Exposure of anesthesia providers in recovery from substance abuse to potential triggering agents

Hamza, Heather; Bryson, Ethan O.

doi:10.1016/j.jclinane.2011.03.002

Cited by 7 publications

(16 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Reentering a work environment where drugs are readily accessible is also a threat to successful rehabilitation (Dittman, 2008). Potential triggering agents for nurses with SUD should therefore be identified, and exposure to such agents should be managed by preparing an action plan (Hamza & Bryson, 2011; Miller et al, 2015). Accountability and personal honesty supported by mandated monitoring after SUD treatment were found to be important for successful work reentry (Matthias-Andersson & Yurkovich, 2016).…”

Section: Discussionmentioning

confidence: 99%

An Integrative Review of Programs for Managing Nurses' Substance Use Disorder in the Workplace

Luurila¹,

Kangasniemi²,

Häggman‐Laitila³

2022

UJAN

View full text Add to dashboard Cite

Background: Nurses' substance use disorder (SUD) endangers patient safety and decreases nurses' work ability and health. To better understand the methods, treatments, and benefits of the programs used to monitor nurses with SUD and promote their recovery, a systematic review of international research is needed. Aim: The aim was to gather, evaluate, and summarize empirical research on programs for managing nurses with SUD. Design: An integrative review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis instructions. Method: Systematic searches were conducted in the CINAHL, PsycInfo, PubMed, Scopus, and Web of Science databases between 2006 and 2020, complemented with manual searches. Articles were selected based on inclusion, exclusion, and method-specific evaluation criteria. The data were analyzed narratively. Results: The review identified 12 studies of which nine focused on recovery and monitoring programs for nurses with SUD or other impairment and three concerned training programs for nurse supervisors or worksite monitors. The programs were described in terms of their target groups, goals, and theoretical basis. The programs' methods and benefits were described together with challenges in their implementation. Conclusion: There has been little research on programs for nurses with SUD, the programs that exist are heterogenous, and the evidence available in this field is weak. Further research and developmental work are needed on preventive and early detection programs as well as rehabilitative programs and programs supporting reentry to workplaces. In addition, programs should not be restricted to nurses and their supervisors; colleagues and work communities should also be involved.

show abstract

Section: Discussionmentioning

confidence: 99%

An Integrative Review of Programs for Managing Nurses' Substance Use Disorder in the Workplace

Luurila¹,

Kangasniemi²,

Häggman‐Laitila³

2022

UJAN

View full text Add to dashboard Cite

show abstract

“…One barrier often mentioned by CRNAs in recovery was the potential for relapse due to the accessibility of the substance of abuse (Hamza & Bryson, 2011;Hamza & Monroe, 2011;Higgins Roche, 2007). The availability and access of controlled substances could lead to misuse, potentially triggering a relapse (Bell et al, 1999;Hamza & Bryson, 2011;Wright et al, 2012). Valdes (2014) reported relapse rates ranging from 25% to 56%.…”

Section: Personal Barriers To Work Reentrymentioning

confidence: 99%

“…Valdes (2014) reported relapse rates ranging from 25% to 56%. A noted gap was that neither the timing from reentry to relapse nor the contributing factors of the relapse were available in the literature (Hamza & Bryson, 2011).…”

Section: Personal Barriers To Work Reentrymentioning

confidence: 99%

“…The personal dimension was an important factor to consider as the CRNA in recovery learned to live with SUD as a treatable and manageable disease. One barrier often mentioned by CRNAs in recovery was the potential for relapse due to the accessibility of the substance of abuse (Hamza & Bryson, 2011; Hamza & Monroe, 2011; Higgins Roche, 2007). The availability and access of controlled substances could lead to misuse, potentially triggering a relapse (Bell et al, 1999; Hamza & Bryson, 2011; Wright et al, 2012).…”

Section: Personal Barriers To Work Reentrymentioning

confidence: 99%

See 1 more Smart Citation

Barriers to Reentry Into Nurse Anesthesia Practice Following Substance Use Disorder Treatment: A Concept Analysis

Carter

McMullan

Patrician

2019

Workplace Health Saf

View full text Add to dashboard Cite

Nursing knowledge surrounding anesthesia providers' maintaining or obtaining employment after treatment of substance use disorder (SUD) is notably absent in the literature. An alternative method, dimensional analysis, allows for exploration of this concept from many perspectives, with social context as the basis from which to determine what barriers exist and how to prevail over them. Anesthesia practice is a socially constructed profession. The concept, barriers to reentry into nurse anesthesia practice, was explored and defined for purposes of identifying their impact on the recovering certified registered nurse anesthetist (CRNA). Defining the barriers places the CRNA one step closer to successful reentry into anesthesia practice.

show abstract

“…Approximately 10% of all anesthesia providers (i.e., certified registered nurse anesthetists and anesthesiologists) develop an SUD during their career (Bell et al, 1999; Bryson & Silverstein, 2008; Hamza & Monroe, 2011; Higgins Roche, 2007; Valdes, 2014; Wright et al, 2014). SUD is underpinned by the symptomology of addiction and characterized as an inability to stop destructive behavior, despite severe personal and professional consequences (Hamza & Bryson, 2011; McLellan et al, 2000). Factors contributing to developing SUD include continuous exposure to substances of abuse, in-depth pharmacologic knowledge of the substances, a genetic predisposition for abuse potential, and workplace stress (Carter, McMullan, & Patrician, 2019; Higgins Roche, 2007; Valdes, 2014; Volkow et al, 2008; Wright et al, 2014).…”

mentioning

confidence: 99%

Relapse Prevention and Prediction Strategies in Substance Use Disorder

Carter

Heaton

Merlo

et al. 2023

UJAN

View full text Add to dashboard Cite

Background: Relapse prevention for those with substance use disorder (SUD) is an evolving practice. Initiatives focused on relapse prevention from other populations may provide the foundation for future considerations and recommendations for recovering anesthesia providers in the workplace. The purpose of this scoping review was to examine what is known about return-to-use prediction and prevention strategies in various populations struggling with SUDs to inform future considerations and implications for recovering anesthesia providers with a history of SUD. Methods: The Arksey and O'Malley framework was used to conduct a scoping review of the literature. A systematic search was conducted across three databases (PubMed, CINAHL, and PsycInfo) for relevant literature. Search terms used were "measures predicting relapse in substance use disorder" and "relapse prevention in substance use disorder AND anesthesia." Data from articles that met the eligibility criteria were extracted and summarized by the primary author. Results: The search identified 46 articles highlighting various relapse prediction and prevention strategies related to craving and stress, underlying biological factors, neuroimaging, and mindfulness. Relapse prediction and prevention strategies ranged from cell phone applications, monitoring biological markers, and functional neuroimaging of the brain. Conclusions: Relapse is a concern for individuals with a history of SUD. For anesthesia providers, immediate access to powerful anesthesia medications requires returnto-use prediction and prevention strategies when anesthesia providers return to work after SUD treatment. Although some identified strategies are practical, more research is needed to predict and prevent return to use for recovering anesthesia providers.

show abstract

Exposure of anesthesia providers in recovery from substance abuse to potential triggering agents

Cited by 7 publications

References 15 publications

An Integrative Review of Programs for Managing Nurses' Substance Use Disorder in the Workplace

An Integrative Review of Programs for Managing Nurses' Substance Use Disorder in the Workplace

Barriers to Reentry Into Nurse Anesthesia Practice Following Substance Use Disorder Treatment: A Concept Analysis

Relapse Prevention and Prediction Strategies in Substance Use Disorder

Contact Info

Product

Resources

About