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Nurses' Attitudes Toward Patients With Perinatal Substance Use Disorder
Nursing for Women'S Health
|January 26, 2026
Summary
Thirty-three percent of North Carolina nurses showed stigmatizing attitudes toward patients with perinatal substance use disorder (PSUD). Higher education correlated with more positive attitudes, highlighting a need for improved nursing education and care standards.
Area of Science:
- Nursing Research
- Public Health
- Addiction Medicine
Background:
- Stigma surrounding perinatal substance use disorder (PSUD) can negatively impact patient care and outcomes.
- Understanding nurses' attitudes is crucial for developing effective interventions to reduce stigma.
Purpose of the Study:
- To assess stigmatizing attitudes among perinatal registered nurses in North Carolina.
- To identify factors associated with these attitudes.
- To explore nurses' perceptions of patients with PSUD.
Main Methods:
- Explanatory sequential mixed-methods design.
- Quantitative survey using the Modified Attitudes About Drug Use in Pregnancy (MADUP) scale.
- Qualitative semistructured interviews with a subsample of nurses.
Main Results:
- 33% of nurses exhibited stigmatizing attitudes toward patients with PSUD.
- Nurses with a bachelor's degree or higher reported more positive attitudes than those with lower educational attainment.
- Qualitative data revealed a continuum of nurses' knowledge and attitudes.
Conclusions:
- There is a clear need for standardized nursing care and education to reduce stigma associated with PSUD.
- Integrated approaches are necessary to ensure quality care for this patient population.
- Further national research is recommended to enhance the generalizability of findings.
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