The critical factors influencing the attitudes and behaviors of nurses caring for patients with substance use disorders
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Suzan Blacher, PhD, RN, CARN, FIAAN, Associate Professor - Drexel University
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Background: Nursing is known to be an ethical and caring practice discipline, yet there is some evidence that nurses may have negative attitudes and behaviors towards persons with substance use disorders. Few nurses realize these undesirable attitudes and behaviors negatively impact the very patients they are caring for (Can & Tanriverdi, 2015). These attitudes and behaviors are also considered unprofessional and may place nurses in violation of the Nursing Code of Ethics (American Nurses Association, 2015).
Purpose: The purpose of this qualitative constructivist grounded theory study is to develop a middle-range theory explicating the process of nurses caring for Substance Use Disorder patients. A substantive theory constructed from nurses’ attitudes and behaviors may provide the framework needed to minimize the effects of stigmatization in the nursing care provided to this vulnerable and marginalized population. Philosophical Underpinnings: This qualitative constructivist grounded theory study will be guided by the philosophical underpinnings of symbolic interactionism and pragmatism.
Methods: The research design selected for this study is the constructivist grounded theory approach as described by Charmaz (2014). Data were collected through semistructured individual interviews and focus group interviews. The individual interviews were evaluated using coding procedures and placed into categories, which were then evaluated for associations and themes. Theoretical sampling was then used to further develop the concepts and themes until saturation occurred. A focus group of four nurse experts in substance use disorders and addiction was used to confirm the generatedtheory of the registered nurses’ role in caring for persons with substance use disorders. The focus groups participants were then asked to substantiate the generated theory.
Results: The basic social process that was co-constructed from the voices of nurses caring for patients with substance use disorders was Achieving Understanding: Pathway to Care. The four categories that emerged from the data that supports the theory are avoiding, stigmatizing, and struggling with role and lacking education. These categories represent the critical factors which lead the way to best practices in caring for patients with substance use disorders
Conclusions: The theoretical framework co-constructed from this study can be used to guide nursing education, research, and practice. Understanding the influencing factors of nurses who care for patients with substance use disorders is essential to providing the best patient care, as well as enhancing academic nursing curricula and healthcare institutional practices. This study augments the body of nursing knowledge.
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 22624735; ProQuest document ID: 2322186264. The author still retains copyright.
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
Type | Dissertation |
Acquisition | Proxy-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Grounded Theory |
Research Approach | Qualitative Research |
Keywords | Substance Use Disorders; Perceptions; Stigmatization; Addiction; Behaviors and Attitudes |
Grantor | Barry University |
Advisor | Colin, Jessie M.; Colvin, Mary; Chin, Claudette R. |
Level | PhD |
Year | 2019 |
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