Physicians and nurses with substance use disorders

Shaw, Matthew; McGovern, Mark P.; Angres, Daniel H.; Rawal, Purva

doi:10.1111/j.1365-2648.2004.03133.x

Cited by 45 publications

(25 citation statements)

References 41 publications

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“…According to recent studies, the increase of work-related stress in health care professionals leads to an increase in unhealthy coping habits, such as alcohol consumption to relax, smoking to increase the number of breaks during working-hours or using drugs for stimulation or sedation [33-38]. Health care professionals should be supported in their position as role models for healthy lifestyle.…”

Section: Resultsmentioning

confidence: 99%

Consumption of alcohol, cigarettes and illegal substances among physicians and medical students in Brandenburg and Saxony (Germany)

Voigt

Twork²,

Mittag

et al. 2009

BMC Health Serv Res

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BackgroundPatients regard health care professionals as role models for leading a healthy lifestyle. Health care professionals' own behaviour and attitudes concerning healthy lifestyle have an influence in counselling patients. The aim of this study was to assess consumption of alcohol, cigarettes and illegal substances among physicians and medical students in two German states: Brandenburg and Saxony.MethodsSocio-demographic data and individual risk behaviour was collected by an anonymous self-administered questionnaire. Physicians were approached via mail and students were recruited during tutorials or lectures.Results41.6% of physicians and 60.9% of medical students responded to the questionnaire; more than 50% of the respondents in both groups were females. The majority of respondents consumed alcohol at least once per week; median daily alcohol consumption ranged from 3.88 g/d (female medical students) to 12.6 g/d (male physicians). A significantly higher percentage of men (p < 0.05) reported hazardous or harmful drinking compared to women. A quarter of all participating physicians and one third of all students indicated unhealthy alcohol-drinking behaviour. The majority of physicians (85.7%) and medical students (78.5%) were non-smokers. Both groups contained significantly more female non-smokers (p < 0.05). Use of illegal substances was considerably lower in physicians (5.1%) than medical students (33.0%). Male students indicated a significantly (p < 0.001) higher level of illegal drug-use compared to female students.ConclusionMore than one third of the medical students and health care professionals showed problematic alcohol-drinking behaviour. Although the proportion of non-smokers in the investigated sample was higher than in the general population, when compared to the general population, medical students between 18-24 reported higher consumption of illegal substances.These results indicate that methods for educating and promoting healthy lifestyle, particularly with respect to excessive alcohol consumption, tobacco use and abuse of illegal drugs should be considered.

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Section: Resultsmentioning

confidence: 99%

Consumption of alcohol, cigarettes and illegal substances among physicians and medical students in Brandenburg and Saxony (Germany)

Voigt

Twork²,

Mittag

et al. 2009

BMC Health Serv Res

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“…According to one study, compared to physicians who have gone through alternative programs, nurses experienced more severe work-related sanctions, received less primary treatment, worked longer hours, and were more symptomatic after hospitalization (Shaw, McGovern, Angres, and Rawal 2004). Another difficulty is the cost to the state if public funds are used to subsidize the program or the cost to the nurses if they are assessed a fee along with licensure.…”

Section: The Traditional Disciplinary Approach Vs Alternative Approamentioning

confidence: 93%

“…The programs protect patients by removing impaired nurses from the profession (Haack and Yocom 2002), save money by not having to hire staff to administer the program or charge the license holder a fee (Shaw, McGovern, Angres, and Rawal 2004), and may help some of the nurses with their addiction. Nursing boards using this approach have reported probationary completion rates ranging from 61% to 84% (Monroe et al 2008).…”

Section: The Traditional Disciplinary Approach Vs Alternative Approamentioning

confidence: 99%

Treating Nurses and Student Nurses with Chemical Dependency: Revising Policy in the United States for the 21st Century

Monroe

Pearson

2009

Int J Ment Health Addiction

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“…Natürlich spielen hierbei auch Ängs-te bezüglich möglicher disziplinärer Konsequenzen bis hin zum Verlust des Arbeitsplatzes eine bedeutende Rolle. Eine Untersuchung belegt, dass das Pflegepersonal diesbezüglich häufiger mit beruflichen Sanktionen konfrontiert wird als dies bei ÄrztInnen der Fall ist [70].…”

Section: Suchterkrankungen Im Medizinischen Bereichunclassified

Addiction – who is not affected?

Bäwert

Fischer

2005

Wien Med Wochenschr

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Addiction and addiction-related behaviour increased during the past decades. Several substances with psychoactive attributes, like opioids, cocaine or alcohol, can lead to dependence with physical and/or mental symptoms. In addition to substance-related addiction, non-substance-related dependence requires special attention. Increasing numbers of workaholics and patients suffering from internet-addiction, gambling or eating-disorders can be observed. To meet international treatment standards for addiction, diversification of therapy is necessary and, additionally, gender-related aspects in development and treatment of dependence and addiction-related behaviour are essential for state-of-the-art therapy of this patient population.

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Physicians and nurses with substance use disorders

Abstract: In most areas of study, nurses and physicians demonstrated comparable results; however, a series of statistically significant differences suggest that these groups may have unique clinical needs. The policy implications of these findings are discussed.

Cited by 45 publications

References 41 publications

Consumption of alcohol, cigarettes and illegal substances among physicians and medical students in Brandenburg and Saxony (Germany)

Consumption of alcohol, cigarettes and illegal substances among physicians and medical students in Brandenburg and Saxony (Germany)

Treating Nurses and Student Nurses with Chemical Dependency: Revising Policy in the United States for the 21st Century

Addiction – who is not affected?

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