Substance Abuse Throughout Nursing : An Overview

As the article The Impaired Nurse stated, “Impaired nurses can become dysfunctional in their ability to provide safe, appropriate patient care” (Thomas, C.M., & Siela, D. 2011). As we learned in class the four ethical principles include; beneficence which is the act of doing the most good, non-malfeasance which is the act of doing the least amount of harm, autonomy which focuses on allowing each individual to make their own decisions and justice which focuses on being fair to all involved. Nurses who are abusing substance typically can’t follow these for ethical principles to the best of their ability because they are too focused on themselves. As mentioned in the article Substance Abuse among Nurses, nurses who are abusing substances are not able to complete tasks and function as a typical nurse would (Talbert, J. J. 2009). These types of nurses are not able to apply the four ethical principles to their everyday work environment because they are too focused on the substances they need. These nurses would not be able to function and apply to principle of doing the most good because they will not be doing the best if on substances. As mentioned in both articles, these nurses will spend a good amount of time in the bathrooms hiding and using, take medications from patients, and forget tasks that need complete. Beneficence and non-malfeasance in my opinion could not apply to nurses who are abusing substances because they are not caring for their patients as

Regrettably, the existence of nursing depends on the medical inadequacy of others. Unfortunately, nursing exists because people get hurt, cannot care for themselves, or need assistance with daily activities. Carol Taylor (2011), author of Fundamentals of Nursing: The Art and Science of Nursing Care, writes, “Nursing care involves any number of activities, from carrying out complicated technical procedures to something as seemingly as holding a hand” (p. 5). Taylor explains it is the duty of a nurse not only to learn the pertinent skills but also to bond with and comfort others. Nurses have to do and become many things: They must be stern when necessary, compassionate when needed, open minded

Nursing is more than a profession taught by science. It is an art that the nurse refines through the creative use of oneself based on the skills and expertise, to transmit emotions and meaning to the patient. Nursing is a process that is subjective and requires interpretation, sensitivity, imagination and active participation. A core skill utilized by a nurse is advocacy, both for our patients and our profession. Our profession requires participation of advocacy at all levels of nursing, starting at the bedside and continuing all the way to nurses in legislation. To be a proficient patient advocate, the nurse must be able to assess the patient’s constant change in physical, psychological, spiritual, and social needs. I apply my knowledge

Brenda Combs is a strong, determined women who has experienced the roughest parts of life and who has made a positive impact on people around her. When Combs developed a partying habit, she also got into the dangerous habit of taking drugs. Combs eventually became a cocaine addicted who would fall in and out of bad relationships. Then, one day when she got her shoes stolen from her, Combs decided to turn her life around and gain her dignity back. The first challenge she faced while changing her life around was to try and stay strong in rehab as it was “the hardest she had ever known” (paragraph 18). Combs determination eventually led her to a bachelor’s degree from the University of Phoenix and a job at the StarShine charter school.

The responsibility of regulating nursing practice that ensures public safety, health and welfare and accountability to the public for proper governance falls on the State Boards of Nursing (BONs). Substance abuse is the most common disease that affects healthcare workers (Darbro, 2009). The disease of substance abuse disorder is preventable (Darbro, 2009). The intent of this paper is to discuss the ethical issues of nurses with substance abuse disorder, stigma of addiction, challenges that nurses with substance abuse problems face to include acceptance of the disease, treatment, rehabilitation and monitoring, the incidence of addiction among nurses, how to recognize an impaired colleague, nurses’ attitudes about addiction within the profession and the ethical issues that the nurse, employer and society face when dealing with a nurse who is an addict. It was in the 1980s that professional nursing organizations recommended alternative to discipline (ATD) programs to help rehabilitate nurses (Sigma Theta Tau, 2014). In the past 20 years 46 states have gone with this approach as opposed to traditional discipline (Trussman, 2003). In most cases, these ATD programs provide nurses with intense monitoring for 5 years to aid in their recovery so they may return to work and provide safe patient care to the

“The nurse has a basic concern for people as human beings, confidence in the fundamental power of personality for good, respect for religious beliefs of others, and a philosophy which will sustain and inspire others as well as herself” (ANA, 1940; p. 980). The documentary “The American Nurse”, explores some of the biggest issues the United States faces today- aging, war, poverty, and prisons- through the lives of five very different nurses and their work as health care providers. The film examines real life people in their everyday lives as nurses which changes the way one looks at and thinks about the entire concept of nursing. Nursing is not merely a job, nor is it simply an occupation or a profession. To be a nurse, one must uphold the finest of standards and ethics, dedicating their entire lives to helping and serving others. Therefore, it cannot simply be a behavior; it is a lifestyle.

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,

The competency “apply the core functions of assessment, policy development, and assurance in the analysis of public health problems and their solutions” was met through reading chapter 5 in Public Health: What it is and How it Works, along with completing a discussion question on applying the essential public health services to gun violence in Chicago and by completing a group project where I had to describe substance abuse in terms of the ten essential public health services.

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

The United States healthcare system has undergone a wide variety of changes over the past few years. As the overall health of its citizens continues to deteriorate and people live longer, certain aspects of healthcare are costing an increasingly large portion of the healthcare budget. Problems such as obesity, diabetes, cancer, and substance abuse have become the most pressing issues facing healthcare providers today.

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

Alchol and drug addictions can affect anyone, not just your regular every day people but the people you put the most trust in when you are sick, yes Nurses can also suffer from substance abuse problems. Americans don’t often recognize addiciton as being a serious desease amongst many in the United States. Many nurses tend to stay to themselves when it comes to working with a nurse that suffers from an addiction. There are many understandable reasons why many nurses would turn to substance abuse. Some reasons may be that it came from their family histories that could include emotional impairment, alcoholism, drug use, and/or emotional abuse that result in low self-esteem, overachievement, and overwork. ()

Most of the nurse’s education about Substance Use Disorders (SUDs) occurred during nursing school. A very few select received some on-the-job training (OJT), annual online training, or had prior experience dealing with substance abuse patients. Out of the 24 interviewees, there is only one psychiatric nurse. This particular nurse is 55 years old with over 20 years of nursing experience. She started off as a diploma nurse and on her journey to a BSN, her exposure to substance abuse disorders increased. She also received additional training once she started working on the psych unit. Besides the psychiatric nurse, there is one trauma/ER nurse who has also had some exposure to substance abuse during her career as a nurse. She has been exposed

Medicine seemed to lead the way for many drug addicted nurses. There were three different types of addiction methods mentioned in this paper. The most common type of drugs were opiates, cocaine, and marijuana. These drugs listed were used for different disease or illness. Opiates where preferred over alcohol because the users was not perceived to be as obnoxious and as violent as people who drank way to much alcohol. Marijuana was made for many different problems like tetanus, asthma, and female labor pains. Some physicians believed that morphine was a cure for habituis. Then after that people started getting addicted to morphine so that’s when heroin was introduced to help morphine habituis. A word used to mean addiction was habituis. Most

I am surprised that you have not experienced any workplace violence or anyone with substance abuse probles at work. This is occurring more and more every day. However even though it is occurring more, it is underreported. I experience a co worker who was addicted to iv pain medications. She was a mother, wife, and a good worker. She never came to work with slurred speech. Everyone just thought she just wanted to help when she would volunteer to give pain medications to patients. She always did her job to the best of her ability. No One expected anything of her. Pharmacy waited until she was caught in her vehicle with sharp containers, needles, and medications until they informed us they were suspicious of her taking medications. I