130 likes | 259 Views
Balearic Nursing Research Group in Drug-Dependence (GIBED, in Spanish). THE IMPACT OF HEALTH PROFESSIONALS’ ATTITUDES AND KNOWLEDGE ON THE QUALITY OF CARE FOR DRUG-DEPENDENTS. Some Dates. Very important public health problem. The World Health Report, 2000. Backgrounds.
E N D
Balearic Nursing Research Group in Drug-Dependence (GIBED, in Spanish) THE IMPACT OF HEALTH PROFESSIONALS’ ATTITUDES AND KNOWLEDGE ON THE QUALITY OF CARE FOR DRUG-DEPENDENTS
Some Dates Very important public health problem The World Health Report, 2000
Backgrounds • The training curricula of health professional about drug-dependence is very low. • (Pinikahana, 2002; Pillon, 2003; Rassool, 2006; Fornili, 2007; Kelleher, 2009) • The training programs can improve confidence in working with drug addicts and professional attitude towards them • (Gerace, 1995; Karam-Hage, 2001) • Research in the field of attitudes is relatively low, however, influence the quality of care. The attitudes and knowledge can play a crucial role in treatment failure • (Carroll, 1993 y Kelleher, 2007 y 2009)
Goal • Analyze the factors involved in the professionals’ attitudes from the Substance-Related Disorders • Literature review phases: • 1stPhase: Structuredliteraturesearch inPubMed, Cochrane Library Plus, CINAHL, Cuiden, Cuiden Plus, EBSCOhost, IBECS y PSICODOC, Spanish Medical MeSH. • 2nd Phase: Targeted literature search and contacted several authors via email and fax. • 3rd Phase: Methodological and thematic analysis of selected scientific articles. • 4th Phase: Compilation of instruments for measuring knowledge and attitudes Translation concepts to documentary language or descriptors (DECS). Combining the descriptors by Boolean operators. Selecting Metasearch Engine: EBSCOhost including CIHNAL, FRANCIS, Psycinfo and Academy Search Premier. Specific data bases: Pubmed; Ibecs and IME. EBP data bases: Cochrane Library Plus.
Results (Selection of articles) Likert Scale Likert Scale
Results (Measuringinstruments) • Topics: • Drug-dependences: 21 • Alcohol: 12 • Others: 5 • Questionnaries:SAAS, SAES, NEADA, AAPQ, Survey of NationalDrug Plan, AddictionPsychiatrySurvey, CAGE, AUDIT, AUDIT-C, FAST, PAT, Marcus AlcoholismQuestionnaire, Seaman e Mannello… • Qualitative:semistructured interviews (8), focusgroups (4) and structured interviews (1)
Discussion Individual beliefs, age, gender, ethnicity and religion influence professional attitudes towards drug addicts (Howard & Chung, 2000; Nordqvist, Johansson, Lindqvist & Bendtsen, 2006) Professional attitudes depend on the different roles, socialization and type and nature of contact with these patients (Carroll, 1993) Health professionals’ lack of training in substance abuse ((Nordqvist, Johansson, Lindqvist & Bendtsen, 2006; Deehan, McCambridge, Ball & Strang, 2002) The institution where professionals work affects care of drug-dependents (Bard, 2006)
Challenges The need for professionals to separate themselves from their preconceived notions when attending drug dependents’ needs (Storani & Tavares, 2008) The need to change the training currently being provided and the need for the strong presence of this kind of training in undergraduate and postgraduate curricula (Nkowane & Saxena, 2004) The need to act on early detection and preventive intervention in this area (Pillon, Ramos, Villar & Rassool, 2004; León, 2005) Nurses’ historically greater role in caring for drug addicts, compared with other groups of health professionals, and the fact that they are the key workers in drug-dependence (Howard & Chung, 2000)