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Drug abuse in the nursing profession
Drug abuse in the nursing profession
Drug abuse in the nursing profession
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Substance Abuse and Addiction among RNs
Substance abuse and addiction among registered nurses is a quiet growing issue in the health care industry. Sadly, nurses are not the only profession that falls guilty to this issue. This is also a big issue among physicians as well. “Addiction among nurses has been recognized by professionals in the field for over a hundred years” (Heise 2003). According to Science Daily, “As many as 10-20% of nurses and nursing students may have substance abuse and addiction problems” (Wiley-Blackwell, 2011). This is roughly about 250,000 nurses and students, which is only 10%. “While the risk of addiction is not limited to any one specialty, the specialties with the highest prevalence of substance abuse uses are ICU, ER, OR, and anesthesia” (Heacock, 2013). “The most frequently abused substance is alcohol, followed by amphetamines, opiates (such as fentanyl), sedatives, tranquillizers, and inhalants, according to the ANA” (Copp, 2009). This growing epidemic needs to stop for a number of reasons. The first priority is the safety of the patients. The other reasons would be the safety of the nurse, the costs that tie into this, and the wasted time trying to figure out what is not accounted for.
There are numerous reasons as to why nurses fall victim to substance abuse and addiction. Some of the main reasons are the following: job stress, easy access to medications, and being workaholic. The reason why one may believe job stress can cause a nurse to use substances is because of the long shifts and possibly the environment in which one may work. Also nurses have to meet certain physical and emotional needs for their patients. They have to make life or death choices in the matter of seconds. That alone can ...
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...ne Programs. Journal Of Nursing Regulation, 5.
Copp, M. A. (2009, April 1). Drug addiction among nurses: Confronting a quiet
epidemic. Retrieved May 15, 2014, from Modern Medicine: http://www.modernmedicine.com/modern-medicine/news/modernmedicine/modern-medicine-feature-articles/drug-addiction-among-nurses-con
Heacock, S. (2013, January 6). Nurses and Substance Abuse. Retrieved from NurseTogether: http://www.nursetogether.com/nurses-and-substance-abuse
Monroe, T., & Kenaga, H. (2011). Don't ask don't tell: substance abuse and addiction among nurses. Journal Of Clinical Nursing, 20(3/4), 504-509. doi:10.1111/j.1365-2702.2010.03518.x
Wiley-Blackwell. (2011, January 26). Support not punishment is the key to tackling substance abuse and addiction among nurses. Retrieved from Science Daily: http://www.sciencedaily.com/releases/2011/01/110126081519.htm
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.
Fortinash, K. M., & Holoday Worret, P. A. (Eds.). (2012). Substance-related disorders and addictive behaviors. Psychiatric mental health nursing (5th ed., pp. 319-362). St. Louis, MO: Elsevier Mosby.
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,
Almost one hundred years ago, prescription drugs like morphine were available at almost any general store. Women carried bottles of very addictive potent opiate based pain killers in their purse. Many individuals like Edgar Allen Poe died from such addictions. Since that time through various federal, state and local laws, drugs like morphine are now prescription drugs; however, this has not stopped the addiction to opiate based pain killers. Today’s society combats an ever increasing number of very deadly addictive drugs from designer drugs to narcotics to the less potent but equally destructive alcohol and marijuana. With all of these new and old drugs going in and out of vogue with addicts, it appears that the increase of misuse and abuse is founded greater in the prescription opiate based painkillers.
...is causes injury or not is an example of unsafe practice. This act could also be categorized as careless or repetitive conducts that puts a patient in danger. Drug diversion is a type of drug dealing, nurses have access to many drugs and it is a part of the nurses’ responsibility to ensure those drugs go where they should, precisely document and closely supervised. Criminal conduct can happen in the work place or on personal time. If a nurse is convicted of a crime, such as Driving While Intoxicated, it could affect their ability to practice nursing. It is out of a RNs legal scope of practice to medically diagnose any patient, order a medical treatment or conduct a medical treatment that has not been ordered by a physician. It is the nurse’s duty to their patient’s to exhibit sound clinical judgment, with in their scope of practice to ensure patient safety.
Substance abuse among health care professionals is an issue that is continually gaining more attention due to the harmful affects it can have individuals as well as the patients. Substance abuse can greatly hinder the ability to provide quality care and if left unchecked could lead to serious implications within the health care facility. There are a significant amount of nurses and health care providers that deal with substance abuse problems. At one point, it was estimated, that 2-3%, of all nurses were addicted to drugs (Trinkoff, & Storr, 1998). To encourage nurses to seek help, the Texas Peer Assistance Program for Nurses was created. This program gives employers, LVNs and RNs the ability to seek help, education, guidance, and support in dealing with substance abuse and mental health illnesses. In this paper, we will examine the ethical perspectives that these programs foster and the ethical responsibilities of the patient, nurse, and coworkers as determined by the Texas Board of Nursing and the Nurse Practice Acts.
A nurse is required to exercise appropriate clinical judgment and respond safely and quickly in order to effectively care for a patient. Substance abuse among nurses is an issue that compromises the delivery of quality care and professional standards of nursing. Many nurses are not recognized as having a problem until a patient has been endangered (Clark and Farnsworth, 2006). It has been estimated that 10-...
There is a shortage of all health care professions throughout the United States. One shortage in particular that society should be very concerned about is the shortage of Registered Nurses. Registered Nurses make up the single largest healthcare profession in the United States. A registered nurse is a vital healthcare professional that has earned a two or four year degree and has the upper-most responsibility in providing direct patient care and staff management in a hospital or other treatment facilities (Registered Nurse (RN) Degree and Career Overview., 2009). This shortage issue is imperative because RN's affect everyone sometime in their lifetime. Nurses serve groups, families and individuals to foster health and prevent disease.
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.
Safe nurse-patient ratio is a complex issue debated on for many years. Due to inadequate staffing registered Nurses are faced with high patient ratios, and nurse burn out everyday. According to the American Nurses Association, “Massive Reductions in nursing budgets combined with, the challenges presented by a growing nursing shortage have resulted in fewer nurses working longer hours for sicker patients. This situation compromises care and contributes to the nursing shortage by creating an environment that drives nurses from the bedside”. (2012) Through the nursing process, the essential role of the Registered Nurse is to assess, diagnose, and plan based on outcomes, implement and evaluate the effectiveness of nursing care. However, it is not realistic to thoroughly implement these core guidelines in a safe and effective way, when you are
Drug and alcohol abuse has become a worldwide epidemic within today’s society. The battle against drugs and alcohol is not going to diminish. Therefore, we as a society need to work together to address these problems while incorporating successful treatment plans and services for these individuals. The addiction to these substances does not only effect oneself, but can also have profound consequences for the children and families.
In conclusion, nurses are overworked. They are overworked due to long twelve hours plus shifts, shortages of nurses whether they call out sick or the hospital did not hire enough nurses and even stress from the job. Being overworked is not good for anyone and with nurses, it can affect them physical, mentally and emotionally. The negative effects not only affects the nurse but can also affect their
Before I start to discuss the various ways to get control of substance abuse I
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.