The experience and meaning attributed to care by nurses and received by nine persons who inject drugs during a healthcare encounter in the acute care medical setting was examined. A descriptive case study approach using an interpersonal nursing model served as the theoretic framework. Four overarching themes were discovered: marginalization, defensiveness, repeated victimization, and understanding addiction. Findings suggest that role support, application of an interpersonal nursing theory, and implementations of addiction-trained healthcare teams were missing from the hospital experience of persons who inject drugs. However, when the nurse connected with the patient who injects drugs on an interpersonal level, positive outcomes followed.
Background and purpose: Access to adequate health care in the United States is often hindered by an individual's location, socioeconomic status, and lifestyle. Among those underserved are people who inject drugs (PWID), who are affected by stigma and discrimination. The purpose of this study was to describe the utilization of preventative health care services obtained by PWID. Methods: A survey querying participants about their utilization of preventative health care services and health education over the past year was administered to PWID at 2 syringe access programs. Descriptive statistics were used to analyze the data. Conclusion: Of the 141 participants surveyed, 60.6% saw a provider within the past year and 62.1% indicated that their provider was aware of their drug use. Data analysis revealed that providers counseled PWID on three of nine drug-related harm reduction items. Only 30% of PWID talked with their provider about five or more items. Mean number of items discussed was significantly different between PWID whose provider was aware of their drug use and PWID whose provider was unaware of drug use (t = 10.7, p < 0.001). Implications for practice: Results indicated that PWID are not receiving adequate preventative services or harm reduction education from their primary care provider. A need for assessment of substance use, preventative vaccinations, counseling and testing for infectious diseases, and harm reduction education is essential during health care visits. Nurse practitioners and nurses have a role in screening for and educating PWID in a variety of health care settings.
Background: Substance use disorder (SUD) is on the rise globally and nurses are not prepared to care for this population. Purpose:The purpose was to determine if a 4-hour anti-stigma intervention improved prelicensure student nurse attitudes and perceived stigma toward people with SUD.Methods: This was a nonrandomized quasi-experimental survey study. Participants completed the 20-item Drug and Drug Problems Perception Questionnaire (DDPPQ), 8-item Perceived Stigma of Substance Abuse Scale (PSAS), and 13-item Marlowe-Crowne Social Desirability Scale at baseline, and repeated the DDPPQ and PSAS post-intervention. Paired t tests were used to determine the mean differences in the total DDPPQ and total PSAS scores.Results: Following the anti-stigma intervention, there was a significant improvement in overall therapeutic attitudes (t = 8.4, df = 108, p < .001) and perceived stigma (t = −2.5, df = 108, p = .01) in undergraduate nursing students (n =126).Conclusions: Incorporating anti-stigma educational approaches may lead to more involvement and compassionate care for people with SUD.
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