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

Heredia, Luz Patricia Díaz; Vargas, Divane de; Ramírez, Erika Gisseth León; Naegle, Madeline A.

doi:10.1111/inm.12906

Cited by 5 publications

(3 citation statements)

References 47 publications

(105 reference statements)

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“…We reviewed 201 full-text articles and excluded 167. We included 32 unique articles: 17 prevalence studies (in 17 articles) and 15 intervention studies (in 16 articles) 17–48 . Two articles described shorter- and longer-term outcomes of the same intervention study 24,25 .…”

Section: Resultsmentioning

confidence: 99%

“…All 17 observational studies included reported some HCP or trainee SUD stigma (Table 2; see Supplement Digital Appendix 5 at http://links.lww.com/ ACADMED/B473 for detailed quantitative results). Among studies that only assessed SUD stigma, stigma was either at the scale midrange 20,22,23,26,28 or lower than the scale midrange. 21,26,28,33,43,44 Among studies with comparison groups, stigma for SUDs was similar or worse than stigma for other chronic conditions.…”

Section: Prevalence and Extent Of Stigmamentioning

confidence: 99%

See 1 more Smart Citation

Stigma Against Patients With Substance Use Disorders Among Health Care Professionals and Trainees and Stigma-Reducing Interventions: A Systematic Review

Magnan,

Weyrich,

Miller

et al. 2023

Acad Med

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Purpose In this systematic review, the authors examine the prevalence and extent of stigmatizing attitudes among health care professionals (HCPs) and trainees against patients with substance use disorders (SUDs), including research on interventions to reduce stigma. Method The authors searched 7 databases for articles published from January 1, 2011, through February 15, 2023, that quantified SUD stigma among HCPs or trainees. Inclusion criteria allowed both observational and intervention studies from the United States or Canada to be included in this review. Quality assessment was applied to all included studies; studies were not excluded based on quality. Results A total of 1,992 unique articles were identified of which 32 articles (17 observational studies and 15 intervention studies), all conducted in the United States, met the inclusion criteria. Half of the included studies (16 of 32) were published in 2020 or later. Most of the intervention studies (13 of 15) used a single-group pre-post design; interventions involved didactics and/or interactions with persons with SUDs. The 32 included studies used a total of 19 different measures of stigma. All 17 observational studies showed some degree of HCP or trainee stigma against patients with SUDs. Most intervention studies (12 of 15) found small but statistically significant reductions in stigma after intervention. Conclusions SUD stigma exists among HCPs and trainees. Some interventions to reduce this stigma had positive impacts, but future studies with larger, diverse participants and comparison groups are needed. Heterogeneity among studies and stigma measures limits the ability to interpret results across studies. Future rigorous research is needed to determine validated, consensus measures of SUD stigma among HCPs and trainees, identify stigma scores that are associated with clinical outcomes, and develop effective antistigma interventions for HCPs and trainees.

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Section: Resultsmentioning

confidence: 99%

Section: Prevalence and Extent Of Stigmamentioning

confidence: 99%

Stigma Against Patients With Substance Use Disorders Among Health Care Professionals and Trainees and Stigma-Reducing Interventions: A Systematic Review

Magnan,

Weyrich,

Miller

et al. 2023

Acad Med

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“…Latin American students' attitudes toward alcohol use are more negative than those of students from other cultures. Negative conceptions of alcohol and beverage use have been related to cultural beliefs and social attitudes common in this region (Heredia et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

Is the Clinical Practicum in Addiction Treatment Facilities an Effective Educational Intervention to Improve Nursing Students' Attitudes Toward Alcohol Use Disorders?

de Vargas

2023

UJAN

Self Cite

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The paucity of education and training on alcohol use disorders (AUDs) in nursing curricula is the main predictor of negative attitudes and results in limited knowledge access and delivery of health care for persons experiencing these problems. Although experts advocate increasing the time devoted to alcohol-related content in a crowded curriculum, didactic strategies for teaching about addiction in prequalifying nursing education have been discussed. This study aimed to verify the effectiveness of an educational experience that integrated clinical practicum experience in addiction treatment facilities for nursing students' attitudes. A quasi-experimental one-group study with pre-and-post 3-month follow-ups was carried out with 108 nursing students who answered the Attitudes Scale toward Alcohol, Alcohol Use Disorder, and Patients with Alcohol Use Disorders. The effect of the clinical practicum was apparent, with statistically significant changes to more positive global attitude scores in all measures. Previous educational intervention for AUDs during nursing education was a predictor of positive attitudes (OR = 7.21, p < .04). Students' self-perceived skills and professional preparation to deliver and direct care for patients with AUDs improved after the intervention, suggesting that clinical practice influenced students' skills for AUD identification across nursing practice. Previous contact with this population with lack of training in substance use disorder seems to favor negative attitude development. Clinical practicum experience in addiction treatment facilities improved nursing students' attitudes toward AUDs and patients with AUDs, and its effects were sustained 3 months later.

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Cultural Adaptation and Validation of the Attitudes Towards Alcohol Scale for Health Professionals in Portugal

Seabra,

Nunes,

Silva

et al. 2023

Int J Ment Health Addiction

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We aimed to conduct an adaptation and validation of the Attitudes towards Alcohol, Alcoholism and Individuals with Alcohol Use Disorders Scale (EAFAA) which set to address the main groups of attitudes. It is composed in its original version by 50 items, divided into 4 factors: (1) work and interpersonal relationships with patients with alcohol consumption disorders; (2) the person with alcohol consumption disorders; (3) alcoholism (aetiology) and (4) alcoholic beverages and their use. The cultural adaptation from Brazilian to European Portuguese changes 22 items and the designation of one factor. The content validity index scale was 0.96. The psychometric properties were analysed through a cross-sectional study, with a convenience sample of 500 health professionals and students. The confirmatory factor analysis model with the same four (4) original factors, led to the elimination of 9 items. The scale revealed Cronbach’s alpha of 0.801. Empirical adjustment indices were satisfactory with Minimum Discrepancy Function by Degrees of Freedom divided (CMIN) (X2/gl) = 3.91; p < 0001, RMSEA = 0.076 and the goodness of fit index (GFI) with 0.8. Relative indices values were normal fit index (NFI) = 0.6, comparative fit index (CFI) = 0.7 and Tucker-Lewis index (TLI) = 0.7, with best parsimony indices PCFI = 0.595, PNFI = 0.530 and PGFI = 0.702.

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

Cited by 5 publications

References 47 publications

Stigma Against Patients With Substance Use Disorders Among Health Care Professionals and Trainees and Stigma-Reducing Interventions: A Systematic Review

Stigma Against Patients With Substance Use Disorders Among Health Care Professionals and Trainees and Stigma-Reducing Interventions: A Systematic Review

Is the Clinical Practicum in Addiction Treatment Facilities an Effective Educational Intervention to Improve Nursing Students' Attitudes Toward Alcohol Use Disorders?

Cultural Adaptation and Validation of the Attitudes Towards Alcohol Scale for Health Professionals in Portugal

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