Barriers to providing quality care for patients with substance use disorders from the perspective of baccalaureate nursing students: A descriptive qualitative study.

Attitudes Content analysis Nursing Nursing students Qualitative studies Stereotypes Substance use disorders

Journal

Nurse education today
ISSN: 1532-2793
Titre abrégé: Nurse Educ Today
Pays: Scotland
ID NLM: 8511379

Informations de publication

Date de publication:
Dec 2023
Historique:
received: 17 12 2022
revised: 21 08 2023
accepted: 04 09 2023
medline: 10 11 2023
pubmed: 10 9 2023
entrez: 9 9 2023
Statut: ppublish

Résumé

With Iran facing an epidemic in substance use disorders, nursing students are increasingly encountering people impacted by substance misuse. Providing care for this group brings with it many barriers and challenges. These serious barriers have not been a priority in Iranian nurse education. To describe barriers to providing quality care for people with substance use disorders from the perspective of nursing students. A descriptive qualitative study, using content analysis was used to address the study aim. Purposive sampling was used to recruit participants. Participants were 34 baccalaureate nursing students from different academic semesters studying at two medical sciences universities in Iran. Data were collected using semi-structured interviews from July 2022 to October 2022. Granheim & Lundman's method for qualitative content analysis was used to analyze data. The barriers to providing quality care for people with substance use disorders were described through the major theme: "lack of communication skills and difficulty finding language for therapeutic communication with people with substance use disorders". Based on nursing student perspectives, a lack of communication and language for therapeutic communication was described through the three barriers of: 1. "possessing or witnessing prejudiced attitudes and stereotypes", 2 "negative role models", and 3. "Knowledge deficit in self or others". The result of this study showed that nursing students interact with people with substance use disorders through prejudiced attitudes, negative stereotypes, and knowledge deficits. Academic education should include practical techniques to reduce negative stereotypes and moral distress among nursing students as well as strategies to manage tough ethical situations and decrease prejudiced attitudes. Nurses and clinical educators must be attentive to their power to influence nursing students and should model appropriate unbiased behavior and language.

Sections du résumé

BACKGROUND BACKGROUND
With Iran facing an epidemic in substance use disorders, nursing students are increasingly encountering people impacted by substance misuse. Providing care for this group brings with it many barriers and challenges. These serious barriers have not been a priority in Iranian nurse education.
OBJECTIVES OBJECTIVE
To describe barriers to providing quality care for people with substance use disorders from the perspective of nursing students.
DESIGN METHODS
A descriptive qualitative study, using content analysis was used to address the study aim.
SETTING AND PARTICIPANTS METHODS
Purposive sampling was used to recruit participants. Participants were 34 baccalaureate nursing students from different academic semesters studying at two medical sciences universities in Iran.
METHODS METHODS
Data were collected using semi-structured interviews from July 2022 to October 2022. Granheim & Lundman's method for qualitative content analysis was used to analyze data.
RESULTS RESULTS
The barriers to providing quality care for people with substance use disorders were described through the major theme: "lack of communication skills and difficulty finding language for therapeutic communication with people with substance use disorders". Based on nursing student perspectives, a lack of communication and language for therapeutic communication was described through the three barriers of: 1. "possessing or witnessing prejudiced attitudes and stereotypes", 2 "negative role models", and 3. "Knowledge deficit in self or others".
CONCLUSION CONCLUSIONS
The result of this study showed that nursing students interact with people with substance use disorders through prejudiced attitudes, negative stereotypes, and knowledge deficits. Academic education should include practical techniques to reduce negative stereotypes and moral distress among nursing students as well as strategies to manage tough ethical situations and decrease prejudiced attitudes. Nurses and clinical educators must be attentive to their power to influence nursing students and should model appropriate unbiased behavior and language.

Identifiants

pubmed: 37688943
pii: S0260-6917(23)00255-1
doi: 10.1016/j.nedt.2023.105961
pii:
doi:

Types de publication

Journal Article

Langues

eng

Pagination

105961

Informations de copyright

Copyright © 2023 Elsevier Ltd. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of competing interest All the authors declare that they have no conflict of interest.

Auteurs

Tajmohammad Arazi (T)

Department of Nursing and Operating Room, Neyshabur University of Medical Sciences, Neyshabur, Iran.

Sepideh Mohammadi (S)

Department of Nursing, Nursing Care Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran. Electronic address: sepidmohamadi@yahoo.com.

Ali Movahedi (A)

Department of Anesthesia Nursing, Neyshabur University of Medical Sciences, Neyshabur, Iran.

Mohammad Reza Aryaee Far (MR)

Department of Operating Room, Neyshabur University of Medical Sciences, Neyshabur, Iran.

Vahid Moeini (V)

Department of Operating Room, Neyshabur University of Medical Sciences, Neyshabur, Iran.

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Classifications MeSH