FACTORS INFLUENCING HEALTHCARE PROFESSIONALS’ MOTIVATION TO WORK WITH PATIENTS WITH AT-RISK ALCOHOL AND OTHER DRUG (AOD) USE: A CURRENT REVIEW OF LITERATURE

Kira J. Griffith Khadejah F. Mahmoud, PhD(c), MSN Ann M. Mitchell, PhD, RN, FAAN University of Pittsburgh School of Nursing 3500 Victoria Street, Pittsburgh, PA, 15213

Objective: Alcohol and other drug (AOD) use is a major determinant of modern healthcare complications and patients who engage in these activities suffer due to inadequate provision of care in the health setting. As many as 70% to 90% of patients may be at risk for an AOD use problem, but have not yet met DSM-V criteria. Implementing screening and prevention measures can reduce the risk, health disparities, and economic costs for this patient population. Purpose: The purpose of this literature review is to examine the factors that influence healthcare professionals’ (HCPs) motivation to provide care to patients who have at-risk AOD use. Methods: All potentially applicable studies identified from both PubMed (n=822) and Ovid PsychInfo (n=41) databases were reviewed by two independent evaluators. Each relevant article was examined for potential factors influencing motivation. Sixteen of the 863 potentially relevant articles were selected for inclusion. Data was extracted and organized using a PRISMA diagram and tables of evidence. Results: The following demographic factors had the most positive influence on motivation: years of experience with this population (n=4), experience on a psychiatric unit (n=3), and level of personal experience (n=3). The following personal factors had the most negative influence: stigmatizing attitudes (n=10), perceived social distance (n=4), and attributing blame for the disease on the patient (n=4). Finally, professional role support in the workplace (n=5) had a positive impact and lack of adequate education (n=4) had a negative impact on HCPs motivation. Conclusion: It is necessary to address the effects of these demographic, personal, and professional factors in order to provide care to this vulnerable population. HCPs need to be educated and given support in their efforts to implement screening, brief intervention, and treatment in order to transfer AOD-acquired knowledge and skills into clinical practice.


Additional Abstract Information

Presenter: Kira Griffith

Institution: University of Pittsburgh

Type: Poster

Subject: Nursing

Status: Approved


Time and Location

Session: Poster 7
Date/Time: Fri 1:30pm-2:30pm
Location: Wellness Center - Tripod 42 Side B