Practitioners in acute and primary care settings often fail to identif
y and intervene with chemically dependent patients, Counterproductive
attitudes, lack of knowledge, and poor clinical skills impede early id
entification, treatment, and referral, In response to these problems,
an educational intervention was designed to improve practicing nurses'
recognition of and responses to substance-misusing patients, Results
of the pretest posttest comparison group evaluation suggest that educa
tional interventions were influential in improving nurses' confidence
in caring for substance misusing patients, Although data reflecting ch
anges in attitudes were less compelling, the improvement in treatment
optimism is a positive change that has important clinical implications
. Copyright (C) 1995 by W.B. Saunders Company