No presente estudo o objetivo foi avaliar as atitudes de profissionais de enfermagem, de um serviço de emergência, no atendimento a pacientes com problemas relacionados ao uso de álcool e realizar treinamento com esses profissionais. O local do estudo foi o Pronto-Socorro Adulto do Hospital de Clínicas da Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brasil. O desenho metodológico do estudo foi do tipo descritivo com abordagem quantitativa. O instrumento utilizado para coleta de dados foi o SAAPPQ e um questionário com informações sócio-demográficas, aplicado em 82 profissionais de enfermagem, incluindo técnicos e enfermeiros, no entanto, somente 73 profissionais responderam ao questionário. A maioria dos profissionais eram técnicos de enfermagem, muitos deles tinham curso superior concluído, do sexo feminino e com idade média de 37 anos. Na avaliação dos profissionais, as atitudes negativas foram relacionadas à satisfação com o trabalho (4,9±1,6) e atitudes positivas quanto à execução de tarefas específicas e autoestima (6,6±1,5). Em relação à formação profissional, os de nível superior mostraram-se menos motivados a trabalhar com pacientes com problemas relacionados ao uso do álcool, entretanto, aqueles que tinham algum curso de especialização em álcool e/ou drogas apresentaram melhores níveis na adequação ao trabalho e na execução de tarefas específicas e autoestima. Ao mensurar as atitudes dos profissionais relacionadas ao Compromisso terapêutico (motivação, satisfação e autoestima) e à Segurança Profissional (adequação e legitimidade), houve melhores níveis na função Segurança Profissional. O treinamento foi realizado no próprio ambiente de trabalho, com 64,3% de participação da equipe. Conclui-se, portanto, que a formação educacional para atuar no atendimento a pessoas com problemas relacionados ao álcool pode acarretar mudanças positivas significativas no conhecimento e atitudes dos profissionais de enfermagem / This study aimed to evaluate the attitudes of nursing professionals of an emergency service in the care of patients with problems related to alcohol use and to conduct a training with these professionals. The study site was the Adult Emergency Room of the Clinical Hospital of the Federal University at Triângulo Mineiro, in Minas Gerais, Brazil. The methodological design of the study is of the descriptive type with a quantitative approach. A questionnaire of sociodemographic information and SAAPPQ were used. The questionnaire applied to 82 nursing professionals, including technicians and nurses, however 73 professionals answered the questionnaire. Most of the professionals were nursing technicians, many of them had completed college degree, female with average age of 37 years. In the evaluation of professionals, negative attitudes were related to work satisfaction (4.9 ± 1.6) and positive attitudes regarding the performance of specific tasks and self-esteem (6.6 ± 1.5). Regarding professional training, those at higher education level were less motivated to work with patients with problems related to alcohol use, however, those who had some degree of specialization in alcohol and / or drugs had better levels of work adequacy and execution of specific tasks and self-esteem. When measuring the attitudes of professionals related to Therapeutic Commitment (motivation, satisfaction and self-esteem) and Role Security (adequacy and legitimacy), there were better levels in the Role Security function. The training was carried out in the work environment, with a 64.3% participation of the team. It is concluded that the educational training to act in the care of people with problems related to alcohol can lead to significant positive changes in the knowledge and attitudes of nursing professionals

Thesis (Ph. D.)--University of Alabama at Birmingham, 2007. / Title from first page of PDF file (viewed June 30, 2007). Includes bibliographical references (p. 202-216).

There is a noticeable absence of studies reflecting the personal views and experiences of black British African Caribbean (BBAC) people as students and clinical participants in UK nursing careers. Previous research about their nursing career choices has always been reported as part of other mixed BME cohorts and migrant groups. Indications in the literature suggest that they were being actively discouraged by their families from choosing nursing as a career, because of their parents’ and grandparents’ negative experiences as migrant workers in the NHS, leading to very low or non-participation in the profession. This study set out to address this gap by giving them a distinct voice, independent of other cohorts. It explored the factors which influence their decision and their experiences, throughout a variety of life stages, from school through to university and into clinical practice. This was to identify whether the findings from earlier research are still relevant from their perspectives rather than that of their parents. Participants and schools in the study were recruited by purposive sampling, and data was collected in three phases, a pilot study phase, a survey phase and an interview phase. A quantitative and qualitative interpretive approach were adopted underpinned by a mixed methods design. Descriptive statistical analysis of the survey and qualitative content analysis (QCA) of the interview transcripts were utilised to enable interrogation of the data. Findings are discussed within the context of available empirical evidence, related policy perspectives and theoretical underpinnings. Four main themes emerged from the study, as specific influencing factors on their experiences. These are: careers advice and choice for nursing, support, discrimination/racism and personal resilience. The findings reveal that BBAC people receive little or no careers advice about nursing at any of their life stages. Consequently, they make uninformed decisions about modern nursing careers, leaving a gap in their knowledge. However, they are not discouraged from choosing nursing as a career, by their families. When they choose a nursing career, they are fully supported and encouraged by their parents and families, in order to survive as students and clinical practitioners. However, institutional support as students and practitioners is weak and very poor. Despite this, they do not intend to actively discourage their own children from making nursing a career choice. Racism, discrimination and racialisation remain core factors influencing their social, educational and other lived experiences, despite numerous equality legislation and implementation. These have a continuous negative impact on them as visible minority students and practitioners in the NHS. They respond to these negative experiences by developing personal resilience aided by strong social and cultural support provided by their families and community. These findings make a unique contribution to the knowledge base by giving BBAC participants their own distinct voice. This was achieved through listening to them at varied points in their life stages, from school through to university and as eventual professionals in nursing. This is important new knowledge, which has ensured a clear recognition of their personal perspectives, in their own voices. These insightful new observations are necessary to build a specific knowledge base about them and are very positive for future participation of BBAC people in nursing careers and the NHS. An adapted model for inclusive participation is proposed, based on the findings of the research.