The Prevalence of Substance Use and Substance Use Problems in Registered Nurses: Estimates From the Nurse Worklife and Wellness Study

Trinkoff, Alison M.; Selby, V.; Han, Kihye; Baek, Hyang; Steele, Jenell; Edwin, Hephzibah S.; Yoon, Jeongkoo; Storr, Carla L.

doi:10.1016/s2155-8256(22)00014-x

Cited by 29 publications

(39 citation statements)

References 22 publications

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“…Compared with the prevalence of substance use among U.S. residents ages 12 and older, prescription drug misuse was found to be higher among nurses, and illicit drug use was found to be lower 22…”

Section: Substance Use Among Nursesmentioning

confidence: 60%

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The Impaired Nurse

Salani

Goldin

Valdes

et al. 2022

AJN, American Journal of Nursing

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Substance use disorders (SUDs) do not discriminate. Anyone can be affected regardless of age, sex, ethnicity, socioeconomic status, or profession. Nurses with SUDs present serious risks to both their patients and the nursing profession. Frontline nurses' responsibility to provide patients with safe, high-quality care may be too great a challenge for those with SUDs, resulting in adverse consequences. Early recognition and treatment of nurses with SUDs promotes patient safety and retention in the profession. For this reason, all nurses and other health care professionals should be able to recognize behaviors associated with SUDs and should be familiar with the available treatment modalities.

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Section: Substance Use Among Nursesmentioning

confidence: 60%

“…Establishing the prevalence of SUDs in nursing has been challenging, but an analysis of survey responses concerning substance use and abuse from a nationally representative sample of 1,170 randomly selected RNs from nine states indicated that SUD prevalence varied with the nurses' practice environment22:…”

Section: Substance Use Among Nursesmentioning

confidence: 99%

The Impaired Nurse

Salani

Goldin

Valdes

et al. 2022

AJN, American Journal of Nursing

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“…Further demographic details of the study sample have been described elsewhere 20 . Among the RN sample, 9.9% reported past year prescription drug misuse, compared with approximately 6% in the general population 7,23 . For the workplace exposures, 9.2% of the sample reported high availability; 9.0%, frequent administration; 34.1%, high knowledge; and 3.3%, low workplace controls.…”

Section: Resultsmentioning

confidence: 99%

“…The sample design was presented in detail elsewhere. 7,20 Data were collected from November 2020 to March 2021, with 1215 nurses responding among 3973 targeted. This excluded 227 undeliverable emails or addresses, for a 30.6% overall response rate.…”

Section: Design and Samplingmentioning

confidence: 99%

Workplace Exposures and Prescription Drug Misuse Among Nurses

Trinkoff

Selby

Baek

et al. 2022

JONA: The Journal of Nursing Administration

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OBJECTIVEThis study examined the association between workplace exposure and prescription drug misuse in nurses.BACKGROUNDStudies have found RNs and other health providers have higher rates of prescription misuse than the general population and have suggested that workplace exposures along with excessive job demands create circumstances fostering misuse.METHODSSurvey data from 1170 RNs on workplace exposures (availability, frequency of administration, knowledge of substances, and workplace controls) were described by workplace, position, and specialty. Exposures were then related to prescription drug misuse using logistic regression.RESULTSEach workplace exposure was associated with past year prescription drug misuse. An index combining all exposures was significantly related to misuse (P = 0.001), and odds of misuse increased by 38% for each point increase in the exposure index.CONCLUSIONSConsideration of the health and well-being of nurses at higher odds of exposure to prescription drugs with misuse potential is warranted. Workplace support to help nurses maintain and restore their health should be a priority.

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“…Of those, 124 nurses (35%) who consumed alcohol only screened positive for substance use problems or SUD, and 231 nurses (65.4%) who consumed both alcohol and drugs screened positive for substance use problems or SUD. 4 While both studies suggest a growing problems with alcohol use among nurses, the researchers used instruments for assessing SUD, not AUD. To best understand the prevalence of AUD, it is essential to use the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) diagnostic criteria for AUD.…”

mentioning

confidence: 99%