Enhancing Mutual Accountability to Promote Quality, Safety, and Nurses' Recovery From Substance Use Disorders

Horton-Deutsch, Sara; McNelis, Angela M.; Day, Pamela O’Haver

doi:10.1016/j.apnu.2011.02.002

Cited by 14 publications

(15 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…But this has implications beyond people with mental health conditions or challenges, or experiencing mental health crises; this focus on mutuality, or reciprocity, means that the processes of recovery could have benefits for others involved. This could include those with more general well‐being needs such as informal carers and health, social care and education personnel (Horton‐Deutsch et al , 2011; O’Grady and Skinner, 2012; Phelan, 2011). People in these roles are often themselves subject to high stress, mental health problems and burnout and for whom an approach based on mutuality and “being there” for one another could be beneficial (Chiang, 2011; Macleod et al , 2011).…”

Section: Mutual Recoverymentioning

confidence: 99%

Creative practice as mutual recovery in mental health

Crawford

Lewis

Brown

et al. 2013

Mental Health Review Journal

View full text Add to dashboard Cite

PurposeThe purpose of this paper is to examine the value of approaches to mental health based on creative practice in the humanities and arts, and explore these in relation to the potential contribution to mutual recovery.Design/methodology/approachThe paper is a conceptual analysis and literature review.FindingsRecovery can embrace carers and practitioners as well as sufferers from mental health problems. Divisions tend to exist between those with mental health needs, informal carers and health, social care and education personnel. Mutual recovery is therefore a very useful term because it instigates a more fully social understanding of mental health recovery processes, encompassing diverse actors in the field of mental health. Research demonstrates the importance of arts for “recovery orientated mental health services”, how they provide ways of breaking down social barriers, of expressing and understanding experiences and emotions, and of helping to rebuild identities and communities. Similarly, the humanities can advance the recovery of health and well‐being.Originality/valueThe notion of mutual recovery through creative practice is more than just a set of creative activities which are believed to have benefit. The idea is also a heuristic that can be useful to professionals and family members, as well as individuals with mental health problems themselves. Mutual recovery is perhaps best seen as a relational construct, offering new opportunities to build egalitarian, appreciative and substantively connected communities – resilient communities of mutual hope, compassion and solidarity.

show abstract

Section: Mutual Recoverymentioning

confidence: 99%

Creative practice as mutual recovery in mental health

Crawford

Lewis

Brown

et al. 2013

Mental Health Review Journal

View full text Add to dashboard Cite

show abstract

“…A management plan organized in such a way seriously calls into question the voluntary nature of the contracts, and the notion of full and freely given consent. Lack of choice in their treatment regime was detrimental to several of the nurses’ actual recovery efforts, a finding also reflected in the literature (Horton‐Deutsch et al, ).…”

Section: Discussion: Treatment As Subordinationmentioning

confidence: 87%

“…To date, no studies have been found (Lawson & Boyd, ; Ross, Berry, et al, ) that compared these nurse or physician substance‐use treatment regimes to any other treatment modalities. We found very few studies of the experiential perspectives of nurse participants in ATD programs (Astrab Fogger & McGuinness, ; Darbro, ; Horton‐Deutsch, McNelis, & O’Haver Day, ; Strom‐Paikin, ).…”

Section: Introductionmentioning

confidence: 99%

The business of managing nurses’ substance‐use problems

et al. 2019

View full text Add to dashboard Cite

Nurses’ experiences in, and the overall effectiveness of, widely used alternative‐to‐discipline programs to manage nurses’ substance‐use problems have not been adequately scrutinized. We uncovered the conflicted official and experiential ways of knowing one such alternative‐to‐discipline program in a Canadian province. We explicated this conflict through an institutional ethnography analysis. Ethnographic data from interviews with 12 nurses who were enrolled in an alternative‐to‐discipline treatment program and three program administrators, as well as institutional texts, were analyzed to explore how institutional practices and power relations co‐ordinated and managed nurses’ experiences. Analysis revealed the acritical acceptance of a standardized program not based on current norms of practice. Potential and actual conflicts of interest, power imbalances, and prevailing corporate interests were rife. Nurses were not afforded the same rights to quality ethical health care as other citizens. ‘Expert’ physicians’ knowledge was privileged while nurses’ knowledge was subordinated. Conclusions were that regulatory bodies cannot rely on the taken‐for‐granted standardized treatment model in widespread use. Individualized treatment alternatives reflecting current, scientific evidence must be offered to nurses, and nurses’ knowledge, expertise, and experiences need to be included in decision‐making processes in these programs.

show abstract

“…It is unclear what factors are associated with this phenomenon, and further research is needed to explore these possibilities. It is hypothesized that maybe these nurses are still in denial about their SUDs, as seen in the literature (Cares et al, 2015;Horton-Deutsch, McNelis, & O'Haver Day, 2011;Kunyk, 2015), when they are first referred to the program and need other motivating factors to return and participate fully.…”

Section: Discussion and Implications For Nursingmentioning

confidence: 99%

A Retrospective Descriptive Study of Nurses With Substance Use Disorders in Texas

Mumba

Baxley²,

Snow³

et al. 2019

UJAN

View full text Add to dashboard Cite

There are approximately 3.1 million nurses in the Unites States (U.S. Census Bureau, 2016), and approximately 8% of them experience substance use disorders (Kunyk, 2015). Nurses with impaired practice are referred to peer assistance programs as they seek rehabilitation. As of 2016, 348 nurses in Texas Peer Assistance Program for Nurses were actively participating in the program for substance-abuse-related offenses. Over the last 6 years (2010Y2016), 1,553 nurses were referred to Texas Peer Assistance Program for Nurses specifically for substanceabuse-related problems. These represent 2% of the population of nurses in Texas. The average age of participants was 40.1 years. Women represented 75% of participants, and 76% were registered nurses. About 41% successfully completed the program without relapsing, and 32% reported at least one relapse. Varieties of drugs were abused including prescription drugs and illegal drugs. Opioids were the most frequently abused class of drugs, followed by alcohol and stimulants. Most nurses obtained their drugs by diverting from patients. Contrary to what is in the literature, nurses working in long-term care, medicalYsurgical units, and home health care had the highest prevalence of impaired practice. Psychiatric comorbidity was not significantly associated with relapse, but self-report status was significantly associated with gender, age category, license type, relapse, and drug of choice. There was a significant inverse relationship between time it takes to enroll and number of abstinent days. Men were also more likely to be employed while in the program.

show abstract

Enhancing Mutual Accountability to Promote Quality, Safety, and Nurses' Recovery From Substance Use Disorders

Cited by 14 publications

References 15 publications

Creative practice as mutual recovery in mental health

Creative practice as mutual recovery in mental health

The business of managing nurses’ substance‐use problems

A Retrospective Descriptive Study of Nurses With Substance Use Disorders in Texas

Contact Info

Product

Resources

About