Can a Course Change Social Work Students’ Attitudes toward Harm Reduction as a Treatment Option for Substance Use Disorders?

Fenster, Judy; Monti, Kristina

doi:10.1080/07347324.2016.1257895

Cited by 6 publications

(4 citation statements)

References 21 publications

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“…Published by Sciedu Press translates to lasting changes in behaviour and practice. [48][49][50] It is also critical to better understand the notion of othering, particularly structural othering. [51] Structural othering helps us better understand how "macro-level conditions may lead to exclusionary practices."…”

Section: The Necessity To Unlearnmentioning

confidence: 99%

Beyond “Meeting Them Where They Are At”: How nursing students conceptualize harm reduction in their practice with people who use drugs

Denis-Lalonde

Estefan²,

Caine³

et al. 2022

JNEP

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Background and objective: All nurses encounter people who use drugs in their practice and their conceptualization of harm reduction can have a significant impact on health outcomes for this population. It is not known how nursing students conceptualize harm reduction within their practice, and what influences their development, perspective, and support of the concept. In this study, we explore how final year nursing students have conceptualized harm reduction as a part of their practice with people who use drugs.Methods: Purposive sampling was used to recruit 11 nursing students for face-to-face interviews. The study was informed by a critical social theory lens and data were analyzed using thematic analysis.Results: Three themes and nine sub-themes were identified. Participants believed that harm reduction was congruent with nursing practice. Contextually, participants navigated personal beliefs and experiences to understand harm reduction and nursing care for people who use drugs. Participants also negotiated systems and power dynamics, which formed a critical backdrop against which participants discussed beliefs related to harm reduction and care for people who use drugs.Conclusions and implications: Successful conceptualization of harm reduction involves more than cognitive learning. Four recommendations are offered for educators to explore and prioritize educational approaches that support harm reduction as nursing practice to enable better care for people who use drugs.

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Section: The Necessity To Unlearnmentioning

confidence: 99%

Beyond “Meeting Them Where They Are At”: How nursing students conceptualize harm reduction in their practice with people who use drugs

Denis-Lalonde

Estefan²,

Caine³

et al. 2022

JNEP

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“…Considering the negative stigma surrounding individuals who have SUDs (Boekel et al, 2013), and research demonstrating the efficacy of education in shifting attitudes towards support for HRS (Estreet et al, 2017; Fenster & Monti, 2017; Goddard, 2003; Moore & Mattaini, 2014; Mrazovac et al, 2019), brief targeted messages can be used effectively to increase support for implementing HRS in addressing the international opioid crisis to save lives and improve community well‐being. Our findings suggest that patients like Jesse and Toby should not be overly concerned about cleanliness practices affecting Dr. Smith's moral judgement of their drug use and that the type and quality of care provided to them is more likely to be influenced by messages emphasising the individual and social benefits of harm reduction.…”

Section: Research Limitations Future Directions and Implications Fomentioning

confidence: 99%

“…Goddard (2003) found that drug and alcohol treatment professionals reported more positive and accepting attitudes towards HRS after exposing them to a 2‐hour educational presentation on HRS. More recently, Fenster and Monti (2017) shifted social work students' attitudes more positively towards using HRS in working with SUD clients through an intensive educational course. Mrazovac et al (2019) showed brief targeted education (e.g., less than 5 minutes) on the efficacy of SIS is effective in increasing public support for local implementation of SIS to combat the opioid crisis in a metropolitan area.…”

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confidence: 99%

Is cleanliness next to abstinence? The effect of cleanliness priming on attitudes towards harm reduction strategies for people with substance use disorders

et al. 2020

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Can exposure to a cleanliness prime affect moral judgements towards harm reduction strategies (HRS) for individuals with substance use disorders? Our research examined (a) the effect of a cleanliness prime on attitudes towards HRS and (b) whether this effect would be attenuated by a brief educational presentation. Participants were randomly assigned to a priming condition and an educational presentation condition. Results demonstrated that (a) the cleanliness prime did not shift attitudes towards HRS, however, (b) the educational presentations significantly shifted attitudes to be more positive after the Harm Reduction presentation and more negative after the Healthy Living presentation. The literature on priming is mixed and our results support a growing body of research challenging the robustness of cleanliness priming and also demonstrates that brief presentations can change attitudes. Our research has implications for education on the benefits of HRS in reducing disease transmission, refuse in the community, and overdose deaths.

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“…Accordingly, attitudes, knowledge and skills should be treated equally in the training of professionals ( Hutchinson et al, 2013 ). Although some researchers have not observed a change in social workers’ attitudes towards substance usage problems after receiving specific training or after a university course, they did note a change towards utilising particular intervention options; for example, training increased the usage of a harm reduction model ( Fenster et al, 2017 ). The contents of training/courses also influence attitude construction, though the main question is how to bring this knowledge into real practice ( Galvani & Hughes, 2010 ).…”

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confidence: 99%

Exploring Lithuanian social workers’ attitudes towards individuals with alcohol usage problems

Kievišienė

2023

Nordic Studies on Alcohol and Drugs

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Aim: Social workers are at the front line of helping individuals experiencing alcohol usage, due to their professional duties, ideology and values that underpin it. In Lithuania, where social work still continues to develop in both practice and education, it is crucial to supplement with relevant information to strengthen social work's response to issues with alcohol usage. Therefore, the aim of this study was to explore social workers’ attitudes towards individuals with alcohol usage problems. Methods: In total, 149 Lithuanian social workers completed a web survey that gathered information about education, work experience and workplace, and filled in the Short Alcohol and Alcohol Problems Perception Questionnaire (SAAPPQ) to measure their attitude towards individuals with alcohol usage problems. Results: The social workers showed a positive attitude towards individuals with alcohol usage problems (mean 35.81 [SD 4.8]). Attitude domain analysis revealed Role Legitimacy (91.3% above the midpoint) to reflect the most positive attitudes and Work Satisfaction (24.2% above the midpoint) to reflect the least positive attitudes. Those with master's degrees scored higher on the total SAAPPQ (t = −2.44, p = 0.016) and its subscales Work Satisfaction (t = −2.52, p = 0.013) and Therapeutic Commitment (t = −2.21, p = 0.029). Having 6–13 years of work experience (mean SAAPPQ = 37.02 [SD 5.11]) was associated with a more positive attitude compared to those with less than 5 years of experience (mean SAAPPQ = 34.08 [SD 3.87]). Conclusion: Although social workers understand their professional responsibility to work with individuals with alcohol usage problems, their dedication to work, motivation and task-specific self-esteem are low. The results also support education, as those with master's degrees showed more positive attitudes. This study further encourages support for social workers just beginning their career, who might report lower attitudes towards individuals with alcohol usage problems.

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Can a Course Change Social Work Students’ Attitudes toward Harm Reduction as a Treatment Option for Substance Use Disorders?

Cited by 6 publications

References 21 publications

Beyond “Meeting Them Where They Are At”: How nursing students conceptualize harm reduction in their practice with people who use drugs

Beyond “Meeting Them Where They Are At”: How nursing students conceptualize harm reduction in their practice with people who use drugs

Is cleanliness next to abstinence? The effect of cleanliness priming on attitudes towards harm reduction strategies for people with substance use disorders

Exploring Lithuanian social workers’ attitudes towards individuals with alcohol usage problems

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