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Changing Advanced Practice Nursing Students' Attitudes, Perceptions, And Stigma Through Substance Use Enhanced Core Courses: An Exploratory Descriptive Study.

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Changing Advanced Practice Nursing Students' Attitudes, Perceptions, And Stigma Through Substance Use Enhanced Core Courses: An Exploratory Descriptive Study.

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Changing Advanced Practice Nursing Students' Attitudes, Perceptions, and Stigma Through Substance Use Enhanced Core

Alyssa C Hamel¹, Deborah S Finnell, Jennifer Livingston

¹Alyssa C. Hamel, DNP, PMHNP-BC, RN, Deborah S. Finnell, PhD, RN, CARN-AP, FAAN, Jennifer Livingston, PhD, and Zoe Spyralatos, DNP, PMHNP-BC, RN, University at Buffalo School of Nursing, Buffalo, New York.

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|December 11, 2025

View abstract on PubMed

Summary

This summary is machine-generated.

Keywords:

Advanced Practice Nursing Nursing Education Opioid Use Disorder Stigma Reduction Substance Use Disorders

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Integrating substance use disorder (SUD) education into nursing curricula shows promise. Advanced practice nursing students demonstrated more favorable attitudes toward patients with SUD after enhanced coursework, suggesting a potential reduction in healthcare stigma.

Area of Science:

Nursing Education
Addiction Medicine
Public Health

Background:

Stigma surrounding substance use disorders (SUD) deters individuals from seeking essential healthcare services.
Healthcare providers, including nurses, sometimes exhibit stigmatizing attitudes and behaviors toward patients with SUDs.
Integrating SUD content into advanced practice nursing curricula may mitigate stigma and improve patient care.

Purpose of the Study:

To assess advanced practice nursing students' attitudes and stigma perceptions regarding the care of individuals with alcohol and drug use.
To explore the impact of enhanced substance use-related content within core nursing courses on student attitudes.

Main Methods:

An exploratory descriptive study utilizing online surveys.
Data collected from advanced practice nursing students before and after participating in core "3P" courses (Physical Assessment, Pathophysiology, Pharmacotherapy) with infused SUD content.

Validated questionnaires measured substance use-related attitudes, perceptions, and stigma.

Main Results:

Eleven students completed the baseline survey, and 12 completed the postcourse survey.
While direct statistical comparison was limited, students' postcourse responses indicated more positive attitudes toward individuals with SUD.
The enhanced coursework appeared to foster more favorable perceptions regarding substance use and related problems.

Conclusions:

Enhanced "3P" nursing courses show potential for improving student attitudes toward patients with SUDs.
The findings suggest that curriculum integration can be an effective strategy to combat stigma in healthcare settings.
Further research employing rigorous pre-post or longitudinal designs is recommended to validate these promising results.