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Promoting Empathetic and Stigma-Free Care for Individuals with Opioid Use Disorder: Assessing NO STIGMA Simulations in Nursing Education.

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Title: Promoting Empathetic and Stigma-Free Care for Individuals with Opioid Use Disorder: Assessing NO STIGMA Simulations in Nursing Education.
Authors: Viveiros, Jennifer (AUTHOR), Tyo, Mirinda (AUTHOR), McCurry, Mary (AUTHOR), Schuler, Monika (AUTHOR), Avery-Desmarais, Shannon (AUTHOR), DeGonge, Danielle (AUTHOR)
Source: Substance Use & Misuse. 2026, Vol. 61 Issue 7, p971-978. 8p.
Subjects: Substance abuse treatment, Psychology of college students, Empathy, Substance abuse, Graduate nursing education, Research funding, T-test (Statistics), Data analysis, Educational outcomes, Graduate students, Pilot projects, Questionnaires, Health occupations students, Caring, Statistical sampling, Nursing, Nursing schools, Descriptive statistics, Simulation methods in education, Pre-tests & post-tests, Narcotics, Research methodology, Patient-professional relations, Communication, Attitudes toward mental illness, Curriculum planning, Statistics, Baccalaureate nursing education, Masters programs (Higher education), Student attitudes, Therapeutic alliance, Data analysis software, Social stigma, Nursing students
Geographic Terms: New England
Abstract: Background: Stigmatizing attitudes toward patients with opioid use disorder (OUD) contribute to suboptimal care. The NO STIGMA simulation set was developed to reduce stigma toward individuals with OUD and promote positive and effective care. Methods: A two-phase sequential mixed methods study evaluated the feasibility of the No STIGMA simulations and the effectiveness on student outcomes of stigma, caring attitudes, and empathy. Pre-post measures were collected from 60 nursing students in undergraduate and graduate programs using the Drug User Stigmatization Scale (DUSS), Drug and Drug Problems Perceptions Questionnaire (DDPPQ) and the Jefferson Scale of Empathy-Health Professional Students (JSE-HCP). Simulation effectiveness was measured using the Simulation Effectiveness Tool-Modified (SET-M). Results: Results showed significant reduction in stigma (DUSS p < 0.001) and improved empathy (JSE scores p < 0.01) and therapeutic communication (DDPPQ p < 0.001). Mean SET-M score of 50.69, indicated positive perceived effectiveness. Simulations positively influenced participants' attitudes toward individuals with OUD. Conclusions: The NO STIGMA simulations effectively decreased stigma and increased empathy among nursing students. There were measurable improvements in students' attitudes, empathy and communication skills, which are essential in delivering equitable, quality care to individuals with OUD. [ABSTRACT FROM AUTHOR]
Copyright of Substance Use & Misuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Background: Stigmatizing attitudes toward patients with opioid use disorder (OUD) contribute to suboptimal care. The NO STIGMA simulation set was developed to reduce stigma toward individuals with OUD and promote positive and effective care. Methods: A two-phase sequential mixed methods study evaluated the feasibility of the No STIGMA simulations and the effectiveness on student outcomes of stigma, caring attitudes, and empathy. Pre-post measures were collected from 60 nursing students in undergraduate and graduate programs using the Drug User Stigmatization Scale (DUSS), Drug and Drug Problems Perceptions Questionnaire (DDPPQ) and the Jefferson Scale of Empathy-Health Professional Students (JSE-HCP). Simulation effectiveness was measured using the Simulation Effectiveness Tool-Modified (SET-M). Results: Results showed significant reduction in stigma (DUSS p &lt; 0.001) and improved empathy (JSE scores p &lt; 0.01) and therapeutic communication (DDPPQ p &lt; 0.001). Mean SET-M score of 50.69, indicated positive perceived effectiveness. Simulations positively influenced participants&#39; attitudes toward individuals with OUD. Conclusions: The NO STIGMA simulations effectively decreased stigma and increased empathy among nursing students. There were measurable improvements in students&#39; attitudes, empathy and communication skills, which are essential in delivering equitable, quality care to individuals with OUD. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Substance Use &amp; Misuse is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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        Value: 10.1080/10826084.2025.2588315
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        Text: English
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      – SubjectFull: Substance abuse treatment
        Type: general
      – SubjectFull: Psychology of college students
        Type: general
      – SubjectFull: Empathy
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      – SubjectFull: Substance abuse
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      – SubjectFull: Graduate nursing education
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      – SubjectFull: T-test (Statistics)
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      – SubjectFull: Data analysis
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      – SubjectFull: Educational outcomes
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      – SubjectFull: Graduate students
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      – SubjectFull: Pilot projects
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Health occupations students
        Type: general
      – SubjectFull: Caring
        Type: general
      – SubjectFull: Statistical sampling
        Type: general
      – SubjectFull: Nursing
        Type: general
      – SubjectFull: Nursing schools
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Simulation methods in education
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      – SubjectFull: Pre-tests & post-tests
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      – SubjectFull: Narcotics
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      – SubjectFull: Attitudes toward mental illness
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      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Social stigma
        Type: general
      – SubjectFull: Nursing students
        Type: general
      – SubjectFull: New England
        Type: general
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      – TitleFull: Promoting Empathetic and Stigma-Free Care for Individuals with Opioid Use Disorder: Assessing NO STIGMA Simulations in Nursing Education.
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              Text: 2026
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