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护士对使用大麻患者的态度:法律地位或护理环境重要吗?

Nurses' Attitudes Toward Patients Who Use Cannabis: Does Legal Status or Care Setting Matter?

作者信息

McCall Darci, Rapoza Sarah, Liverman Wendi, Carter Jeremy

出版信息

J Addict Nurs. 2023;34(3):178-185. doi: 10.1097/JAN.0000000000000528.

DOI:10.1097/JAN.0000000000000528
PMID:37669337
Abstract

BACKGROUND

Cannabis has been cited as the most frequently used drug in this country, and intolerance toward substance use is a recognized concern in nursing. The twofold purpose of this descriptive study was to determine (a) what, if any, were the differences between nurses' attitudes of patient cannabis use in states in which cannabis was legal versus illegal and (b) how do nurses working in diverse care settings differ in their attitudes regarding patient cannabis use.

METHODS

A sample of 809 registered nurses from across the United States were recruited to take part in this study in October 2018. A previously validated 20-question survey was used to collect participants' perceptions of and attitudes toward patient cannabis use. Demographic information collected included age, gender, educational level, years in practice, primary area of practice, and legal status of cannabis in state of practice. An independent t test and analysis of variance were used to analyze group differences.

FINDINGS

Findings from this study indicated that there was no significant difference in attitudes of nurses in states in which cannabis use was legal (M = 28.76, SD = 7.83) and states in which it was illegal (M = 29.43, SD = 7.65), t(807) = 1.202, p = .230. In addition, no significant differences were found in attitudes across six areas of practice, F(5) = 1.531, p = .178. Furthermore, nursing attitudes were largely positive toward patient cannabis use (M = 29.04, SD = 7.762; range: 20-100).

CONCLUSIONS

Findings from this study indicate that cannabis use may not carry the same perceived stigma as other illicit substances for nurses and unbiased care may be provided regardless of personal beliefs.

摘要

背景

大麻被认为是该国使用最频繁的毒品,对药物使用的不容忍是护理领域公认的问题。这项描述性研究的双重目的是确定:(a)在大麻合法与非法的州,护士对患者使用大麻的态度有哪些差异(如有);(b)在不同护理环境中工作的护士对患者使用大麻的态度有何不同。

方法

2018年10月,招募了来自美国各地的809名注册护士参与本研究。使用一份先前经过验证的包含20个问题的调查问卷,收集参与者对患者使用大麻的看法和态度。收集的人口统计学信息包括年龄、性别、教育水平、从业年限、主要执业领域以及执业所在州的大麻法律地位。采用独立t检验和方差分析来分析组间差异。

结果

本研究结果表明,在大麻使用合法的州(M = 28.76,标准差 = 7.83)和非法的州(M = 29.43,标准差 = 7.65),护士的态度没有显著差异,t(807) = 1.202,p = 0.230。此外,在六个执业领域的态度上未发现显著差异,F(5) = 1.

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