Reentry and Recidivism for Certified Registered Nurse Anesthetists

Hamza, Heather; Monroe, Todd B.

doi:10.1016/s2155-8256(15)30297-0

Cited by 6 publications

(13 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Follow-up data compiled by Bell in 2006 and published by others, reaffirmed these findings and showed an increase in opioid abuse (Hamza & Monroe, 2011;Wright et al, 2012). In their article Opioid Abuse Among Nurse Anesthetists and Anesthesiologists, Wright et al (2012) identified occupational risk factors for anesthesia providers as stress related to high patient acuity leading to poor coping, access to freely available and highly addictive substances, attitudes and perceptions of knowing how to administer and properly control the substances in question leading to a false sense of immunity from the dangers of addiction, and lastly the potential for inadvertent exposure to aerosolized substances over time.…”

Section: Studies Involving Nurse Anesthesiamentioning

confidence: 75%

“…The APRN specific studies considered above, though not exclusive or specific to CRNAs, foreshadow important implications of the twin facts that the nurse anesthesia specialty endures unusually high rates of substance abuse among healthcare professions (Bell, McDonough, Ellison, & Fitzhugh, 1999;Hamza & Monroe, 2011;Wright et al, 2012) and that males find their largest numbers in this specialty (USCB, 2013;AANA, 2015). The US Bureau of Labor Statistics characterizes the primary workspace of nurse anesthetists as physician offices, hospitals, and outpatient care centers and places them geographically in sync with the general population spread of the US (2015).…”

Section: Studies Involving Nurse Anesthesiamentioning

confidence: 99%

See 1 more Smart Citation

An Exploration of Potential Gender Differences in the Discipline of Nurse Anesthetists

Kane¹

2017

Preprint

View full text Add to dashboard Cite

Great diversity exists in the US population, therefore the US Department of Health and Human Services [HHS] has called for increased diversity among healthcare professionals as a means of improving public health outcomes. Males are consistently a minority group within the nursing profession and are disproportionately disciplined. The disproportionate discipline of male nurses and the loss of licensure often resulting from censure may have an impact on efforts to diversify the nursing sector of healthcare. Among certified registered nurse anesthetists [CRNAs], the ratio of males to females is more equal and little data exists examining the characteristics of disciplined CRNAs. The purpose of this study was to describe formal licensure discipline against CRNAs practicing in select states during a 33-year period (1983-2017). This descriptive study is a retrospective cohort study involving secondary data analysis of public records information. Disciplinary list data was generated via the database tools accessible on the government websites provided by each state department of health and/or BON. The disciplinary list data was then cross-referenced against the Nursys database maintained by the National Council of State Boards of Nursing (NCSBN) for greater detail and analysis. Of the CRNA licenses in the sample (n=4401), the rate of sanction was 1.20% (n=53). Males (n=26) were disciplined more often than women (n=27) at a ratio of 1.6:1. CRNAs in this study were six times more likely to commit an infraction related to substance abuse than any other single infraction type at 66% (n=35). Loss of licensure in some form resulted in approximately 51% (n=27) of cases.

show abstract

Section: Studies Involving Nurse Anesthesiamentioning

confidence: 75%

Section: Studies Involving Nurse Anesthesiamentioning

confidence: 99%

An Exploration of Potential Gender Differences in the Discipline of Nurse Anesthetists

Kane¹

2017

Preprint

View full text Add to dashboard Cite

show abstract

“…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%

“…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%

“…With advances in SUD resources including treatment, support, and after-care, SUD need not be career ending in nurse anesthesia (Higgins Roche, 2007;Kunyk, 2015). Prior study findings indicate a gap in nursing knowledge surrounding anesthesia providers' maintaining or obtaining employment after treatment of SUD (Hamza & Monroe, 2011;Wright et al, 2014). Ideal goals for the addicted certified registered nurse anesthetist (CRNA) should be to receive proper treatment for SUD and, if deemed fit to return to work, to reenter the workforce successfully with after-care and support systems in place.…”

Section: Introductionmentioning

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

Buprenorphine Maintenance Therapy in Opioid-Addicted Health Care Professionals Returning to Clinical Practice: A Hidden Controversy

Hamza

Bryson

2012

Mayo Clinic Proceedings

Self Cite

View full text Add to dashboard Cite

It remains controversial whether it is safe for recovering health care professionals to return to clinical practice after treatment for drug addiction. One specific component of reentry that remains particularly contentious is the use of pharmacotherapeutics, specifically buprenorphine, as opioid substitution therapy for health care professionals who wish to return to clinical work. Because health care professionals are typically engaged in safety-sensitive work with considerable consequences when errors occur, abstinence-based recovery should be recommended until studies demonstrate that it is safe to allow this population to practice while undergoing opioid substitution therapy.

show abstract

Reentry and Recidivism for Certified Registered Nurse Anesthetists

Cited by 6 publications

References 21 publications

An Exploration of Potential Gender Differences in the Discipline of Nurse Anesthetists

An Exploration of Potential Gender Differences in the Discipline of Nurse Anesthetists

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

Buprenorphine Maintenance Therapy in Opioid-Addicted Health Care Professionals Returning to Clinical Practice: A Hidden Controversy

Contact Info

Product

Resources

About