Educating Emergency Department Registered Nurses (EDRNs) in screening, brief intervention, and referral to treatment (SBIRT): Changes in attitudes and knowledge over time

Mitchell, Ann M.; Kane, Irene; Lindsay, Dawn; Hagle, Holly; Puskar, Kathy; Aiello, J. Guillermo; Boucek, Lynn; Knapp, Emily A.

doi:10.1016/j.ienj.2016.12.003

Cited by 19 publications

(25 citation statements)

References 15 publications

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“…However, the participants showed some The cluster analysis corroborated the observation that students from some countries held negative attitudes towards alcohol and associated issues. The first factor, that is relationships with patients with AUDs, is related to perceptions, feelings, opinions and attitudes towards the health care provided to these patients, which are generally influenced by previous experiences and knowledge about the phenomenon (Castañeda et al 2019;McLaughlin et al 2006;Mitchell et al 2017;Vargas 2012) and cultural context (Rayan 2017). The results showed that the first cluster was predominantly composed of students from the United States who obtained the lowest score on F1 (working with and interpersonal relationships with persons with AUDs).…”

Section: Discussionmentioning

confidence: 97%

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Nursing students’ attitudes towards alcohol use disorders and related issues: A comparative study in four American countries

Heredia¹,

Vargas

Ramírez

et al. 2021

Int J Mental Health Nurs

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The present study identified and compared the attitudes of nursing students from North and South American countries towards alcohol, alcohol use disorders and persons with alcohol use disorders (AUDs). A cross-sectional design and survey approach were used. The sample consisted of 327 nursing students recruited from four nursing schools in metropolitan regions of North and South America. The questionnaire contained questions about sex, age, marital status, home country and other questions about training in substance use disorders during nursing education and previous experiences with substance use disorder patients. To identify nursing students' attitudes, validated English, Spanish and Portuguese versions of the attitudes scale for alcohol, alcoholism and persons with AUDs (EAFAA) were applied. Comparison of the four groups suggested that nursing students in the United States demonstrated more positive attitudes than students from Colombia, Mexico and Brazil. Similar positive attitudes were observed towards individuals with AUDs. Results of the attitudes towards the aetiology of AUDs showed positive attitudes in all samples, suggesting a contemporary understanding of AUDs. Nursing students' attitudes were associated with home country and training in substance use disorders during nursing education. Nursing students' attitudes were generally positive across countries. Idiosyncratic cultural and educational aspects in these countries and world regions likely significantly influenced the attitudes of nursing students towards alcohol and associated issues.

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Section: Discussionmentioning

confidence: 97%

“…2006; Mitchell et al . 2017; Vargas 2012) and cultural context (Rayan 2017). The results showed that the first cluster was predominantly composed of students from the United States who obtained the lowest score on F1 (working with and interpersonal relationships with persons with AUDs).…”

Section: Discussionmentioning

confidence: 99%

Nursing students’ attitudes towards alcohol use disorders and related issues: A comparative study in four American countries

Heredia¹,

Vargas

Ramírez

et al. 2021

Int J Mental Health Nurs

View full text Add to dashboard Cite

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“…Previous mixed‐methods cohort studies and quantitative studies have described the implementation of training programs for brief intervention practices among a variety of healthcare providers in different clinical settings, including physicians, physician assistants, nurses, and nursing and occupational health undergraduate students (Babor et al, 2004; Mitchell et al, 2017; O’May et al, 2016). These studies demonstrate the ability of training programs to enhance healthcare provider knowledge, confidence in performance, skills, and attitudes related to counseling patients on alcohol use.…”

Section: Discussionmentioning

confidence: 99%

Systematic Review of Clinician‐Reported Barriers to Provision of Brief Advice for Alcohol Intake in Hospital Inpatient and Emergency Settings

Gargaritano

Murphy

Auyeung

et al. 2020

Alcoholism Clin & Exp Res

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Hospital inpatient and emergency care settings provide frequent opportunities for clinicians to screen and provide brief interventions to patients who engage in the harmful use of alcohol. However, these services are not always provided, with several reasons given in different studies. We aimed to systematically review clinician-reported barriers in the provision of brief alcohol screening, brief advice, and intervention specific to hospital inpatient and emergency department (ED) settings. A systematic literature review was conducted in MEDLINE, PsycINFO, and CINAHL to identify the barriers perceived by healthcare workers in the provision of alcohol screening and brief intervention. These barriers were then categorized according to the capability, opportunity, and motivation (COM-B) model of behavior change theory. Twenty-five articles were included in this study, which involved questionnaires, surveys, interviews, and conference call discussions. The most commonly cited barriers (i.e., greater than half of the studies) were related to capability (lack of knowledge cited in 60% of studies); opportunity (lack of time and resources, 76 and 52% of studies, respectively); and motivation (personal discomfort in 60% of studies). Twenty-two other barriers were reported but with lower frequency. Clinicians cite a multitude of factors that impede their delivery of alcohol screening and brief interventions in the hospital inpatient and ED settings. These barriers were explored further under the framework of the COMB model, which allows for intervention design. As such, changes can be made at the policy, managerial, and educational levels to address these barriers and help improve the self-efficacy and knowledge of clinicians who counsel patients on alcohol use.

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“…Many studies attribute low rates of screening, assessment, and referral to treatment to stigmatizing attitudes held by nurses, despite the reported success of programmes that provide a structured response to AOD use (McCann & Lubman 2018; Mitchell et al . 2017; Skinner et al . 2007).…”

Section: Introductionmentioning

confidence: 99%

Undergraduate nursing student knowledge and attitudes of healthcare consumers with problematic alcohol and other drug use: A scoping review

Smyth

Wilson

Searby

2021

Int J Mental Health Nurs

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Problematic alcohol and other drug use has a significant societal, personal, and financial burden. Nurses are key in responding to problematic alcohol and other drug use; however, research indicates many nurses hold negative attitudes towards people with substance and alcohol use disorders. Further, little content exists in most undergraduate degrees to address stigma held by new nurses. The objective of this scoping review, structured using Arksey and O'Malley's (International Journal of Social Research Methodology: Theory and Practice, 8 (1), 19–32, 2005) framework, is to examine studies that either explore or attempt to improve the knowledge and attitudes of undergraduate nurses caring for people who use alcohol and other drugs. Our initial search located 610 articles, and after screening, 14 articles were appraised using the Mixed Methods Appraisal Tool (MMAT) and included in this review. Most of the papers appraised were small, localized studies using evaluation methods considered low quality, but showed promising results in addressing stigma and confidence in providing care to people who use alcohol and other drugs. This review indicates that a consistent direction for improving knowledge and attitudes among undergraduate nursing students working with people who use alcohol and other drugs is urgently needed. Further studies of interventions, tested with more rigorous evaluation methodologies, are required to extend existing work in this area.

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Educating Emergency Department Registered Nurses (EDRNs) in screening, brief intervention, and referral to treatment (SBIRT): Changes in attitudes and knowledge over time

Cited by 19 publications

References 15 publications

Nursing students’ attitudes towards alcohol use disorders and related issues: A comparative study in four American countries

Nursing students’ attitudes towards alcohol use disorders and related issues: A comparative study in four American countries

Systematic Review of Clinician‐Reported Barriers to Provision of Brief Advice for Alcohol Intake in Hospital Inpatient and Emergency Settings

Undergraduate nursing student knowledge and attitudes of healthcare consumers with problematic alcohol and other drug use: A scoping review

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