Nurse Anesthetists: Current Perceptions and Practices Related to Substance Use

Foli, Karen J.; Förster, Anna; Bostic, Loretta Ann; Zhang, Zeyu; Zhang, Lingsong; Stone, Linda

doi:10.1016/s2155-8256(22)00008-4

Cited by 3 publications

(2 citation statements)

References 22 publications

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“…Through a concept analysis, Carter et al (2019) describe barriers in three areas for nurse anesthetists: personal barriers, such as stigma and feelings of shame; professional barriers, such as punitive actions by boards of nursing; and practice barriers, such as lack of collegial support and negative attitudes and work culture (p. 192). We found that although CRNAs are eager for changes to these barriers, they nonetheless pose significant hurdles to reporting SU in the workplace (Foli et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

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Predictors of Substance Use Risk in Nurse Anesthetists

Foli,

Forster,

Bostic

et al. 2024

UJAN

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Background Certified registered nurse anesthetists (CRNAs) are exposed daily to highly addictive substances and stressful work environments, placing them at risk for substance use disorders (SUDs). Previous research, which is scarce, indicated that drugs of choice were opioids and propofol. Therefore, the purpose of this study was to investigate predictors of SUD risk using the World Health Organization Alcohol, Smoking and Substance Involvement Screening Test. Method From June to July 2020, an online survey was sent via the American Association of Nurse Anesthesiology Research Survey Service to 3,000 CRNAs with a response of approximately 225 members. Results CRNAs were found to be at a moderate risk for SUDs in the following categories: 10.27% for tobacco, 23.56% for alcohol, and 6.28% for cannabis. Regression analysis by substance category includes robust, differing models in this homogeneous sample. Predictors for all three models include a collection of demographic variables, religiosity, anxiety, difficulties due to anxiety, depression, substance use history, contact with the American Association of Nurse Anesthesiology Peer Assistance Program, and organizational support. Conclusion Over 10% of CRNAs are at risk for developing tobacco use disorder, and almost one quarter of those surveyed are at a moderate risk for developing alcohol use disorder. These data are of concern and may indicate a shift of preferred substances used by CRNAs from controlled substances to alcohol.

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Section: Discussionmentioning

confidence: 99%

“…This is the second dissemination of results from a larger study. For additional findings, see Foli et al (2022), which contains qualitative findings and perceived effectiveness of deterrents to diversion of drugs.…”

Section: Methodsmentioning

confidence: 99%