Survey of FQHC Nurses and Clinicians, April 2021, on the Buprenorphine Standing Order Protocols (BSP)
| Questions | Responses |
|---|---|
| What is your role? | MD/DO/PA/NP: 24 (out of 41 possible respondents) RN: 7 (out of 36 possible respondents) Declined to specify: 1† |
| Are you aware of the BSP? | Yes: 23, No: 9 |
| (Of those who are aware of the BSP): Have you used the BSP, either authorizing them as a prescriber, or employing them to help a patient with a refill as a RN? | Yes: 15, No: 8 |
| Do you have any safety concerns with the BSP? If so, please describe. | No: 100% |
| Respondents who have used the BSP (n=15) rated the following statements on a 5-item Likert scale: | Completely Agree | Somewhat Agree | Neutral | Somewhat Disagree | Completely Disagree |
|---|---|---|---|---|---|
| The BSP is effective at promoting a team-based care approach | 66.7% | 33.3% | 0% | 0% | 0% |
| The BSP has increased patient access to buprenorphine refills | 80% | 13.3% | 6.7% | 0% | 0% |
| The BSP increased my satisfaction providing care for patients with opioid use disorder* | 64.3% | 21.4% | 14.3% | 0% | 0% |
| Statements derived from the System Usability Scale: | Completely Agree | Somewhat Agree | Neutral | Somewhat Disagree | Completely Disagree |
|---|---|---|---|---|---|
| I would like to use the BSP frequently in my practice | 53.3% | 46.7% | 0% | 0% | 0% |
| I find the BSP unnecessarily complex | 6.7% | 6.7% | 13.3% | 60% | 13.3% |
| I find the BSP easy to use* | 35.7% | 50% | 7.1% | 7.1% | 0% |
| I think I need more support to use the BSP well* | 7.1% | 21.4% | 0% | 21.4% | 50% |
| I find the BSP to be clear, and algorithmic* | 35.7% | 35.7% | 28.6% | 0% | 0% |
| I think there is too much inconsistency with use of the BSP* | 7.1% | 7.1% | 35.7% | 35.7% | 14.3% |
| I imagine most people could learn to quickly use the BSP* | 21.4% | 57.1% | 21.4% | 0% | 0% |
| I find the BSP cumbersome to use* | 7.1% | 0% | 0% | 21.4% | 71.4% |
| I feel confident using the BSP* | 35.7% | 42.9% | 7.1% | 14.3% | 0% |
| I needed to learn a lot of things before I could use the BSP* | 7.1% | 7.1% | 14.3% | 57.1% | 14.3% |
↵*Only 14 of 15 eligible respondents provided an answer.
†This respondent reported being unaware of the protocols.
Abbreviations: FQHC, Federally qualified health centers; MD, Medical doctors; DO, Doctors of osteopathic medicine; PA, Physician assistants; NP, Nurse practitioners.