Substance Use Education in Schools of Nursing

Smothers, Zachary; Reynolds, Victoria; McEachern, Mark P.; Derouin, Anne; Carter, Brigit; Muzyk, Andrew J.

doi:10.1097/nne.0000000000000449

Cited by 40 publications

(45 citation statements)

References 13 publications

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“…12 Two systematic reviews of substance use education in both pharmacy and nursing schools conducted in 2017 reported a paucity of SUD educational interventions for pharmacy or nursing students. 13,14 The majority of reports related to SUD education described interventions and assessments lacking validity evidence, which limited study rigor, generalizability of findings, and reproducibility of the interventions described. The studies primarily focused on tobacco and alcohol use disorders and evaluated students' knowledge or attitudinal changes.…”

Section: Introductionmentioning

confidence: 99%

A Pilot Interprofessional Course on Substance Use Disorders to Improve Students’ Empathy and Counseling Skills

Muzyk

Mullan

Andolsek

et al. 2020

American Journal of Pharmaceutical Education

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Objective. To implement and assess the effectiveness of an interprofessional course designed to provide pharmacy and nursing students with opportunities to improve their understanding of substance use disorders (SUDs), assess their attitudes toward patients with SUDs, receive instruction and feedback on behavior change counseling, and engage in interprofessional education. Methods. The course consisted of four interactive class sessions that focused on empathy and recognition of personal bias, behavioral change counseling, and SUD recognition, screening, and treatment. Classes were taught by an interprofessional faculty member. Students also attended a 12-step recovery meeting in the community, counseled an authentic patient using behavioral change counseling, and received feedback based on a faculty member's direct observation of their counseling. Students completed validated assessments of their attitudes toward patients with SUDs and interprofessional collaboration. A faculty member used the Behavioral Change Counseling Index (BECCI) to assess students' counseling of SUD patients. Counseled patients were asked their preference for follow-up care for their SUD. Results. Twenty-seven pharmacy and nursing students completed this course, along with 51 students from other professions. The pharmacy and nursing students demonstrated significant improvements in their attitudes toward patients with SUDs and toward interprofessional collaboration, as measured by the Substance Abuse Attitudinal Scale (SAAS) and Student Perception of Interprofessional Clinical Education (SPICE-R2). Approximately 93% of pharmacy and nursing students counseled a patient with a SUD, with 96% of counseled patients reporting their intent to receive follow-up care.Conclusion. An interprofessional SUD course enriched pharmacy and nursing students' understanding, attitudes, and behaviors toward patients with SUDs and interprofessional collaboration. Students demonstrated an ability to provide behavior change counseling to patients, and 96% of counseled patients stated a willingness for follow-up care for their SUD.

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Section: Introductionmentioning

confidence: 99%

A Pilot Interprofessional Course on Substance Use Disorders to Improve Students’ Empathy and Counseling Skills

Muzyk

Mullan

Andolsek

et al. 2020

American Journal of Pharmaceutical Education

Self Cite

View full text Add to dashboard Cite

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“…Nurses in all settings need sufficient knowledge to approach patients about their alcohol use, from the initial screening to the identification of appropriate resources for referral and treatment (Savage et al 2014). These improvements may be reflected in positive changes in nursing students' attitudes (Smothers et al 2018).…”

Section: Discussionmentioning

confidence: 99%

“…These improvements may be reflected in positive changes in nursing students’ attitudes (Smothers et al . 2018).…”

Section: Discussionmentioning

confidence: 99%

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

Heredia¹,

Vargas

Ramírez

et al. 2021

Int J Mental Health Nurs

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The present study identified and compared the attitudes of nursing students from North and South American countries towards alcohol, alcohol use disorders and persons with alcohol use disorders (AUDs). A cross-sectional design and survey approach were used. The sample consisted of 327 nursing students recruited from four nursing schools in metropolitan regions of North and South America. The questionnaire contained questions about sex, age, marital status, home country and other questions about training in substance use disorders during nursing education and previous experiences with substance use disorder patients. To identify nursing students' attitudes, validated English, Spanish and Portuguese versions of the attitudes scale for alcohol, alcoholism and persons with AUDs (EAFAA) were applied. Comparison of the four groups suggested that nursing students in the United States demonstrated more positive attitudes than students from Colombia, Mexico and Brazil. Similar positive attitudes were observed towards individuals with AUDs. Results of the attitudes towards the aetiology of AUDs showed positive attitudes in all samples, suggesting a contemporary understanding of AUDs. Nursing students' attitudes were associated with home country and training in substance use disorders during nursing education. Nursing students' attitudes were generally positive across countries. Idiosyncratic cultural and educational aspects in these countries and world regions likely significantly influenced the attitudes of nursing students towards alcohol and associated issues.

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“…Nurses who receive AOD education can significantly improve the support they provide to people with AOD dependence, particularly via brief screening and harm reduction interventions (Watson et al, 2010). Education can also positively impact on nurses' attitudes and empathy towards people with AOD dependence (Smothers et al, 2018), particularly if programs include a reflective component where nurses consider their attitudes towards people who use AOD (Rassool & Rawaf, 2008;Vadlamudi et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

“…Nurses, as frontline workers, are likely to have considerable contact with people who experience alcohol and other drug (AOD) dependence (Smothers et al, 2018;Tierney et al, 2020;Watson et al, 2010). AOD dependence is defined as physiological, psychological and cognitive reliance on alcohol and/or drugs to the extent that substance use is prioritised over other activities and behaviours that were previously valued (World Health Organization, 2020).…”

mentioning

confidence: 99%

Co-producing a Drug and Alcohol Nursing Subject With Experts by Experience

Goodhew

Samuel

Gilford

et al. 2021

Australian Journal of Clinical Education

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Nurses are frontline workers and have an important role to play in reducing the harms associated with alcohol and other drugs (AOD) dependence. AOD dependence is a major cause of preventable illness, particularly since the overprescribing of opioids has led to a worldwide overdose crisis. However, nurses receive little education in their undergraduate training about AOD or harm reduction strategies. Additionally, the 'war on drugs' and associations with criminality, often means that nurses hold negative attitudes towards people with AOD dependence. There is evidence that education can improve nurses' attitudes towards people with AOD use, especially when it includes narratives, knowledge and experiences of people with lived experience. In this paper, we outline how experts by experience (people with a lived experience of AOD dependence) and nurse educators developed a high-quality AOD undergraduate nursing subject using a co-production framework. We discuss how the co-production process allowed for the development of a unique and innovative nursing subject that provides students with a humanistic, realistic and pragmatic view of AOD dependence.

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Substance Use Education in Schools of Nursing

Cited by 40 publications

References 13 publications

A Pilot Interprofessional Course on Substance Use Disorders to Improve Students’ Empathy and Counseling Skills

A Pilot Interprofessional Course on Substance Use Disorders to Improve Students’ Empathy and Counseling Skills

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

Co-producing a Drug and Alcohol Nursing Subject With Experts by Experience

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