"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2017.11.021"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sapharm.2019.10.015"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dadr.2023.100138"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajmo.2025.100106"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010023\u201009387\u20107"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aaen.2003.11.003"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2023.104241"},{"key":"e_1_2_13_10_1","unstructured":"European Union Drugs Agency. n.d. \u201cEuropean Drug Report 2025: Trends and Developments.\u201dhttps:\/\/www.euda.europa.eu\/publications\/european\u2010drug\u2010report\/2025_en."},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2021.108589"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2005.12.028"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/oem.2003.007294"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacbts.2020.07.012"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010014\u20101340\u20107"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.44955"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732305276687"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.5811\/westjem.2019.11.44382"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2020.02.013"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2012.07.010"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.5811\/westjem.2020.10.48768"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12954\u2010025\u201001240\u2010w"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamahealthforum.2023.1574"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.3109\/09687637.2012.743506"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606\u2010020\u201006257\u20104"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13011\u2010020\u20100253\u2010y"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0099\u20101767(99)70090\u20105"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/jnu.12837"},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525\u20101497.2002.10625.x"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.5811\/westjem.18020"},{"key":"e_1_2_13_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmedr.2022.101757"},{"key":"e_1_2_13_33_1","doi-asserted-by":"publisher","DOI":"10.1097\/ans.0000000000000070"},{"key":"e_1_2_13_34_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1501998"},{"key":"e_1_2_13_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2019.105785"},{"key":"e_1_2_13_36_1","doi-asserted-by":"publisher","DOI":"10.1177\/2158244013509252"},{"key":"e_1_2_13_37_1","doi-asserted-by":"publisher","DOI":"10.1111\/acem.14369"},{"key":"e_1_2_13_38_1","volume-title":"R: A Language and Environment for Statistical Computing","author":"Team RC","year":"2024"},{"key":"e_1_2_13_39_1","doi-asserted-by":"publisher","DOI":"10.1080\/10826084.2019.1653324"},{"key":"e_1_2_13_40_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"e_1_2_13_41_1","doi-asserted-by":"publisher","DOI":"10.1097\/jom.0000000000003656"},{"key":"e_1_2_13_42_1","volume-title":"Information About Medications for Opioid Use Disorder (MOUD)","author":"U.S. Food and Drug Administration"},{"key":"e_1_2_13_43_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2020.570459"},{"key":"e_1_2_13_44_1","doi-asserted-by":"publisher","DOI":"10.3147\/202104b"},{"key":"e_1_2_13_45_1","doi-asserted-by":"publisher","DOI":"10.1080\/1606635031000155099"},{"key":"e_1_2_13_46_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2023.1148277"},{"issue":"1","key":"e_1_2_13_47_1","first-page":"50","article-title":"Solving the Global Opioid Crisis: Incorporating Genetic Addiction Risk Assessment With Personalized Dopaminergic Homeostatic Therapy and Awareness Integration Therapy","volume":"8","author":"Zeine F.","year":"2024","journal-title":"Journal of Addiction Psychiatry"}],"container-title":["Journal of Advanced Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jan.70597","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jan.70597","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jan.70597","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T03:03:24Z","timestamp":1791947004000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jan.70597"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,1]]},"references-count":46,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["10.1111\/jan.70597"],"URL":"https:\/\/doi.org\/10.1111\/jan.70597","archive":["Portico"],"relation":{},"ISSN":["0309-2402","1365-2648"],"issn-type":[{"value":"0309-2402","type":"print"},{"value":"1365-2648","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,1]]},"assertion":[{"value":"2025-09-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-12","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}