Transcript Diapositiva 1

THE IMPACT OF HEALTH
PROFESSIONALS’ ATTITUDES AND
KNOWLEDGE ON THE QUALITY OF
CARE FOR DRUG-DEPENDENTS
Balearic Nursing Research Group in
Drug-Dependence
(GIBED, in Spanish)
Authors: Molina Mula J; Hernández Sánchez D; Carnicero
Viñals Eva; Castaño Fernández, AI; Clar Aragón F, Gelabert
Binimelis A, González Trujillo A, López Alabarce JA, Montalbán
Romero M, Sanz Álvarez E, Simonet Bennassar M, Vilardell
Balash M
Some Dates
Very important public health problem
The World Health Report, 2000
Backgrounds
•
The training curricula of health professional about drugdependence 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:
- 1st Phase: Structured literature search in PubMed,
Cochrane Library Plus, CINAHL, Cuiden, Cuiden
Plus, EBSCOhost, IBECS y PSICODOC, Spanish
Medical MeSH.
1. Translation
concepts
to documentary
language
or descriptors
- 2nd Phase:
Targeted
literature
search
and
(DECS).
contacted several authors via email and fax.
2. Combining
thePhase:
descriptors by Boolean
operators.
- 3rd
Methodological
and
thematic Metasearch
analysis of selected
articles. including
3. Selecting
Engine:scientific
EBSCOhost
CIHNAL,
FRANCIS, Compilation
Psycinfo and Academy
Search Premier.
- 4th Phase:
of instruments
for
measuring
knowledge
andIbecs
attitudes
4. Specific
data bases:
Pubmed;
and IME.
5. EBP data bases: Cochrane Library Plus.
Material and Methods
DESCRIPTOR
SPANISH
ENGLISH
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 articles)
Likert Scale
Likert Scale
Results (Characteristics
of studies)
TYPES OF STUDIES
METHOLOGY 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 (Measuring instruments)
Topics:
-Drug-dependences: 21
-Alcohol: 12
-Others: 5
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)
Discussion
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)
Challenges
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)
Proposal
• Descriptive study
Observational • Validation of
questionnaries
Phase
• Analytical study
Qualitative
Phase
• Interviews with health
professionals
• Focus groups
with drug addicts
Thak you
for your
attention