Factors Associated with Nurses’ Motivation to Provide Care for Patients with Alcohol Use and Alcohol Use-Related Problems

Abstract

Background:

There is a high human and economic cost associated with alcohol use and alcohol use-related problems. Nurses have a pivotal role in addressing the needs of this patient population. Purpose: The study aimed to examine the correlation between nurses’ demographics/background characteristics, personal attitudes, professional attitudes, and their motivation to provide care to patients with alcohol use and alcohol use-related problems.

Methods:

A descriptive, cross-sectional correlational design was utilized. Nurses were recruited from four Southwestern Pennsylvania hospitals. The study variables were examined using questionnaires that explored nurses’ demographic/background characteristics, their personal and professional attitudes, and motivation to care for patients with alcohol use and alcohol use-related problems.

Results:

The sample included 234 nurses. Demographic/background characteristics were identified as associated with nurse’s alcohol use-related motivation, including gender, primary work setting and specialization. Previous personal experience with alcohol use-related problems (nurses themselves or co-workers), familiarity, perceived dangerousness, fear, social distance, personal responsibility beliefs and disease model were also associated with nurses’ alcohol use-related motivation to care for these patients. In addition, all professional attitudes were associated with nurses’ motivation toward caring for patients with alcohol use and alcohol use-related problems.

Conclusions:

The study revealed that certain demographic/background characteristics and personal and professional attitudes were associated with nurses’ motivation to provide care to this patient population. This study provides the foundation for future studies aimed at exploring predictors of nurse’s motivation to care for patients with alcohol use and alcohol use-related problems.

Keywords

nurses motivation factors alcohol use alcohol use problems

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References

World Health Organization. Alcohol: key facts. World Health Organization. September 21, 2018. Accessed October 10, 2020. http://www.who.int/en/news-room/fact-sheets/detail/alcohol

Alcohol and public health. Centers for Disease Control and Prevention. December 30, 2019. Accessed October 10, 2020. https://www.cdc.gov/alcohol/onlinemedia/infographics/excessive-alcohol-use.html

Substance Abuse and Mental Health Services Administration. Facing addiction in America: The Surgeon General’s report on alcohol, drugs, and health. 2016. Accessed August 11, 2019. https://www.ncbi.nlm.nih.gov/books/NBK424860/

Stahre

Roeber

Kanny

Brewer

Zhang

Contribution of excessive alcohol consumption to deaths and years of potential life lost in the United States. Prev Chronic Dis. 2014;11:E109. doi: 10.5888/pcd11.130293.

Pollard

Tucker

Green

HD.

Changes in adult alcohol use and consequences during the COVID-19 pandemic in the US. JAMA Netw Open. 2020;3(9):e2022942. doi:10.1001/jamanetworkopen.2020.22942

The Nielsen Company. Rebalancing the ‘COVID-19 effect’ on alcohol sales. May 7, 2020. Accessed October 17, 2020. https://www.nielsen.com/us/en/insights/article/2020/rebalancing-the-covid-19-effect-on-alcohol-sales/

Bittencourt

Vargas

. Attitudes towards alcohol and alcohol-related problems: comparison among nurses from different Brazilian health care settings. J Nurs Educ Pract. 2015;5(2):45-51. doi:10.5430/jnep.v5n2p45

Molina-Mula

González-Trujillo

Simonet-Bennassar

Emergency and mental health nurses’ perceptions and attitudes towards alcoholics. Int J Environ Res Public Health. 2018;15(8):1733. doi:10.3390/ijerph15081733

Crothers

Dorrian

Determinants of nurses’ attitudes toward the care of patients with alcohol problems. Int Sch Res Notices. 2011;2011:821514. doi:10.5402/2011/821514

10.

Anderson

Clement

SUE

. The AAPPQ revisited: the measurement of general practitioners’ attitudes to alcohol problems. Br J Addict. 1987;82(7):753-759. doi:10.1111/j.1360-0443.1987.tb01542.x

11.

van Boekel

Brouwers

van Weeghel

Garretsen

HF.

Healthcare professionals’ regard towards working with patients with substance use disorders: comparison of primary care, general psychiatry and specialist addiction services. Drug Alcohol Depend. 2014;134:92-98. doi:10.1016/j.drugalcdep.2013.09.012

12.

Mahmoud

KF.

Motivation to Provide Care to Patients with At-risk Alcohol and Opioid Use: A Focus on Nursing Professionals. Doctoral Dissertation. University of Pittsburgh. (Unpublished). ProQuest Dissertations and Theses database. 2019

13.

Mahmoud

Finnell

Sereika

, et al. Personal and professional attitudes associated with nurses’ motivation to work with patients with opioid use and opioid use-related problems. Subst Abus. 2021;42(4):780-787. doi:10.1080/08897077.2020.1856287

14.

Kuthy

McQuistan

Riniker

Heller

Qian

Students’ comfort level in treating vulnerable populations and future willingness to treat: results prior to extramural participation. J Dent Educ. 2005;69(12):1307-1314.

15.

Jacka

Clode

Patterson

Wyman

Attitudes and practices of general practitioners training to work with drug-using patients. Drug Alcohol Rev. 1999;18(3):287-291. doi:10.1080/09595239996428

16.

Silins

Conigrave

Rakvin

Dobbins

Curry

The influence of structured education and clinical experience on the attitudes of medical students towards substance misusers. Drug Alcohol Rev. 2007;26(2):191-200. doi:10.1080/09595230601184661

17.

Lock

Kaner

Lamont

Bond

A qualitative study of nurses’ attitudes and practices regarding brief alcohol intervention in primary health care. J Adv Nurs. 2002;39(4):333-342. doi:10.1046/j.1365-2648.2002.02294.x

18.

Amaral-Sabadini

Saitz

Souza-Formigoni

MLO

. Do attitudes about unhealthy alcohol and other drug (AOD) use impact primary care professionals’ readiness to implement AOD-related preventive care? Drug Alcohol Rev. 2010;29(6):655-661. doi:10.1111/j.1465-3362.2010.00222.x

19.

Ford

Bammer

Becker

The determinants of nurses’ therapeutic attitude to patients who use illicit drugs and implications for workforce development. J Clin Nurs. 2008;17(18):2452-2462. doi:10.1111/j.1365-2702.2007.02266.x

20.

Ford

Bammer

Becker

Improving nurses’ therapeutic attitude to patients who use illicit drugs: workplace drug and alcohol education is not enough. Int J Nurs Pract. 2009;15(2):112-118. doi:10.1111/j.1440-172X.2009.01732.x

21.

Lev-Ran

Adler

Nitzan

Fennig

Attitudes towards nicotine, alcohol and drug dependence among physicians in Israel. J Subst Abuse Treat. 2013;44(1):84-89. doi:10.1016/j.jsat.2012.04.001

22.

van Boekel

Brouwers

van Weeghel

Garretsen

HF.

Stigma among health professionals towards patients with substance use disorders and its consequences for healthcare delivery: systematic review. Drug Alcohol Depend. 2013;131(1):23-35. doi:10.1016/j.drugalcdep.2013.02.018

23.

Mundon

Anderson

Najavits

LM.

Attitudes toward substance abuse clients: an empirical study of clinical psychology trainees. J Psychoactive Drugs. 2015;47(4):293-300. doi:10.1080/02791072.2015.1076090

24.

Albery

Heuston

Ward

, et al. Measuring therapeutic attitude among drug workers. Addict Behav. 2003;28(5):995-1005. doi:10.1016/S0306-4603(01)00288-X

25.

Wechsler

Rohman

Future caregivers’ views on alcoholism treatment: a poor prognosis. J Stud Alcohol. 1982;43(9):939-955. doi:10.15288/jsa.1982.43.939

26.

Wakeman

Baggett

Pham-Kanter

Campbell

EG.

Internal medicine residents’ training in substance use disorders: a survey of the quality of instruction and residents’ self-perceived preparedness to diagnose and treat addiction. Subst Abus. 2013;34(4):363-370. doi:10.1080/08897077.2013.797540

27.

Cartwright

AKJ

. The attitudes of helping agents towards the alcoholic client: the influence of experience, support, training, and self-esteem. Addict. 1980;75(4):413-431. doi:10.1111/j.1360-0443.1980.tb01406.x

28.

Skinner

Roche

Freeman

Addy

Responding to alcohol and other drug issues: the effect of role adequacy and role legitimacy on motivation and satisfaction. Drugs Abingdon Engl. 2005;12(6):449-463. doi:10.1080/09687630500284281

29.

Nash

Marcus

Cron

Scamp

Truitt

McKenna

Preparing nursing students to work with patients with alcohol or drug-related problems. J Addict Nurs. 2017;28(3):124-130. doi:10.1097/JAN.0000000000000175

30.

Mitchell

Kane

Lindsay

, et al. Educating emergency department registered nurses (EDRNs) in screening, brief intervention, and referral to treatment (SBIRT): changes in attitudes and knowledge over time. Int Emerg Nurs. 2017;33:32-36. doi:10.1016/j.ienj.2016.12.003

31.

Puskar

Kane

Lee

, et al. Inter-professional screening, brief intervention, and referral to treatment (SBIRT) education for registered nurses and behavioral health professionals. Issues Ment Health Nurs. 2016;37(9):682-687. doi:10.1080/01612840.2016.1198946

32.

Puskar

Lee

Mitchell

, et al. Inter-professional collaborative education for substance use screening: rural areas and challenges. Online J Rural Nurs Health Care. 2016;16(1):76-96. doi:10.14574/ojrnhc.v16i1.385

33.

Mahmoud

Finnell

Lindsay

, et al. Can screening, brief intervention and referral to treatment education and clinical exposure affect nursing students’ stigma perception toward alcohol and opioid use? J Am Psychiatr Nurses Assoc. 2019;25(6):467-475. doi:10.1177/107839031881157

34.

Ratner

The correlation coefficient: its values range between+ 1/− 1, or do they?. J Target Meas Anal Mark. 2009;17(2):139-142. doi:10.1057/jt.2009