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Substance abuse in the nursing profession
Substance abuse in the nursing profession
Substance abuse in the nursing profession
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Introduction
Over the years, substance abuse in the United States has become a persistent issue affecting many individuals. In 2008, it was estimated that 17.8 million Americans over the age of 18 where substance dependent (Epstein, Burns, & Conlon, 2010). Many of these individuals being affected are nurses. Ponech (2000) stated that "approximately 10% of the nursing population has alcohol or drug abuse problems, and 6% has problems serious enough to interfere with their ability to practice" (as cited in Talbert, 2009, p.17). Studies show that nurses have a 50% higher rate of substance abuse compared to the rest of the public (Epstein et al., 2010). Among the many factors that contribute to the nurse’s issue of substance abuse, accessibility to drugs in the work environment has played a significant role. Substance abuse among nurses is an arising issue in need of attention, it is alarming to know that patient safety and care is in danger when a chemically impaired nurse is in the workplace.
Thesis
Nurses are the ones whom trust is placed to care for the sick, but with the growing population of chemically impaired nurses, patient care is in danger. Factors that are contributing to substance abuse among nurses need to be further explored to combat the issue and provide better quality care for patients.
Analysis
There are several contributing factors to substance abuse among nurses such as family, and stress. Nurses who have family members with emotional problems and inability to cope, alcoholism, and drug use, have been linked to a higher risk of substance abuse (Talbert, 2009). Coming from a family that relies on substances tempts the nurse to be chemically dependent when experiencing high job demands. "Stress in the workpl...
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Substance abuse in the field of nursing has become a serious problem. Every day exposure to drugs in addition to other factors have contributed to the issue of substance abuse among nurses and the impact on patient care. Some may still be unaware of the substance abuse problem nurses struggle with, and they don't realize until they see the consequences on overall patient outcomes and work productivity. Learning to recognize the chemically impaired nurse has allowed the health care field to expand its awareness and begin to take action on this issue. “To ensure productivity, safety, and quality of care, most hospitals have instituted drug-free workplace programs...that identify prohibited behaviors and the consequences of violating the policy” (Epstein et al., 2010, p. 515). In hope of change to this issue, further action continues to be a work in progress.
From interviewing celebrities such as actress Kristen Johnston and politician Bill White, the film identified substance abuse can happen to anyone. I found more sympathy to those once I learned the facts, not opinions, of substance abuse users. It was interesting to find how the physiology of ones’ brain may change over time, thus proving it is not always a person’s free will of choice to use. People of addiction are like anyone else who may have fallen down the wrong path. Some who have found substance abuse for coping, did not realize they were becoming addicts. Others have found the media and advertisement placing pressure on them because it looks entertaining and fun. With limited outreach programs, it is crucial to increase the awareness among young groups for prevention. With fear of being judged, the stigma and health disparities of addiction cause many to not seek help. Equal opportunity should be available to everyone. As a future nurse, I find an important role for me is to lead in educating and being opened minded to the struggles of each one of my patients. My job is to refrain from stereotyping and being an advocate. As healthcare is always evolving to provide the most adequate care, I look forward towards the future as more people are educating and trying to eliminate those struggling through addiction
Prescription and pharmaceutical drug abuse is beginning to expand as a social issue within the United States because of the variety of drugs, their growing availability, and the social acceptance and peer pressure to uses them. Many in the workforce are suffering and failing at getting better due to the desperation driving their addiction.
The methadone program at Rosthern Hospital is a very active and intense program. Boast over 20 patients that are regular methadone users, the involvement of the physicians, pharmacists, nurses, and addiction counselors are key (Melle, 2016). Dr. Melle is the coordinator of the methadone program at Rosthern Hospital. His roles include, patient recruitment, patient care management, follow up care, and most importantly prescription and dosage of the methadone (Melle, 2016). Pharmacist’s role in methadone treatment is providing the methadone to the hospital, as well as in Warman pharmacy they monitor and dispense some methadone to some of the patients in the methadone program. Addiction counselors are an outside resource that the staff at Rosthern hospital can utilize. There are not social workers or counselors at Rosthern, but Dr. Melle and the nurses prefer if their patients are regularly seeing an addiction counselor while in the methadone program. Finally, the nurses role in the methadone program is early treatment and monitoring of patients during detox, the continued monitoring or patients when methadone doses change, dispensing methadone and monitoring our patients in the recovery program, and observation of patient’s success during the program. Together the interprofessional team has successfully treated dozens of patients, and the methadone program address the needs of both the patients and the addiction issues that are plaguing the surrounding communities (Melle,
Substance disorders affects all social, educational, cultural, and age groups. Substance abuse research often focusses on the abuser and the family as a whole but not how it affects their spouse. United States misuse is linked to approximately 590,000 deaths and is responsible for injury or illness to almost 40 million individuals every year. (Cox, R., Ketner, J. & Blow, A. 2013). The consequences resulted from this disorder, are not only related to the substance abusers, but also have a great influence on their behavior and other layers of their life, especially their wives (Salehyan, Bigdeli, & Hashemian 2011). When the husband or boyfriend has an addiction the wife takes on responsibilities of her spouse which causes an increase in stress. Marriage is generally described as a protective factor against substance use. The concept of codependency was developed to explain what happens to the spouse of a substance abuser.
The consequences that follow the use of any drug are unfavorable. Although many individuals may see drug addiction as a mere lifestyle choice, it is a problem that many individuals suffer from and inevitably a growing issue that leaves major social and economic impacts.
This stress makes nurses vulnerable to substance abuse. Abusing substances is a coping mechanism for nurses to deal with stress (Wright et al., 2012). Being overworked due to a shortage of staff, high patient acuity, rotating shifts, being assigned to different units in a shift are just some causes of stress for a nurse. Trinkoff and Storr (as cited in National Council of State Boards of Nursing, 2011, p. 17) state that “the more adverse the schedule was, the greater the likelihood there would be substance abuse.” Nursing is an occupation where emotions tend to run high and can lead to emotional fatigue. Emotional fatigue can also be due to a strained relationship between co-workers and supervisors/managers. The emotional fatigue causes stress. Dunn (as cited in Epstein et al., 2010) pointed out that emergency room and intensive care unit nurses are more stressed than other units because they have to deal with a more demanding workload, sudden change in the pace of work and often deal with death. Therefore, nurses in these areas are more at risk to abuse substances. There are more female than male nurses in the nursing profession. Women tend to cope less with stress which leads to substance
Health care organizations are focused on providing high quality and safe patient care. There are numerous organizational factors that may directly affect patient care and outcomes, but one of great importance is nurse staffing. Low nurse staffing levels are a major problem that I have encountered during both my clinical and management experiences. There is a significant relationship between inadequate staffing levels and adverse patient outcomes; however, as I observed during my experiences, there may be increased awareness about this issue, but it has not been sufficiently addressed. In order to ensure patients’ safety and positive outcomes, as well as to improve nurse satisfaction, it is imperative to effectively address low staffing levels.
There is no doubt that there is a prevalence of substance abuse throughout several age groups. To a certain extent, a society is faced with the reality of controlling substance abuse. Or allow it run rampant throughout the community. Often times, we hear and read about the level of substance abuse among teen, young adults and mid-aged adults. Alcohol, medications, illegal drugs, and over-the-counter medicines can be both abused and misused. It is a widespread belief that age plays a role in the level of influence that drugs and alcohol diminishes. As a person becomes older, drugs and alcohol is not as influential in their loves. This widespread belief has truth. However, it is important to understand that substance abuse is still prevalent in the elderly community.
Patient’s safety will be compromised because increase of patient to nurse ratio will lead to mistakes in delivering quality care. In 2007, the Agency for Healthcare Research and Quality (AHRQ) conducted a metanalysis and found that “shortage of registered nurses, in combination with increased workload, poses a potential threat to the quality of care… increases in registered nurse staffing was associated with a reduction in hospital-related mortality and failure to rescue as well as reduced length of stay.” Intense workload, stress, and dissatisfaction in one’s profession can lead to health problems. Researchers found that maintaining and improving a healthy work environment will facilitate safety, quality healthcare and promote a desirable professional avenue.
Drug administration forms a major part of the clinical nurse’s role. Medicines are prescribed by the doctor and dispensed by the pharmacist but responsibility for correct administration rests with the registered nurse (O'Shea 1999). So as a student nurse this has become my duty and something that I need to practice and become competent in carrying it out. Each registered nurse is accountable for his/her practice. This practice includes preparing, checking and administering medications, updating knowledge of medications, monitoring the effectiveness of treatment, reporting adverse drug reactions and teaching patients about the drugs that they receive (NMC 2008). Accountability also goes for students, if at any point I felt I was not competent enough to dispensing a certain drug it would be my responsibility in speaking up and let the registered nurses know, so that I could shadow them and have the opportunity to learn help me in future practice and administration.
The current situation of drug control in the United States is imperfect and inadequate. Millions of men and women, both young and old, are affected by illicit drug use. It costs the United States about $6,123 every second because of drug use and its consequences (Office). Moreover, 90 percent of all adults with a substance use disorder started using under the age of 18 and half under the age of 15. Children who first smoke marijuana under the age of 14 are five times more likely to abuse drugs as adults than those who first use marijuana at age 18. Finally, the children of alcoholics are four times more likely to develop problems with alcohol (Prevent). Current legislation that has to do with the United States’ drug control policy is the Controlled Substances Act, which regulates the manufacture, importation, possession, use, and distribution of certain substances (Shannon). In 1966, Congress passed the Narcotic Addict Rehabilitation Act also known as the NARA. This legislati...
Before I start to discuss the various ways to get control of substance abuse I
In response to concerns about staffing and quality of care, the American Nurses Association (ANA) launched the Patient Safety and Nursing Quality Initiatives in 1994 to address the impact of health care restructuring on patient care and nursing. To facilitate the initiative, ANA established the National Database of Nursing Quality Indicators (NDNQI) in 1997, with two goals: (1) to develop a database that would support empirical monitoring of the impact of nurse staffing on patient safety and quality of care across the nation, and (2) to provide individual hospitals with a quality improvement tool that includes national comparisons of nurse staffing and patient outcomes with similar hospi...
Drug abuse has been a hot topic for our society due to how stimulants interfere with health, prosperity, and the lives of others in all nations. All drugs have the potential to be misapplied, whether obtained by prescription, over the counter, or illegally. Drug abuse is a despicable disease that affects many helpless people. Majority of those who are beset with this disease go untreated due to health insurance companies who neglect and discriminate this issue. As an outcome of missed opportunities of treatments, abusers become homeless, very ill, or even worst, death.
Perhaps most substance abuse starts in the teen years when young people are susceptible to pressure from their peers. One of the main concerns when dealing with substance abuse is the long term problems with substance such as addiction, dependency and tolerance. The physical state of an individual, who is addicted to a substance, will deteriorate over a long period of time. This is due to the chemicals that are being put into an individual body. One of the most important aspects of the effect of substance abuse on society includes ill health, disease, sickness, and in many cases death. The impact of substance abuse not only affects individuals who abuse substances but it affects our economy. Our government resources are negatively impacted by individual who abuse substances. According to (Lagliaro 2004) the implication of drug users extend far beyond the user, often damaging their relationships with their family, community, and health workers, volunteer and wider