1 / 15

Substance Use Disorder (SUD) in Nursing: Awareness and Prevention: Part 1

These educational materials provide an overview of Substance Use Disorder (SUD) in nursing, including risk factors, consequences, and approaches to prevention. Developed in collaboration with the Minnesota State Board of Nursing and the University of Minnesota School of Nursing.

twalters
Download Presentation

Substance Use Disorder (SUD) in Nursing: Awareness and Prevention: Part 1

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Substance Use Disorder (SUD) in Nursing: Awareness and Prevention: Part 1 These educational materials were developed through a collaboration with the Minnesota State Board of Nursing, the University of Minnesota School of Nursing, the Nurse Peer Support Network, and MHealth. Dina Stewart, DNP, APRN, PMHNP-BC created the learning materials and has given permission for the University of Minnesota School of Nursing to disseminate the materials to schools of nursing in Minnesota.

  2. Objectives • Describe the risk factors and protective factors of substance use disorder for nurses • Clarify personal values related to substance use disorder in order to address the stigmatization of nurses with substance use disorder • Outline the professional, personal and legal consequences for nurses with substance use disorder • Describe the signs of an impaired nurse in the workplace • Identify evidence of diversion in order to have awareness in a clinical setting • Identify approaches to engaging peers and managers regarding substance use disorder related concerns

  3. Substance Use Disorder: Review Substance Use Disorder is a pathological pattern of behavioral, cognitive and physiological symptoms related to the use of a substance, that an individual continues to use despite significant interpersonal, occupational or physical problems (DSM 5, 2013). It is a chronic disease, not a moral deficit. People recover.

  4. Definitions • Impairment – inability to perform work related activities safely • Diversion – transfer of a controlled substance from the person it was originally prescribed to another individual for an illicit use.

  5. Why should I care about SUD in nursing?

  6. Society’s Image of Nursing “Nurses #1 in Honesty, Ethics since 2001 --Gallup Poll, December 2016 Nurses: • Held to high standards by society • Are trusted by the public (yearly Gallup poll rankings) • Experience professional and/or personal failure to meet these high expectations when SUD is diagnosed (Shame and stigma)

  7. Risk factors for development of substance use disorder: • Attitudes • Access • Stress • Lack of education about SUD Review this resource: National Council of States Boards of Nursing (NCSBN). (2011). Substance use disorder in nursing: A resource and guidelines for alternative and disciplinary monitoring programs. Chicago: NCSBN. Entire document is available here: https://www.ncsbn.org/SUDN_11.pdf

  8. Risk Factor--ATTITUDES • Medications solve problems • I need to work • I am invulnerable to illness • It is acceptable to use substances to cope with stress

  9. https://www.pinterest.com/pin/290763719669161290/

  10. Risk Factor: Access • Nurses are the primary health professionals that administer medications to patients. • Access leads to diversion • Having the knowledge and ability to easily obtain substances is a factor that increases the risk for nurses

  11. Risk Factor: Stress • There are many factors in the workplace that contribute to nurses experiencing stress. • Life and death situations • Trauma, emergencies • Staffing shortages • Patient turnover • Rotating shifts • Workplace incivility

  12. Risk Factor: Lack of education • Diminishes awareness of SUD as an issue and perpetuates SUD as a stigma • Nurses contribute to stigma by making judgmental statements about patients with substance use disorder

  13. Protective Factors • Supportive work environment • Adaptive self-care • High work satisfaction • Older age • (NCSBN, 2011)

  14. Practice Issues / Consequences • Health of affected nurse – Physical, emotional, spiritual • Legal issues if the nurse is diverting drugs; drug diversion is a felony • Patient Safety – Impaired nurse leads to impaired judgement. Diversion leads to patient not receiving needed medication • Impact on healthcare systems – Absenteeism, liability • Impact on nursing profession – Careers are jeopardized

  15. References American Psychiatric Association (APA). (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing. Gallup (2015). Americans’ faith in honesty, ethics of police rebounds. Retrieved from: http://www.gallup.com/poll/187874/americans-faith-honesty-ethics-police-rebounds.aspx Monroe, T. B., Kenaga, H., Dietrich, M. S., Carter, M. A., & Cowar, R. L. (2013). The prevalence of employed nurses identified or enrolled in substance abuse monitoring programs. Nursing Research, 62(1), 10-15. Monroe, T., & Kenaga, H. (2010). Don't ask don't tell: Substance abuse and addiction among nurses. Journal of Clinical Nursing, 504-509. NCSBN. (2011). Substance use disorder in nursing: A resource and guidelines for alternative and disciplinary monitoring programs. Chicago: NCSBN.

More Related