Educational Program to Increase Substance Use Disorder Knowledge and Decrease Stigma in First-Year Nursing Students

Lanzillotta-Rangeley, Jennifer; Leslie, Jamie; Little, Myrna; Stem, Jack; Asselin, Emily; Kurahovic, Melita

doi:10.1016/j.pmn.2020.05.002

Cited by 18 publications

(21 citation statements)

References 9 publications

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“…For example, one U.S. college of nursing implemented an interactive presentation on OUD. 9 Pre- and post-presentation survey results indicated that stigma and bias remained present among students; although, improvement was seen before and after intervention. 9 Other institutions have reported positive change in student attitudes and decreased stigma following implementation of various educational interventions centered around OUD, including interprofessional workshops, panel discussions, and didactic presentations.…”

Section: Introductionmentioning

confidence: 94%

“… 9 Pre- and post-presentation survey results indicated that stigma and bias remained present among students; although, improvement was seen before and after intervention. 9 Other institutions have reported positive change in student attitudes and decreased stigma following implementation of various educational interventions centered around OUD, including interprofessional workshops, panel discussions, and didactic presentations. 6 , 7 Educational interventions, such as these, may close the OUD knowledge gap and improve the attitudes and beliefs of future healthcare providers.…”

Section: Introductionmentioning

confidence: 94%

“…5 Other studies have also reported on this gap in knowledge. [6][7][8][9] It is important to both meet the need for greater clinical knowledge and confidence in communicating with and treating OUD patients, and also understand students' own attitudes and beliefs towards patients of this vulnerable population. OUDrelated stigma exists among professional students, [6][7][8][9] and such perceptions may impact students' receptiveness to OUDrelated education and training, ultimately impacting the quality of healthcare provided.…”

Section: Introductionmentioning

confidence: 99%

“…6,7 Educational interventions, such as these, may close the OUD knowledge gap and improve the attitudes and beliefs of future healthcare providers. 6,9 OUD-related stigma plays a significant role in the lives of individuals suffering from this disease and continues to be a major issue for these individuals. Stigma is defined as an internally perceived negative belief that a stereotype about a specific group exists.…”

Section: Introductionmentioning

confidence: 99%

“… 6 , 7 Educational interventions, such as these, may close the OUD knowledge gap and improve the attitudes and beliefs of future healthcare providers. 6 , 9 …”

Section: Introductionmentioning

confidence: 99%

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“Don’t Label Them as Addicts!” Student Pharmacists’ Views on the Stigma Associated with Opioid use Disorder

et al. 2021

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Background: Student pharmacists represent an important potential population for targeted educational interventions focused on skill and confidence development in order to improve interactions with opioid users and to decrease stigma. The objective of this study was to understand student pharmacists’ perceptions of opioid users. Methods: Focus groups were conducted with student pharmacists across Tennessee over two months in 2020. Concepts from the Transtheoretical Mode, Social Cognitive Theory, stigma, and results from a survey sent to student pharmacists were used to develop the open-ended questions. Thematic analysis was conducted to inductively identify main themes. The recruitment of student pharmacists continued until thematic saturation was obtained. Results: Three focus groups were conducted with a total of 16 student pharmacists in second, third, and fourth professional years. Thematic analysis revealed two themes: Don’t label them as addicts, Student Insight into OUD-Associated Stigma and five sub-themes: developing a judgment-free environment; unconscious bias; a possible connection between physical appearance and addiction; socio-cultural factors, addiction, and isolation; and motivators to decrease stigma. This study not only presents the pharmacy students experiences and their significance, but also reports their recommendations for addressing the stigma associated with OUD in the pharmacy curriculum. Conclusions: These ﬁndings highlight the need to normalize appropriate language when describing patients with OUD and avoid negative labels such as “addict.” The ﬁndings also indicate where the roots of stigma lie and provide some of the tools to fight stigma on different fronts. Future research should explore and address potential implicit biases throughout pharmacy curriculum.

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Section: Introductionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“… 6 , 7 Educational interventions, such as these, may close the OUD knowledge gap and improve the attitudes and beliefs of future healthcare providers. 6 , 9 …”

Section: Introductionmentioning

confidence: 99%

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“Don’t Label Them as Addicts!” Student Pharmacists’ Views on the Stigma Associated with Opioid use Disorder

et al. 2021

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Assessing Student Readiness to Work with People Who Use Drugs: Development of a Multi-disciplinary Addiction Educational Survey

et al. 2022

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BACKGROUND: As health profession schools implement addiction curricula, they need survey instruments to evaluate the impact of the educational interventions. However, existing measures do not use current non-stigmatizing language and fail to capture core concepts. OBJECTIVE: To develop a brief measure of health profession student readiness to work with people who use drugs (PWUDs) and establish its content validity. METHODS: We conducted a literature review of existing instruments and desired clinical competencies related to providing care to PWUD and used results and expert feedback to create and revise a pool of 72 items. We conducted cognitive interviews with ten pre-clinical health profession students from various US schools of nursing, pharmacy, and medicine to ensure the items were easy to understand. Finally, we used a modified Delphi process with twenty-four health professions educators and addiction experts (eight each from nursing, pharmacy, and medicine) to select items for inclusion in the final scale. We analyzed expert ratings of individual items and interdisciplinary agreement on ratings to decide how to prioritize items. We ultimately selected 12 attitudes and 12 confidence items to include in the REadiness to Discuss Use, Common Effects, and HArm Reduction Measure (RE-DUCE-HARM). Experts rated their overall assessment of the final scale. RESULTS: Twenty-two of twenty-four experts agreed or strongly agreed that the attitudes scale measures student attitudes that impact readiness to work with PWUDs. Twenty-three of twenty-four experts agreed or strongly agreed that the confidence scale measures student selfefficacy in competencies that impact readiness to work with PWUDs. Seven of 72 initial items and none of the 24 selected items had statistically significant differences between disciplines. CONCLUSIONS:The REDUCE-HARM instrument has strong content validity and may serve as a useful tool in evaluating addiction education. Additional research is needed to establish its reliability, construct validity, and responsiveness to change.

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The Prevalence of Comorbidities and Substance Use Disorder

Kress

Schlesinger

2023

Nursing Clinics of North America

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Educational Program to Increase Substance Use Disorder Knowledge and Decrease Stigma in First-Year Nursing Students

Cited by 18 publications

References 9 publications

“Don’t Label Them as Addicts!” Student Pharmacists’ Views on the Stigma Associated with Opioid use Disorder

“Don’t Label Them as Addicts!” Student Pharmacists’ Views on the Stigma Associated with Opioid use Disorder

Assessing Student Readiness to Work with People Who Use Drugs: Development of a Multi-disciplinary Addiction Educational Survey

The Prevalence of Comorbidities and Substance Use Disorder

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