Bowman, Chloe G, BSN, RN

Lichtenwalner, Sarah, BSN, RN

Medinas, Natalie R, BSN, RN

Neikam, Alexandra M, BSN, RN

Parrish, Abbey L, BSN, RN

English

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health NetworkLVHN Scholarly WorksPatient Care Services / NursingRegistered Nurse's Attitudes of Caring for Patientswith Alcohol and Drug Abuse Diagnoses.Chloe G. Bowman BSN, RNLehigh Valley Health Network, Chloe_G.Bowman@lvhn.orgSarah Lichtenwalner BSN, RNLehigh Valley Health Network, Sara_M.Lichtenwalner@lvhn.orgNatalie R. Medinas BSN, RNLehigh Valley Health Network, Natalie_R.Medinas@lvhn.orgAlexandra M. Neikam BSN, RNLehigh Valley Health Network, Alexandra_M.Neikam@lvhn.orgAbbey L. Parrish BSN, RNLehigh Valley Health Network, Abbey_L.Parrish@lvhn.orgFollow this and additional works at: http://scholarlyworks.lvhn.org/patient-care-services-nursingPart of the Nursing CommonsThis Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by anauthorized administrator. For more information, please contact LibraryServices@lvhn.org.Published In/Presented AtBowman, C. G., Lichtenwalner, S. M., Medinas, N. R., Neikam, A. M., Parrish, A. L. (2017 July 28). Registered Nurse's Attitudes ofCaring for Patients with Alcohol and Drug Abuse Diagnoses. Poster presented at: LVHN Vizient/AACN Nurse Residency ProgramGraduation, Lehigh Valley Health Network, Allentown, PA.© 2014 Lehigh Valley Health Network Lehigh Valley Health Network, Allentown, Pennsylvania Registered Nurses’ Attitudes of Caring for Patients with Alcohol and Drug Abuse Diagnoses     Strongly Agree Disagree Agree Strongly Agree Discrimination Item – A 12% 80% 0.08% 0% Acceptance Item – B Item – C Item – D 0% 44% 20% 0.04% 48% 60% 68% 0.08% 16% 28% 0% 0.04% Attitude Item – E Item – F Item – G Item – H 0% 4% 4% 8% 16% 20% 12% 20%   80% 36% 68% 48% 0% 28% 12% 24% Training Item – I Item – J 4% 8% 56% 68% 36% 28% 4% 4% • We chose this project due to the observations that the group had made during their time in the ED. • There exists a need to further explore nurses perceptions regarding caring for this challenging population. • Critical to this issue of quality patient care is the rising incidence of comorbid drug and alcohol abuse among hospitalized patients. • Nurses are crucial in the identification and accessibility to treatment for people with substance use disorders. • Under treatment for patient’s due to stigma. • Quality of care for our patient’s would be improved with a lessened stigma . • PICO question: Would the implementation of an anti-stigma program for nurses in the Emergency Department - when compared to not having an anti-stigma program - decrease stigma towards patients presenting to the ER who have substance use disorders or histories.  • P: ED registered nurses • I: Implementation of anti stigma program  • C: No staff education  • O: Nurses who experience stigma towards substance abusers receive education on the topic and experience less stigma towards this patient population    • Our research shows that stigma’s among ED nurses do exist when related to caring for patient’s with substance use disorders. • Pre-survey results: It was found that 80% of our ED staff feels that it is worthwhile to care for these patients and if they had the choice, they would care for them.  • However, 60% felt that they did not have sufficient resources to properly care for the patients.  • Post-education survey results: By giving out post survey to the same number of ED nurses that received our pre survey,  it was found that our education and tips sheet did help the ED staff feel like they had increased access to the resources necessary to care for this patient population, improved from 60% to 68%. • The education provided had a positive impact on the ED nurses as they feel they have increased access to resources.  • Pre-survey, distributed to 25 ED RNs, which addressed ED nurses discrimination towards the substance abuse population, acceptance of the population, attitude towards the population, and training provided to staff to care for the population. Our goal of the pre-survey was to determine if a stigma exists among ED nurses towards substance use disorders. • TLC Education including evidence found in our research. • Post-survey, also distributed to 25 ED RNs to see how the education impacted the stigma among the ED nurses • Tips sheet emailed to department to help the ED nurses have a resource to reference. • Our objective was to assess health professionals’ attitudes towards patients with substance use disorders and examine the consequences of these attitudes on healthcare delivery for these patients, which was included in the survey.  • In a study by Ana Gotay (2014), it was found that health professionals have a set mental attitude about substance abusers which appears to be part of their value and belief system which also prevails in society. • An article in the Journal of Nursing Administration, research was done and the data analysis revealed that ethical duty to care, negative perceptions toward patients with substance abuse/dependence, need for further education, sympathy, and issues with pain management were themes found among nurses taking care of patient’s with substance abuse.  • A study titled, “Stigma, Discrimination, and the Health of Illicit Drug Users”, 85% of respondents reported that most people think someone who uses drugs is unreliable, and 84.5% report that most think drug users are dangerous.   Chloe Bowman, BSN, RN, Sarah Lichtenwalner, BSN, RN, Natalie Medinas, BSN, RN, Alexandra Neikam, BSN, RN, Abbey Parrish, BSN, RN  Conclusion Methods Background Outcomes/Results Evidence REFERENCES  Brener, L., Von Hippel, W., Kippax, S., & Preacher, K. (2010). The Role of  Physician and Nurse Attitudes in the Health Care of Injecting Drug  Users. Informa Healthcare, 45, 1007-1018. Retrieved from  http://www.quantpsy.org/pubs/brener_von_hippel_kippax_preach er_2010.pdf  Diana J. Burgess, PhD, Center for Chronic Disease Outcomes Research, VA  Medical Center (1110), One Veterans Drive, Minneapolis, MN  55417, USA. Tel: 1-612-467-4673; Fax: 1-612-725-2118  Gotay, A. (2014). Health Professionals' Attitude  Towards Substance Abusers:  A Part of the Health Professionals' Value and Belief System Which  Prevails in Society. Digital Commons@Pace, 1-31. Retrieved from  http://digitalcommons.pace.edu/cgi/viewcontent.cgi?article=1014& context=dyson_mpa  Kelleher, S., & Cotter, P. (2009). A descriptive study on emergency department  doctors' and nurses' knowledge and attitudes concerning substance  use and substance users. International Emergency Nursing, 17(1), 3- 14. doi:10.1016/j.ienj.2008.08.003  McCaffery, M., Grimm, M., Pasero, C., Ferrell, B., & Uman, G. (2005). On the  meaning of 'drug seeking'. Pain Management Nursing, 6(4), 122- 136.   

Registered Nurse\u27s Attitudes of Caring for Patients with Alcohol and Drug Abuse Diagnoses.

https://scholarlyworks.lvhn.org/cgi/viewcontent.cgi?article=1836&context=patient-care-services-nursing

Registered Nurse\u27s Attitudes of Caring for Patients with Alcohol and Drug Abuse Diagnoses.

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