Kevon-Mark Jackman, DrPh, Johns Hopkins University School of Public Health, Baltimore, Maryland. Elizabeth Scala, MSN/MBA, RN, The Johns Hopkins Hospital, Baltimore, Maryland. Charlotte Nwogwugwu, BSN, DrPh, Howard University School of Nursing, Washington, DC. Delcora Huggins, BS, MS, and Denis G. Antoine, MD, DABAM, FASAP, Johns Hopkins University School of Medicine, Baltimore Maryland.
J Addict Nurs. 2020 Jul/Sep;31(3):213-220. doi: 10.1097/JAN.0000000000000351.
Negative healthcare provider attitudes toward patients with substance use disorder (SUD) may adversely impact the quality of care and treatment outcomes.
In this article, we aim to characterize the effects of an 8-hour educational workshop on attitudes toward patients with SUD among nurses from an urban inpatient psychiatric hospital.
The Drug and Drug Problems Perceptions Questionnaire, a 22-item scale consisting of six subscales, was used to assess nurse attitudes to patients with SUD at pretest (n = 38), posttest (n = 36), and 30-day follow-up (n = 20). Generalized estimating equation models adjusted for gender and years of work experience were used to measure changes in Drug and Drug Problems Perceptions Questionnaire scores.
Positive attitudes significantly increased at posttest (β = -12.09, 95%CI [-16.83, -7.34]; p < .001) and were sustained at 30-day follow-up (β = 1.71, 95% CI [-3.11, 6.53]; p = .49). Subscales of motivation (β = -0.26, 95% CI [-0.87, 0.35]; p = .41) and task-specific self-esteem (β = -0.56, 95% CI [-1.44, 0.32]; p = .21) did not significantly change at posttest.
Our findings show workshop effectiveness in improving nurse attitudes toward patients with SUD. Future research may test similar interventions at a larger scale and with other health professionals.
医疗服务提供者对物质使用障碍（SUD）患者的负面态度可能会对护理质量和治疗结果产生不利影响。
在本文中，我们旨在描述一项针对城市住院精神病院护士的 8 小时教育研讨会对 SUD 患者态度的影响。
使用由六个分量表组成的 22 项药物和药物问题认知问卷（Drug and Drug Problems Perceptions Questionnaire），在测试前（n = 38）、测试后（n = 36）和 30 天随访（n = 20）评估护士对 SUD 患者的态度。使用广义估计方程模型调整性别和工作经验年限，以衡量药物和药物问题认知问卷得分的变化。
积极的态度在测试后显著增加（β = -12.09，95%CI [-16.83，-7.34]；p <.001），并在 30 天随访时保持（β = 1.71，95%CI [-3.11，6.53]；p =.49）。动机分量表（β = -0.26，95%CI [-0.87，0.35]；p =.41）和特定任务自尊分量表（β = -0.56，95%CI [-1.44，0.32]；p =.21）在测试后没有显著变化。
我们的研究结果表明，研讨会在改善护士对 SUD 患者的态度方面具有有效性。未来的研究可以在更大的规模上并与其他卫生专业人员一起测试类似的干预措施。
