In first talking about substance use, abuse and addiction as it relates to the Nursing profession it is necessary to understand the aspect of addiction. Drug use is a broad idea that refers to the use of any chemical substance rather legal or illegal. This topic includes prescription drugs, street drugs, herbal supplements, and the like. The term Drug abuse is defined as “the use of a substance or substances in such a way that it leads to measurable personal, interpersonal, or social consequences” (Faupel, C., E., Horowitz, A., M., & Weaver, G., S., 2010, p.20). Drug addiction is then regarded as “a compulsive use of chemicals (drugs or alcohol) and the inability to stop using them despite all the problems caused by their use” (National …show more content…
This paper will discuss the prevalence of drug abuse, use and addiction among nurses, some differences among specialties, differences between genders, some causes, commonly used substances, signs and symptoms to monitor for, the act of diversion, negative consequences/disciplinary actions toward nurse’s as well as some preventative measures.
Prevalence of Drug Use/Abuse/Addiction
The specific prevalence of substance abuse among nurses seems to be up for discussion and thus far there hasn't been any factual irrefutable evidence (Chait, J., p.2). Although, “it has been estimated that ten to fifteen percent of all nurses in the United States are addicted to some type of illegal or controlled substance" (Heacock, S., 2013, p.1). Nauert believes that the incidence of substance abuse among nurses, and nursing students, is both under-researched and under-reported(2011). New research suggests as many as ten to twenty per cent of nurses and nursing students may have substance abuse and addiction problems (Nauert, R., 2011, p.1).
Differences Between Genders
Women’s drug use, worldwide, is less than that of men, which is reflected in the fact that drug use in nursing is therefore, significantly lower than in male dominated health professions like medicine and pharmacy. Following the gender patterns, male nurses are significantly more likely to use prescription drugs than their female colleagues(Dittman, 2012). Men comprise approximately eight point
Nurse prescribing was first suggested by the Royal Collage of nursing (RCN) in 1980, it was to take another six years for it to become part of the government’s agenda with the Cumberlege Report in 1986 (Department of Health and Social Security (DHSS)(1986). These two report
Nurses are at the center of the health care industry, and are in a sole position of power. The academic area of my life involves being a pre-nursing student. In this discourse community we share collective goals such as studying, earning excellent grades, achievement into nursing school, and eventually becoming a nurse. Nurses are very important to society; their remarkable discourse community stands out in the health community. Their work provides trustworthiness to the provided of drugs and information given from doctors. Healthcare will always be needed, and with healthcare we need people who are well train in their field to be on top of their game and be knowledgeable about the healthcare. We might not always trust that our doctor knows what they are prescribing us but we can trust that our nurses have the knowledge of what they distribute. There are general fallacies among the field of nursing and several things to think about before following the path of a
In staff nurses and adult patients on an inpatient Addiction Medicine unit, what is the effect of a structured opioid addiction educational intervention for staff nurses on staff nurses’ and patients’ knowledge of opioid addiction management compared with no nursing education intervention/usual staff protocol over a three-week (21 day) time frame?
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,
Substance abuse as well as addiction is a topic many people choose to ignore or tend to believe that it does not affect them. Addiction itself does not seek out certain types of people but can affect anyone, at any time, for any reason. Stress, per pressure, financial trouble, even genetics all play a role in substance abuse and addiction. Unlike others, I don’t see substance abusers as weak willed but instead in need of guidance and someone to talk to about their problems. That is why, when I decided to go to school I was very interested in becoming an Addiction Counselor. I am one of those types of people who really enjoy learning new things and coming up with solutions for myself or others. The biggest reason that I decided to go to college was to find a job that I was actually fascinated with and wouldn’t dread going to work day in and day out. The biggest concern I have for my future job is stability and job availability. One area that I don’t really find high on my priority list is the money. I want to be able to make enough that I can survive and even thrive at times but I’m not looking for a job just for the financial gain. If I’m going to spend my life in a working profession it might as well be doing something I love.
According to the SAMHSA (2010) report on the national survey on drug use and health almost 22.5 million people are reported to be associated with substance abuse disorder (SAMHSA, 2010). This illness was found to be very common in all age groups, both sex, and seniors. There are several effects on these individuals and their families. Many people who suffer from substance abuse disorders fail to acknowledge these serious consequences. First of all, no response of pain relief can be seen with smaller doses of pain medications, as their bodies are used to high levels of various substances at the same time. Nurses become frustrated when they try to treat and help these patients with pain. Sometimes it is difficult to think about ethical principles when nurses have to deal with such patients with pain and suffering.
Substance abuse continues to be a serious health care concern with millions of American 18 and older using illegal drugs. Substance abuse occurs across all generations, cultures, and occupations, including nursing. “About 1 in 10, or 10-15% of all nurses, may be impaired or in recovery from alcohol or drug addiction” (Thomas & Siela, 2011). When a nurse is impaired they will not be able to function at their normal capacity, and are not able to provide quality patient care. They may not be able to think as quickly, and have a delayed reaction time.
Many people have turned to substance abuse or experience chemical dependency for a variety of reasons. Nurses experience chemical dependency as well. According to Kunyk (2013), “healthcare professionals, including nurses, are also potentially vulnerable to substance use disorders regardless of any special knowledge, skills or insights they might have owing to their education and professional experiences” (p. 54). This paper will define what chemical dependency is, report causes of chemical dependency in nurses, describe behaviors associated with chemical dependency, and explain what needs to be done upon reentry into the work place.
As Heise states, substance abuse among nurses a growing problem that is often overlooked by society. Addiction has been a problem in the nursing profession for over one hundred years (as cited in Monroe & Kenaga, 2010). According to the American nurses association, it is speculated that 6%-8% of nurses have a drug or alcohol related problem (as cited in Trinkoff & Storr, 1998). Substance abuse not only affects the individual abuser, but also can negatively impact those around them, most significantly their patients. Chemical dependence if often viewed as a lack of will power, but through education and research, this issue should be looked at as an actual disease. The education of nursing students is the first step in helping those with a
Why is it that some people become addict to alcohol or other drugs, while another person does not? According to the National Institute on Drug Abuse (NIDA), “addiction is defined as a chronic, relapsing brain disease that is characterized by compulsive drug seeking and use, despite harmful consequences. It is considered a brain disease because drugs change the brain-they change its structure and how it works. These brain changes can be long lasting and can lead to the harmful behaviors seen in people who abuse drugs” (Drug Abuse). Keep this in mind when you are a health care professional dealing with patients that have an addiction. They may have initially chosen to take that first drink, but alcohol changes their brain. Also, you may find more patients in your office that are addicted to prescription drugs. They may have been injured in a car crash or broke their leg then were prescribed prescription pain killers such as Vicodin by the doctor that you work for. This patient has a different brain make-up and is now feeling that dependent on that drug.
Substance abuse in the elderly exists just as in any other population. Many seniors develop substance abuse problems due to circumstances or situations due to the aging process. A report by the Center for Substance Abuse Treatment/Substance Abuse and Mental Health Services Administration indicates that 17% of adults age 60 and older are affected by alcohol abuse and abuse of legal drugs.
A survey has been recorded about the prevalence of chemical dependency in nurses. About 2.6 million registered nurses are employed in the United States (U.S. Department of Health and Human Services, 2010). The American Nurses Association estimates that about 10% of the RN
Prevention methods for substance abuse are taught to children as early in their kindergarten years and follow throughout their lifetime. Current programs available are school-based programs, parent and family, work programs and community and public media campaigns.
Substance abuse and addiction have become a social problem that afflicts millions of individuals and disrupts the lives of their families and friends. Just one example reveals the extent of the problem: in the United States each year, more women and men die of smoking related lung cancer than of colon, breast and prostate cancers combined (Kola & Kruszynski, 2010). In addition to the personal impact of so much illness and early death, there are dire social costs: huge expenses for medical and social services; millions of hours lost in the workplace; elevated rates of crime associated with illicit drugs; and scores of children who are damaged by their parents’ substance abuse behavior (Lee, 2010). This paper will look at
Alcohol abuse is a serious problem, driving while drunk or under the influence of drugs is an even bigger problem that shouldn’t be taken lightly. Abusing either one of these substances can lead to the death of you or the death of someone else or even cause a major change in their life like Jacqueline’s story, her whole life has been changed because of another person’s ignorance and carelessness. Therefore, you should know the facts about drug and alcohol abuse before you do something you may regret for the rest of your life.