Motivation to Provide Care to Patients with At-risk Alcohol and Opioid Use: A Focus on Nursing ProfessionalsMahmoud, Khadejah F. (2020) Motivation to Provide Care to Patients with At-risk Alcohol and Opioid Use: A Focus on Nursing Professionals. Doctoral Dissertation, University of Pittsburgh. (Unpublished)
AbstractBackground: Alcohol and opioid (AO) use problems present a global public health issue that contributes to deaths as well as economic and social burden. Objectives: This study aimed to examine the relationship between nurses’ demographic/background characteristics, personal attitudes, professional attitudes and their motivation to provide care to patients who use AOs. In addition, the study aimed to identify demographic/background and personal and professional attitudinal predictors of nurses’ motivation to provide care for patients who use AOs (AO-motivation). Methods: A descriptive, correlational design was used. Nurses were recruited from four hospital settings and four national nursing organizations. Nurses’ demographic/background characteristics, personal attitudes, professional attitudes, and motivation to provide AO-related were measured using an investigator-developed questionnaire as well as established personal and professional attitudinal sub-scales that targeted their perceptions related to alcohol and opioid use problems. Results: Demographic/background characteristics associated with AO-motivation were primary workplace and specialization. All personal attitudes were associated with nurses’ motivation to provide care for patients who use AOs with the exception of the psychosocial model. In addition, all professional attitudes were associated with nurses' AO-motivation. Moreover, the AO-motivation model demonstrated that working in community-based setting, perceived dangerousness, perceptions related to the disease model, work experience with substance use and work satisfaction were significant predictors of nurses’ motivation to provide AO-related care. Conclusions: The study demonstrated that there were demographic/background, personal and professional predictors of nurses’ motivation to provide AO-related care. The findings of this study can facilitate the development of interventions designed to target nurses’ motivation in order to promote the transfer of AO-acquired knowledge and skills into clinical practice, and to foster the implementation of AO-preventive measures. Share
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