Journal of Addictions Nursing最新文献_第8页

Beliefs and Experience of Journaling in Mothers of Adult Children With Substance Use Problems: A Pilot Study. 有物质使用问题的成年子女的母亲的信念和记录经验:一项试点研究。

IF 1.5 4区医学

Journal of Addictions Nursing Pub Date : 2022-10-01 DOI: 10.1097/JAN.0000000000000410

Yeoun Soo Kim-Godwin

{"title":"Beliefs and Experience of Journaling in Mothers of Adult Children With Substance Use Problems: A Pilot Study.","authors":"Yeoun Soo Kim-Godwin","doi":"10.1097/JAN.0000000000000410","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000410","url":null,"abstract":"Background: The challenges experienced by mothers supporting an adult child with substance use problems suggest intervention is needed to improve such mothers' psychosocial well-being through adaptive coping.Aims: This study examined beliefs about journaling as well as changes in stress, cortisol levels, and mental health after a 6-week intervention by mothers whose adult children had substance use problems. In addition, the study explored coping methods used and the experience of writing among these mothers.Methods: A purposeful sample of 17 mothers completed the pretest and posttest. Participating mothers were asked to make journal entries at least 3 times per week for 6 weeks.Results: The mothers used diverse adaptive coping methods to manage stress. In particular, they frequently used religious and meaning-focused coping. The mothers perceived journaling as a highly valuable coping method for daily stress. The findings of paired t tests indicated no statistically significant differences in the stress, mental health variables, and cortisol levels between pretest and posttest. However, participants shared the positive experiences of journaling: emotional well-being, stress management, perspective changes, focus, self-regulation, clarity, and gratitude.Conclusion: The present finding suggests journaling is a practical means to promoting adaptive coping in mothers with adult children who have substance use problems.","PeriodicalId":54892,"journal":{"name":"Journal of Addictions Nursing","volume":"33 4","pages":"E44-E51"},"PeriodicalIF":1.5,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9785265","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}

引用次数: 0

Journal of Addictions Nursing 33(4): Fall/Winter Issue. 护理成瘾杂志33(4):秋冬期。

IF 1.5 4区医学

Journal of Addictions Nursing Pub Date : 2022-10-01 DOI: 10.1097/JAN.0000000000000504

Ann M Mitchell

引用次数: 0

"It's Like Your Whole Body Hates You": Experiences of Withdrawal, Distress, and Barriers to Relief Among Adults Receiving Methadone for Opioid Use Disorder. “就像你的整个身体都讨厌你”:在接受美沙酮治疗阿片类药物使用障碍的成年人中，戒断、痛苦和缓解障碍的经历。

IF 1.5 4区医学

Journal of Addictions Nursing Pub Date : 2022-10-01 DOI: 10.1097/JAN.0000000000000497

Emily Gray, Marian Wilson, Tullamora T Landis, Angela Little-Gott

{"title":"\"It's Like Your Whole Body Hates You\": Experiences of Withdrawal, Distress, and Barriers to Relief Among Adults Receiving Methadone for Opioid Use Disorder.","authors":"Emily Gray, Marian Wilson, Tullamora T Landis, Angela Little-Gott","doi":"10.1097/JAN.0000000000000497","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000497","url":null,"abstract":"Abstract: A qualitative descriptive study was conducted concurrent with a larger study investigating the effects of hyperbaric oxygen treatment on withdrawal symptoms for adults receiving daily methadone for opioid use disorder. The aims of this study were to (a) evaluate the perceptions of withdrawal symptoms and sleep characteristics of study participants and (b) explore the experiences of participation in the parent trial of hyperbaric oxygen treatment.Adults with opioid use disorder can experience distressing symptoms related to withdrawal as well as co-occurring symptoms; sleep impairment is frequently reported. Few studies have examined how adults who receive medication for opioid use disorder experience sleep. A preliminary study of adults receiving daily methadone found that withdrawal symptoms were improved after hyperbaric oxygen treatment. This study explores the narrative of opioid users who report their overall experiences with withdrawal and sleep as well as their experiences of hyperbaric therapy.A convenience sample of six participants was recruited, who represented a small subgroup of participants who completed the larger hyperbaric treatment study. Data were collected via semistructured interviews. Data were analyzed using the qualitative content analysis guidelines proposed by Schreier (2012). All participants described poor overall sleep hygiene and disturbed sleep. More than half of the respondents reported improved or eliminated withdrawal symptoms, and all reported improvement in sleep quality after participation in the sleep study.This companion study confirms that subjective sleep disturbance may be prevalent for adults with opioid use disorder. Participants felt the experience of hyperbaric oxygen treatment produced a positive effect on sleep.","PeriodicalId":54892,"journal":{"name":"Journal of Addictions Nursing","volume":"33 4","pages":"309-316"},"PeriodicalIF":1.5,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9425820","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}

引用次数: 0

Expanded Conceptual Framework for Ethical Action by Nurses on the "Further Upstream and Farther Downstream" Determinants of Health Equity. 护士在健康公平的“上游和下游”决定因素上的道德行动扩展概念框架。

IF 1.5 4区医学

Journal of Addictions Nursing Pub Date : 2022-07-01 DOI: 10.1097/JAN.0000000000000484

Katherine Smith Fornili

{"title":"Expanded Conceptual Framework for Ethical Action by Nurses on the \"Further Upstream and Farther Downstream\" Determinants of Health Equity.","authors":"Katherine Smith Fornili","doi":"10.1097/JAN.0000000000000484","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000484","url":null,"abstract":"Abstract: Determinants of health (DOH) are key predictors of health, wellness, morbidity, and mortality. The more familiar social DOH are not the only DOH. By themselves, the social DOH do not adequately explain how individuals and populations achieve and maintain health equity or inequity. Other DOH also exert political, economic, and institutional forces at all levels of the socioecological systems in which humans interact with their environment.According to the American Nurses Association, the Nursing Code of Ethics is a \"non-negotiable moral standard for the profession\" (Fowler, 2015a, p. viii). Provision 9 of the Code of Ethics states that social justice is of primary concern for social ethics (p. 159) and that professional nurses are obligated to advocate for and integrate principles of social justice into nursing practice and health policy (p. 151).In search of conceptual explanations for these phenomena, and to locate health equity/inequity within a wide array of upstream DOH, a comprehensive review of the interdisciplinary professional literature and conceptual analysis were conducted. A new conceptual framework that acknowledges nursing's collective responsibility for ethical action for transformative change was developed. The framework addresses both \"further upstream\" antioppression efforts and \"farther downstream\" efforts to remediate the impacts of health inequity.The purpose of this Policy Watch column was to introduce a new \"Expanded Conceptual Framework for Ethical Action by Nurses on the 'Further Upstream and Farther Downstream' Determinants of Health Equity\" (Fornili, 2022).","PeriodicalId":54892,"journal":{"name":"Journal of Addictions Nursing","volume":" ","pages":"203-214"},"PeriodicalIF":1.5,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40331468","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}

引用次数: 0

Gender Differences in Prevalence and Risk Factors Associated With Substance Use in 50- to 65-Year-Old Jamaicans. 在50至65岁的牙买加人中，与药物使用相关的患病率和危险因素的性别差异。

IF 1.5 4区医学

Journal of Addictions Nursing Pub Date : 2022-07-01 DOI: 10.1097/JAN.0000000000000430

Ishtar O Govia, Svetlana V Doubova, Novie Younger-Coleman, Uki Atkinson

{"title":"Gender Differences in Prevalence and Risk Factors Associated With Substance Use in 50- to 65-Year-Old Jamaicans.","authors":"Ishtar O Govia, Svetlana V Doubova, Novie Younger-Coleman, Uki Atkinson","doi":"10.1097/JAN.0000000000000430","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000430","url":null,"abstract":"Abstract: The purpose of this study was to evaluate gender-specific differences in prevalence and risk factors for alcohol, tobacco, and marijuana use among 50- to 65-year-old Jamaicans. We performed secondary analysis of the 2016 Jamaica National Drug Use Prevalence Survey. The dependent variables were self-reported use of tobacco, alcohol, and marijuana in the 30 days before the survey. The independent variables included general, socioeconomic, and community characteristics and concomitant substance use. Gender-stratified multiple Poisson regressions were conducted. The survey included 1,099 individuals aged 50-65 years; 50.3% were men. Reported use was significantly higher in men than in women: alcohol (54.9% vs. 17.8%), marijuana (22.4% vs. 2.2%), and tobacco (19.2% vs. 3.9%). High income was associated with alcohol use in women, whereas low and middle incomes were associated with marijuana use among men. Being employed was associated with tobacco use among women and with alcohol use among men. Rural residence was associated with alcohol use in women and with marijuana use in men. High neighborhood disorder was associated with tobacco use in women and alcohol and marijuana use in men. Concomitant substance use increased the likelihood of alcohol, tobacco, and marijuana use in men and women. We conclude that gender-sensitive strategies to substance use prevention and treatment are needed in Jamaica.","PeriodicalId":54892,"journal":{"name":"Journal of Addictions Nursing","volume":"33 3","pages":"144-158"},"PeriodicalIF":1.5,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39428906","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}

引用次数: 1

Do Social Support, Self-Efficacy, Emotional Quality of Life, and Sociodemographic Factors Associate With Substance Use?: Findings From Health Professional Students in North of Turkey. 社会支持、自我效能、情感生活质量和社会人口因素与物质使用有关吗?来自土耳其北部卫生专业学生的调查结果。

IF 1.5 4区医学

Journal of Addictions Nursing Pub Date : 2022-07-01 DOI: 10.1097/JAN.0000000000000481

Ayfer Bayindir Cevik, Gamze Uykucu Armutcuoglu, Esra Meryem Öztabak, Elcin Sabahat Kasapoglu

{"title":"Do Social Support, Self-Efficacy, Emotional Quality of Life, and Sociodemographic Factors Associate With Substance Use?: Findings From Health Professional Students in North of Turkey.","authors":"Ayfer Bayindir Cevik, Gamze Uykucu Armutcuoglu, Esra Meryem Öztabak, Elcin Sabahat Kasapoglu","doi":"10.1097/JAN.0000000000000481","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000481","url":null,"abstract":"Abstract: Substance use among university students is a common problem in the world. However, there are insufficient data on its prevalence among health school students. Similarly, there are very few studies about the use of substances by health students in Turkey. These studies have been mostly limited to the use of alcohol and tobacco. To the best of our knowledge, no previous studies have examined the substance use among students studying at health-related departments. This study investigated the pattern of substance abuse and its relationship with social support, self-efficacy, emotional quality of life, and sociodemographic factors in health profession students. Data of the cross-sectional and correlational study were collected via WhatsApp. Participants completed a student information form, the Substance Abuse Proclivity Scale, the Drug Abuse Screening Test, the Multidimensional Scale of Perceived Social Support, the SF-36 Emotional Quality of Life Index, and the Self-Efficacy for Protecting from Substance Abuse Scale. Of the participants, 63.6% (n = 823) had a high proclivity for substance abuse. Students most frequently used cigarettes and cannabis, one of the narcotic drugs. Substance abuse and proclivity increased as the emotional quality of life, social support, and self-efficacy decreased (p < .05). Substance abuse proclivity and drug use were higher in men, immigrants, smokers and alcohol users, those with a trauma history, and those separated from their family (p < .05). Health education reduces substance use (p < .05). It is required to make attempts to prevent and eliminate substance abuse in health profession students.","PeriodicalId":54892,"journal":{"name":"Journal of Addictions Nursing","volume":" ","pages":"172-181"},"PeriodicalIF":1.5,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40331463","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}

引用次数: 0

Culturally Responsive Practices in Treatment of Substance Use Disorders: Serving Indigenous Populations in the United States. 物质使用障碍治疗中的文化响应实践:在美国为土著居民服务。

IF 1.5 4区医学

Journal of Addictions Nursing Pub Date : 2022-07-01 DOI: 10.1097/JAN.0000000000000487

引用次数: 0

Where It Really Counts: Feasibility and Potential of the Peer Engaged Empowered Recovery Program for Substance-Dependent Jail Inmates. 真正重要的地方:对依赖药物的监狱囚犯的同伴参与授权康复计划的可行性和潜力。

IF 1.5 4区医学

Journal of Addictions Nursing Pub Date : 2022-07-01 DOI: 10.1097/JAN.0000000000000478

Tarang Parekh, Alison E Cuellar, Marissa Farina-Morse, Nancy Spencer, Rebecca E Sutter

{"title":"Where It Really Counts: Feasibility and Potential of the Peer Engaged Empowered Recovery Program for Substance-Dependent Jail Inmates.","authors":"Tarang Parekh, Alison E Cuellar, Marissa Farina-Morse, Nancy Spencer, Rebecca E Sutter","doi":"10.1097/JAN.0000000000000478","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000478","url":null,"abstract":"Objective: The Peer Engaged Empowered Recovery (PEER) program is a county collaboration between specialty behavioral health and probation departments to address substance use and related problems by providing team-based peer recovery specialist (PRS) services. The study aimed to assess the feasibility and potential effectiveness of PEER and propose recommendations.Method: Eligible clients released from jail had suspected substance use disorder and were assigned to the local drug court, on pretrial probation, or considered of high risk of recidivism. Clients were offered PRS support for 6 months. Client-reported data, administrative data on services, and survey data from program stakeholders were assessed.Result: The program successfully identified clients with substance use disorder who had high to very high levels of need for social determinants of health, comorbid mental illness and other chronic conditions, and a high recidivism risk. Clients were served predominantly by phone despite complex needs. The sustainability of the PEER program was rated as stable along many dimensions except funding stability.Conclusion: The PEER pilot program was well targeted. The average level of health and social need among clients was high, and many were difficult for PRS to contact. PRS services, which are currently undifferentiated in the state, may need to be risk-stratified in the future to take into account health and social factors and to align caseloads, reimbursement, and training.","PeriodicalId":54892,"journal":{"name":"Journal of Addictions Nursing","volume":" ","pages":"137-143"},"PeriodicalIF":1.5,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40330595","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}

引用次数: 0

Medications for Opioid Use Disorder During Incarceration. 监禁期间阿片类药物使用障碍的药物治疗。

IF 1.5 4区医学

Journal of Addictions Nursing Pub Date : 2022-07-01 DOI: 10.1097/JAN.0000000000000482

Erin R McDermott-Winger, Christine L Latham

引用次数: 1

Examining Relational Dimensions of Service Encounters for Disadvantaged People Who Use Drugs. 为使用毒品的弱势群体检验服务遭遇的关系维度。

IF 1.5 4区医学

Journal of Addictions Nursing Pub Date : 2022-07-01 DOI: 10.1097/JAN.0000000000000479

Maja Lindegaard Moensted, Niels Buus, Carolyn A Day

{"title":"Examining Relational Dimensions of Service Encounters for Disadvantaged People Who Use Drugs.","authors":"Maja Lindegaard Moensted, Niels Buus, Carolyn A Day","doi":"10.1097/JAN.0000000000000479","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000479","url":null,"abstract":"Introduction: Disadvantaged groups in general, and people who use illicit drugs in particular, have consistently been found to mistrust welfare services and service providers. Therefore, knowledge is needed on the relational aspects of service design that facilitate engagement and supportive relationships with disadvantaged consumers.Methods: We draw on qualitative interviews investigating the experiences of adults with histories of problematic drug use participating in a health justice partnership, to identify facilitators of engagement from the perspective of the consumers.Findings: Common relational facilitators of engagement were identified. These included embedding the service into the local community, foregrounding proximity and relationships in the service encounters, giving consumers' agency, priorities, and concerns primacy over program aims, and safe services acting as gateways to accessing a wider range of resources, services, and programs.Conclusion/contribution: The findings suggest that the centrality of relationships may be further heightened in services seeking to assist people in positions of severe disadvantage, including the drug and alcohol arena. In addition, the findings highlight the importance of services paying greater attention to how social and community embeddedness shapes experiences of inclusion and exclusion and designing services best able to accommodate this. This research contributes to the broader understanding of consumer engagement with services by developing a more nuanced understanding of consumer refusal and resistance to service engagement. These findings are important in the development of justice programs for disadvantaged people and people who use illicit substances specifically.","PeriodicalId":54892,"journal":{"name":"Journal of Addictions Nursing","volume":" ","pages":"159-167"},"PeriodicalIF":1.5,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40330596","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}

引用次数: 0