A systematic review of knowledge and attitude of nurses towards substance use or users

Document Type : Review Article(s)

Authors

1 Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.

2 Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran

3 Department of Neuroscience, Neuroscience Research Center, Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran

4 Cardiovascular Diseases Research Center, Department of Cardiology, School of Medicine, Heshmat Hospital, Guilan University of Medical Sciences, Rasht, Iran.

5 Assistant Professor, Health Sciences Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran

6 Department of Emergency Medicine, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran

7 1. Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran. 2. Social Determinants of Health Research Center (SDHRC), Guilan University of Medical Sciences, Rasht, Iran.

Abstract

Background: Substance use disorders (SUDs) lead to adverse outcomes in society. Among these, the role of nurses is very important in the management of patients with SUDs due to their greater relationship with them than other health care providers. This systematic review aimed to assess the nurses' knowledge about substance use and their attitude towards substance users.

Methods: In this systematic review, an extensive search was performed on online databases including PubMed, Web of Science, and Scopus using the relevant keywords, from the earliest to July 9, 2021. Published English studies related to the purpose of the present study were included. AXIS tool was used to assess the quality of the included studies.

Findings: A total of 3,273 nurses were enrolled in the twelve studies. The nurses' knowledge about substance use and their attitude towards substance users were relatively moderate and positive, respectively. Factors associated with knowledge included age, sex, and work experience. Also, age, sex, ethnicity, level of education, organizational position, work experience, a history of participating in workshops about substance use or users, interest in the care, total hours of substance use courses in school, and total hours of continuing education related to substance use were possible factors related to nurses' attitude.

Conclusion: Therefore, holding workshops and improvement of guidelines related to patient care with SUDs can be effective in enhancement of the knowledge and attitude of nurses and ultimately the quality of nursing care.

Keywords