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Table 5 Factors perceived to influence harm reduction implementation

From: Opioid-specific harm reduction in the emergency department: how staff provide harm reduction and contextual factors that impact their capacity to engage in harm reduction practice

Variable

n (%)

Interdisciplinary collaboration and support (n = 95)

 

 Crucial / quite a bit

80 (84.2)

 Somewhat

9 (9.5)

 A little / not at all

6 (6.4)

Occupational role clarity (n = 96)

 

 Crucial / quite a bit

59 (61.5)

 Somewhat

26 (27.1)

 A little / not at all

11 (11.4)

Leadership support (n = 95)

 

 Crucial / quite a bit

74 (77.9)

 Somewhat

15 (15.8)

 A little / not at all

6 (6.3)

Culture of harm reduction acceptance (n = 95)

 

 Crucial / quite a bit

81 (85.2)

 Somewhat

8 (8.4)

 A little / not at all

6 (6.3)

Electronic medical record alerts (n = 94)

 

 Crucial / quite a bit

64 (68.1)

 Somewhat

18 (19.1)

 A little / not at all

12 (12.8)

Training in prescribing / administering opioid agonist treatment (n = 96)

 

 Crucial / quite a bit

72 (75.0)

 Somewhat

17 (17.7)

 A little / not at all

7 (7.3)

Training in using / teaching patients how to use a naloxone kit (n = 96)

 

 Crucial / quite a bit

60 (62.6)

 Somewhat

23 (24.0)

 A little / not at all

13 (13.6)

Training in using / teaching patients how to use harm reduction supplies (n = 96)

 

 Crucial / quite a bit

57 (59.4)

 Somewhat

25 (26.0)

 A little / not at all

14 (14.6)

Information on the evidence base for harm reduction (n = 96)

 

 Crucial / quite a bit

61 (63.5)

 Somewhat

25 (26.0)

 A little / not at all

10 (10.4)

Information on community-based service providers (n = 93)

 

 Crucial / quite a bit

65 (69.9)

 Somewhat

21 (22.6)

 A little / not at all

7 (7.6)

Policies around transferring care to the community (n = 94)

 

 Crucial / quite a bit

74 (78.7)

 Somewhat

14 (14.9)

 A little / not at all

6 (6.4)