You are in Artículos VOLUME 50 ISSUE 4: "Care approach to addiction in theValencian Community: where are we headed?"
Nursing competencies and roles in Addictive Behaviors: A recovery, trauma, and evidence-based model
30/12/2025

Nursing competencies and roles in Addictive Behaviors: A recovery, trauma, and evidence-based model

abstract

People with Substance Use Disorders (SUD) often present comorbidities that affect executive functions, requiring coordinated interventions among professionals. Nursing emerges as a key pillar, not only in direct care but also in the planning and implementation of individualized interventions, emphasizing motivational and trauma-informed approaches. Stigma is highlighted as a critical barrier to treatment access, as well as the importance of non-judgmental and inclusive therapeutic environments. The nursing care model includes traumacentered assessments, care planning, health education, and a personalized approach to the administration of opioid agonists, seen as an opportunity for therapeutic intervention and the promotion of healthy habits. Method: A group of expert nursing professionals in addictions was formed to identify key competencies in their professional practice. A review of the scientific evidence supporting the proposed activities was conducted, followed by a broader consultation through a nationwide survey. Results: The study validated specific nursing competencies, revealing consensus on the need for continuous training, person-centered care, community-based interventions, and a harm reduction framework. All participants emphasized the importance of the therapeutic relationship and active involvement throughout the care process. Finally, the official recognition of a nursing specialty in addictions is proposed, based on scientific evidence and the strong motivation of healthcare professionals, as a means to improve care quality and recovery outcomes.

Keywords:

Substance use disorder, addiction nursing, multidisciplinary approach, harm reduction.

Received date

04/09/2025

Accepted date

10/12/2025

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Authors

  • Ana Belén Muñoz Llácer - Enfermera supervisora de salud mental Dto. Valencia Arnau- Llíria. Generalitat Valenciana. España

  • Arantxa González Marquina - Enfermera adjunta de dirección de atención primaria. Dto. Hospital General de Valencia. Generalitat Valenciana. España

  • Rosa Montenegro León - Enfermera UCA de Guillem de Castro. Dto. Hospital General de Valencia. Generalitat Valenciana. España

  • Noelia Monteagudo Bellido - Enfermera UCA de Guillem de Castro. Dto. Hospital General de Valencia. Generalitat Valenciana. España

  • María Romero Arco - Enfermera UCA de Guillem de Castro. Dto. Hospital General de Valencia. Generalitat Valenciana. España

  • Andrea Gallardo García - Enfermera UCA de Guillem de Castro. Dto. Hospital General de Valencia. Generalitat Valenciana. España

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