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      Formal education and nurses' attitudes towards alcohol and alcoholism in a Brazilian sample Translated title: A educação formal e as atitudes dos enfermeiros em relação ao álcool e o alcoolismo em uma amostra brasileira

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          ABSTRACT

          CONTEXT AND OBJECTIVE:

          Nurses are one of the largest groups of healthcare professionals sharing in patient care responsibilities, including caring for those who use and abuse psychoactive substances. The objective was to evaluate the theoretical-practical knowledge acquired by nurses in undergraduate and postgraduate studies and their perceptions about alcohol users.

          DESIGN AND SETTING:

          Quantitative, descriptive survey at Universidade Federal de São Paulo — Escola Paulista de Medicina and Hospital São Paulo.

          METHODS:

          The sample included nurses, students and nursing teachers. The survey included questions about sociodemographic characteristics; a nurses' attitudes and beliefs scale; and a questionnaire to identify formal nursing education on the use of alcohol and its consequences.

          RESULTS:

          59.7% out of 319 volunteers were nurses, 22.7% were nursing teachers and 17.6% were nursing students. 70% of the participants had received little or no information on physical, family and social problems related to alcohol use; 87% had received little or no information on high risk related to specific segments of the population; 95% had received little or no information on nursing procedures for alcohol-abuse patients.

          CONCLUSION:

          Formal education regarding the use of alcohol and its consequences is limited, especially with regard to offering adequate care and management for patients who have problems with or are addicted to alcohol.

          RESUMO

          CONTEXTO E OBJETIVO:

          Os enfermeiros constituem um dos maiores grupos de profissionais de saúde que compartilham a responsabilidade pela assistência de enfermagem prestada aos pacientes de modo geral, incluindo-se os usuários de substâncias psicoativas. O objetivo foi avaliar os conteúdos teóricos e práticos adquiridos na graduação e pós-graduação pelos enfermeiros e suas percepções sobre os alcoolistas.

          TIPO DE ESTUDO E LOCAL:

          Trata-se de um estudo quantitativo, descritivo, realizado na Universidade Federal de São Paulo — Escola Paulista de Medicina (Unifesp-EPM) e Hospital São Paulo.

          METODOS:

          A amostra foi composta por enfermeiros, estudantes e docentes de enfermagem. O instrumento para a coleta de dados foi composto por informações sócio-demográficas; Escala de Atitudes e Crenças dos Enfermeiros e um questionário para identificar os conteúdos sobre o uso do álcool e conseqüências durante a formação educacional.

          RESULTADOS:

          86% (n = 319) sujeitos participaram do estudo (59,7% enfermeiros assistenciais, 22,7% docentes de enfermagem e 17,6% estudantes de enfermagem). 70% dos participantes receberam poucas ou nenhuma informação a respeito dos problemas orgânicos, familiares e sociais relacionados ao álcool; 87% receberam pouca ou nenhuma informação sobre as populações de risco ou específicas e 95% receberam pouca ou nenhuma informação referente às intervenções de enfermagem aos pacientes alcoolistas.

          CONCLUSÃO:

          A educação formal sobre o uso do álcool e suas conseqüências apresenta limitações, principalmente no âmbito da assistência, em oferecer cuidados adequados e nos manejos dos pacientes com problemas ou dependentes de álcool.

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          INTERPERSONAL ASPECTS OF NURSING

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            The attitudes of forensic nurses to substance using service users.

            There is now a body of research that has shown that the attitudes of nurses towards substance misuse in the mentally ill are generally suboptimal and this has an impact on the quality of nursing care provided. Despite this, to date there have been no published studies that have examined the attitudes of forensic nurses towards substance misusing forensic service users. Sixty-three multiethnic registered forensic psychiatric nurses based on an inpatient unit in outer London were surveyed using the Substance Abuse Attitude Survey (SAAS). This has five subscores: Treatment Intervention, Treatment Optimism, Permissiveness, Non-Moralism and Non-Stereotypes. Only Permissiveness scores were at an optimum level and equivalent to other community mental health workers. The Treatment Intervention and Treatment Optimism subscores were well below those of a multidisciplinary group of community mental health workers. Three other findings were of note. Firstly, women had higher Non-Moralism scores than men. Secondly, staff nurses had higher Non-Stereotypes scores than other grades. Finally, Black nurses had higher Treatment Optimism scores than non-Black colleagues. In conclusion, the attitudes of forensic nurses towards substance misuse in forensic clients are more suboptimal than other groups of community mental health workers. Our findings also indicate that gender, staff grading and ethnicity are associated with suboptimal scores.
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              Alcoolismo e ensino de Enfermagem: convergências e divergências entre o discurso e a prática

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                Author and article information

                Journal
                Sao Paulo Med J
                Sao Paulo Med J
                Sao Paulo Med J
                São Paulo Medical Journal
                Associação Paulista de Medicina - APM
                1516-3180
                1806-9460
                07 July 2005
                2005
                : 123
                : 4
                : 175-180
                Author notes
                [Endereço para correspondência: ] Sandra Cristina Pillon Escola de Enfermagem de Ribeirão Preto — Universidade de São Paulo Av. Bandeirantes, 3900 — Campus Universitário Ribeirão Preto (SP) — Brasil — CEP 14040-902 Tel. (+55 16) 602-3425 E-mail: pillon@ 123456eerp.usp.br

                Conflict of interest: Not declared

                Article
                10.1590/S1516-31802005000400004
                11060409
                16389415
                4f9baab0-cdaf-4d21-8f36-b04f47784ba8

                This is an open access article distributed under the terms of the Creative Commons license.

                History
                : 12 May 2004
                : 22 June 2005
                : 22 June 2005
                Page count
                Figures: 0, Tables: 2, Equations: 0, References: 19, Pages: 6
                Categories
                Original Article

                attitude,nurses,nursing,alcoholism,education,atitudes,enfermeiros,enfermagem,álcool,educação

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