The Need for Alcohol Abuse-Related Education in Nursing Curricula

By Naegle, Madeline A. | Alcohol Health & Research World, January 1, 1994 | Go to article overview

The Need for Alcohol Abuse-Related Education in Nursing Curricula


Naegle, Madeline A., Alcohol Health & Research World


Primary care includes providing patients with guidelines and information for maintaining good health as well as providing the screening, diagnosis, intervention, and treatment of basic health problems, including alcohol abuse and dependence. Nurses play a crucial role in the primary care setting. They assess client needs; formulate and deliver care to individuals and families; and often are responsible for detecting, addressing, and referring patients who exhibit alcohol, tobacco, and other drug-related(1) problems.

Yet basic knowledge about alcohol abuse and its related problems has not been included in general nursing education in any consistent manner. Indeed, significant gaps exist in the content of nursing curricula aimed at educating nurses about substance abuse.

This article briefly reviews the role of nurses in primary care; examines the history of alcohol abuse nursing curricula; describes some model curricula programs; considers the need for clinical placement, preceptorships, and faculty development; and discusses efforts to standardize alcohol abuse curricula.

CURRENT NURSING EDUCATION

Basic nursing education now takes place in two major degree programs. The 2-year associate degree program teaches nurses to provide direct patient care from a base of scientific knowledge and liberal arts. The 4-year baccalaureate degree program prepares nurses to implement prevention, treatment and long-term strategies, such r as conducting interviews to obtain patients' histories and taking physical assessments. Nurses with baccalaureate degrees function with more autonomy and have a greater depth of knowledge than do nurses with associate degrees.

A master's degree in a specific content area allows nurses to specialize. Primary care nurse practitioners, nurse midwives, and addictions specialist nurses have master' s degrees and are prepared and proficient at nursing diagnosis and health care management within their chosen areas.

ROLES OF NURSES IN PRIMARY CARE

Primary care activities related to alcohol abuse center on the early prevention and intervention of problems and on the identification of problems and referral to specialty care.

Such an emphasis on prevention provides opportunities for generalist(2) nurses to assume more formal roles in providing primary care. Having a basic nursing education prepares nurses to identify alcohol-related problems in patients and to refer them to treatment specialists. For nurse practitioners, the role extends beyond primary care to include secondary care of patients with alcohol abuse and dependence (primary care referring to prevention and health maintenance and secondary care to diagnosis and care of acute illnesses).

A primary care nurse addressing alcohol-related problems must have received adequate education and training to obtain routine alcohol and other drug histories; implement primary prevention strategies, including anticipatory guidance and alcohol abuse education; assess a possible problem with alcohol; formulate a diagnosis of abuse from an analysis of patient assessments and data collection (e.g., laboratory results); conduct appropriate nursing interventions (e.g., patient education and nutrition counseling); identify acute alcohol-related illness and refer patients to physicians or addictions nursing specialists; and continue care in the forms of followup, monitoring, health maintenance, or health care support during recovery.

THE EVOLUTION OF NURSING EDUCATION

Information about alcohol abuse and its related problems has not been included consistently in nursing curricula. Long-term effects of alcoholism and appropriate nursing care for this condition often were included in professional nursing curricula developed in the 1940's. Yet it was not until 1977 that a textbook--Alcoholism: Development, Consequences and Interventions, by Estes and Heinemann--consolidated existing scientific findings and clinical observations to provide specific implications about alcohol abuse to the nursing community. …

The rest of this article is only available to active members of Questia

Sign up now for a free, 1-day trial and receive full access to:

  • Questia's entire collection
  • Automatic bibliography creation
  • More helpful research tools like notes, citations, and highlights
  • Ad-free environment

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items

Items saved from this article

This article has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this article

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited article

The Need for Alcohol Abuse-Related Education in Nursing Curricula
Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Full screen

matching results for page

Cited passage

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited passage

Welcome to the new Questia Reader

The Questia Reader has been updated to provide you with an even better online reading experience.  It is now 100% Responsive, which means you can read our books and articles on any sized device you wish.  All of your favorite tools like notes, highlights, and citations are still here, but the way you select text has been updated to be easier to use, especially on touchscreen devices.  Here's how:

1. Click or tap the first word you want to select.
2. Click or tap the last word you want to select.

OK, got it!

Thanks for trying Questia!

Please continue trying out our research tools, but please note, full functionality is available only to our active members.

Your work will be lost once you leave this Web page.

For full access in an ad-free environment, sign up now for a FREE, 1-day trial.

Already a member? Log in now.