Second National Women and Addiction Group (WAG) 2022 Summit: Compassionate Addiction Medicine: Whole Person Care for Birthing People.

First Name*

Last Name*

Title*

Health System/Agency*

City of Work*

State of Work*

Country of Work*

Email Address*

CEU Requested*

Yes

No

RN State Licensure Required (if applicable)

Attendance Preference*

Virtual

In person

We are grateful for your interest in attending our 2nd Women and Addiction Group Summit: Compassionate Addiction Medicine: Whole person care for birthing people.

As part of the event’s registration, you are being asked to participate in a survey to provide us with understanding and guidance as to how we can optimize care for pregnant and parenting people with substance use disorder (SUD). Although you may find some of the questions embarrassing or awkward, your responses will guide us in our efforts to facilitate safe and compassionate care for opioid use in pregnancy providers and patients. No one person’s answers will be shared with others. Only the collective data will be used to inform care practices.

If you have any questions or concerns about this survey, please email Vania (Vania.Rudolf@swedish.org) and/or Hendree (Hendree_jones@med.unc.edu)

Thank you!

Provider attitudes regarding patients with substance use disorder during the perinatal period - Pre-Conference Survey Prior to Training on the Supportive Pregnancy Care Manual

Please answer the questions below with regard to your care of patients over all 4 trimesters (perinatal) patients with substance use disorder:

Question 4*

I am pleased with how I am able to stay up-to-date on best practices and protocols for treating perinatal patients with substance use problems

Question 9*

I feel I am a "successful" care giver when treating patients for substance use disorders during the perinatal period

Question 10*

I feel I have good knowledge about what to do to care for patients who have substance problems in the perinatal period

Question 11*

I feel competent when caring for patients who are using substances during the perinatal period and referring them to treatment

How much do you agree or disagree with the following statements?

Questions 12*

I am more comfortable helping a patient during the perinatal period without substance use than one with substance use

Question 13*

If a pregnant patient with a substance problem complains of physical symptoms (e.g., nausea, back pain or headache), I would likely attribute this to her substance use

Question 14*

If I were under treatment for a substance use problem I would disclose this to my colleagues

Question 15*

I would be more inclined to seek help for substance use if my treating healthcare provider was not associated with my workplace

Question 16*

I would see myself as weak if I had a substance use problem and could not fix it myself

Question 18*

I would still go to a physician if I knew that the physician had been treated for a substance use problem in the past

Question 19*

It is the responsibility of health care providers to inspire hope for recovery in patients with substance use problems

Question 20*

I have negative feelings and/or reactions towards people who have substance use problems

Question 21*

There is little I can do to help people with substance use problems during the perinatal period

Question 22*

Most pregnant/parenting people with substance use problems try hard to get better

Question 23*

Pregnant/parenting people with substance use problems pose a risk to their children

Question 24*

Medication (e.g., methadone or buprenorphine) is an effective treatment for opioid use disorder during the perinatal period

Question 25*

A person with an active substance use disorder should have their child removed from their care

Question 26*

Healthcare providers must be advocates for pregnant/parenting patients with substance use problems

Question 27*

I struggle to feel compassion for a pregnant/parenting person with a history of a substance use problem

Ethnicity*

Hispanic or Latine/Latinx

Non Hispanic or Latine/Latinx

Prefer not to answer

Years in Practice*

Send me a copy of my responses