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Nursing Attitudes Toward Patients With Substance Use Disorders: A Quantitative Analysis of the Impact of an
Kevon-Mark Jackman1, Elizabeth Scala, Charlotte Nwogwugwu
1Kevon-Mark Jackman, DrPh, Johns Hopkins University School of Public Health, Baltimore, Maryland. Elizabeth Scala, MSN/MBA, RN, The Johns Hopkins Hospital, Baltimore, Maryland. Charlotte Nwogwugwu, BSN, DrPh, Howard University School of Nursing, Washington, DC. Delcora Huggins, BS, MS, and Denis G. Antoine, MD, DABAM, FASAP, Johns Hopkins University School of Medicine, Baltimore Maryland.
Background:
Negative healthcare provider attitudes toward patients with substance use disorder (SUD) may adversely impact the quality of care and treatment outcomes.
Purpose:
In this article, we aim to characterize the effects of an 8-hour educational workshop on attitudes toward patients with SUD among nurses from an urban inpatient psychiatric hospital.
Methods:
The Drug and Drug Problems Perceptions Questionnaire, a 22-item scale consisting of six subscales, was used to assess nurse attitudes to patients with SUD at pretest (n = 38), posttest (n = 36), and 30-day follow-up (n = 20). Generalized estimating equation models adjusted for gender and years of work experience were used to measure changes in Drug and Drug Problems Perceptions Questionnaire scores.
Results:
Positive attitudes significantly increased at posttest (β = -12.09, 95%CI [-16.83, -7.34]; p < .001) and were sustained at 30-day follow-up (β = 1.71, 95% CI [-3.11, 6.53]; p = .49). Subscales of motivation (β = -0.26, 95% CI [-0.87, 0.35]; p = .41) and task-specific self-esteem (β = -0.56, 95% CI [-1.44, 0.32]; p = .21) did not significantly change at posttest.
Conclusions:
Our findings show workshop effectiveness in improving nurse attitudes toward patients with SUD. Future research may test similar interventions at a larger scale and with other health professionals.
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