NURS FPX 6026 Assessment 1

NURS FPX 6026 Assessment 1

Analysis of Position Papers for Vulnerable Populations

The analysis searched into the position paper advocating for comprehensive health outcomes for opioid addiction among urban veterans. It explores underlying assumptions, the role of interprofessional teams, challenges, evidence, knowledge gaps, and contrary perspectives. Through impartial consideration, this assessment aims to underscore the complexity of addressing opioid addiction, emphasizing the need for multifaceted approaches that prioritize patient-centred care and evidence-based interventions.

Position on Health Outcomes for Opioid Addiction in Urban Veterans

Opioid addiction in urban veterans represents a critical health issue with significant implications for health outcomes. Our position advocates for a comprehensive approach to addressing this issue, emphasizing the need for evidence-based interventions that prioritize physical and mental health outcomes (Wiedermann et al., 2023). We believe that effective management of opioid addiction among urban veterans requires a multifaceted strategy that addresses the underlying factors contributing to substance abuse while also providing access to timely and appropriate treatment options.

Assumptions Underlying the Plan for NURS FPX 6026 Assessment 1

Integrated Care Approach: One assumption underlying our position is that an integrated care approach, which combines medical, psychological, and social interventions, will lead to improved health outcomes for urban veterans struggling with opioid addiction (Frost et al., 2023). This assumption is based on evidence suggesting that coordinated care models can enhance treatment engagement, retention, and overall recovery rates among individuals with substance use disorders.

Patient-Centred Care: Another assumption is that adopting a patient-centred approach to care, which considers the unique needs and preferences of urban veterans, will result in better health outcomes (Anderson et al., 2023). This assumption recognizes the importance of tailoring treatment plans to individual circumstances, including factors such as trauma history, co-occurring mental health disorders, and social support networks.

Access to Resources: Our plan assumes that urban veterans can access necessary resources and support services, such as medication-assisted treatment, counselling, housing assistance, and vocational rehabilitation. We acknowledge that disparities in access to care may exist due to systemic barriers, including geographic location, socioeconomic status, and health insurance coverage.

Role of the Interprofessional Team in Facilitating Improvements

The interprofessional team plays a pivotal role in facilitating improvements in addressing opioid addiction in urban veterans. Through collaboration and integration of expertise from diverse disciplines, such as nursing, medicine, social work, psychology, and community advocacy, the team can develop comprehensive strategies to address the multifaceted needs of this population (Bendowska & Baum, 2023). Each member brings unique perspectives, skills, and resources, enabling a comprehensive approach to care beyond medical treatment to encompass social, psychological, and environmental factors influencing health outcomes.

Challenges and Considerations

Despite the potential benefits of interprofessional collaboration, several challenges may arise in working together or in facilitating improvements for urban veterans with opioid addiction. One challenge is communication barriers among team members stemming from differences in professional language, terminology, and hierarchical structures (Buarqoub, 2019). Effective communication is essential for sharing information, coordinating care, and aligning goals, but it requires ongoing effort and mutual respect among team members.

NURS FPX 6026 Assessment 1 Analysis of Position Papers for Vulnerable Populations

Another challenge is coordinating services across various healthcare settings and community organizations. Urban veterans may interact with multiple providers and agencies, leading to fragmented care and duplication of services (Miller et al., 2019). The interprofessional team must navigate these complex systems, establish clear pathways for referrals and information sharing, and ensure continuity of care to optimize outcomes for veterans.

Addressing stigma and bias within the team and broader society presents a significant challenge. Opioid addiction is often stigmatized, leading to discrimination, judgment, and barriers to accessing care. The interprofessional team must foster a culture of empathy, compassion, and understanding within the team and in interactions with veterans and their families (Eskola et al., 2024). By challenging stereotypes and promoting a non-judgmental approach, the team can create a safe and supportive environment for veterans to seek help and engage in treatment.

Challenges for Interprofessional Team

Evidence and Positions Supporting the Team’s Approach

Several pieces of evidence and positions support the interprofessional team’s approach to improving the quality and outcomes of care for opioid addiction in urban veterans. Research indicates that integrated care models combining medication-assisted treatment (MAT), behavioural therapies, and social support services have been effective in reducing opioid use, improving retention in treatment, and enhancing overall health outcomes among individuals with substance use disorders (Berry et al., 2021). This evidence supports the team’s emphasis on a comprehensive, patient-centered approach that addresses the multifaceted needs of urban veterans struggling with addiction.

The Veterans Health Administration’s Opioid Safety Initiative (VA OSI) provides guidelines and resources for healthcare providers to implement evidence-based practices aimed at reducing opioid-related harm and improving pain management outcomes among veterans (Veterans Health Administration, 2020). By following the recommendations outlined in the VA OSI, the team can ensure that their approach aligns with established best practices and standards of care within the VA healthcare system.

Knowledge Gaps and Uncertainties

Despite the evidence supporting integrated care and the VA OSI guidelines, several knowledge gaps and uncertainties warrant further investigation. More research is needed to evaluate the long-term effectiveness and sustainability of integrated care models in improving health outcomes for urban veterans with opioid addiction (Jawa et al., 2023). While existing studies have demonstrated short-term benefits, longitudinal studies are necessary to assess the durability of these interventions and identify factors influencing treatment outcomes over time.

NURS FPX 6026 Assessment 1 Analysis of Position Papers for Vulnerable Populations

There is limited research exploring the impact of social determinants of health, such as housing instability, unemployment, and access to healthcare, on treatment engagement and retention among urban veterans with opioid addiction. Understanding how these contextual factors intersect with clinical interventions is essential for developing approaches that address the underlying drivers of addiction and promote recovery (Yue & Pena, 2022). There is a need for more robust data on the prevalence of opioid addiction and treatment utilization patterns among urban veterans, particularly those from underserved communities or marginalized populations (Bennett et al., 2022). Obtaining accurate and up-to-date information on this population’s demographics, clinical characteristics, and treatment needs is critical for informing targeted interventions and allocating resources effectively.

Evidence Contrary to a Team Approach to Improving the Quality

While the team’s approach to improving the quality and outcomes of care for opioid addiction in urban veterans is grounded in evidence-based practices and integrated care models, there are opposing perspectives and conflicting data that warrant consideration. Some critics argue against the widespread use of medication-assisted treatment (MAT) for opioid addiction, citing concerns about potential overreliance on opioid agonists such as methadone and buprenorphine (Mancher & Leshner, 2019). They argue that MAT may perpetuate dependence on opioids and fail to address underlying issues contributing to addiction.

There are divergent views on the role of harm reduction strategies, such as supervised injection sites and naloxone distribution programs, in mitigating the adverse consequences of opioid addiction (Khan et al., 2022). While proponents argue that harm reduction approaches save lives and reduce the transmission of infectious diseases, opponents question their effectiveness in promoting long-term recovery and say that they may enable continued substance use.

Impartial Response

It is essential to acknowledge and engage with these contrary perspectives constructively and impartially constructively and impartially to promote buy-in and collaboration. While MAT and harm reduction strategies may have limitations and drawbacks, research indicates that they can play a valuable role in reducing opioid-related harm, improving treatment retention, and increasing access to care for marginalized populations (Aronowitz et al., 2021). Additionally, evidence suggests that MAT, when combined with behavioural therapies and social support services, can lead to better treatment outcomes and lower rates of relapse compared to non-pharmacological approaches alone.

It is crucial to recognize that addiction is a complex and multifaceted issue influenced by biological, psychological, social, and environmental factors. A one-size-fits-all approach may not be sufficient to address the diverse needs and preferences of individuals with opioid addiction (Blanco et al., 2020). By embracing a harm reduction framework and incorporating a range of evidence-based interventions, including MAT, behavioural therapies, and social support services, the team can adopt a pragmatic and compassionate approach that prioritizes the well-being and autonomy of urban veterans struggling with addiction.


In NURS FPX 6026 Assessment 1 conclusion, addressing opioid addiction in urban veterans necessitates a multifaceted strategy grounded in evidence-based practices and patient-centred care. While challenges exist, interprofessional collaboration, guided by comprehensive evidence, offers promise in improving health outcomes. Embracing diverse perspectives and evidence, including harm reduction strategies and medication-assisted treatment, ensures a holistic approach that acknowledges the complexities of addiction while prioritizing the well-being of veterans. By fostering collaboration and informed action, meaningful progress can be achieved in addressing opioid addiction among urban veterans.


Anderson, E., Renda Soylemez Wiener, Molloy-Paolillo, B., McCullough, M., Kim, B., J Irene Harris, Rinne, S. T., A Rani Elwy, & Bokhour, B. G. (2023). Using a person-centered approach in clinical care for patients with complex chronic conditions: Perspectives from healthcare professionals caring for veterans with COPD in the U.S. veterans health administration’s whole health system of care. Using a Person-Centered Approach in Clinical Care for Patients with Complex Chronic Conditions: Perspectives from Healthcare Professionals Caring for Veterans with COPD in the U.S. Veterans Health Administration’s Whole Health System of Care, 18(6).

Aronowitz, S. V., Engel-Rebitzer, E., Dolan, A., Oyekanmi, K., Mandell, D., Meisel, Z., South, E., & Lowenstein, M. (2021). Telehealth for opioid use disorder treatment in low-barrier clinic settings: An exploration of clinician and staff perspectives. Harm Reduction Journal, 18(1).

Bendowska, A., & Baum, E. (2023). The significance of cooperation in interdisciplinary health care teams as perceived by Polish medical students. International Journal of Environmental Research and Public Health, 20(2), 954.

Bennett, A. S., Guarino, H., Britton, P. C., O’Brien-Mazza, D., Cook, S. H., Taveras, F., Cortez, J., & Elliott, L. (2022). U.S. military veterans and the opioid overdose crisis: A review of risk factors and prevention efforts. Annals of Medicine, 54(1), 1826–1838.

Berry, A. R. W., Finlayson, T. L., Mellis, L. M., & Urada, L. A. (2021). Association between participation in counseling and retention in a buprenorphine-assisted treatment program for people experiencing homelessness with opioid use disorder. International Journal of Environmental Research and Public Health, 18(21), 11072.

Blanco, C., Wiley, T. R. A., Lloyd, J. J., Lopez, M. F., & Volkow, N. D. (2020). America’s opioid crisis: The need for an integrated public health approach. Translational Psychiatry, 10(1).

Buarqoub, I. (2019). Language barriers to effective communication. Utopía Y Praxis Latinoamericana, 24(6), 64–77.

Eskola, L., Silverman, E., Rogers, S., & Zelenski, A. (2024). Right-sizing interprofessional team training for serious-illness communication: A strength-based approach. PEC Innovation, 4(5), 100267.

Frost, M. C., Soyer, E. M., Achtmeyer, C. E., Hawkins, E. J., Glass, J. E., Hallgren, K. A., & Williams, E. C. (2023). Treating opioid use disorder in veterans with co-occurring substance use: A qualitative study with buprenorphine providers in primary care, mental health, and pain settings. BMC, 18(1).

Jawa, R., Tin, Y., Nall, S., Calcaterra, S. L., Savinkina, A., Marks, L. R., Kimmel, S. D., Linas, B. P., & Barocas, J. A. (2023). Estimated clinical outcomes and cost-effectiveness associated with provision of addiction treatment in US primary care clinics. JAMA Network Open, 6(4).

Khan, G. K., Harvey, L., Johnson, S., Long, P., Kimmel, S., Pierre, C., & Drainoni, M.-L. (2022). Integration of a community-based harm reduction program into a safety net hospital: A qualitative study. Harm Reduction Journal, 19(1).

Mancher, M., & Leshner, A. I. (2019). The effectiveness of medication-based treatment for opioid use disorder. In National Academies Press (US).

Miller, L. B., Sjoberg, H., Mayberry, A., McCreight, M. S., Ayele, R. A., & Battaglia, C. (2019). The advanced care coordination program: A protocol for improving transitions of care for dual-use veterans from community emergency departments back to the veterans health administration (VA) primary care. BMC Health Services Research, 19(1).

Wiedermann, C. J., Barbieri, V., Plagg, B., Marino, P., Piccoliori, G., & Engl, A. (2023). Fortifying the foundations: A comprehensive approach to enhancing mental health support in educational policies amidst crisis. Healthcare, 11(10).

Yue, H., & Pena, E. (2022). Addiction psychotherapeutic care. PubMed; StatPearls Publishing.

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