Introduction
Substance use disorder (SUD) continues to be a leading public health concern for state
boards of nursing (BONs).
Aims
To assess the SUD program completion rates and determine the program characteristics
associated with program completion.
Methods
A retrospective cohort study of 7,737 nurses participating in SUD programs between
the years 2007 and 2015 was conducted. Bivariate analyses explored variables of successful
program completion, and a forward stepwise logistic regression model was run to assess
predictors of program success or failure.
Results
Successful program completion correlated with the number of years in the program (r = 0.30). The highest percentage of nurses completing a program was at around the
5-year mark. Additionally, 26 random drug tests, 25 support group meetings, and 55
to 60 mutual support group meetings per year were associated with successful program
completion.
Conclusions
Bimonthly random drug tests, daily check-ins, and a minimum 3-year length of stay
in a program were associated with successful program completion. Attending structured
support group meetings and mutual support meetings were also useful. Convening an
expert panel to review these results and develop formal guidelines that can be tested
by BONs are recommended next steps.
Keywords
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References
- A two year longitudinal outcome study of addicted health care professionals: An investigation of the role of personality variables.Substance Abuse: Research and Treatment. 2013; 7: 49-60
- Impaired healthcare professional.Critical Care Medicine. 2007; 35: S106-S116
- Substance use disorders and accessing alternative-to-discipline programs.Journal of Nursing Regulation. 2012; 3: 16-23
- A consistent approach to treatment and reentry for CRNAs with substance use disorder.Journal of Nursing Regulation. 2015; 6: 47-51
- An examination of stress, coping, and adaptation in nurses in a recovery and monitoring program.Journal of Addictions Nursing. 2012; 23: 159-166
- Matching substance abuse aftercare treatments to client characteristics.Addictive Behaviors. 2002; 27: 584-605
- Program for recovering nurses: An evaluation.Medsurg Nursing. 2006; 15: 223-230
- Re/entry: A guide for nurses dealing with substance use disorder.2014 (Sigma Theta Tau International)
- Predictors of substance use recidivism among Arkansas nurses.Journal of Nursing Regulation. 2014; 5: 39-44
- Chemical dependency and nursing students: A complicated process calling for nurse educator involvement.Journal of Addictions Nursing. 2015; 26: 58-61
- Substance abuse among nurses: Defining the issue.AORN Journal. 2005; 82: 573-596
- How are addicted physicians treated? A national survey of physician health programs.Journal of Substance Abuse Treatment. 2009; 37: 1-7
- Setting the standard for recovery: Physicians’ Health Programs.Journal of Substance Abuse Treatment. 2009; 36: 159-171
Emergency Nurses Association, & International Nurses Society on Addictions. (2016). Substance use among nurses and nursing students. Retrieved from https://www.ena.org/docs/default-source/resource-library/practice-resources/position-statements/joint-statements/substanceuseamongnurses
- Reducing the incidence of substance use disorders in anesthesiology residents: 13 years of comprehensive urine drug screening.Anesthesiology. 2018; 129: 821-828
- Alabama’s nurse monitoring programs: The nurse’s experience of being monitored.Journal of Addictions Nursing. 2009; 20: 142-149
- Enhancing mutual accountability to promote quality, safety, and nurses’ recovery from substance use disorders.Archives of Psychiatric Nursing. 2011; 25: 445-455
Institute for Behavior and Health, Inc. (2014, March). The new paradigm for recovery: Making recovery—and not relapse—the expected outcome of addiction treatment. http://www.williamwhitepapers.com/pr/IBH%20New%20Paradigm%20for%20Recovery%20Report%202014.pdf
Intervention Project for Nurses. (2018). IPN Fact Sheet. Retrieved from https://www.ipnfl.org/resources-and-links/
- Substance use disorders among registered nurses: Prevalence, risks and perceptions in a disciplinary jurisdiction.Journal of Nursing Management. 2015; 23: 54-64
- Help seeking by health professionals for addiction: A mixed studies review.International Journal of Nursing Studies. 2016; 60: 200-215
- Five year outcomes in a cohort study of physicians treated for substance use disorders in the United States.BMJ. 2008; 337: 1154-1156
- Successful treatment programs for physicians with addictions.Psychiatric Times. 2009, August 28; 26
- Don’t ask don’t tell: Substance abuse and addiction among nurses.Journal of Clinical Nursing. 2010; 20: 504-509
- Procedures for handling cases of substance abuse among nurses: A comparison of disciplinary and alternative programs.Journal of Addictions Nursing. 2008; 19: 156-161
- The prevalence of employed nurses identified or enrolled in substance use monitoring programs.Nursing Research. 2013; 62: 10-12
- Treating nurses and student nurses with chemical dependency: Revising policy in the United States for the 21st century.International Journal of Mental Health and Addiction. 2009; 7: 530-540
- Paths of entry into Alcoholics Anonymous: Consequences for participation and remission.Alcoholism: Clinical and Experimental Research. 2005; 29: 1858-1868
- Personal factors as correlates and predictors of relapse in nurses with impaired practice.Journal of Addictions Nursing. 2019; 30: 24-31
- Substance use disorder in nursing: A resource manual and guidelines for alternative and disciplinary monitoring programs.(Author)https://www.ncsbn.org/SUDN_11.pdfDate: 2011
- Trends & statistics.
- Psychiatric comorbidity in health care professionals with substance use disorders.Addictive Disorders & Their Treatment. 2013; 12: 51-57
- Substance abuse patterns and psychiatric symptomatology among three healthcare provider groups evaluated in an out-patient program for impaired healthcare professionals.Journal of Addictive Diseases. 2013; 32: 99-107
- Alcohol abuse in the workplace and patient safety.Clinical Journal of Oncology Nursing. 2011; 15: 143-145
Shaw, M. F., McGovern, M. P., Angres, D. H., & Rawal, P. (2004). Physicians and nurses with substance use disorders. Journal of Advanced Nursing, 47(5), 561–571. https://doi.org/10.1111/j.1365-2648.2004.03133.x
- Exploring the factors influencing relapse and recovery among drug and alcohol addicted women.Journal of Psychosocial Nursing and Mental Health Services. 2000; 38: 8-19
- Addiction in the lives of registered nurses and their wake-up jolt to recovery.Hamilton Books, 2018
- Nurses’ addictions: Finding alternatives to discipline.American Journal of Nursing. 2003; 103: 27-28
U.S. Bureau of Labor Statistics. (2015, July 13). Registered nurses have highest employment in healthcare occupations; Anesthesiologists earn the most. https://www.bls.gov/opub/ted/2015/registered-nurses-have-highest-employment-in-healthcare-occupations-anesthesiologists-earn-the-most.htm
Vaillant, G. E. (2003). A 60-year follow-up of alcoholic men. Addiction, 98(8), 1043–1051. https://doi.org/10.1046/j.1360-0443.2003.00422.x.
- Reentry of the addicted certified registered nurse anesthetist: A review of the literature.Journal of Addictions Nursing. 2009; 20: 177-184
- Protective factors against relapse for practicing nurse anesthetists in recovery from anesthetic opiate dependency.Journal of Addictions Nursing. 2014; 25: 66-73
- Nurses with substance use disorders: Where we are and what needs to be done.Journal of Psychosocial Nursing and Mental Health Services. 2017; 55: 11-14
- A review of criminal convictions among nursing 2012–2013.Journal of Nursing Regulation. 2016; 7: 27-33
Biography
Richard Smiley, MS, MA, is a Senior Statistician, Research Department, National Council of State Boards of Nursing, Chicago, IL.
Biography
Kyrani Reneau, MA, is a Research Associate, Research Department, National Council of State Boards of Nursing.
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© 2020 National Council of State Boards of Nursing. Published by Elsevier Inc. All rights reserved.
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