Journal of addictions nursing最新文献

{"title":"The Association of Sleep Quality and Internet Addiction With Health Status in Hospital Nurses.","authors":"Shu-Yu Kuo, Shun-Yi Cheng, Li-Chung Pien, Pi-Chu Lin, Shu-Fen Kuo, Henny-Dwi Susanti, Yu-Ting Chen, Marianne Lin-Lewry, Su-Ru Chen","doi":"10.1097/JAN.0000000000000605","DOIUrl":"10.1097/JAN.0000000000000605","url":null,"abstract":"<p><strong>Aim: </strong>The aims of this study were to explore the correlation of sleep quality and Internet addiction (IA) with the health status of hospital nurses and to investigate whether sleep quality is a mediator in the influence of IA on the health of the nurses.</p><p><strong>Background: </strong>Excessive Internet use is a public health concern. However, few researchers have investigated the interrelationship of the IA, sleep quality, and health status of hospital nurses.</p><p><strong>Design: </strong>This study used a descriptive and cross-sectional design.</p><p><strong>Methods: </strong>The study was conducted using survey data from a medical center in Taiwan. The Chen Internet Addiction Scale, Chinese version of the Pittsburgh Sleep Quality Index, and Chinese Health Questionnaire-12 were provided to the participants. Independent t tests, chi-square test, and structural equation model were performed for analysis.</p><p><strong>Results: </strong>A total of 628 participants were recruited. The participants with IA exhibited significantly worse health status and poorer sleep quality compared with the participants without IA. Participants with poor sleep quality exhibited significantly worse health status and higher IA than those with normal sleep quality. The influence of IA on health status was indirect, with sleep quality as a mediator.</p><p><strong>Conclusions: </strong>Hospital nurses with IA or poor sleep quality exhibited poor health status. Sleep quality mediated the influence of IA on the health status of the nurses. Hospital administrators should identify nurses at a high risk of IA, provide support strategies, and schedule work shifts more reasonably to improve their sleep quality. The hospital nurses' health and patients' safety could be further protected.</p>","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":"36 1","pages":"20-26"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607595","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":"Using a Film of Digital Storytelling and Art to Decrease Stigma Toward Those With Substance Use Disorder.","authors":"Jessica Holden, Kimberly Dion, Joan Kuhnly, Jamie Davis","doi":"10.1097/JAN.0000000000000610","DOIUrl":"10.1097/JAN.0000000000000610","url":null,"abstract":"<p><strong>Abstract: </strong>The stigma associated with substance use disorder (SUD) harms the lives of people who use drugs (PWUD). Perceptions and projections such as PWUD are unclean, dangerous, noncompliant, or at fault for their addiction are unfounded and can harm the person's quality of life, impacting all social determinants of health. Stigmatic behaviors displayed in the healthcare setting directly influence the ability of the person with SUD to engage fully in their care as feelings of trust are replaced by shame. Experiential learning is an effective methodology for learning, development, and change. An opportunity to view a documentary composed of various forms of art and focused on the experiences of PWUD, followed by an expert panel discussion, was offered to community members in Western Massachusetts. The Perceived Stigma of Substance Abuse Scale was administered preintervention and postintervention with additional open-ended questions following participation. Using a Wilcoxon signed-rank test, there was a significant decrease (p > .0445) in the overall Perceived Stigma of Substance Abuse Scale scores from baseline to postintervention. A comparison and thematic analysis were performed, and findings of reported changes in perception, including the recognition of stigma, cognitive and behavioral changes, the impact of the film, and community benefits, were identified. The study findings offer the potential to facilitate positive changes in perception and behaviors that may influence the projection of stigma against people with SUD.</p>","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":"36 1","pages":"61-66"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607598","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":"Experiences of Healthcare Professionals Working in Injectable Opioid Agonist Treatment Programs: A Qualitative Thematic Analysis.","authors":"Farida Gadimova, Jennifer Jackson","doi":"10.1097/JAN.0000000000000608","DOIUrl":"10.1097/JAN.0000000000000608","url":null,"abstract":"<p><strong>Background: </strong>Injectable opioid agonist treatment (iOAT) programs are increasing as a method of harm reduction for opioid use disorder. Although there have been numerous studies of client experience in iOAT programs, there have been few studies on the experiences on healthcare professionals working in these programs.</p><p><strong>Aim: </strong>In this study, we aimed to understand the experiences and perspectives of healthcare professionals in iOAT programs. This study is among the first to explore the experiences of healthcare professionals in an operational iOAT program, with the aim of making workforce recommendations to enhance the sustainability of iOAT programs.</p><p><strong>Methods: </strong>We conducted a secondary analysis using a thematic analysis approach with qualitative interview transcripts.</p><p><strong>Results: </strong>Sixteen participants were interviewed, and we analyzed the transcripts, identifying three major themes: healthcare professionals' experiences in the iOAT program, approaches to work, and navigating practice issues. Working in iOAT was rewarding for participants because of the changes the program created in clients' lives. Participants reported that building trusting relationships with iOAT clients was key to the client's success. Healthcare professionals' approaches to their work varied, where they adopted either client-centered care or rules-based approaches. Healthcare professionals' experiences were shaped by program structure, the need to adapt their work, and building relationships with other healthcare services. Managing limited resources was a challenge for participants.</p><p><strong>Conclusion: </strong>Supportive work environments can foster relationships between healthcare professionals and clients, for success in iOAT programs. Healthcare professionals require adequate support and staffing to provide high-quality care.</p>","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":"36 1","pages":"46-52"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607645","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":"Substance Use Treatment Providers' Perspectives on Barriers and Facilitators for Treatment, Recovery, and Returning to Work for Healthcare Professionals With Nonmedical Substance Use.","authors":"Heidi L McNeely, Heather Nelson-Brantley, Cynthia Teel, Steven Wright, Moya Peterson, Joanna Veazey Brooks","doi":"10.1097/JAN.0000000000000606","DOIUrl":"10.1097/JAN.0000000000000606","url":null,"abstract":"<p><strong>Background: </strong>Substance use among healthcare professionals is not uncommon. The challenges of seeking treatment, maintaining employment, and being in recovery are compounded by the demanding profession.</p><p><strong>Methods: </strong>This qualitative descriptive study used interviews with substance use treatment providers in Colorado. Data were collected on providers' perspectives on barriers and facilitators to treatment, recovery, and returning to work for nurses and physicians. Inductive content analysis was utilized to identify themes across interviews.</p><p><strong>Results: </strong>Fear is a barrier that delays treatment initiation. Healthcare professionals with substance use fear losing their job or license, or being judged by colleagues. There is a lack of awareness about available treatment options for health professionals with nonmedical substance use. Nurses and physicians often wrestle with their desire to be in control of situations while struggling with substance use.Additional systems-level barriers exist surrounding substance use treatment for healthcare professionals. These include inadequate insurance coverage for treatment, lack of confidentiality for healthcare professionals in treatment, lack of qualified treatment providers, and variability in how physician and nurse substance use and return to work are managed. Few facilitators are present to combat these challenges and facilitate success. Extensive monitoring during treatment and recovery was identified as a key facilitator, in addition to having supportive employers and colleagues.</p><p><strong>Conclusions: </strong>The results of this study can be used to inform professional licensing boards, substance use treatment programs, healthcare employers, and policy makers to address barriers to treatment and to facilitate healthcare professionals returning to work after substance use treatment.</p>","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":"36 1","pages":"27-35"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607593","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":"A New Holistic Theoretical Framework to Inform Opioid Use Disorder Management.","authors":"Zhanette Coffee, Ruth Taylor-Piliae, Terry Badger, Judith Gordon, Pamela Reed","doi":"10.1097/JAN.0000000000000603","DOIUrl":"10.1097/JAN.0000000000000603","url":null,"abstract":"<p><strong>Abstract: </strong>Opioid use disorders (OUDs) are a public health crisis. Individuals with OUD often have coexisting symptoms: smoking, chronic pain, and anxiety. These coexisting symptoms increase the prevalence and severity of OUD. To inform OUD management, a new holistic theoretical framework (Complexity of Opioid Use Disorder Model [COUDM]) is proposed by combining two theories: Theory of Unpleasant Symptoms and Self-Determination Theory (SDT). TOUS and SDT comprehensively represent the complexity of the OUD experience, including influencing factors, interconnected conditions, and the motivation of individuals based on psychological needs that impact overall outcomes. Individuals receiving OUD treatment informed by SDT are more engaged and experience lower occurrences of drug relapse when they are intrinsically and autonomously motivated. COUDM encompasses the multidimensional aspects of OUD. To acquire a healthier and better future for OUD patients, novel frameworks to guide new approaches are needed. COUDM is a new theoretical framework, incorporating biopsychosocial factors and symptom clusters associated with OUD to improve treatment strategies.</p>","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":" ","pages":"3-10"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11882182/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371467","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":"A Literature Review and Narrative Synthesis of Vicarious Trauma Findings Among Nurses Working in Addiction Services.","authors":"Kristine Nicki Annunziata, Elizabeth A Curtis, Catherine M Comiskey","doi":"10.1097/JAN.0000000000000609","DOIUrl":"10.1097/JAN.0000000000000609","url":null,"abstract":"<p><strong>Background: </strong>Vicarious trauma (VT) can have major negative consequences for those working with patients who have experienced trauma. The topic has been investigated for over three decades, and yet, the role of VT among nurses working in addiction services remains underresearched.</p><p><strong>Aim: </strong>The aims of this study were to identify what is known and to report on the gaps in the literature on VT among nurses working in addiction services.</p><p><strong>Methods: </strong>Using a systematic approach, Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, and articles published between 1990 and 2019, a review of the international literature was conducted using databases CINAHL, Medline, PsycINFO, Embase, Web of Science, and Global Index Medicus (WHO). Keywords and relevant controlled vocabulary terms related to VT and nurses were included. A narrative synthesis of key findings from the selected articles was prepared.</p><p><strong>Results: </strong>The initial search yielded 721 articles, and after removing duplicates, 588 articles were screened, identifying 33 potentially relevant full-text articles, but 20 were excluded based on specific criteria, leaving 13 articles eligible for review. Common themes within the literature were as follows: (a) VT has negative implications, (b) there is no reliable tool to measure VT within the nursing profession, (c) common risk factors, (d) common coping mechanisms, (e) importance of organizational leadership's role, (f) negative and positive consequences, and (g) paucity of studies.</p><p><strong>Conclusions: </strong>The results of this review indicate a compelling requirement for increasing awareness and establishing a dependable method of measuring VT among those members of the nursing profession working in addiction services. Enhancing educational initiatives and facilitating the exchange of effective coping strategies are crucial in preventing burnout and the erosion of expertise among addiction nursing professionals. Both educational and practice-based leadership play integral roles in advancing these findings, not only for the well-being of nurses but also for the individuals experiencing trauma who are under their care.</p>","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":"36 1","pages":"53-60"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607643","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":"Frequency and Intensity of Depressive Symptoms and Frequency of Prescribed Opioid Use Among Older Adults in the United States: Results of a National Survey.","authors":"Xingmei Zhu, Song Ge, Weixia Ma, Liang Wu, Haixia Ma, Jiale Hu, Haidong Lu, Xuechun Lin","doi":"10.1097/JAN.0000000000000604","DOIUrl":"10.1097/JAN.0000000000000604","url":null,"abstract":"<p><strong>Background: </strong>As part of the opioid crisis, opioid overuse is increasing in U.S. older adults. However, research on granular measures of depressive symptoms and opioid use exclusively in this population are limited.</p><p><strong>Methods: </strong>Using data from the 2020 National Health Interview Survey, we constructed multivariate logistic and multinomial logistic regression models to examine the association of frequency and intensity of depressive symptoms with frequency of prescribed opioid use.</p><p><strong>Results: </strong>The study population consisted of 8,637 participants with a mean age of 74.3 ( SD = 6.4) years. Sixteen percent of the participants used prescribed opioids. Compared with participants who never felt depressed, those who felt depressed daily ( OR = 1.796, 95% CI [1.371, 2.337]), weekly ( OR = 1.579, 95% CI [1.236, 2.003]), or a few times a year ( OR = 1.237, 95% CI [1.077, 1.418]) had increased odds of prescribed opioid use. Compared with participants who felt a little depressed, those who felt depressed somewhere in between a little and a lot ( OR = 1.538, 95% CI [1.283, 1.842]) and those who felt depressed a lot ( OR = 1.784, 95% CI [1.336, 2.274]) had increased odds of prescribed opioid use. Compared with participants who never felt depressed, those who felt depressed weekly ( OR = 2.295, 95% CI [1.012, 5.204]) and those who felt depressed monthly ( OR = 2.385, 95% CI [1.051, 5.409]) had increased OR of using prescribed opioid every day from using prescribed opioid some days.</p><p><strong>Conclusion: </strong>Frequency and intensity of depressive symptoms were independently and positively associated with prescribed opioid use.</p>","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":" ","pages":"11-19"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371468","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":"Psychosocial Factors and Electronic Cigarette Use in the Military Population.","authors":"Mary J Willard, Claudia Barone, Brittany Beasley, Lana Brown, Pamela de Gravelles, James P Selig","doi":"10.1097/JAN.0000000000000607","DOIUrl":"10.1097/JAN.0000000000000607","url":null,"abstract":"<p><strong>Background: </strong>Over 35.7% of military members report trying electronic cigarettes, and 11.1% report daily electronic cigarette use. In the general population, however, only 14.9% admit trying electronic cigarettes, and 3.2% report using electronic cigarettes daily. This is a major disparity.</p><p><strong>Objectives: </strong>The aim of this study was to identify, measure, and examine the association between psychosocial factors in military members using electronic cigarettes compared to tobacco cigarettes, dual use, and nonuse.</p><p><strong>Methods: </strong>This cross-sectional, correlational study includes military members aged 18 years and older using the Behavioral Risk Factor Surveillance System and military-related questions. Data analysis was performed using descriptive statistics presented as percentages and frequencies. Pearson's chi-square tests were performed to examine association among variables.</p><p><strong>Results: </strong>There were 434 participants in this study, 369 (85%) men and 61 (14.1%) women. There were 419 (97%) of participants who felt stressed or depressed between 1 and 30 days each month. Participants with electronic cigarette use and dual use believed electronic cigarettes decreased their anxiety, helped them concentrate, and helped them eat less.</p><p><strong>Conclusions: </strong>Dual use is concerning among the military population. Military members experiencing anxiety and trouble concentrating may be turning to nicotine products such as electronic cigarettes or dual use. Additional findings revealed several associated psychosocial factors including stress and depression were related to use. Future studies should focus on these psychosocial factors to reduce dual use in the military population.</p>","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":"36 1","pages":"36-45"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607652","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":"Journal of Addictions Nursing, 36(1): Winter/Spring Issue.","authors":"Ann M Mitchell","doi":"10.1097/JAN.0000000000000611","DOIUrl":"10.1097/JAN.0000000000000611","url":null,"abstract":"","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":"36 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607650","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":"Frequency and intensity of depressive symptoms and frequency of prescribed opioid use among older adults in the US: Results of a national survey.","authors":"","doi":"10.1097/JAN.0000000000000612","DOIUrl":"10.1097/JAN.0000000000000612","url":null,"abstract":"","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":"36 1","pages":"E1"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607647","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}