Background: Substance use disorder (SUD) is one of the most discriminated disorders by healthcare professionals (Neale et al., 2008). The negative attitudes affect healthcare professionals' ability to provide compassionate care to these individuals (Smyth et al., 2021). Additionally, studies have found that healthcare professionals are not being adequately trained to treat or identify addiction behavior (Wakeman et al., 2015). Many feel uncomfortable interacting when a SUD is detected in a patient (Neale et al., 2008). According to the literature, having knowledge and employing reflective journaling increases positive attitudes in caring for this population (Hwang et al., 2018; Sage & Sele, 2015; Stuart et al., 2020).
Purpose: The primary aim of this quality improvement project was to provide SUD-targeted education and implementation of evidence-based reflective journaling activity ove time to decrease SUD stigma. A secondary aim was to determine if confidence in ability to define SUD and ability to deliver compassionate care improved after education and journaling.
Methods: During their mental health clinical rotation, nursing students were provided with SUD education and participated in reflective journaling for four weeks. The Medical Condition Regard Scale (MCRS) and confidence survey were used to evaluate changes in stigma level and confidence in students after implementation.
Finding: The MCRS improved in stigma from a mean of 49.3 to 55.1. Confidence survey scores in the ability to define SUD and deliver compassionate care to SUD improved from a mean of 3.5 to 4.5.
Discussion: Providing SUD and reflective journaling to nursing students supports literature findings in decreasing stigma levels toward individuals diagnosed with SUD. Additionally, these interventions provide nursing students more confidence in their ability to define an SUD and in their ability to deliver compassionate care to the population.
Education Stigma Nursing Students journaling substance use disorder
Details
Title: Subtitle
Decreasing Stigma Towards Substance Use Disorder
Creators
Chelsea Ratchford - University of Iowa
Contributors
Barbara St. Marie (Chair) - University of Iowa
Resource Type
Dissertation
Project Type
Poster
Degree Awarded
Doctor of Nursing Practice (DNP), University of Iowa