Linda A. McDonald DNAP, CRNA (Program Director), Craig S. Atkins DNP, CRNA (Program Administrator), Jared Crocker DNP, CRNA (Staff Nurse Anesthetist), Mariela Hristova MSIS (Associate Professor), Virginia C. Simmons DNP, CRNA, CHSE-A, FAANA, FAAN (Professor)
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引用次数: 0
Abstract
Background
The healthcare industry is experiencing a rise in substance use disorder (SUD) as healthcare professionals who have access to controlled substances are at increased risk of developing SUD. However, individuals with SUD do not typically self-report, leaving authorities and state licensing boards to depend on whistleblowers to report suspected SUD or drug diversion, placing considerable psychosocial stress on those reporting.
Purpose
The present study examined existing literature on whistleblowing, drug diversion, and substance use disorder (SUD) among healthcare professionals. The present study’s primary aim was to identify unexplored areas related to whistleblowing, especially the psychosocial effects experienced by whistleblowers.
Methods
The authors performed a scoping review to investigate existing literature regarding whistleblowing, drug diversion, and SUD among healthcare professionals
Results
Forty-seven articles met inclusion criteria and were chosen for comprehensive data extraction. A gap in the literature regarding the psychosocial impact on the whistleblower reporting SUD was identified. Based on the articles reviewed, healthcare professionals do not always report colleagues for suspected SUD, despite this being a professional obligation. Fear of retribution is the most commonly cited barrier to whistleblowing. This is not surprising considering that whistleblowing laws in the United States vary and have led to legal charges against nurse whistleblowers.
Conclusion
The present review highlights numerous unaddressed areas in the current literature related to whistleblowing in healthcare. Creating a safety-centric and whistleblowing ethos within healthcare settings is essential to improved handling of whistleblower allegations and to alleviate associated psychosocial burdens.
背景医疗保健行业的药物使用失调症（SUD）发病率正在上升，因为能够接触受管制药物的医疗保健专业人员患上药物使用失调症的风险也在增加。然而，患有 SUD 的个人通常不会进行自我报告，因此当局和州执照委员会只能依靠举报人来报告疑似 SUD 或药物转用的情况，这给举报人带来了巨大的社会心理压力。本研究的主要目的是确定与举报有关的尚未探索的领域，特别是举报人所经历的社会心理影响。方法作者进行了范围综述，调查了有关医疗保健专业人员中的举报、药物转用和药物使用障碍的现有文献。结果发现，有关举报人举报药物滥用对社会心理影响的文献存在空白。根据所查阅的文章，医疗保健专业人员并不总是会举报同事疑似患有药物滥用症，尽管这是一项专业义务。害怕报复是最常被提及的举报障碍。考虑到美国的举报法律不尽相同，并导致对护士举报人的法律指控，这种情况也就不足为奇了。在医疗机构中营造一种以安全为中心的举报风气对于改善举报人指控的处理和减轻相关的社会心理负担至关重要。
期刊介绍：
Journal of Nursing Regulation (JNR), the official journal of the National Council of State Boards of Nursing (NCSBN®), is a quarterly, peer-reviewed, academic and professional journal. It publishes scholarly articles that advance the science of nursing regulation, promote the mission and vision of NCSBN, and enhance communication and collaboration among nurse regulators, educators, practitioners, and the scientific community. The journal supports evidence-based regulation, addresses issues related to patient safety, and highlights current nursing regulatory issues, programs, and projects in both the United States and the international community. In publishing JNR, NCSBN''s goal is to develop and share knowledge related to nursing and other healthcare regulation across continents and to promote a greater awareness of regulatory issues among all nurses.
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