Emergency Physicians' and Nurses' Attitudes towards Alcohol-Intoxicated Patients

Warren, Otis; Sena, V. S.; Choo, Esther K.; Machan, Jason T.

doi:10.1016/j.jemermed.2012.02.018

Cited by 21 publications

(16 citation statements)

References 21 publications

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“…[18] Thus, these negative attitudes towards alcoholics may result in the failure to detect or address alcohol use in patients [19] which can ultimately compromise comprehensive care and lead professionals to feel unmotivated when treating these patients. [8,10] Nurses working in primary health care obtained the highest mean score for subscale 2 (etiology of alcoholism), indicating the presence of positive attitudes toward this subject. This finding may be associated with the organization of primary health care facilities, which attempt to introduce new practices that are in agreement with constant changes in the theories of disease causes.…”

Section: Discussionmentioning

confidence: 97%

“…In particular, nurses have been identified as important agents to detect, refer and treat patients with alcohol-related problems. [8,9] Warren and colleagues, [8] and Kelleher and Cotter [10] in recent studies indicated that nurses' attitudes towards alcohol, alcoholism and alcoholics have been more positive compared to the attitudes assessed in studies [11,12] conducted in the 80s and 90s. In addition, Nehlin and colleagues, [7] Crothers and Dorrian, [6] and Vargas [13] revealed that education and training, personal characteristics and the pattern of alcohol consumption itself are common variables that influence nurses' attitudes towards alcohol and alcoholics.…”

Section: Introductionmentioning

confidence: 99%

“…The attitudes of nurses from several health care facilities towards alcohol and alcohol-related problems have been well documented in both the Brazilian and international literature in the past decade. [6,8,14] However, although evidence has shown that the workplace influences the attitudes of these professionals toward patients with alcohol-related problems, [15,16] studies comparing possible differences in attitudes of nurses working at different health care service sites are limited.…”

Section: Introductionmentioning

confidence: 99%

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Attitudes towards alcohol and alcohol-related problems: Comparison among nurses from different Brazilian health care settings

Bittencourt

Vargas

2014

JNEP

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Objective: This descriptive, exploratory study sought to compare the attitudes of nurses from different health care settings towards alcohol, alcoholism and alcoholics.Method: A total of 526 nurses working at several Brazilian health care facilities participated in this study by answering a 96-item attitude scale. The Kruskal-Wallis test was used to compare the attitudes of the participants according to their health care setting, and a multiple comparisons test was used to identify the groups in which this difference was statistically significant. Results:The results showed that nurses working at specialized facilities displayed more positive attitudes towards alcoholics (working and interpersonal relations) and alcohol but negative attitudes towards alcoholism and its etiology when compared to the other nurses.Conclusion: This study suggests that nurses' attitudes towards alcohol and alcohol-related problems differ depending on the health care setting; in particular, nurses working at specialized facilities tend to show more positive attitudes than nurses working in other health care facilities toward alcohol-related problems.

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Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Attitudes towards alcohol and alcohol-related problems: Comparison among nurses from different Brazilian health care settings

Bittencourt

Vargas

2014

JNEP

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“…In the same way, several studies have shown that the competence of physicians and nurses in the care and prevention of alcohol and drug addiction is strategically important [27,28,29]. …”

Section: Discussionmentioning

confidence: 99%

Attitude of Health Care Workers (HCWs) toward Patients Affected by HIV/AIDS and Drug Users: A Cross-Sectional Study

Ledda

Cicciù

Puglisi

et al. 2017

IJERPH

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Caring for HIV/AIDS patients and/or drug users requires health care workers (HCWs) to have good knowledge of the issues. Cultural differences in HCWs, combined with professional ethics and personal beliefs, could also result in conflicting attitudes, leading to difficulties related to looking after people affected by HIV/AIDS or drug users. A cross-sectional study was carried out to assess the attitude towards HIV/AIDS patients and/or drug users in a sample of workers operating in a large university hospital in southern Italy. A total of 736 workers were surveyed from May to November 2016. During the periodic occupational health surveillance, a questionnaire was administered about attitudes of discrimination, acceptance and fear towards these patients. Respondents showed average levels of acceptance to HIV/AIDS and drug user patients. As years of experience and professional training increased, scores for discrimination, acceptance of HIV/AIDS, acceptance of drug users and fear decreased. Factors positively influencing levels of attitudes were being female and younger. Supplementary education is needed to strengthen the awareness of HCWs.

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“…There is some evidence to suggest acute drug or alcohol intoxications can impose barriers to patient care in general. 17 However, whether this also translates to clinical situations where opioids are additionally required to treat pain remains to be established. Ideally, field studies should be conducted to obtain the necessary information.…”

Section: Case Scenarios and Patient Attributesmentioning

confidence: 99%

The influence of personal values and patient intoxication on nurses concerns about opioids: results of a prospective cross-sectional multi-centre study

Heckroth

Pludra

Johannssen

et al. 2019

British Journal of Pain

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Background: Nurses are the main administrators of opioids in hospitals and enjoy some autonomy when using them to manage pain. Nevertheless evidence suggests they exercise this freedom restrictively with the reasons for this self-limitation remaining unclear. Nurses are influenced by personal and professional values and by patients’ attributes. Intoxicated patients pose a particular challenge. This study therefore investigated whether cautious attitudes towards opioids were aggravated in intoxicated patients and influenced by personal values. Methods: A two-version questionnaire was developed. Each presented a case vignette describing a patient in acute pain who was either intoxicated or not intoxicated. Questionnaires contained identical case statements inquiring about concerns regarding opioids, preferred analgesics and statements about opioids and personal values. They were distributed prospectively in a cross-sectional, multi-centre design. Equal distribution of both questionnaires was achieved through randomization of wards. Regression analysis was employed to determine predictors for responses to the case statements. Results: In total, n = 374 (26%) nurses returned questionnaires, 85% were female, 39% worked in surgery and 64% had >10 years experience. A total of 78% were concerned using opioids in the intoxicated patient and 70% preferred non-opioids instead. Most nurses agreed familiarity with an opioid gives them more confidence and they were more concerned in patients with a history of drug abuse. They neither associated opioids with helping patients to die nor with drug abuse. The majority endorsed value statements representing ‘universalism’, ‘hedonism’ and ‘benevolence’ while disagreeing with ‘power’ and ‘stimulation’. Nurses concerns were predicted by values indicating ‘conformity’ and ‘achievement’. Conclusion: Nurses were concerned giving opioids to intoxicated patients and preferred non-opioids instead. These concerns were predicted by personal values representing ‘Conservation’ (‘conformity’) and ‘Self-Enhancement’ (‘achievement’). Therefore, stigmatizing mental models likely contribute to nurses’ reluctance to use opioids. Interestingly, personal ambition might protect nurses from discriminatory thoughts and practice.

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Emergency Physicians' and Nurses' Attitudes towards Alcohol-Intoxicated Patients

Cited by 21 publications

References 21 publications

Attitudes towards alcohol and alcohol-related problems: Comparison among nurses from different Brazilian health care settings

Attitudes towards alcohol and alcohol-related problems: Comparison among nurses from different Brazilian health care settings

Attitude of Health Care Workers (HCWs) toward Patients Affected by HIV/AIDS and Drug Users: A Cross-Sectional Study

The influence of personal values and patient intoxication on nurses concerns about opioids: results of a prospective cross-sectional multi-centre study

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