Date of Award


Document Type


Degree Name

Doctor of Nursing Practice (DNP)

Committee Chair

Kathy Williams


Healthcare workers have perceptions of the patients they care for on a day to day basis. These perceptions may have negative impacts on patient care and therapeutic relationships. Substance use disorder (SUD) patients present a unique challenge due to factors related to the disease process. Certified nursing assistants (CNAs) spend a significant amount of time working with this patient population in the acute care setting. An educational intervention was prepared and presented to newly hired CNAs in a rural regional hospital in the southeastern United States to change perceptions of (SUD). Components of the educational intervention included a 30 minute presentation and a 30 minute escape room. The health belief model and Peplau’s theory of interpersonal relationships were utilized as the theoretical framework for the project. To measure the CNA’s perception of SUD, the Illness Perception Questionnaire-Addiction (IPQ-A) was employed pre and post intervention. Statistical findings demonstrated there was a statistically significant difference of perceptions in four out of the eight domains on the IPQ-A, emotional representation, illness coherence, timeline chronic, and timeline cyclical (p < .05). There was found to be no statistical differences in demoralization, consequences, personal control, or treatment control domains (p > .05).

Creative Commons License

Creative Commons Attribution 4.0 License
This work is licensed under a Creative Commons Attribution 4.0 License.