Substance Abuse Among Nursing Staff: Prevalence and Sociodemographic and Clinical Characteristics

Elalla, Eman Abou; Awaad, Mona I.; Elhabiby, Mahmoud; Khalil, Sherien Ahmed; Naguib, M

doi:10.1097/adt.0000000000000191

Cited by 3 publications

(4 citation statements)

References 15 publications

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“…However, many studies indicate that healthcare professionals are more likely to underreport substance use due to fear of repercussions. [7][8][9]15] Issues related to under-reporting of impairment in nursing were also identified through the qualitative findings from this study and will be discussed.…”

Section: Discussionmentioning

confidence: 99%

“…SUD does not discriminate; individuals from various backgrounds and professions are affected. [7][8][9] The research findings concerning the incidence of SUD among nurses have varied over the past 20 years, ranging from 6%-20%, with approximately 10% being the most common consensus, which is equivalent to that of the general population. [9][10][11][12][13] Although the most common consensus is approximately 10%, some researchers indicate higher numbers associated with nurses and addiction.…”

Section: Introductionmentioning

confidence: 99%

“…[14] Difficulty in determining an accurate number for nurses experiencing SUD may stem from under-reporting related to lack of recognition, and fear of reprisal from employers or licensing boards. [8,9] Although nurses may not be at higher risk for SUD than individuals from other professions or of the general population, conditions exist within the healthcare environment that may cause nurses to be more vulnerable to SUD. Nursing is a profession that is very stressful at times and can lead to poor decision-making and poor coping skills.…”

Section: Introductionmentioning

confidence: 99%

“…[6] Other factors that put nurses at higher risk for SUD include easy access to drugs while at work [7,15] denial of a problem, and attempts to self-medicate due to knowledge of medications. [7,8,15] The statistical information associated with SUD, primarily related to nursing, may be inaccurate due to underreporting. Underreporting can be attributed to many factors such as failure to recognize the problem within oneself or others, denial of a problem, fear of the consequences of reporting or being reported, and feelings of shame.…”

Section: Introductionmentioning

confidence: 99%

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Nurses’ perceptions related to impaired nurses and knowledge of substance use disorder within the nursing profession

Pecoraro

Prude

Calamia

et al. 2021

JNEP

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Objective: Substance Use Disorder continues to be a problem within the nursing profession. Studies have been conducted to examine various aspects of Substance Use Disorder. Although programs have been implemented to help rather than punish nurses, knowledge barriers that affect reporting still exist. The purpose of this study was to examine nurses’ perceptions of impaired nurses, perceptions of reporting an impaired nurse, and perceptions of knowledge regarding Substance Use Disorder within the nursing profession.Methods: A mixed-method descriptive study was conducted using the Perception of Nursing Impairment Inventory tool, as well as three open-ended questions. Lazarus and Folkman’s Transactional Model of stress and coping was used to guide the study and nurses from one state’s nurses’ association in the southeastern region of the United States participated.Results: Based on quantitative findings, most disagreed with the statement there is little that can be done to help impaired nurses and agreed that nurses have an ethical obligation to report if impairment is suspected. Conflicting views were identified for multiple statements on the Perception of Nursing Impairment Inventory. The qualitative findings revealed average or below average knowledge of SUD and identified barriers that may affect reporting. Further, a culture surrounding the ethical dilemma of reporting was evident.Conclusions: Educational gaps exist between recognizing and reporting the problem of Substance Use Disorder. Although nurses acknowledge an obligation to report, many barriers to reporting were identified. Recommendations were made for additional qualitative research related to nursing education including conflicted feelings about doing what is “right.”

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Nurses’ perceptions related to impaired nurses and knowledge of substance use disorder within the nursing profession

Pecoraro

Prude

Calamia

et al. 2021

JNEP

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Profile of non-communicable Disease Risk Factors Among Nurses in a Tertiary Care Hospital in South India

Kayaroganam

Sarkar

Satheesh

et al. 2022

Asian Nursing Research

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Moral injury and mental health outcomes in nurses: A systematic review

Anastasi,

Gravante,

Barbato

et al. 2024

Nurs Ethics

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Introduction: Moral injury involves the adverse psychological, biological, spiritual, behavioural, and social consequences of actions that violate moral values. It can lead to anxiety, depression, burnout, and post-traumatic stress disorder. Nurses, who often face ethical dilemmas, are particularly vulnerable. Despite its significance, the relationship between moral injury and mental health outcomes in nurses remains underexplored. Aim: This systematic review aimed to describe the associations among moral injury, anxiety, depression, and quality of life in nurses. Methods: The review was registered in PROSPERO (CRD42023438731) and was conducted following the PRISMA guidelines. A literature search was performed in December 2023 across PubMed, CINAHL, Scopus, and Web of Science. Peer-reviewed primary research involving nurses, published in English or Italian, without time restrictions, was considered eligible. The risk of bias and the quality of evidence were assessed using the Joanna Briggs Institute checklist and the GRADE approach. Results: Out of 4730 articles identified, eight met the inclusion criteria. The analysis revealed significant positive associations between moral injury, anxiety, and depression, along with a significant negative association with quality of life. Conclusion: These findings highlight the need for healthcare systems to implement strategies that mitigate moral injury among nurses. Future research should prioritize longitudinal studies to explore causal relationships and develop targeted interventions. Additionally, standardizing the concept and measurements of moral injury is crucial for enhancing the comparability and understanding of this phenomenon.

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Substance Abuse Among Nursing Staff: Prevalence and Sociodemographic and Clinical Characteristics

Cited by 3 publications

References 15 publications

Nurses’ perceptions related to impaired nurses and knowledge of substance use disorder within the nursing profession

Nurses’ perceptions related to impaired nurses and knowledge of substance use disorder within the nursing profession

Profile of non-communicable Disease Risk Factors Among Nurses in a Tertiary Care Hospital in South India

Moral injury and mental health outcomes in nurses: A systematic review

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