Journal of addictions nursing最新文献

Promoting Safer Opioid Practices and Professional Collaboration Through Interprofessional Simulation. 通过跨专业模拟促进更安全的阿片类药物实践和专业合作。

Journal of addictions nursing Pub Date : 2024-07-01 DOI: 10.1097/JAN.0000000000000583

Brian Fasolka, Gina N Robertiello, Michelle Knapp, Beth Latimer, Janna Roitman

{"title":"Promoting Safer Opioid Practices and Professional Collaboration Through Interprofessional Simulation.","authors":"Brian Fasolka, Gina N Robertiello, Michelle Knapp, Beth Latimer, Janna Roitman","doi":"10.1097/JAN.0000000000000583","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000583","url":null,"abstract":"Abstract: Simulation-enhanced interprofessional education is widely viewed as an effective teaching pedagogy to foster effective communication and teamwork for healthcare students. Pharmacists and registered nurses must learn to work collaboratively during their educational programs in order to be prepared for the complexities of modern healthcare. This study evaluated prelicensure pharmacy and prelicensure nursing students' perceptions of professional collaboration before and after caring for a standardized patient exhibiting opioid dependence secondary to inappropriate use of an opioid analgesic. Statistically significant gains in communication, collaboration, roles and responsibilities, patient-centered care, conflict management, and team functioning were measured for both pharmacy and nursing students after the interprofessional simulation. This study adds to the existing evidence that suggests simulation-enhanced interprofessional education is an effective teaching strategy; however, this study demonstrates its usefulness for students learning about safer opioid analgesic practices.","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142368009","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}

引用次数: 0

Integrating Evidence-Based Screening, Brief Intervention, and Referral to Treatment Into a Family Nurse Practitioner Program. 将循证筛查、简单干预和转介治疗纳入家庭护士执业计划。

Journal of addictions nursing Pub Date : 2024-07-01 DOI: 10.1097/JAN.0000000000000588

Kelly Fetterhoff, Kelly Kuhns, Cayleigh Minter

{"title":"Integrating Evidence-Based Screening, Brief Intervention, and Referral to Treatment Into a Family Nurse Practitioner Program.","authors":"Kelly Fetterhoff, Kelly Kuhns, Cayleigh Minter","doi":"10.1097/JAN.0000000000000588","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000588","url":null,"abstract":"Problem statement: Substance use disorder (SUD)-and more specifically opioid use disorder-is a national epidemic. With the increasing amounts of people suffering from SUD, all healthcare professionals should be educated to identify substance abuse, provide a brief intervention, and refer patients for treatment when indicated.Purpose: The purpose of this project is to integrate the SBIRT into the curriculum of a graduate-level family nurse practitioner (FNP) program in southeastern Pennsylvania and to determine if educating FNP students on the SBIRT process increases their knowledge of SUDs and their treatment and increases their motivation to work with patients with SUD.Measurements: The measurements used were as follows: shortened Alcohol and Alcohol Problems Perception Questionnaire (S-AAPPQ), shortened Drug and Drug Problems Perception Questionnaire (S-DDPPQ), a 10-question knowledge test, and demographic data.Results: All subscales of the S-DDPPQ, the S-AAPPQ, and the knowledge test showed a statistically significant change from the pretest score means and to posttest means. This evidence-based practice project supports the integration of SBIRT education into FNP programs to increase their ability to identify and treat individuals with SUDs.","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142368007","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}

引用次数: 0

Implementing an Updated Alcohol Withdrawal Symptom Management Order Set Focused on Patient Safety. 实施以患者安全为重点的最新酒精戒断症状管理指令集。

Journal of addictions nursing Pub Date : 2024-07-01 DOI: 10.1097/JAN.0000000000000584

Meghan Lorbiecki, Alexander Gidal, Mary Hagle, Tina Smith, Kelly Ragen-Pease, Kyle Peterson, Michael Matye, Mary-Anne Kowol, Elise Lampe

{"title":"Implementing an Updated Alcohol Withdrawal Symptom Management Order Set Focused on Patient Safety.","authors":"Meghan Lorbiecki, Alexander Gidal, Mary Hagle, Tina Smith, Kelly Ragen-Pease, Kyle Peterson, Michael Matye, Mary-Anne Kowol, Elise Lampe","doi":"10.1097/JAN.0000000000000584","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000584","url":null,"abstract":"Background: Patients experiencing alcohol withdrawal often receive care on inpatient mental health units. Registered nurses on one such unit had several concerns and questions about the existing alcohol withdrawal symptom management order set. To address these issues, a multidisciplinary team including nurses, psychiatrists, and pharmacists was formed.Objectives: The aims for this project were to review and revise the existing order set, educate staff, implement the changes, and evaluate outcomes.Methods: The Plan-Do-Study-Act quality improvement framework guided the project. Five phases were completed to revise the order set and implement: a survey of nurses on the unit, community practice evaluation, and order set revisions. A simulation escape room facilitated nursing education. Patient records were reviewed to identify adverse events.Results: Diazepam replaced lorazepam as the primary medication choice, and a front-loading protocol was added. Order set clarity was improved, education increased nursing staff confidence to competently complete a patient assessment with the Clinical Institute Withdrawal Assessment Alcohol Scale Revised, and no adverse patient events occurred after implementation.Conclusion: A revised order set for symptom management of patients experiencing alcohol withdrawal reflected up-to-date evidence while maintaining patient safety. All nurses agreed the revised order set was clear and easy to follow; pharmacists and physicians were satisfied with the revisions. Implications for leaders include having a multidisciplinary team, sufficient resources to answer clinical questions, and regular discussions by all involved disciplines to review any adverse events as well as newly published evidence. Close monitoring of patients early in implementation is recommended to detect adverse events.","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367990","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}

引用次数: 0

Journal of Addictions Nursing 35(3): Summer/Fall Issue. 成瘾护理杂志》35（3）：夏季/秋季刊。

Journal of addictions nursing Pub Date : 2024-07-01 DOI: 10.1097/JAN.0000000000000582

Ann M Mitchell

引用次数: 0

The Effect of Addiction Course on Nursing Students' Stigmatizing Attitudes Toward Individuals With Substance Use Disorder. 瘾癖课程对护理专业学生对药物使用障碍患者的鄙视态度的影响。

Journal of addictions nursing Pub Date : 2024-07-01 DOI: 10.1097/JAN.0000000000000587

Elif Aşık

{"title":"The Effect of Addiction Course on Nursing Students' Stigmatizing Attitudes Toward Individuals With Substance Use Disorder.","authors":"Elif Aşık","doi":"10.1097/JAN.0000000000000587","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000587","url":null,"abstract":"Background: The approach of nursing department students who will practice the nursing profession in the future, which they adopt for individuals with addiction, bears importance. This study was conducted to evaluate the changes in stigmatizing attitudes of nursing students who took the addiction course toward individuals with substance use disorder.Method: The study was conducted in a single group in a pretest-posttest order. Necessary approvals (institution and ethics committee) were obtained to carry out the study. The study sample was made up of 76 students who took an addiction course in the 2020-2021 academic year and who agreed to participate in the research. A questionnaire form and the Alcohol and Substance Addiction Stigmatizing Attitudes Scale were used as data collection tools. Cronbach's alpha value of the scale was found as 0.90. In addition to descriptive statistics, the paired sample t test was used in the analysis of the data from the dependent groups.Results: The mean age of the participating students was 21.2 ± 0.73 years, and 93.4% were female. In the pretest, 10 (13.2%) students reported that they smoked, and seven students (9.2%) reported that they used alcohol. There were no individuals who used any substance other than cigarette or alcohol in the sample. The mean score of the students on the Alcohol and Substance Addiction Stigmatizing Attitudes Scale was 13.89 ± 5.16 in the pretest and 7.34 ± 5.51 in the posttest. This difference was found as statistically significant (p < .01).Conclusions: It was established in this study that the addiction course reduced the stigmatizing attitudes of nursing students toward individuals with substance use disorder.","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142368038","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}

引用次数: 0

Barriers and Facilitators to Recruitment of a Multifaceted Population of Opioid Use Disorder Community Stakeholders. 招募阿片类药物使用障碍社区利益相关者多方面人群的障碍和促进因素。

Journal of addictions nursing Pub Date : 2024-07-01 DOI: 10.1097/JAN.0000000000000586

Shannon Avery-Desmarais, Monika Schuler, Jennifer Viveiros, Mary McCurry, Mirinda Tyo, Brianna Kauranen

{"title":"Barriers and Facilitators to Recruitment of a Multifaceted Population of Opioid Use Disorder Community Stakeholders.","authors":"Shannon Avery-Desmarais, Monika Schuler, Jennifer Viveiros, Mary McCurry, Mirinda Tyo, Brianna Kauranen","doi":"10.1097/JAN.0000000000000586","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000586","url":null,"abstract":"Background: Opioid use disorder (OUD) research is essential to inform evidence-based responses to the OUD crisis in the United States. Individuals with OUD, their caregivers, and support group leaders are historically difficult to recruit for research studies. The purpose of this study was to describe barriers and facilitators in recruitment during the implementation of a qualitative study that sought to explore stigma, barriers, and facilitators to healthcare.Method: Researchers engaged in the original study completed a retrospective reflection of their experience recruiting members of the OUD community. Recruitment data were analyzed thematically, and facilitators and barriers for recruitment were identified.Results: Three key barriers to recruitment were identified: choice of community partners, access to technology, and impractical incentives. One key facilitator to recruitment was identified: being patient yet persistent and flexible.Conclusion: Investigators must design research studies mindful of avoiding societal privilege and cognizant of the lens of the individual living with OUD.","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367988","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}

引用次数: 0

Implementing an Updated Alcohol Withdrawal Symptom Management Order Set Focused on Patient Safety. 实施以患者安全为重点的最新酒精戒断症状管理指令集。

Journal of addictions nursing Pub Date : 2024-07-01 DOI: 10.1097/JAN.0000000000000591

引用次数: 0

Improving Linkage for Patients With Injection-Drug-Use-Related Endocarditis and Osteomyelitis to Medications for Opioid Use Disorder Through a Telephone Intervention. 通过电话干预改善注射吸毒相关心内膜炎和骨髓炎患者与阿片类药物使用障碍药物治疗的联系。

Journal of addictions nursing Pub Date : 2024-07-01 DOI: 10.1097/JAN.0000000000000585

Cheyenne Harris, Payel Jhoom Roy, Ann M Mitchell, Maighdlin W Anderson

{"title":"Improving Linkage for Patients With Injection-Drug-Use-Related Endocarditis and Osteomyelitis to Medications for Opioid Use Disorder Through a Telephone Intervention.","authors":"Cheyenne Harris, Payel Jhoom Roy, Ann M Mitchell, Maighdlin W Anderson","doi":"10.1097/JAN.0000000000000585","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000585","url":null,"abstract":"Abstract: The opioid overdose crisis has continued to worsen, with a concomitant increase in serious injection-related infections, such as endocarditis and osteomyelitis. Usual care of these infections involves long-term intravenous antibiotics, typically administered via a peripherally inserted central venous catheter (PICC) at home. In patients with a history of opioid use disorder who inject drugs, a PICC has long been viewed as a high-risk intervention that may contribute to illicit substance use due to ease of venous access; thus, providers are often uncomfortable discharging these patients home to complete their antibiotics. As a result, many patients remain hospitalized or are discharge to skilled nursing facilities (SNFs) in order to complete their antibiotics. Challenges to this model include difficulty finding SNFs that will accept these patients, inability for these SNFs to continue their medication for opioid use disorder (MOUD), and inability to coordinate care with outpatient MOUD providers at SNF discharge. This quality improvement project sought to increase linkage to outpatient MOUD on SNF discharge via a telephone intervention. A total of 11 patients qualified for this intervention. Although patients were still in an SNF, 4/7 (57.1%) of patients were successfully contacted. Once they were discharged from the SNF, only 3/10 (30.0%) of patients were successfully reached. Of those 30.0% who were contacted, all of them had attended their outpatient MOUD appointment. We suggest that future linkage interventions in this population may benefit from utilizing existing care team members to facilitate linkage, to maximize the rapport built during an inpatient stay.","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367992","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}

引用次数: 0

Differences in Attentional Bias Toward e-Cigarette Cues Between e-Cigarette Users and Nonusers. 电子烟使用者和非使用者对电子烟线索的注意偏差差异。

Journal of addictions nursing Pub Date : 2024-07-01 DOI: 10.1097/JAN.0000000000000590

Seok Hyun Gwon, Youngjoo Cho, Yourim Kim, Suna Paek, Han-Joo Lee

{"title":"Differences in Attentional Bias Toward e-Cigarette Cues Between e-Cigarette Users and Nonusers.","authors":"Seok Hyun Gwon, Youngjoo Cho, Yourim Kim, Suna Paek, Han-Joo Lee","doi":"10.1097/JAN.0000000000000590","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000590","url":null,"abstract":"Abstract: The use of electronic nicotine delivery systems (ENDS) has increased rapidly in recent years, particularly among young adults. There is a dearth of research on the cognitive factors that contribute to ENDS use. One of the possible cognitive mechanisms involved with addictive behavior is attentional bias (AB). AB can manifest as either facilitated attention engagement toward or delayed attention disengagement from a relevant stimulus. The purpose of this study was to examine the difference in AB toward ENDS-related cues between ENDS users and non-ENDS users. ENDS users (n = 29) and nonusers (n = 24) between the ages of 18 and 29 years participated in the dot-probe and eye-tracking picture-viewing tasks. The results showed that there was a significant difference in the variance of AB between the two groups. In the eye-tracking task, ENDS users displayed significantly greater net dwell time and fixation time at time frames of 6-9, 9-12, and 12-15 seconds, compared to nonusers. It is noteworthy that ENDS users exhibited attentional fluctuation toward ENDS cues as well as difficulties disengaging attention from ENDS cues. The current findings offer insight into the nature of attentional processes associated with ENDS cues and provide useful data to guide the development of a nurse-led cognitive intervention focusing on biased attentional processing related to ENDS cues.","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367989","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}

引用次数: 0

Predictors of Patient-Initiated Discharge From an Inpatient Withdrawal Management Service: A Sex-Based Study. 住院病人戒毒管理服务中病人主动出院的预测因素：基于性别的研究

Journal of addictions nursing Pub Date : 2024-06-24 DOI: 10.1097/JAN.0000000000000569

Sara Ling, Beth Sproule, Martine Puts, Kristin Cleverley

{"title":"Predictors of Patient-Initiated Discharge From an Inpatient Withdrawal Management Service: A Sex-Based Study.","authors":"Sara Ling, Beth Sproule, Martine Puts, Kristin Cleverley","doi":"10.1097/JAN.0000000000000569","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000569","url":null,"abstract":"Objectives: The purpose of this study was to examine sex-stratified independent predictors of patient-initiated discharge from an inpatient withdrawal management service and to determine whether those predictors differed by sex.Methods: This study compared people who had self-initiated versus planned discharges and used sex-stratified generalized estimating equations models to identify independent predictors of patient-initiated discharge. Predictors examined included age, ethnicity, substance of concern, tobacco use, mental health comorbidities, day of discharge, referral source, children, and social assistance funds.Results: Among females, there were 722 discharges, 116 of which were patient initiated. Among females, increasing age was associated with lower odds of patient-initiated discharge (OR = 0.97, 95% CI [0.95, 0.98]). Racialized females were nearly 2 times more likely to experience patient-initiated discharge compared with White females (OR = 1.8, 95% CI [1.09, 3.00]). Compared with weekdays, weekends were associated with over 4 times the odds of patient-initiated discharge (OR = 4.77, 95% CI [2.66, 8.56]). Having one or more mental health comorbidities was associated with lower odds of patient-initiated discharge compared with having no mental health comorbidities (OR = 0.51, 95% CI [0.32, 0.82]). Among males, there were 1,244 discharges, 185 of which were patient initiated. Among males, increasing age was associated with decreased odds of patient-initiated discharge (OR = 0.97, 95% CI [0.95, 0.98]). Compared with weekdays, weekends were associated with nearly 15 times the odds of patient-initiated discharge (OR = 14.9, 95% CI [9.11, 24.3]).Conclusions: Males and females have shared and unique predictors of patient-initiated discharge. Future studies should continue to examine the influence of sex and gender on engagement with addictions care.","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141478256","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}

引用次数: 0