Ford, Australia 1605 Registered (1) To explore the Quantitative Design Nurses struggled to care for illicit drug Self-Report desirability 95% – Bammer, Nurses determinants of general Cross Sectional Survey Nurses reported low levels of education bias? and Becker. nurses therapeutic attitudes Self questionnaire adequacy (25%), motivation to care (30%) and Sectional Study only –Report – (2008) to patients who use illicit Postal Questionnaire Survey satisfaction (15%) in role provides a snapshot at a drugs Questionnaire consisted of the A negative attitude towards illicit drugs was specific time, hence may not following measures: found to be significantly associated with be representative Therapeutic Attitude measured therapeutic attitudes Postal Questionnaire using a modified 27-item version of 44% of participants said they did not have role bias and low the Alcohol and Alcohol Problems support response Perception Questionnaire (AAPPQ; Increased role support was suggested to increase Attitudes are measured Cartwright, 1980) therapeutic attitude. towards related “drug Characteristics problems” type of drug is – Attitudes to illicit drugs measured not specified, cannot be sure – using the Disapproval of Drug Use which drug participants are Scale (DDU; Caplehorn et al. calling to mind when they 1996). respond Practice Factors: Basic Role Requirements Professional Practice Factors: Workplace Factors Ford (2011) Australia 311 Registered (1) To explore the This study is the second part of the Findings identified violence, manipulation and Secondary data analysis so 80% – Nurses from the challenges nurses face larger study described above irresponsibility as an impediment to care findings may not be directly above sample of when caring for patients Qualitative Data Nurses reported: interpretable 1605 registered who use illicit drugs of this paper is on interpreting Feelings of frustration with working with patients Low response rate – nurses the responses to one of the illicit drugs 311/1605 answered this questions the initial survey Feeling concerned about their safety -believing question again not very – Question asked participants to illicit drug users can be unpredictable and are generalisable describe any factors that negatively often aggressive Self-selection bias in of impacted their ability to care for Patients can be intimidating and demanding nurses choosing to answer patients using illicit substances Patients are seen as manipulative, particularly this question with regards to medication
Ford, Bammer, and Becker. (2008) Australia 1605 Registered Nurses (1) To explore the determinants of general nurses therapeutic attitudes to patients who use illicit drugs Quantitative Design Cross Sectional Survey Self –Report questionnaire Postal Questionnaire Survey Questionnaire consisted of the following measures: Therapeutic Attitude measured using a modified 27-item version of the Alcohol and Alcohol Problems Perception Questionnaire (AAPPQ; Cartwright, 1980) Characteristics Attitudes to illicit drugs – measured using the Disapproval of Drug Use Scale (DDU; Caplehorn et al. 1996). Practice Factors: Basic Role Requirements Professional Practice Factors: Workplace Factors Nurses struggled to care for illicit drug Nurses reported low levels of education adequacy (25%), motivation to care (30%) and satisfaction (15%) in role A negative attitude towards illicit drugs was found to be significantly associated with therapeutic attitudes 44% of participants said they did not have role support Increased role support was suggested to increase therapeutic attitude. Self-Report – desirability bias? Sectional Study – only provides a snapshot at a specific time, hence may not be representative Postal Questionnaire bias and low response Attitudes are measured towards “drug related problems” – type of drug is not specified, cannot be sure which drug participants are calling to mind when they respond 95% Ford (2011) Australia 311 Registered Nurses from the above sample of 1605 registered nurses (1) To explore the challenges nurses face when caring for patients who use illicit drugs This study is the second part of the larger study described above Qualitative Data of this paper is on interpreting the responses to one of the questions the initial survey Question asked participants to describe any factors that negatively impacted their ability to care for patients using illicit substances Findings identified violence, manipulation and irresponsibility as an impediment to care Nurses reported: Feelings of frustration with working with patients illicit drugs Feeling concerned about their safety -believing illicit drug users can be unpredictable and are often aggressive Patients can be intimidating and demanding Patients are seen as manipulative, particularly with regards to medication Secondary data analysis – so findings may not be directly interpretable Low response rate – 311/1605 answered this question – again not very generalisable Self-selection bias in of nurses choosing to answer this question 80%
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