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1st International Alcohol, Tobacco and Other Drugs Nursing & Midwifery Conference Flinders University Adelaide, Australia April 16, 2003 ISSUES IN NURSING EDUCATION. Dana Murphy-Parker, RN, MS, CNS Professor of Nursing Arizona Western College Yuma, Arizona. Getting from There to Here.
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1st International Alcohol, Tobacco and Other Drugs Nursing & Midwifery ConferenceFlinders UniversityAdelaide, AustraliaApril 16, 2003ISSUES IN NURSING EDUCATION
Dana Murphy-Parker, RN, MS, CNS
Professor of Nursing
Arizona Western College
Tolerance” & “Mandatory Minimum
Sentencing” impacted on treatment programs in the United States?
treatment of persons with substance misuse?
University of Colorado Health Sciences Center
Alpha Kappa Chapter-at Large, Sigma Theta
1920 - American Association for the Study & Cure of Inebriety becomes non-existent.
1920 – The Volstead Act: Prohibition of alcohol in the USA
The most important consequence of the Harrison Anti-Narcotic Act was attaching criminal consequences to drug addiction. The emphasis was placed on interdiction and prohibition, rather than on assistance and treatment (Sullivan, 1995).
The interpretation and enforcement of this law cast a long and chilling shadow over the development of progressive treatment programs for substance misuse in the USA.
The Harrison Anti-Narcotic Act was initiated with an appropriation of $150,000 for enforcement of its provisions. Over eighty years later, we are spending that much every three minutes with the "War on Drugs"!
FEDERAL INITIATIVES: FACULTY DEVELOPMENT (1991) :NIAAA, NIDA & OFFICE FOR SUBSTANCE ABUSE PREVENTION (NOW CENTER FOR SUBSTANCE ABUSE PREVENTION)
• PROJECT SAEN:
A lack of knowledge about alcohol & drug abuse issues is a primary reason for nurses’ negative attitudes towards working with persons with addictions (Happell & Taylor, 1999)
“Education on substance misuse and addictions in nursing is missing or insufficient in nursing school curricula and a resolution for improvement must go the ICN, WHO & UN”.
“Examining the Relationship of Addictions Education in Nursing School Curricula to Attitudes/Beliefs of Nursing Students Towards Alcoholics”
1. Beliefs of nursing students toward people with alcohol problems will be more favorable after a program of classroom instruction about alcohol problems.
Pretest>>Treatment & Recovered Guest Speaker>>>>Posttest >>>3 month F/U test
Knowledge of Alcoholism was measured by a questionnaire devised by authors using the CARN (Certified Addictions Registered Nurse) Review Resource Manual. (permission granted by Lynette Jack, PhD, RN, CARN
1. The nurses bases her assessment of the alcoholic client on the knowledge that pharmacologically, alcohol is a
2. Nursing assessment of the alcoholic during detoxification would include data related to:
A high score indicates that emotional difficulties contribute to alcoholism (True).
Group 1 & Group 2 both had increased means from pre-test to post-test indicating that students increased their understanding/belief that a person who has a history of emotional/psychological problems contributes to a greater risk for alcoholism
Loss of control
A high score indicates the belief that the alcoholic is unable to control his drinking behavior (True)
Group 1 & Group 2 showed a significant difference from pre-test to post-test. This meant that students were more likely to believe and understand that a person who has problems with alcohol are unable to control the amount they drink.
Group 2 subscales improved over Group 1 indicating Group 2 had greater recognition of loss of control
Group 1 & Group 2 showed improved scores from pre-test to post-test which supported that the nursing students did increase their beliefs that a person could recover from alcoholism.
The Alcoholic as a Steady Drinker. A high score indicates that a person who periodically drinks (“binge drinking”) excessive amounts of alcohol can have problems with alcohol (True)
Alcoholism and Character Defect: A high score indicates the belief that the alcoholic is a weak-willed person (False)
Findings: Group 2 had a significantly lower mean than Group 1.
***** In addition, both Group 1 and Group 2 had significantly lower means from the pre-test to the post-test
Social status of a person with alcoholism:
A high score indicates the belief that alcoholics come from the lower socioeconomic strata of society (False)
The pre-test to post-test means increased slightly for both groups, indicating a poor understanding regarding social status of person with alcohol problems
A high score indicates the belief that alcoholism is not an illness (False)
Group 1’s mean increased from pre-test to post-test indicating that Group 1 was more likely to think that alcoholism is not a disease
Group 2’s mean slightly decreased from pre-test to post-test indicating that Group 2 students were more likely to believe that alcoholism is a healthcare disorder.
Group 1 & Group 2 had lower means from pre-test to post-test indicating that both groups of students believed that heavy drinking was harmful and that a person who drinks heavily has a problem with alcohol rather than simply liking to drink
A high score indicates the belief that alcohol is a highly addicting substance (True)
Group 1’s mean scores showed that these students were less likely to believe that alcohol was a highly addicting substance
Group 2 did have a higher mean from Group 1 however there was no change in their mean from pre-test to post-test.
1. Have you had any personal experience with anyone having an alcohol problem that you feel effects your attitude towards alcoholics?” (include yourself(asked on pre-test only) Yes ____ No ____.
If your answer is YES, please briefly explain
2. "Do you believe that a person who has an addiction to alcohol can recover?"
Yes _______ No ______. Please briefly explain your answer.**(asked on pre & Post test)
3. "If the School of Nursing were to offer a course in The Role of theNurse in Addiction Issues, would you be interested in taking this course?" _______Yes ______NO **(asked on post test)
“To Treat the hemorrhage or the pancreatitis and not the alcoholisms is poor health care, akin to treating anemia without treating the colon cancer that causes it (Sullivan, 1995)”