title: Nurses' attitudes toward clients with substance use problems.
abstract: OBJECTIVE
  This study aimed to examine factors associated with nurses' attitudes toward clients with substance use problems.
  
  
  METHODS
  A cross-sectional design was used, and 489 nurses working in two medical centers in Taiwan participated in this study.
  
  
  RESULTS
  Age, total nursing experience, work unit, personal experience, experience of taking care of clients with substance use problems, substance use education in school, and continuing education were significantly associated with nurses' attitudes. Hierarchical regression revealed that continuing education predicted nurses' overall attitudes. However, the model explained a low variance.
  
  
  CONCLUSIONS
  Education-focused training alone may not be adequate. Nursing workforce development needs to incorporate multiple strategies, including clinical supervision, when designing substance use education for clinical nurses in order to generate better improvements on attitudes.
authors.affiliation: School of Nursing, The State University of New York, University at Buffalo, Buffalo, New York, USA.
authors.forename: Yu-Ping
authors.initials: YP
authors.lastname: Chang
authors.forename: Mei-Sang
authors.initials: MS
authors.lastname: Yang
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel / Q000208:ethnology; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009740:Nursing Staff / Q000523:psychology* / Q000592:standards; D019966:Substance-Related Disorders / Q000451:nursing*; D013624:Taiwan; D055815:Young Adult