The crucial role of all current and future nurses in addressing the continuum of substance use

Finnell, Deborah S.; Mitchell, Ann M.

doi:10.1016/j.outlook.2020.08.015

Cited by 6 publications

(4 citation statements)

References 11 publications

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“…Significant challenges remain despite efforts to promote nurses’ competence in identifying colleagues who may be at risk for suicide because of substance use. Those efforts include identifying interventions to prevent the progression of stress-related responses to diagnosable disorders and providing support for those in recovery from SUDs and depression ( Finnell and Mitchell, 2020 ) . Continued labeling of substance use disorders as a moral failure and criminalization of the disease of substance use disorder perpetuates stigma.…”

Section: Recommendationsmentioning

confidence: 99%

American Academy of Nursing Expert Panel Consensus Statement on leveraging equity in policy to improve recognition and treatment of mental health, substance use disorders, and nurse suicide

Schimmels¹,

Groh²,

Neft³

et al. 2023

Nursing Outlook

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Section: Recommendationsmentioning

confidence: 99%

American Academy of Nursing Expert Panel Consensus Statement on leveraging equity in policy to improve recognition and treatment of mental health, substance use disorders, and nurse suicide

Schimmels¹,

Groh²,

Neft³

et al. 2023

Nursing Outlook

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“…Considered an emerging global social and health problem, alcohol and other drug abuse is a multidimensional phenomenon, which is related to socio-occupational, economic, cultural, and legal problems. [1][2][3][4] Due to the serious personal and community consequences and the high prevalence worldwide, facing the consequences of alcohol and other drug abuse interests the academic community and the public authorities, since Public Safety, Education, Health, Justice, and Social Assistance services are affected, as well as family spaces. 1,2 The World Health Organization (WHO) estimates that 70% of the world's population over the age of 13 consumes alcoholic beverages, and between two and two and a half million people die from the consumption of alcohol.…”

Section: Introductionmentioning

confidence: 99%

Morbidity and mortality and factors associated with death in hospitalized patients resulting from the impacts of alcohol and other drugs

et al. 2023

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Objective To describe the hospitalizations resulting from the impacts of alcohol and other drug abuse and factors associated with death. Methods Cross-sectional, observational, and retrospective study, with secondary data from 3,562 admissions recorded at the Center for Information and Toxicological Assistance of a teaching hospital in northwest Paraná, using epidemiological surveillance of active search, from 2009 to 2018. Data were processed using univariate analysis (Pearson’s Chi-square test and Fisher’s exact test). Results Most were males (89.6%), and the mean age was 43.62 years (±16 years). Most hospitalizations resulted from traumatic events and other external causes (52.1%) associated with the use/abuse of alcoholic beverages (85.8%). The mean length of hospital stay was 34.6 days, and 6.0% died. There was an association between risk of death and endocrine/metabolic, cardiovascular, gastrointestinal, and genitourinary diseases. Conclusion Hospitalizations with greater severity increase the incidence of deaths, and evidencing the associated factors directs interventions to decrease hospitalizations, reducing complications and deaths. Implications for practice The studies serve as a support for the development of prevention strategies, encouragement for improvement actions in the assistance network for users, strengthening and increasing public policies.

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“…Much of the morbidity and mortality associated with alcohol and other drug use can be prevented or treated. Nurses at all levels are in key positions to address the substance use continuum (Finnell & Mitchell, 2020). Core competencies to guide nursing practice focus on prevention, intervention, treatment, and recovery supports for persons affected by substance use (Finnell, Tierney, & Mitchell, 2019).…”

Section: Introductionmentioning

confidence: 99%

Changes in Nursing Students' Attitudes and Perceptions After Receipt of Enhanced Substance Use-Related Curricular Content

Finnell

Sanchez

Hansen

et al. 2022

UJAN

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BackgroundNegative attitudes toward persons who use alcohol and other drugs contribute to suboptimal care. Nurses are in key roles to address the needs of this population, yet they lack the education needed to identify persons who may be at risk because of substance use and intervene accordingly. The purpose of this study was to evaluate the impact of a substance-use-related curriculum on nursing students' attitudes and therapeutic commitment for working with patients with alcohol- and drug-use-related problems.MethodsData were collected for four cohorts of 169 nursing students enrolled in a Master's Entry into Nursing program. Questionnaires included the Person-Centered Alcohol and Alcohol Problems Perception Questionnaire and the Drug and Drug Problems Perception Questionnaire, completed before and after completing the curriculum. Paired samples t test were used to examine pre/post differences for each measure's subscale.ResultsFour of the seven Person-Centered Alcohol and Alcohol Problems Perception Questionnaire subscales showing significant increases were role adequacy, role support, role legitimacy, and general perceptions. Four of the five Drug and Drug Problems Perception Questionnaire subscales showing significant increases were role adequacy, role support, job satisfaction, and role legitimacy; there was a significant change in role-related self-esteem, however, in a negative direction.ConclusionsThis study adds to the growing evidence of the positive impact of providing evidence-based information and skill development, which enhance alcohol- and drug-related knowledge and competence for nurses entering professional practice.

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The crucial role of all current and future nurses in addressing the continuum of substance use

Cited by 6 publications

References 11 publications

American Academy of Nursing Expert Panel Consensus Statement on leveraging equity in policy to improve recognition and treatment of mental health, substance use disorders, and nurse suicide

American Academy of Nursing Expert Panel Consensus Statement on leveraging equity in policy to improve recognition and treatment of mental health, substance use disorders, and nurse suicide

Morbidity and mortality and factors associated with death in hospitalized patients resulting from the impacts of alcohol and other drugs

Changes in Nursing Students' Attitudes and Perceptions After Receipt of Enhanced Substance Use-Related Curricular Content

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