Journal of Addictions Nursing最新文献

{"title":"Learning From the Lived Experiences of People With Opioid Use Disorder: A Pilot Study of the Impact on Students' Stigma Perceptions and Attitudes.","authors":"Jamie K Manganti,&nbsp;Khadejah F Mahmoud,&nbsp;Ann M Mitchell,&nbsp;Hayley D Germack","doi":"10.1097/JAN.0000000000000428","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000428","url":null,"abstract":"<p><strong>Background: </strong>Opioid use disorder (OUD) is a national public health crisis causing more than 130 daily deaths and costing over $78 billion annually. Medication-assisted treatment is one of the available treatments for OUD. However, stigma associated with opioid use is a main barrier to patients' access to treatment and recovery. It is critical to address OUD-related stigma and its impact on interdisciplinary undergraduate students' knowledge and attitudes.</p><p><strong>Objective: </strong>The purpose of this pilot study was to examine the impact of a recovery-oriented educational intervention highlighting individuals who have lived experiences with OUD to address OUD-related stigma among undergraduate students.</p><p><strong>Methods: </strong>A pretest-posttest design was utilized. Before and after this intervention, students received a questionnaire derived from three established tools related to exposure, personal stigma, and perceptions of public stigma toward opioids and people who use them. These categories were also assessed qualitatively using open-ended questions.</p><p><strong>Results: </strong>Nine students completed the pretest and posttest. Overall, there were small positive changes in students' personal stigma and public stigma perceptions. Students displayed prior knowledge and exposure to people with OUD through clinical experience, personal relationships, and the media.</p><p><strong>Conclusion: </strong>Further studies should evaluate the impact of learning from the lived experiences of individuals with OUD on larger undergraduate student populations with the goal of incorporating these educational interventions utilizing lived experiences in college-level curriculum.</p>","PeriodicalId":54892,"journal":{"name":"Journal of Addictions Nursing","volume":" ","pages":"103-113"},"PeriodicalIF":1.5,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39454155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changes in Nursing Students' Attitudes and Perceptions After Receipt of Enhanced Substance Use-Related Curricular Content.","authors":"Deborah S Finnell,&nbsp;Michael Sanchez,&nbsp;Bryan R Hansen,&nbsp;Alicia Stevens,&nbsp;Christine L Savage,&nbsp;J Paul Seale,&nbsp;J Aaron Johnson","doi":"10.1097/JAN.0000000000000427","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000427","url":null,"abstract":"<p><strong>Background: </strong>Negative 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.</p><p><strong>Methods: </strong>Data 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.</p><p><strong>Results: </strong>Four 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.</p><p><strong>Conclusions: </strong>This 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.</p>","PeriodicalId":54892,"journal":{"name":"Journal of Addictions Nursing","volume":" ","pages":"62-69"},"PeriodicalIF":1.5,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39672997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Journal of Addictions Nursing 33(2): Spring Issue.","authors":"A. Mitchell","doi":"10.1097/JAN.0000000000000464","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000464","url":null,"abstract":"","PeriodicalId":54892,"journal":{"name":"Journal of Addictions Nursing","volume":"121 1","pages":"59-60"},"PeriodicalIF":1.5,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79378480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Smoke, Smoking, and COVID","authors":"Carolyn Baird","doi":"10.1097/JAN.0000000000000461","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000461","url":null,"abstract":"When smoke gets in your eyes. How many of you want to sing it rather than say it? Oh to be in that time frame rather than dealing with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and the issue of when smoke gets in your lungs. Better known as COVID-19 (coronavirus disease 2019), the coronavirus, Rona, and so forth, not much more is known about it than was known in March of 2020 and the first situation red lockdown. Researchers are still arguing about the origin, when it started, what symptoms to watch for, whether to mask or not, and whether the vaccines do confer immunity. The Centers for Disease Control and Prevention (CDC) website has dedicated COVID-19 pages. Two years later, there are lots of theories, almost 80 million COVID cases with 1million COVID deaths in the United States, and an escalating trend (81,000 a year in 2020 to 93,000 by early 2022) of overdose deaths. More than half of them are attributable to opioids, and states are experiencing escalating trends from 38% to 98% (CDC, 2022). CDC. www.cdc.gov https://www.cdc.gov/disasters/covid-19/wildfire_smoke_ covid-19.html https://www.cdc.gov/disasters/covid-19/covid-19_resources_ for_professionals.html https://www.cdc.gov/disasters/covid-19/reduce_exposure_ to_wildfire_smoke_covid-19.html The National Interagency Fire Center monitors natural disasters and has issued a warning for the upcoming wildfire season. Resource documents, including one archived from 2019, alert users of the CDCwebsite to an increased potential for wildfires again this spring. Exposure to wildfire smoke air pollutants irritates the lungs, causing inflammation and altering immune function. Individuals who are exposed to the smoke are perceived to have increased susceptibility to respiratory infections including COVID-19. The information on this website is considered accurate, objective, and current because the website speaks with the authority of a government-sponsored agency. BMJ Journals. https://thorax.bmj.com/content/77/1/65 Clift, A. K., von Ende, A., Tan, P. S., Sallis, H. M., Lindson, N., Coupland, C. A. C.,Munafò,M. R., Aveyard, P., HippisleyCox, J., & Hopewell, J. C. (2022). Smoking and COVID-19 outcomes: An observational and Mendelian randomization study using the UK Biobank cohort. Thorax, 77, 65–73. Using a cohort of over half a million study participants from the Biobank in the United Kingdom, researchers asked, “What is the key question? Does cigarette smoking increase risk of severe COVID-19? What is the bottom line? In this study using UK Biobank, we obtained congruent results from observational analyses (n = 421469) and Mendelian randomization analyses (n = 281105) regarding increased risk of COVID-19-related hospitalization and death in smokers. Why read on? Together, the results from our two analytical approaches support a causal effect of smoking on the risk of severe COVID-19.” This is original research made available through Open Access. Check the website of the British Medi","PeriodicalId":54892,"journal":{"name":"Journal of Addictions Nursing","volume":"8 1","pages":"119 - 120"},"PeriodicalIF":1.5,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90201199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Comparison of Haitian and American Bachelor of Science in Nursing Students' Perceptions of Cigarette Smoking and E-Cigarette Use","authors":"Larider Ruffin, Mary Padden-Denmead, Jack B. Lewis, Tavonia Ekwegh, Shawn Denning, Trevor Calimer, Tara L Crowell","doi":"10.1097/JAN.0000000000000458","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000458","url":null,"abstract":"Abstract Cigarette smoking is a global health epidemic, and smoking along with electronic nicotine delivery systems use or vaping are on the rise. Despite the effectiveness of smoking cessation strategies, healthcare providers and nursing students do not routinely recommend these strategies for patients who are smokers. This study compares the perceptions of smoking and vaping between two groups of baccalaureate degree nursing students from Haiti and the United States. The study was influenced by contemporary and past studies showing that more young people are drawn into smoking and vaping despite the prevalence of antismoking policies and awareness campaigns. In this descriptive study, surveys were used to collect data to determine the differences between the two country's nursing students on their perception of smoking and vaping. The findings indicated that, despite greater usage, the students from the United States had a higher perception of the health implications of cigarette smoking and vaping compared with those from Haiti. On the basis of the findings of this study, collaborative pedagogical research opportunities among international nursing education programs can further curriculum development to foster growth and development of future global health practitioners.","PeriodicalId":54892,"journal":{"name":"Journal of Addictions Nursing","volume":"47 1","pages":"95 - 102"},"PeriodicalIF":1.5,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74520602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Law Enforcement Perceptions About Naloxone Training and Its Effects Post-Overdose Reversal","authors":"C. H. Dahlem, Josie Granner, C. Boyd","doi":"10.1097/JAN.0000000000000456","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000456","url":null,"abstract":"Abstract Background Law enforcement officers (LEOs) often are the first responders to arrive at a scene of an opioid overdose. Thus, equipping LEOs as first responders with naloxone is necessary to prevent overdose deaths and a recommended strategy. However, little is known about how LEOs perceive naloxone training and their feelings after using naloxone to save a life. It is important to understand LEOs' experiences with naloxone so as to develop additional training materials that are relevant to the LEO experience. Methods A descriptive exploratory study was conducted to explore the perceptions of LEOs about using naloxone in the field and to identify areas that should be included in future naloxone trainings. Interview data were obtained through face-to-face interviews with LEOs (N = 14) and analyzed using manifest content analysis. Results LEOs changed their attitudes and beliefs toward naloxone after receiving training and experiencing a successful resuscitation. The change in attitudes was enhanced after saving a life. However, misconceptions about naloxone and lack of understanding about disease of addiction persisted even after training. Conclusion Future naloxone curriculum could benefit from additional lessons on the stigma of addiction, the disease of addiction, misconceptions about the safety of naloxone, strategies for postoverdose responses, and the role naloxone, which might play in a hopeful recovery.","PeriodicalId":54892,"journal":{"name":"Journal of Addictions Nursing","volume":"7 1","pages":"80 - 85"},"PeriodicalIF":1.5,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84767578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Roles and Perceptions of Nurses During Implementation of a Medication Treatment for Opioid Use Disorder National Initiative.","authors":"Ashley O Radmall,&nbsp;Spencer Calder,&nbsp;Nodira Codell,&nbsp;Alan Taylor Kelley,&nbsp;Eric Hawkins,&nbsp;Audrey L Jones,&nbsp;Hildi J Hagedorn,&nbsp;Mary Anne Reynolds,&nbsp;Adam J Gordon","doi":"10.1097/JAN.0000000000000455","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000455","url":null,"abstract":"<p><strong>Background: </strong>In the United States, a national priority exists to improve access to medication treatment for opioid use disorder (MOUD). Nurses can be an essential component of that care. We examined the perceptions and evolving roles of nurses in a national Veterans Health Administration (VHA) initiative designed to improve MOUD access within general medical settings.</p><p><strong>Methods: </strong>From April 15, 2021, to June 16, 2021, we recruited nurses participating in VHA's Stepped Care for Opioid Use Disorder Train the Trainer Initiative-a national program intending to implement MOUD in general medical settings-to participate in an interview about their roles, perceptions, and experiences. The respondents answered our inquiries through an interview or responded to an email solicitation with written responses, which were then recorded, transcribed, and independently coded to identify themes.</p><p><strong>Results: </strong>Nurses from 10 VHA facilities participated in an interview (n = 7) or completed the questionnaire (n = 4). Inadequate staffing, high patient-to-provider ratios, and time constraints were identified as barriers to MOUD care. Mentorship activities, existing VHA informational resources, and patients' willingness to accept treatment were identified as facilitators of MOUD care. The Stepped Care for Opioid Use Disorder Train the Trainer Initiative processes were acknowledged to promote role confidence, which in turn increased job satisfaction and empowered nurses to become content experts. Respondents often identified nurses as local lead facilitators in MOUD care.</p><p><strong>Conclusions: </strong>In a national initiative to implement MOUD within general medical settings, nurses identified several barriers and facilitators to MOUD implementation. Nurses play vital collaborative care roles in enhancing access to MOUD.</p>","PeriodicalId":54892,"journal":{"name":"Journal of Addictions Nursing","volume":"33 2","pages":"70-79"},"PeriodicalIF":1.5,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10521284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Viloxazine (Qelbree™): A Nonstimulant Extended-Release Capsule for the Treatment of Attention Deficit Hyperactivity Disorder.","authors":"William J Lorman","doi":"10.1097/JAN.0000000000000459","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000459","url":null,"abstract":"","PeriodicalId":54892,"journal":{"name":"Journal of Addictions Nursing","volume":"106 3","pages":"114-115"},"PeriodicalIF":1.5,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72548910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"When Moods and Behaviors Do Not Add Up","authors":"Patricia Larrieu-Jimenez, Deborah Salani","doi":"10.1097/JAN.0000000000000462","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000462","url":null,"abstract":"Abstract This case report presents a 40-year-old man presenting with mixed mental health symptoms including depression, anxiety, euphoria, sleep cycle disturbances, and alcohol use over several years. Multiple providers see the patient in varying specialties, initially focusing on depression, anxiety, and, later, substance use. Alcohol misuse can shadow underlying mental disorders. Therefore, early recognition and collaborative management are imperative to unveil the possibility of comorbid mental health disorders.","PeriodicalId":54892,"journal":{"name":"Journal of Addictions Nursing","volume":"281 1","pages":"121 - 124"},"PeriodicalIF":1.5,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76796031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hyperbaric Oxygen to Assist Adults With Opioid Use Disorder in Reducing Methadone Dose","authors":"Marian Wilson, T. Odom-Maryon, Karen Stanek, T. Roush, J. Muriungi, Alvina Jesse, R. Quock, M. Layton","doi":"10.1097/JAN.0000000000000447","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000447","url":null,"abstract":"Abstract Opioid withdrawal symptoms can interfere with substance use disorder treatment goals. This study investigated the acceptability, feasibility, and treatment effects of hyperbaric oxygen therapy (HBOT) as an adjunct to reduce withdrawal symptoms for adults initiating a medically supervised methadone dose reduction. Adults prescribed methadone for opioid use disorder were randomized into either a hyperbaric oxygen group (n = 17) or an attention control group (n = 14). The study site was an outpatient opioid treatment program in the northwestern United States. Participants were asked to attend five consecutive daily 90-minute HBOT sessions offered at 2.0 atmospheres absolute with 100% oxygen in a pressurized chamber. Treatment attendance and reported satisfaction were measures of acceptability and feasibility. Medication doses were tracked posttreatment at 1 week, 1 month, and 3 months. Withdrawal symptoms were assessed at baseline and daily during the 5-day intervention period. After randomization, 13 (76.5%) followed through with medical screening and HBOT sessions, and of those, nine (69.2%) completed all five 90-minute HBOT sessions. At 3 months, the treatment group maintained, on average, a 4.3-mg methadone dose reduction compared with an average reduction of 0.25 mg for control group participants. Opioid withdrawal symptoms were reduced after Day 1 of HBOT by twice as much, on average, compared with the control condition. Satisfaction surveys found participants were generally satisfied with ease and comfort of the treatment. The evidence that HBOT is an acceptable, feasible adjunct warrants future trials to determine more conclusively effects on withdrawal symptoms associated with methadone dose taper.","PeriodicalId":54892,"journal":{"name":"Journal of Addictions Nursing","volume":"6 1","pages":"27 - 36"},"PeriodicalIF":1.5,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81944901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}