International journal of addiction nursing最新文献

{"title":"Utilization of an Urban Syringe Service Program: Implications for Rural Pennsylvania.","authors":"Madeleine Lepore, Ryan Howe, Caroline Cassidy, Audrey Borenstein, Brayden Kameg","doi":"10.1097/JAN.0000000000000658","DOIUrl":"10.1097/JAN.0000000000000658","url":null,"abstract":"<p><strong>Background: </strong>Syringe service programs (SSPs) provide health-promoting and preventative care for people who use drugs (PWUDs) and can reduce the risk of overdose and infectious diseases. SSPs are predominantly located in urban areas.</p><p><strong>Purpose: </strong>This study aims to (1) assess the number of syringes distributed and the services utilized at an SSP in Pennsylvania, and (2) assess the number of participants traveling to the SSP from other counties, and the rurality of each county.</p><p><strong>Methods: </strong>A convenience sample of individuals utilizing SSP services over 2 years was used. Data collected at the visits were analyzed to assess the volume of syringe distribution, the percentage of participants utilizing secondary services, the distance participants traveled, and the rurality of where participants traveled from.</p><p><strong>Results: </strong>A total of 8,632 individuals accessed SSP services and were included in the analysis. A total of 518 participants who were accessing the SSP traveled from neighboring or distant counties to access services. The average number of miles traveled per participant residing outside the county was 73.</p><p><strong>Conclusions: </strong>In Pennsylvania, PWUDs residing in rural communities travel, on average, more than 70 miles to access harm reduction services provided at SSPs. Through advocacy for policy change, nurses can aid in SSP expansion across Pennsylvania and other rural settings to allow for more accessible and equitable healthcare resources for rural PWUDs.</p><p><strong>Implications: </strong>Nurses should advocate for improved access to harm reduction services, including SSPs, for PWUD, both in rural Pennsylvania and other rural regions in the United States.</p>","PeriodicalId":524201,"journal":{"name":"International journal of addiction nursing","volume":"37 3","pages":"E147-E153"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148964239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Relationship of Postearthquake Trauma With Risk Perception and Substance Use in Southeast Turkey.","authors":"Hüseyin Çapuk, Fatoş Uncu, Rukuye Aylaz","doi":"10.1097/JAN.0000000000000671","DOIUrl":"10.1097/JAN.0000000000000671","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this research was to explore how trauma resulting from earthquakes, individuals' perceptions of risk, and the use of alcohol, tobacco, and illegal substances are interconnected in the southeastern region of Turkey.</p><p><strong>Methods: </strong>This cross-sectional research was carried out between October and December 2023 in 11 provinces affected by in the Southeastern Anatolia Region of Turkey. Earthquake risk perception by participants' characteristics related to addictive substance use were compared.</p><p><strong>Results: </strong>Significant differences were found between participants' reasons for substance use and their earthquake risk perception and post-traumatic stress levels. Those who used substances due to sadness and distress had higher emotional earthquake risk perception (p <.05, η² = 0.018), post-traumatic stress total scores, and behavioral problems (p <.05, η² = 0.019), emotion limitation (p <.05, η² = 0.022), and sleep disturbance (p <.05, η² = 0.019). A significant difference was also observed between the type of substance first used and post-traumatic stress, with amphetamine users scoring higher than marijuana users (p <.05, η² = 0.013). Furthermore, participants who increased their substance use after the earthquake had increased levels of excitement restriction (p <.05, η² = 0.012) and sleep disturbance (p <.05, η² = 0.011).</p><p><strong>Conclusions: </strong>These findings highlight the role of addiction and mental health nurses in identifying at-risk individuals and providing trauma-sensitive care after disasters. Incorporating addiction nursing approaches into disaster protocols can improve health outcomes and reduce maladaptive coping.</p>","PeriodicalId":524201,"journal":{"name":"International journal of addiction nursing","volume":"37 3","pages":"E203-E214"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148964241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Functional Analysis and Quality Assessment of Mobile Applications for Managing Alcohol Use Disorder.","authors":"Yangmi Lee, Ji-Min Seo","doi":"10.1097/JAN.0000000000000672","DOIUrl":"10.1097/JAN.0000000000000672","url":null,"abstract":"<p><strong>Aims: </strong>This study investigated the current mobile applications (apps) for the management of alcohol use disorder (AUD) and analyzed their functionality and quality.</p><p><strong>Design/methods: </strong>A comprehensive search of the Apple App Store and Google Play Store was conducted between August 1 and October 31, 2023, based on predefined inclusion and exclusion criteria, to identify apps specifically designed for patients with AUD. Two independent raters evaluated the apps using the Mobile App Rating Scale and the Institute for Healthcare Informatics functionality score.</p><p><strong>Results: </strong>This search resulted in the selection of 33 apps for assessment. The Mobile App Rating Scale quality assessment indicated that more than half of the selected apps were suitable for use, and the Institute for Healthcare Informatics functionality assessment determined that the apps had a 4.5 average for 11 possible functions. Additionally, a detailed analysis of the top three apps with the highest scores for both quality and functionality was conducted. This study highlighted the key features that apps for AUD management should incorporate and identified possible areas for improvement.</p><p><strong>Conclusions: </strong>Based on these results, we recommend that apps record and store data on the number of days to abstinence and the amount of alcohol consumed and display this information using graphs. In addition, we recommend that apps allow users to customize the timing and number of reminders and alarms and connect to a support system or professional immediately in high-risk situations.</p>","PeriodicalId":524201,"journal":{"name":"International journal of addiction nursing","volume":"37 3","pages":"181-198"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13574360/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148964226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers in Returning to Work for U.S. Nurses Following Substance Use-Related Discipline.","authors":"Jordan Ferris, Marian Wilson, Victoria Sattler, Janessa M Graves","doi":"10.1097/JAN.0000000000000660","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000660","url":null,"abstract":"<p><strong>Background: </strong>The United States is currently amidst a substance use epidemic, with overdose deaths rising significantly over the last decade. Substance use disorders are prevalent among nurses, mirroring general population rates, and pose significant risks to both personal and patient safety. Regulatory bodies impose monitoring and disciplinary actions on nurses identified with substance use disorder, which, while effective, present various barriers to return-to-work.</p><p><strong>Methods: </strong>This study employed group concept mapping methodology to identify and prioritize barriers faced by nurses returning to work under monitoring agreements following substance use-related licensure discipline. Registered nurses who had undergone such monitoring participated in the study, providing data through brainstorming, sorting, and rating exercises conducted online. Point and cluster maps were created, as well as evaluation of barriers in terms of participants' perception of each barrier's impact and stressfulness.</p><p><strong>Results: </strong>Participants identified 48 barriers that were categorized into 5 thematic clusters: work-related challenges, financial burden, administrative challenges, impact on mental health, and peer/coworker support. The most impactful and stressful barriers were related to mental health and the visibility of disciplinary actions. Financial and administrative challenges also featured prominently.</p><p><strong>Conclusions: </strong>Findings highlight the significant mental and socioemotional challenges faced by nurses in recovery. There is a need for better support systems, including nurse-specific support groups and accessible mental health resources. Policy changes to reduce public visibility of disciplinary records and financial support during recovery could facilitate a smoother return-to-work process. Further research should explore facilitators and support mechanisms from the affected nurses' perspective.</p>","PeriodicalId":524201,"journal":{"name":"International journal of addiction nursing","volume":"37 3","pages":"E159-E170"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148973059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Focus Groups With American Indian/Alaska Native Adults to Discuss Substance Misuse and Access to Services.","authors":"Cedric Woods, Chyla Bingham-Hendricks, Autaquay Peters-Mosquera, Jen Miller, Teri Aronowitz","doi":"10.1097/JAN.0000000000000662","DOIUrl":"10.1097/JAN.0000000000000662","url":null,"abstract":"<p><strong>Background: </strong>After the beginning of the COVID-19 pandemic, there was a 53% increase in overdose deaths in the U.S., with the highest rates among American Indian/Alaska Natives (AI/AN) individuals compared with all racial/ethnic groups in the U.S. Historical trauma has been linked to substance use among AI/AN individuals. First cited in the 1990s, historical trauma is an intergenerational response to the loss of AI/AN communities' land, peoples, and culture secondary to colonization in North America. Two-Eyed Seeing is the gift of multiple perspectives treasured by many Indigenous peoples, which includes storytelling. The purpose of this study was to hear from the tribal members their concerns related to substance use among youth and their ideas related to prevention and treatment.</p><p><strong>Method: </strong>The study design was a focus group methodology. Five focus groups were completed with 20 AI/AN self-identified adults over 18 years of age.</p><p><strong>Results: </strong>Several themes emerged that focused on both prevention and treatment of substance use disorder. Participants expressed concern about their invisibility in state and federal datasets, lack of access to health care, and a lack of prosocial opportunities for youth to inspire their future aspirations. They expressed concern about stigma and the potential negative influences of peers and social media. Two approaches many participants felt could help were to start prevention projects early with elementary-aged youth and to take an intergenerational approach.</p><p><strong>Conclusions: </strong>To more broadly understand the needs of the AI/AN medication for opioid use disorder clients, future investigations should include interviews with substance use disorder clients and their families. Further understanding of the experiences of individuals with substance use disorder and their treatment could advance creative treatment plans that are trauma-informed and culturally sensitive. Implementing community participatory action increases the assurance that the needs of AI/AN families are addressed.</p>","PeriodicalId":524201,"journal":{"name":"International journal of addiction nursing","volume":"37 3","pages":"175-180"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13574344/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148964218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Utilizing a Standardized Bundle of Care to Improve Outcomes for Perinatal Patients with Substance Use Disorder: A Quality Improvement Project.","authors":"Amy Dempsey, Michelle Deuto","doi":"10.1097/JAN.0000000000000650","DOIUrl":"10.1097/JAN.0000000000000650","url":null,"abstract":"<p><strong>Background: </strong>Our interdisciplinary hospital system team used the Alliance for Innovation on Maternal Health (AIM) bundle, Care for Pregnancy and Postpartum People with substance use disorder (SUD), as a framework for program development. Our care teams noted underreporting of perinatal patients with SUD, and once identified, nurses and obstetric providers expressed a knowledge deficit related to the care of this patient population. Using the AIM bundle for guidance, the objectives of this project were to identify pregnant patients with SUD to increase referral rates, provide naloxone at discharge, and treat withdrawal symptoms appropriately through optimization of the electronic medical record.</p><p><strong>Methods: </strong>Our team implemented four Plan-Do-Study-Act cycles focused on the AIM bundle and electronic medical record enhancement to drive best practice for this patient population: (1) implementation of a universal screening tool (Audit C+2), (2) trigger of Recovery Nurse Advocate and case management referral based on Audit C+2 results, (3) best practice alert to remind providers to order naloxone based on high-risk screening, and (4) creation of an opioid withdrawal order set to support medication management for perinatal patients experiencing withdrawal symptoms.</p><p><strong>Results: </strong>Ninety-two percent of perinatal patients admitted to labor and delivery units were screened using Audit C+2, which yielded a high-risk rate of 4% (an increased screening rate of 56% in 2022). Case management and Recovery Nurse Advocate received 46 electronic medical record-triggered referrals. Naloxone distribution rates increased from 0 kits to 7 kits. Providers initiated the withdrawal order set 102 times in 2024.</p><p><strong>Conclusion: </strong>Using a structured framework and leveraging the electronic medical record can help improve outcomes for perinatal patients with substance use disorder.</p>","PeriodicalId":524201,"journal":{"name":"International journal of addiction nursing","volume":"37 3","pages":"E114-E120"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148964238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Controlled Substance Diversion Prevention Program Strategies: One Program's Key Takeaways for Nursing.","authors":"Carol A Purcell, Steven W Harvey, Christie Campbell","doi":"10.1097/JAN.0000000000000680","DOIUrl":"10.1097/JAN.0000000000000680","url":null,"abstract":"<p><p>Substance use disorder is a chronic, relapsing disease for which all those living with this mental health condition deserve access to safe, ethical, appropriate care and treatment. Drug diversion, a possible consequence of substance use disorder, puts nurses, patients, organizations, and the public at significant risk. A review of the literature indicates that controlled substance diversion prevention programs are essential to drug diversion prevention efforts, education is key to promoting a culture of safety and encouraging staff to speak up, and alternative-to-discipline approaches should be considered when managing personnel involved in actual drug diversion cases. Additional nursing-focused articles are needed to guide nurses and nurse leaders on this complex and challenging issue. This article outlines a drug diversion prevention program's development and implementation at a large academic medical center in the Midwest. Nursing involvement, leadership, and expertise are paramount to this program's prevention, detection, and response efforts.</p>","PeriodicalId":524201,"journal":{"name":"International journal of addiction nursing","volume":"37 3","pages":"E277-E283"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148964214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Strength in the Margins: A Narrative Review of Culturally Responsive and Strengths-Based Care for Pregnant Women Who Use Substances.","authors":"Orla Walsh, Catherine Comiskey, Peter Kelly, Jessica Eustace-Cook, Eleanor Hollywood","doi":"10.1097/JAN.0000000000000684","DOIUrl":"10.1097/JAN.0000000000000684","url":null,"abstract":"<p><strong>Aims: </strong>To explore the literature on strengths-based and culturally responsive care for pregnant individuals who use substances, and to identify the practice components and system enablers that reduce stigma, improve engagement, and support equitable outcomes.</p><p><strong>Design: </strong>Narrative review with systematic features: protocolled eligibility and screening, librarian-assisted multi-database searching, transparent reporting aligned with Scale for the Assessment of Narrative Review Articles, dual independent screening, and formal quality appraisal (Mixed Methods Appraisal Tool for peer-reviewed studies; AACODS for gray literature) used to inform weighting in a reflexive thematic synthesis.</p><p><strong>Methods: </strong>Searches were carried out on CINAHL, MEDLINE, Embase, and PsycINFO from inception to 15/02/2025, combining controlled vocabulary and free-text terms for strengths-based care, cultural safety/responsiveness, pregnancy/perinatal care, and substance use. Records were exported to Covidence, deduplicated, and screened in duplicate (title/abstract, then full text) against predefined criteria. Appraisal findings informed interpretation, not inclusion.</p><p><strong>Results: </strong>Of 168 records (148 after deduplication), 16 met the inclusion criteria. Five themes were identified: (1) Systemic neglect; (2) Stigma and trust; (3) Culturally safe, strengths-based responses; (4) Interprofessional collaboration; and (5) Sustainability/enablers.</p><p><strong>Conclusion: </strong>Pregnant women who use substances require care that moves beyond punitive, deficit-based systems. Emphasizing trust, cultural safety, and women's lived experiences is key to developing equitable health care. Embedding strengths-based and culturally appropriate approaches into health policy and practice can play a critical role in reducing barriers, improving engagement, and promoting health equity for this vulnerable population.</p>","PeriodicalId":524201,"journal":{"name":"International journal of addiction nursing","volume":"37 3","pages":"209-220"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148964236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nursing Students' Attitudes and Knowledge of Medical and Recreational Cannabis Use: An Integrative Review.","authors":"Melinda Ferguson, Jennifer Viveiros","doi":"10.1097/JAN.0000000000000679","DOIUrl":"10.1097/JAN.0000000000000679","url":null,"abstract":"<p><strong>Background: </strong>Health care providers lack education and experience surrounding medical and recreational cannabis use and the contribution it may have in health care. There is an immediate need for nursing education to incorporate structured learning opportunities that prepare nurses to care for patients using medical cannabis and address concerns related to recreational cannabis use.</p><p><strong>Aim: </strong>The purpose of this review is to synthesize and appraise the literature on nursing students' knowledge and attitudes towards medical and recreational cannabis. Additionally, it will identify the teaching methods, tools, or instruments used to measure nursing students' knowledge and attitudes.</p><p><strong>Methods: </strong>An integrative review using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines examined eight studies.</p><p><strong>Results: </strong>The studies were conducted in the United States, Canada, Greece, Chile, Spain, Cyprus, and Israel. Six were descriptive cross-sectional studies. Nursing students overwhelmingly reported feeling unprepared and lacking confidence in caring for patients who use cannabis. Seven studies identified gaps in cannabis-related knowledge and mismatches between formal education and students' desired learning, particularly in cannabis science, therapeutic use, side effects, practice standards, and regulations. Instruments used to measure knowledge and attitudes varied widely, limiting comparisons across studies.</p><p><strong>Conclusions: </strong>Evidence on nursing students' knowledge and attitudes towards cannabis is limited. Nursing students report feeling underprepared to care for patients using cannabis, which may indicate insufficient formal education. Future research should explore effective strategies to integrate cannabis education into nursing curricula and assess faculty readiness to incorporate judgment-free cannabis education to support students and patients.</p>","PeriodicalId":524201,"journal":{"name":"International journal of addiction nursing","volume":"37 3","pages":"E264-E276"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148964232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Best Practices for Buprenorphine Induction Strategies.","authors":"","doi":"10.1097/JAN.0000000000000721","DOIUrl":"10.1097/JAN.0000000000000721","url":null,"abstract":"","PeriodicalId":524201,"journal":{"name":"International journal of addiction nursing","volume":"37 3","pages":"E294"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148964221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}