Emergency Department Registered Nurses’ Perceptions of Substance Use Disorders and Supervised Consumption Sites

Abstract Background: Canada is facing increased drug-related harms; thus, a stronger emphasis has been placed on harm reduction strategies such as supervised consumption sites (SCSs). There is a lack of literature on emergency department (ED) registered nurses' (RNs) perceptions of SCSs and substance use disorders (SUDs), especially in small to mid-sized Canadian cities. Purpose: This study aimed to determine ED RNs’ perceptions of SUDs and SCSs. Methods: A 27-question survey was sent to RNs currently working in EDs in Southwestern Ontario using an online Qualtrics® link. The research explored ED RNs’ perceptions of SCSs and SUDs. Results: Quantitative results indicated that ED RNs (n = 146) were understanding of drug use and SUDs but felt neutral towards SCSs. They indicated positive impacts and potential concerns of SCS implementation. However, most ED RNs reported that they would still refer their patients to such sites if one was available, despite their apprehensions. Conclusion: This research demonstrates the importance of harm reduction education in nursing curricula and the workplace. Recommendations include a harm reduction referral partnership between the ED and community partners. It is essential to practice reflectively, decrease the influence of stereotypes and stigma-based decisions and care, and encourage legislation that supports ethical policies and procedures that increase the use and access to SCSs.