Doğu karadeniz sağlık bilimleri dergisi, cilt.4, sa.4, ss.309-323, 2025 (Hakemli Dergi)
Aim: The study was conducted to compare the substance addiction awareness and self-efficacy levels of midwives and nurses in primary and curative health services.
Methods: The sample of this comparative cross-sectional study consisted of a total of 362 midwives and nurses. 133 of the participants worked in primary health services, and 229 participants worked in curative health services. Data were collected using the Personal Information Form, the Substance Addiction Awareness Scale, and the Self-Efficacy for Protecting from Substance Abuse Scale. Independent sample t-test, one-way analysis of variance, Tukey HSD, Mann-Whitney U Test, and Kruskal-Wallis analysis of variance were used in statistical analysis.
Results: The difference between the mean scores of the participants in the therapeutic health services (110.791±3.03) and the primary health care group (109.95±10.95) in the Substance Abuse Awareness Scale was statistically insignificant. The mean score of the participants in the primary health care services group on the Self-Efficacy Scale for Prevention of Substance Addiction (76.24±10.07) was significantly higher than the other group. Across both groups, not smoking and having delivered addiction-prevention training were linked to greater awareness and self-efficacy.
Conclusion: Although awareness levels are comparable, midwives and nurses in preventive settings feel more capable of acting against substance addiction. Tailored in-service programmes for curative units and smoke-free workplace policies may close this self-efficacy gap and strengthen health-system capacity to combat addiction.