Exploring The Attitudes Towards Patients Diagnosed With Alcohol Use Disorder (AUD) -A Qualitative Study Of Nurses At The National Referral Hospital, Bhutan


  • Sangay Chozom JDWNR Hospital
  • Florian Neuhann Ruprecht-Krals Universitat Heidelberg
  • Wolfgang Krahl Dept of forensic Psychiatry Isar Amper Klinikum Munich-East




Nurses' attitudes, Alcohol Use disorder, Substance Use Disorders, health workers’ attitudes, Health professionals’ attitudes


Background: The kind of attitude expressed by the nurses may have significant effect on the recovery process of the patient and on their decision to avail treatment. It is anticipated that by exploring the attitudes of the nurses towards AUD patients and understanding the factors which influences these attitudes, more effective interventions can be developed to provide help and support to this group of patient and also to the nurses in being effective and appropriate in responding to the needs of this group of patient.
Purpose: The study was conducted to explore the prevailing attitudes of nurses towards AUD patients, and to further explore the factors influencing these attitudes.
Methods: A total of fifteen nurses from Jigme Dorji Wangchuck National Referral Hosiptal were recruited based on convenience and purposive sampling techniques. Qualitative approach was employed by means of conducting face to face in-depth interviews using open ended questions. The qualitative data was analyzed using thematic analysis method.
Results: The findings from the study suggest that possessing adequate knowledge on alcohol and addiction, being regularly engaged with AUD patients or having few years of experience working with AUD patients were some of the factors which resulted in more positive attitudes among the nurses. On the contrary, insufficient skills and knowledge related to alcohol addiction and exhibition of aggressive behaviour by the patients could cause negative feelings and ultimately lead to negative attitudes.
Conclusion: Therefore, it is of paramount importance that a curriculum on alcohol addiction is introduced in diploma and degree nursing courses offered in Bhutan.


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Amaral?Sabadini, M.B., Saitz, R. and Souza?Formigoni, M.L.O., 2010. Do attitudes about unhealthy alcohol and other drug (AOD) use impact primary care professionals' readiness to implement AOD?related preventive care? Drug and alcohol review, 29(6), pp.655-661. Article | Crossref

Campbell, S., 2014. What is qualitative research?. Clinical Laboratory Science, 27(1), p.3. Article

Carveth, J.A., 1995. Perceived patient deviance and avoidance by nurses. Nursing Research, 44(3), pp.173-178. Article

Caudle, S.L., 2004. Qualitative data analysis. Handbook of practical program evaluation, 2(1), pp.417-438. Article

Chung, J.Y.M., Chan, J.T.S., Yeung, R.S.D., Wan, R.C.H. and Ho, S.T., 2003. Nurses' attitude toward alcoholic patients in accident and emergency department in Hong Kong. Hong Kong Journal of Emergency Medicine, 10(2), pp.104-112. Crossref

Crothers, C.E. and Dorrian, J., 2011. Determinants of nurses' attitudes toward the care of patients with alcohol problems. ISRN nursing, 2011. Crossref

Dean, C. and Soar, R., 2005. Caring for clients with dual diagnosis in rural communities in Australia: The experience of mental health professional. Journal of Psychiatric and Mental Health Nursing, 12(3), pp.268-274. Crossref

Dorji L., 2012. Alcohol use and Abuse in Bhutan, National Statistics Bureau, Thimphu Bhutan. Article

Happell, B., Carta, B. and Pinikahana, J., 2002. Nurses’ knowledge, attitudes and beliefs regarding substance use: A questionnaire survey. Nursing & health sciences, 4(4), pp.193-200. Crossref

Happell, B. and Taylor, C., 2001. Negative attitudes towards clients with drug and alcohol related problems: finding the elusive solution. International Journal of Mental Health Nursing, 10(2), pp.87-96. Crossref

Hill, T.E., 2010. How clinicians make (or avoid) moral judgments of patients: implications of the evidence for relationships and research. Philosophy, Ethics, and Humanities in Medicine, 5(1), p.11. Crossref

Iqbal, N., McCambridge, O., Edgar, L., Young, C. and Shorter, G.W., 2015. Health?care professionals’ attitudes across different hospital departments regarding alcohol?related presentations. Drug and alcohol review, 34(5), pp.487-49. Crossref

Soares, J., Vargas, D.D. and Formigoni, M.L.O.D.S., 2013. Knowledge and attitudes of nurses towards alcohol and related problems: the impact of an educational intervention. Revista da Escola de Enfermagem da USP, 47(5), pp.1172-1179. Crossref

Van Boekel, L.C., Brouwers, E.P., Van Weeghel, J. and Garretsen, H.F., 2013. Stigma among health professionals towards patients with substance use disorders and its consequences for healthcare delivery: systematic review. Drug & Alcohol Dependence, 131(1), pp.23-35. Crossref

Vargas, D.D. and Luis, M.A.V., 2008. Alcohol, alcoholism and alcohol addicts: conceptions and attitudes of nurses from district basic health centers. Revista latino-americana de enfermagem, 16(SPE), pp.543-550. Crossref

World Health Organization, World Health Organization. Substance Abuse Department, World Health Organization. Department of Mental Health, & Substance Abuse. (2004). Global status report on alcohol 2004. World Health Organization Article



How to Cite

Chozom, S., Neuhann, F. ., & Krahl, W. . (2021). Exploring The Attitudes Towards Patients Diagnosed With Alcohol Use Disorder (AUD) -A Qualitative Study Of Nurses At The National Referral Hospital, Bhutan. Journal Of Nursing Practice, 4(2), 117-129. https://doi.org/10.30994/jnp.v4i2.116