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Related Experiment Videos

Evaluating students' substance abuse assessment skills

S A Murphy1, C S Scott, L S Mandel

  • 1Department of Psychosocial and Community Health, University of Washington, Seattle 98195-7263, USA.

Journal of Substance Abuse
|January 1, 1995
PubMed
Summary

Graduating nursing students demonstrated improved substance use screening when prompted, but struggled to connect alcohol and drug use (AOD) with risks or cessation. Further education is needed to enhance AOD assessment skills.

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Area of Science:

  • Nursing Education
  • Substance Use Assessment
  • Clinical Competency

Background:

  • Effective substance use assessment is crucial for patient care.
  • Nursing students require adequate training in identifying and addressing alcohol and drug use (AOD).
  • Standardized patients (SPs) offer a reliable method for evaluating clinical skills.

Purpose of the Study:

  • To evaluate graduating nursing students' proficiency in assessing clients for substance use.
  • To identify gaps in students' ability to conduct comprehensive alcohol and drug use (AOD) assessments.
  • To explore the effectiveness of standardized patient (SP) cases in assessing these skills.

Main Methods:

  • Two standardized patient (SP) cases were utilized to assess nursing students' substance use screening abilities.

Related Experiment Videos

  • One case involved an unprompted comprehensive health history, while the other prompted a substance use history.
  • Student performance was evaluated based on the questions asked and their ability to link substance use to risks and consequences.

    • Main Results:

    • Unprompted, only 55% assessed alcohol use and 20% assessed drug use.
    • When prompted, over 90% inquired about alcohol and 80% about drug use frequency and quantity.
    • Fewer than 10% linked current alcohol and drug (AOD) use to risks or discussed cessation, with mean communication scores around 3.6/6.

    Conclusions:

    • Graduating nursing students need enhanced instruction on integrating AOD questions into routine assessments.
    • Training should cover specific AOD assessment questions and how to act on the obtained information.
    • SPs are valuable tools for assessing nursing students' substance use assessment competencies.