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Project Hope: changing care delivery for the substance abuse patient
E Swenson-Britt1, G Carrougher, B W Martin
1University Hospital, San Antonio, Texas, USA.
Clinical Nurse Specialist CNS
|February 24, 2001
Summary
Project Hope improved healthcare provider knowledge regarding hospitalized substance abuse patients. While cognitive understanding increased significantly, attitude changes were not statistically significant.
Area of Science:
- Healthcare Management
- Substance Abuse Treatment
- Nursing Education
Background:
- Project Hope, initiated in 1990, aims to enhance the care of hospitalized patients with substance abuse disorders.
- The program focuses on assessment, care, referral, and follow-up processes.
- It seeks to positively influence personnel, administrators, and community attitudes and knowledge.
Observation:
- A quasi-experimental, Solomon-Four design study evaluated Project Hope's effectiveness.
- Eighty nurses with varying backgrounds and alcohol experience were assigned to different nursing units.
- A normative-reeducative intervention strategy was implemented.
Findings:
- The study revealed a statistically significant improvement (p < .01) in the cognitive understanding of healthcare providers in the experimental group.
- No significant changes were observed in the attitudes of the nurses towards substance abuse patients.
- The paper details reasons for these findings and lessons learned.
Implications:
- Project Hope demonstrates potential for enhancing healthcare provider knowledge in substance abuse patient care.
- Further strategies may be needed to address and modify attitudes in this population.
- The findings offer insights for developing and refining similar healthcare intervention programs.
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