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de Vargas D. Is the Clinical Practicum in Addiction Treatment Facilities an Effective Educational Intervention to Improve Nursing Students' Attitudes Toward Alcohol Use Disorders? J Addict Nurs 2023; 34:273-279. [PMID: 38015578 DOI: 10.1097/jan.0000000000000554] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2023]
Abstract
ABSTRACT The paucity of education and training on alcohol use disorders (AUDs) in nursing curricula is the main predictor of negative attitudes and results in limited knowledge access and delivery of health care for persons experiencing these problems. Although experts advocate increasing the time devoted to alcohol-related content in a crowded curriculum, didactic strategies for teaching about addiction in prequalifying nursing education have been discussed. This study aimed to verify the effectiveness of an educational experience that integrated clinical practicum experience in addiction treatment facilities for nursing students' attitudes. A quasi-experimental one-group study with pre-and-post 3-month follow-ups was carried out with 108 nursing students who answered the Attitudes Scale toward Alcohol, Alcohol Use Disorder, and Patients with Alcohol Use Disorders. The effect of the clinical practicum was apparent, with statistically significant changes to more positive global attitude scores in all measures. Previous educational intervention for AUDs during nursing education was a predictor of positive attitudes (OR = 7.21, p < .04). Students' self-perceived skills and professional preparation to deliver and direct care for patients with AUDs improved after the intervention, suggesting that clinical practice influenced students' skills for AUD identification across nursing practice. Previous contact with this population with lack of training in substance use disorder seems to favor negative attitude development. Clinical practicum experience in addiction treatment facilities improved nursing students' attitudes toward AUDs and patients with AUDs, and its effects were sustained 3 months later.
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Affiliation(s)
- Divane de Vargas
- Divane de Vargas, PhD, BSN, FIAAN, School of Nursing, São Paulo University, Brazil
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Humanizing Substance Abuse: A Theory-Based Educational Intervention for Undergraduate Nursing Students. J Addict Nurs 2023; 34:30-38. [PMID: 36857546 DOI: 10.1097/jan.0000000000000510] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/03/2023]
Abstract
BACKGROUND Healthcare providers, as well as healthcare students, have been found to harbor negative attitudes toward individuals with substance abuse disorders, impacting the care they give and subsequently creating poor patient outcomes. PURPOSE This study seeks to determine the effectiveness of an educational intervention, grounded in theory, toward changing nursing student attitudes regarding patients with a substance abuse disorder. METHODS Nursing students participated in a teaching intervention, developed using the experiential learning theory, that utilizes modalities for each kind of learner aimed at reducing bias toward this population. The Medical Condition Regard Scale was used pre/post intervention to determine regard toward patients with the diagnosis of substance abuse. RESULTS Student nurses maintained the least favorable attitudes toward individuals who abuse substances in comparison with patients with the diagnoses of pneumonia or gastroesophageal reflux disease; there were significant differences in attitudes toward patients who abused substances before and after participation in the educational intervention, with postparticipation attitudes being significantly more positive than attitudes before participation. Students found the educational intervention and debriefing highly satisfactory. IMPLICATIONS This educational intervention can provide a cost-effective, easy-to-replicate, time-efficient learning activity that could be added to undergraduate nursing curriculum.
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Diaz Heredia LP, de Vargas D, Ramírez EGL, Naegle M. Nursing students' attitudes towards alcohol use disorders and related issues: A comparative study in four American countries. Int J Ment Health Nurs 2021; 30:1564-1574. [PMID: 34231303 DOI: 10.1111/inm.12906] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/24/2020] [Revised: 06/08/2021] [Accepted: 06/17/2021] [Indexed: 11/30/2022]
Abstract
The present study identified and compared the attitudes of nursing students from North and South American countries towards alcohol, alcohol use disorders and persons with alcohol use disorders (AUDs). A cross-sectional design and survey approach were used. The sample consisted of 327 nursing students recruited from four nursing schools in metropolitan regions of North and South America. The questionnaire contained questions about sex, age, marital status, home country and other questions about training in substance use disorders during nursing education and previous experiences with substance use disorder patients. To identify nursing students' attitudes, validated English, Spanish and Portuguese versions of the attitudes scale for alcohol, alcoholism and persons with AUDs (EAFAA) were applied. Comparison of the four groups suggested that nursing students in the United States demonstrated more positive attitudes than students from Colombia, Mexico and Brazil. Similar positive attitudes were observed towards individuals with AUDs. Results of the attitudes towards the aetiology of AUDs showed positive attitudes in all samples, suggesting a contemporary understanding of AUDs. Nursing students' attitudes were associated with home country and training in substance use disorders during nursing education. Nursing students' attitudes were generally positive across countries. Idiosyncratic cultural and educational aspects in these countries and world regions likely significantly influenced the attitudes of nursing students towards alcohol and associated issues.
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Affiliation(s)
| | - Divane de Vargas
- Nursing College of University of São Paulo, São Paulo, SP, Brazil
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Minuye B, Alebachew W, Kebede M, Asnakew S, Mesfin Belay D. Intention to Care for COVID-19 Patients Among Nurses Working at Health Care Institutions of Debre Tabor Town, North Central Ethiopia. Risk Manag Healthc Policy 2021; 14:2475-2481. [PMID: 34163266 PMCID: PMC8214202 DOI: 10.2147/rmhp.s311830] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2021] [Accepted: 06/02/2021] [Indexed: 12/23/2022] Open
Abstract
Background Coronavirus disease 2019 (COVID-19) has caused many challenges for health care providers. Nurses meet patients with coronavirus disease and offer care for newly communicable diseases. Despite global and national efforts to prevent the spread, the outbreak is still on a rise, and studies on the health care behaviors of nurses were scarce in the study setting. Therefore, this study was intended in addressing nurses’ intention to care for coronavirus disease 19 patients and its determinants among nurses working at Debre Tabor town Health Care Institutions, 2020. Methodology An institutional-based cross-sectional study was conducted among 163 nurses working at health care institutions of Debre Tabor Town, from June 01 to 15/2020. The data were collected using tools with a self-administration questionnaire adapted from the theory of planned behavior and different kinds of literatures. All nurses working at Debre Tabor health care institutions were included. Data were entered using Epi-data 4.2.0.0 statistical software, and analysis was done by Stata version 14 statistical software. Binary logistic regression model was used for analysis. Strength of association was measured using the odds ratio with 95% CI, and the level of significance was estimated at P-value ≤0.05. Results Nurses’ intention to care for COVID-19 patient was 59.5% (95% CI; 58.7:60.3). Having better working experience (adjusted odds ratio (AOR) =2.3:95% CI; 1.120, 4.910), caring experience for infectious disease (AOR=2.5; 95% CI: 1.10, 5.50), good perceived behavioral control (AOR=2.33; 95% CI: 1.13, 4.8), and subjective norms (AOR= 2.14; 95% CI: 1.05, 4.36) were significantly associated with intention of caring behavior. Conclusion Nurses’ intention to care for COVID-19 patients was low. Working experience, the experience of caring for infectious disease, self-efficacy, and subjective norm were independently related with nurses’ caring intention. The government should work on improving nurse’s confidence in disaster management, design disaster management nursing education, and frequent support of nurses.
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Affiliation(s)
- Binyam Minuye
- College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia
| | - Wubet Alebachew
- College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia
| | - Melese Kebede
- College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia
| | - Sintayehu Asnakew
- College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia
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Bové HM, Lisby M, Brünés N, Norlyk A. Considering "the more" of patients suffering from alcohol use disorders. An illustration of acute nursing care from a lifeworld-led perspective. Int J Qual Stud Health Well-being 2020; 15:1783860. [PMID: 32600190 PMCID: PMC7482723 DOI: 10.1080/17482631.2020.1783860] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
Purpose The purpose of this study is to illustrate a theoretical value framework for humanisation of healthcare, a lifeworld-led care that has the potential to support nurses in acute medical units in addressing and meeting both challenges and care needs expressed by patients suffering from alcohol use disorders. Providing care to these patients means working with a very divergent and complex group of patients. When hospitalised in an acute medical unit, nurses are often these patients' first encounter, which gives a unique opportunity to initiate and establish a successful care alliance. Method The present study is a qualitative study based on an amplified secondary analysis of 25 pre-conducted interviews. Following a hermeneutic approach, the analysis was structured in accordance with the conceptual value framework for humanisation of care, drawing on the recognition of the patients' lifeworld as an aspect of importance. Findings The study showed that while there were examples of humanising care guided by the patients’ lifeworld present, there were also situations of care that were dehumanising. Conclusion: When letting the patients’ perspective of well-being be the centre of care, the patients’ experience of meaningfulness and sincerity within the provided care was nurtured, and they felt more humanly met.
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Affiliation(s)
- H M Bové
- Research Center for Emergency Medicine, Aarhus University Hospital , Aarhus, Denmark.,Section for Nursing, Department of Public Health, Aarhus University , Aarhus, Denmark
| | - M Lisby
- Research Center for Emergency Medicine, Aarhus University Hospital , Aarhus, Denmark
| | - N Brünés
- Amager og Hvidovre Hospital , Denmark
| | - A Norlyk
- Section for Nursing, Department of Public Health, Aarhus University , Aarhus, Denmark
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Richardson GB, Smith R, Lowe L, Acquavita SP. Structure and longitudinal invariance of the Short Alcohol and Alcohol Problems Perception Questionnaire. J Subst Abuse Treat 2020; 115:108041. [PMID: 32600628 DOI: 10.1016/j.jsat.2020.108041] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2019] [Revised: 04/27/2020] [Accepted: 05/18/2020] [Indexed: 11/30/2022]
Abstract
Many studies have employed the Short Alcohol Attitudes Problem Perception Questionnaire (SAAPPQ) to measure professionals' attitudes toward working with people experiencing alcohol problems. However, research has not confirmed the internal structure of the SAAPPQ, leaving open the possibility that scale scores are not valid empirical proxies for underlying attitudes. It is also unclear if measurement invariance holds over time or across groups. This is an important gap in light of evidence that (a) experiences can change the structure of scales and (b) structures of some popular scales differ dramatically between groups. Thus, measurement bias may confound comparisons of composite SAAPPQ scores between measurement occasions or groups. To address these gaps in the literature, we conducted a longitudinal examination of the psychometrics of the SAAPPQ using data from 241 human services professionals-in-training. We found a four-factor structure, rather than the previously reported five factors. Configural, metric, and a strong degree of scalar invariance held longitudinally. Few factor intercorrelations were significant at time one and they strengthened over time, suggesting that the SAAPPQ should not be aggregated at higher-order levels (i.e., global scores should not be used). Findings suggest four SAAPPQ subscale scores may be used as valid proxies for attitudes toward alcohol users; however, additional confirmatory studies are needed to ensure that measurement bias does not compromise inferences based on SAAPPQ scores.
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Affiliation(s)
- George B Richardson
- College of Education, Criminal Justice, and Human Services, School of Human Services, University of Cincinnati, Cincinnati, OH 45221, United States of America.
| | - Rachel Smith
- College of Education, Criminal Justice, and Human Services, School of Human Services, University of Cincinnati, Cincinnati, OH 45221, United States of America
| | - Linnea Lowe
- College of Education, Criminal Justice, and Human Services, School of Human Services, University of Cincinnati, Cincinnati, OH 45221, United States of America
| | - Shauna P Acquavita
- College of Education, Criminal Justice, and Human Services, School of Human Services, University of Cincinnati, Cincinnati, OH 45221, United States of America
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Fano C, Lorenzoni G, Azzolina D, Giuliani A, French M, Campagna S, Berchialla P, Gregori D. Perception of Choking Injury Risk Among Healthcare Students. J Community Health 2020; 44:974-981. [PMID: 30993473 DOI: 10.1007/s10900-019-00662-5] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Choking injuries in children represent a severe public health burden. Although most choking injuries are due to food, parents have often been found to be unaware of the choking hazards presented by food. In this context, healthcare professionals may play an important role in choking prevention by educating families. We investigate the perception of choking injury risk among healthcare profession students by comparing their awareness and knowledge of choking hazards with those of people without a specific health education. A survey was conducted among a sample of final year healthcare profession students from two universities in northern Italy and a sample of adults from the general population without any health education. Respondents were asked to look at ten pictures and identify the items that pose the greatest choking hazard to children of different age groups. Seventy-one students and 742 adults without any health education responded to the survey. A higher percentage of the adults without a health education identified a food item as posing the greatest choking hazard in comparison to the percentage of healthcare profession students. The results of this study suggest that there is a need to include specific educational modules on choking prevention in healthcare-related degree programs.
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Affiliation(s)
- Carolina Fano
- Unit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova, Via Loredan, 18, 35131, Padova, Italy
| | - Giulia Lorenzoni
- Unit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova, Via Loredan, 18, 35131, Padova, Italy
| | - Danila Azzolina
- Unit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova, Via Loredan, 18, 35131, Padova, Italy
| | | | | | - Sara Campagna
- Department of Clinical and Biological Sciences, University of Torino, Torino, Italy
| | - Paola Berchialla
- Department of Clinical and Biological Sciences, University of Torino, Torino, Italy
| | - Dario Gregori
- Unit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova, Via Loredan, 18, 35131, Padova, Italy.
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Bové HM, Lisby M, Norlyk A. Do the carers care? A phenomenological study of providing care for patients suffering from alcohol use disorders. Nurs Inq 2019; 27:e12322. [PMID: 31596036 DOI: 10.1111/nin.12322] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2019] [Revised: 08/06/2019] [Accepted: 08/11/2019] [Indexed: 11/29/2022]
Abstract
Excessive alcohol consumption can have adverse effects on health, and patients who suffer from alcohol use disorders are subject to much stigmatization. Nurses are often the first point of contact when patients enter the acute medical unit, and it is pivotal that this contact establishes the basis for future collaboration. The aim of this study is to elucidate nurses' lived experience of providing care to patients suffering from alcohol use disorders. This present study has a qualitative research design, anchored in phenomenological and hermeneutical methodology as described in reflective lifeworld research. Ten in-depth, open-ended interviews with nurses working in an acute medical unit were conducted. The analysis showed that providing care to patients suffering from alcohol use disorders was a highly complex task to accomplish. This required the nurse to engage with the patient in a sensitive cooperation in order to be dealing with the intricacy of the patient's life situation and balancing care between standardized procedures and the complexity of the patients. Further, a two-sided feeling of responsibility emerged: a professional responsibility and a personal responsibility causing the provision of care as being caught between feelings of despondency and resignation. Nurses lack opportunities for being creative in determining how to provide care; instead, patients' perspectives of well-being should be taken into account and should guide the provision of a meaningful care. Nurses must call for opportunities to deviate from the firmly established procedures restraining the care of this population.
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Affiliation(s)
- Hanne M Bové
- The Emergency Department, Research Center for Emergency Medicine, Aarhus University Hospital, Aarhus, Denmark.,Section for Nursing, Department of Public Health, Aarhus University, Aarhus, Denmark
| | - Marianne Lisby
- The Emergency Department, Research Center for Emergency Medicine, Aarhus University Hospital, Aarhus, Denmark
| | - Annelise Norlyk
- Section for Nursing, Department of Public Health, Aarhus University, Aarhus, Denmark
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Leite Ferreira V, Iturriaga Goroso ME, Mota Ronzani T. Actitudes, creencias y estigma atribuidos por profesionales de la salud a dependientes de sustancias psicoactivas: una revisión sistemática. DRUGS AND ADDICTIVE BEHAVIOR 2019. [DOI: 10.21501/24631779.3368] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
Objetivos: el uso abusivo y la dependencia de alcohol y otras drogas es muy común entre las comunidades y visto como un problema de salud pública, que requiere cuidados y tratamientos; así la presente revisión sistemática tiene como objetivo analizar las publicaciones científicas respecto de las actitudes, creencias y comportamientos estigmatizantes por parte de los profesionales de la salud frente a los usuarios de sustancias psicoativas, quienes buscan atención en los servicios de salud. Metodología: durante el mes de mayo de 2018 se realizó una búsqueda bibliográfica en las bases de datos de SciELO, LILACS, Pubmed, PsycINFO y Pepsic que generó un total de 35 artículos que se correspondieron con los criterios de inclusión. Resultados: se logra observar que, aunque los profesionales tienen consciencia acerca de su rol en la atención de los pacientes y que a veces tienen predisposición para atenderlos, las actitudes y creencias negativas pravelecen, debido al miedo, el poco interés, el prejuicio, la impaciencia y la falta de conocimiento sobre la problemática, evidenciados en los comportamientos de dichos profesionales. Por lo tanto, se señala la necesidad de promover discusiones y nuevas reflexiones, que deben ser realizadas conjuntamente con los profesionales, con el objetivo de elaborar estrategias de disminución de las actitudes negativas y del estigma, los cuales deben, además, ser trabajados desde la formación.
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Erian I, Sinclair M, Phillips CJC. Knowledge of Stakeholders in the Livestock Industries of East and Southeast Asia about Welfare during Transport and Slaughter and Its Relation to Their Attitudes to Improving Animal Welfare. Animals (Basel) 2019; 9:ani9030099. [PMID: 30893917 PMCID: PMC6466319 DOI: 10.3390/ani9030099] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2019] [Accepted: 03/18/2019] [Indexed: 01/04/2023] Open
Abstract
Simple Summary The potential to improve stakeholders’ knowledge of animal welfare in the livestock industries through training programs and its influence on their attitudes to livestock welfare is unclear. Stakeholders in East and Southeast Asia responded to a questionnaire on their knowledge of animal welfare considerations during livestock transport and slaughter, as well as indicating their attitudes towards the welfare of livestock at these times. They then received training, after which their knowledge scores increased. Knowledge scores had few connections to attitudes, but whether the respondents were certain or not about their attitudes to livestock welfare was most likely to have the strongest correlation to knowledge. Regional differences were evident and suggested that these differences should be considered in future training provisions. Abstract The World Organisation for Animal Health (OIE) sets standards and guidelines for international animal welfare for the international livestock trade. The growing economic advancement in the East and Southeast Asian region suggested the potential benefit of a research study to examine stakeholders’ understanding of animal welfare during the transport and slaughter of livestock. A survey of stakeholders’ knowledge of livestock welfare in the transport and slaughter industries was conducted in four Southeast Asian countries, Malaysia, China, Vietnam and Thailand, in association with trainer and stakeholder workshops conducted in each country. The attitudes of participants towards animal welfare during slaughter and transport were also identified. Knowledge scores were in accordance with the respondents’ assessment of their own knowledge level. The biggest knowledge improvement was among Thai respondents, who tended to be younger and less experienced than in other countries. The respondents with the biggest improvement in knowledge scores were most likely to be involved in the dairy industry and least likely to be involved in the sheep and goat industries, with meat processors and those involved in pig or poultry production intermediate. The respondents who obtained their knowledge from multiple sources had most knowledge, but it increased the least after training. Connections between attitudes to improving animal welfare and knowledge were limited, being mainly confined to ambivalent responses about their attitudes. The study suggests that knowledge can be improved in animal welfare training programs focused on livestock welfare around transport and slaughter, but that local cultural backgrounds must be considered in designing the program.
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Affiliation(s)
- Ihab Erian
- Centre for Animal Welfare and Ethics, School of Veterinary Science, University of Queensland, Gatton, Queensland 4343, Australia.
| | - Michelle Sinclair
- Centre for Animal Welfare and Ethics, School of Veterinary Science, University of Queensland, Gatton, Queensland 4343, Australia.
| | - Clive J C Phillips
- Centre for Animal Welfare and Ethics, School of Veterinary Science, University of Queensland, Gatton, Queensland 4343, Australia.
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