THE IMPACT OF HEALTH PROFESSIONALS’ ATTITUDES AND KNOWLEDGE ON THE QUALITY OF

CARE FOR DRUG-DEPENDENTS

Authors: Authors: Molina Mula J; Hernández Sánchez D; Molina Mula J; Hernández Sánchez D; Carnicero Viñals Eva; Castaño Fernández, AI; Clar Carnicero Viñals Eva; Castaño Fernández, AI; Clar

Aragón F, Gelabert Binimelis A, González Trujillo A, Aragón F, Gelabert Binimelis A, González Trujillo A, López Alabarce JA, Montalbán Romero M, Sanz López Alabarce JA, Montalbán Romero M, Sanz

Álvarez E, Simonet Bennassar M, Vilardell Balash Álvarez E, Simonet Bennassar M, Vilardell Balash MM

Balearic Nursing Research Group in Drug-Dependence

(GIBED, in Spanish)

Some Dates Some Dates Some Dates Some Dates

Very important public health problem

The World Health Report, 2000

BackgroundsBackgroundsBackgroundsBackgrounds

• 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)

GoalGoalGoalGoalAnalyze the factors involved in the professionals’ attitudes from the Substance-Related Disorders

Literature review phases: Literature review phases: - 1st Phase: Structured literature search in PubMed,

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

1. Translation concepts to documentary language or descriptors (DECS).

2. Combining the descriptors by Boolean operators.

3. Selecting Metasearch Engine: EBSCOhost including CIHNAL, FRANCIS, Psycinfo and Academy Search Premier.

4. Specific data bases: Pubmed; Ibecs and IME.

5. EBP data bases: Cochrane Library Plus.

Material and Methods Material and Methods Material and Methods Material and Methods DESCRIPTORDESCRIPTOR SPANISHSPANISH ENGLISHENGLISH

Main 1 Rol Profesional Professional Role

Main 2 Trastornos Relacionados con Sustancias

Substance-Related Disorders

Secondary 1 Percepción Social Social Perception

Secondary 2 Capacitación Profesional Professional Training

Bibliographic search strategy with Boolean

1 Main 1 + Main 2: Professional Role AND Substance-Related Disorders

2 Main 2 + Secondary 1 + Main 1: Substance-Related Disorders  AND Social Perception AND Professional Role 

3 Main 2 + Secondary 2: Substance-Related Disorders  AND Professional Training

Results (Selection of Results (Selection of articles)articles)

Results (Selection of Results (Selection of articles)articles)

Likert Scale Likert Scale

Results (Characteristics Results (Characteristics of studies)of studies)

Results (Characteristics Results (Characteristics of studies)of studies)

TYPES OF STUDIESMETHOLOGY OF THE

STUDIES

DESCRIPTIVE 36 QUANTITATIVE 31

REVIEWS 15 QUALITATIVE 6

INTERVENTION 4 MIXED 7

TECHNICAL REPORT 2 SYSTEMATICS REVIEWS

15

PREVALENCE 1

COHORT 1

Results (Topics)Results (Topics)

Results (Measuring Results (Measuring instruments)instruments)

Results (Measuring Results (Measuring instruments)instruments)

Topics:Topics:-Drug-dependences: 21-Alcohol: 12-Others: 5

Questionnaries:Questionnaries: SAAS, SAES, NEADA, AAPQ, Survey of National Drug Plan, Addiction Psychiatry Survey, CAGE, AUDIT, AUDIT-C, FAST, PAT, Marcus Alcoholism Questionnaire, Seaman e Mannello…

Qualitative: semistructured interviews (8), focus groups (4) and structured interviews (1)

DiscussionDiscussion

1. Individual beliefs, age, gender, ethnicity and religion influence professional attitudes towards drug addicts (Howard & Chung, 2000; Nordqvist, Johansson, Lindqvist & Bendtsen, 2006)

2. Professional attitudes depend on the different roles, socialization and type and nature of contact with these patients (Carroll, 1993)

3. Health professionals’ lack of training in substance abuse ((Nordqvist, Johansson, Lindqvist & Bendtsen, 2006; Deehan, McCambridge, Ball & Strang, 2002)

4. The institution where professionals work affects care of drug-dependents (Bard, 2006)

ChallengesChallenges

1. The need for professionals to separate themselves from their preconceived notions when attending drug dependents’ needs (Storani & Tavares, 2008)

2. 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)

3. The need to act on early detection and preventive intervention in this area (Pillon, Ramos, Villar & Rassool, 2004; León, 2005)

4. 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)

ProposalProposal

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