Nurses’ attitudes, beliefs and confidence levels regarding care for those who abuse alcohol: Impact of educational intervention

Vadlamudi, Raja; Adams, Susie; Hogan, Beth; Wu, Teng; Wahid, Zia U.

doi:10.1016/j.nepr.2007.10.003

Cited by 54 publications

(55 citation statements)

References 23 publications

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“…These findings are consistent with previous studies [6,10,16] indicating that knowledge of alcohol and its associated problems influences attitudes and, consequently, the delivery of care to persons with alcoholism-related problems. The results also demonstrated that participants with some training in alcohol and drug abuse after their nursing education and/or who received some type of preparation for working with these health problems during their nursing education showed higher mean scores on the Knowledge questionnaire and Attitudes scale than participants who did not have this experience.…”

Section: Discussionsupporting

confidence: 93%

“…The results also demonstrated that participants with some training in alcohol and drug abuse after their nursing education and/or who received some type of preparation for working with these health problems during their nursing education showed higher mean scores on the Knowledge questionnaire and Attitudes scale than participants who did not have this experience. Thus, educational interventions significantly affect the knowledge and attitudes of health professionals [6,7,16] . However, only the preparation received during nursing education showed a significant association with more positive attitudes, which suggests that the preparation delivered gradually during initial nursing education is more effective in enhancing attitudes than the preparation offered in courses and training programs completed after concluding formal professional education.…”

Section: Discussionmentioning

confidence: 99%

“…Many factors, such as nurses' personal characteristics, their beliefs on the causes and symptoms of alcohol abuse problems, their beliefs on their role in the care of such a patient [15] and their own pattern of alcohol use [16] can influence the attitudes of nurses toward the care of alcoholic patients. Various studies [2,7,11] have attributed the main causes of the negative attitudes of nurses and difficulties in delivering care to these patient groups to the lack of knowledge of approaches and interventions for these illnesses.…”

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confidence: 99%

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Nurses’ personal knowledge and their attitudes toward alcoholism issues: A study of a sample of specialized services in Brazil

Vargas

2013

JNEP

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Background: Changes to more positive attitudes and the development of skills to enable work with alcohol-and alcoholism-related issues were associated with knowledge in the area). The aim of this report is to investigate the relationship between nurses' and nursing assistants' attitudes toward alcohol and alcoholism and their knowledge of alcohol and alcoholism issues. Methods:The Scale of Attitudes toward alcohol, alcoholism and alcoholics and a knowledge questionnaire were completed using a convenience sample of nurses and nursing assistants (N = 75) working in eight clinics specializing in the treatment of alcohol and other drug problems in São Paulo City, Brazil.Results: A positive correlation was found between the number of correct answers on the knowledge questionnaire and positive attitudes of the participants. The age of the participants (p = .028), specific preparation in alcohol and other drugs during nursing education (p = .019) and knowledge assessed using the Knowledge questionnaire (p =.016) were significantly correlated with positive attitudes. Personal working category (nurse/nurse assistants; p = .007) significantly influenced the mean knowledge level. Conclusion:These results indicate that nurses show more positive attitudes toward alcohol and alcoholism problems than nurse assistants and that their score on the knowledge questionnaire was on average 1.456 points higher than that of nurse assistants, suggesting a relation between higher knowledge levels and positive attitudes.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Nurses’ personal knowledge and their attitudes toward alcoholism issues: A study of a sample of specialized services in Brazil

Vargas

2013

JNEP

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“…Previous studies about attitude of nurses toward alcohol-dependent patients reports that nurses have varying attitudes. Factors that influence nurses' attitude toward alcohol-dependent patients, whether positive or negative, include symptoms of alcohol problems, pattern of alcohol use, nurses' knowledge, nurses' beliefs about their roles and impact of their intervention on patients' drinking behaviors change [6,7,9].Other personal factors include the nurses' age, their own drinking habits, and belief about whether patients can be helped [18]. Understanding the attitude of nurses towards alcohol-dependent patients is therefore necessary because these patients demonstrate relatively high hospital utilization rates.…”

Section: Background and Conceptual Frameworkmentioning

confidence: 99%

“…Basic training of nurses in Thailand does not sufficiently cover the skills and knowledge needed to treat complicated problems of alcoholdependent patients. Even when they are trained, many nurses do not believe that their interventions have influence on changing the drinking behaviors of their patients, nor are they confident to screen and give intervention [6,7]. Unlike other types of treatment in hospitals, nurses see the same alcohol relapsing patients return frequently.…”

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confidence: 99%

Development and Testing of the Psychometric Properties of Thai Nurses’ Attitudes toward Alcohol-dependent Patients Scale

Srikosai¹,

Piboonsri²

2017

APJHS

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Background: The attitudes of nurses can impact quality of patient care. Aim: To develop and test the psychometric properties of Thai nurses' attitudes toward alcohol-dependent patients scale. Method: Instrument development research design was conducted in two phases. Phase 1 was focus group interviews to better understand the meaning and concept of attitudes of nurses toward alcohol-dependent patients, creating components of attitude and developing specific scale items. Phase 2 was the evaluation of psychometric properties of the scale through fieldtesting for construct validity and reliability. Data was analyzed using the Pearson correlation coefficient test, t-test, factor analysis technique with varimax rotation, and Cronbach's alpha coefficient test. Results: 28 items showed good item discrimination power. The item-total correlations showed medium to high levels of correlation with factor loadings ≥0.44, and displayed a total variance of 73.19%. Exploratory factor analysis revealed 5 components: nurses' opinion alcohol-dependent patients in terms of behavior, beliefs, opinion on personalities, feeling about image, and opinion on care. The reliability coefficient alpha of Cronbach was 0.96. Conclusion: Nurses' attitudes toward alcohol-dependent patients scale shows high validity, high reliability, and could be used as a scale of Thai nurses' attitudes toward alcohol-dependent patients. Keywords: alcohol dependent patients,attitudes,nurses,psychometric properties,scale IntroductionAlcohol consumption is a main factor for burden of disease. The World Health Organization (WHO) estimates that 76.3 million people in the world have been affected by alcohol abuse and dependence [1]. Around 5% of Thai people were classified to be alcohol dependent according to a report by the Integrated Movement on Alcohol Problems -Health in 2012(IMAP-Health).A study of burden of disease among Thai population in 2009 found that alcohol dependence and harmful alcohol use was the number one factor among 10 causes of burden of disease [2]. Alcohol dependence is a chronic disease and alcohol relapse can occur anytime; it is often combined with other physical or psychiatric co-morbid diseases leading to complicated treatment and care. The prevalence of alcohol dependence or alcohol related ______________________________ *Correspondence Soontaree SrikosaiRajanagarindra Institute of Child Development, Department of Mental Health. 196 Moo 10, Don Kaew T. Mae Rim A. 50180, Chiang Mai, Thailand E Mail: s.srikosai@gmail.com problems in government psychiatric hospitals in Thailand is the second highest after schizophrenia. In the last 5 years at Suan Prung Psychiatric Hospital in Northern Thailand, a 700-bed tertiary care facility, 45 percent of alcohol-dependent patients have been readmitted within 1 year [3]. According to two studies, "The History and Future of "Aftercare" by White and Godley and "Alcohol relapse repetition, gender, and predictive validity" by Zywiak et al., alcohol relapse is most often found during thefirst1-2 month...

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Theory in practice: Helping providers address depression in diabetes care *

Osborn

Kozak

Wagner

2010

Journal of Continuing Education in the Health Professions

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Introduction A Continuing Education (CE) program based on the theory of planned behavior was designed to understand and improve health care providers’ practice patterns in screening, assessing, and treating and/or referring patients with diabetes for depression treatment. Methods Participants completed assessments of attitudes, confidence, intentions, and behaviors regarding depression management at three time points: immediately prior to the CE program (baseline), immediately after the CE program (posttest) and six-weeks after the CE program (follow-up). Results Ninety eight providers attended the CE program; 71 completed the baseline assessment; 66 completed the posttest assessment, and 37 completed the 6-week follow-up. Compared to baseline, at posttest providers reported significantly more favorable attitudes, fewer negative attitudes, greater confidence, and greater intention to address depression with their diabetes patients. At six weeks follow-up, there was a marginally significant increase in educating patients about depression, but no other depression management practices changed. Intention to change and confidence predicted some depression practice patterns at follow-up. Fewer barriers were a consistent predictor of depression practice patterns at follow-up. Discussion In the short-term, provider attitudes, confidence, and intentions to address depression with their patients improved. Intention, confidence, and especially barriers are important intervention targets. Lessons for Practice Depression is a common comorbidity of diabetes. Healthcare providers must be better prepared to manage depression in their diabetes patients. Educating health professionals is one approach to improving depression care. Healthcare systems must address barriers to providers’ efforts to manage depression. Continuing education programs should aim to enhance providers’ intentions, confidence, and skills to overcome barriers to addressing depression in clinical care.

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Nurses’ attitudes, beliefs and confidence levels regarding care for those who abuse alcohol: Impact of educational intervention

Cited by 54 publications

References 23 publications

Nurses’ personal knowledge and their attitudes toward alcoholism issues: A study of a sample of specialized services in Brazil

Nurses’ personal knowledge and their attitudes toward alcoholism issues: A study of a sample of specialized services in Brazil

Development and Testing of the Psychometric Properties of Thai Nurses’ Attitudes toward Alcohol-dependent Patients Scale

Theory in practice: Helping providers address depression in diabetes care *

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