Yanjun Zhou, Eunhee Park, Maciej Goniewicz, Yu-Ping Chang
{"title":"Voices From Young Adults: Perceptions About Electronic Cigarette Use.","authors":"Yanjun Zhou, Eunhee Park, Maciej Goniewicz, Yu-Ping Chang","doi":"10.1097/JAN.0000000000000614","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000614","url":null,"abstract":"<p><strong>Background: </strong>Young adults exhibit a high prevalence of e-cigarette use and dual use despite the numerous physical and mental health risks associated with e-cigarettes. However, there is limited understanding of young adults' perceptions of e-cigarette use, particularly regarding their motivation to quit and their suggestions for cessation interventions, which are crucial for developing effective interventions.</p><p><strong>Purpose: </strong>This study explored young adults' perceptions of e-cigarette use, focusing specifically on their reasons for using e-cigarettes, their motivation to quit, and their suggestions for e-cigarette cessation interventions.</p><p><strong>Methods: </strong>A purposive sampling strategy was used to recruit 16 individuals between the ages of 18 and 26 who used e-cigarette products. The interviews were conducted either face to face or virtually using a semistructured interview guide. Thematic analysis was performed to identify themes.</p><p><strong>Results: </strong>Two major themes were identified: reasons for using e-cigarettes and perceptions of vaping risks. Participants cited ease of purchase and use, the variety of flavors, perceived lower health risks than conventional cigarettes, social necessity, and using e-cigarettes as a method to quit smoking as reasons for their use. Most participants acknowledged being aware that e-cigarettes pose multiple health risks, including cardiovascular and pulmonary dangers. In addition, most participants expressed a desire to quit vaping and showed interest in participating in interventions to learn more about the harms of e-cigarettes.</p><p><strong>Conclusion/implication: </strong>The findings provide valuable insights into the appeal of e-cigarettes among young adults and underscore the need for more comprehensive education and policy measures regarding e-cigarette use.</p>","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":"36 2","pages":"69-77"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210570","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":"American Association of Nurse Anesthesiology-Parkdale Partnership Improves Substance Use Disorder Support for Certified Registered Nurse Anesthetists and Resident Registered Nurse Anesthetists.","authors":"Rodrigo Garcia, Rebecca Frese, Julie Rice, Ewa Greenier, Brett Morgan, Alyssa Rojo","doi":"10.1097/JAN.0000000000000622","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000622","url":null,"abstract":"<p><strong>Abstract: </strong>Due to substance use disorder (SUD) being an occupational hazard to certified registered nurse anesthetists (CRNAs) and resident registered nurse anesthetists (RRNAs), the American Association of Nurse Anesthesiology (AANA) has strived to offer SUD-related support since 1983 with the goal to help safeguard CRNAs, RRNAs, and patients in their care. AANA provides many SUD resources including a 24/7, live, confidential helpline strengthened through a partnership with Parkdale Center for Professionals, a specialized treatment center for health care professionals. The AANA Helpline is answered by Parkdale's addiction professionals to improve and streamline access to help for drug- or alcohol-related concerns. This article explores the data, trends, and impact this resource has had on CRNAs, RRNAs, their families, their colleagues, and their workplace over a 5-year period. Through the analysis of the data and trends collected, the authors make several recommendations to continue to proactively address the occupational hazard of SUD, increase education, raise awareness of available help across the nurse anesthesiology profession, and decrease the stigma that surrounds CRNAs and RRNAs who suffer from SUD. A holistic wellness program can also be adopted by other associations to meet the needs of their professional members.</p>","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":"36 2","pages":"144-149"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210561","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}
Sarah R Friedman, Phillip M Hughes, Emma Blake, Casey Tak, Bayla Ostrach, Melinda Ramage
{"title":"Stigmatizing Terminology and Patient-Centered Language in Perinatal Substance Use Chart Notes.","authors":"Sarah R Friedman, Phillip M Hughes, Emma Blake, Casey Tak, Bayla Ostrach, Melinda Ramage","doi":"10.1097/JAN.0000000000000616","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000616","url":null,"abstract":"<p><strong>Abstract: </strong>Stigmatizing language used in the care of people with substance use disorder is prevalent despite efforts to establish preferred, patient-centered language alternatives for providers. Open notes policies and increased portal usage are expected to lead to patients reading chart notes written about them with potential impact on their care. Building on the research that demonstrates that stigmatizing language is present in patient chart notes, our study employs an exploratory sequential mixed methods design to describe and analyze the chart notes from a perinatal substance use disorder clinic. We analyzed 161 patient chart notes meeting our study criteria from a random sample of 300 notes, and those patients are 88% White, 91% use Medicaid insurance, and their median age was 29 years at delivery. Chart notes were found to comprise stigmatizing terms, patient-centered and non-patient-centered language. Language type varied by patient age, prior C-section, prenatal care quality, and time since conception. Our team developed an assessment tool for chart notes in response to our findings.</p>","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":"36 2","pages":"86-97"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210567","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 Role of a Transitional Pain Approach to Surgical Care in a Patient With an Opioid Use Disorder: A Case Report.","authors":"John M Edwards, Tara Bevans, Dorothy Brockopp","doi":"10.1097/JAN.0000000000000621","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000621","url":null,"abstract":"<p><strong>Introduction: </strong>The management of postoperative pain in patients with an opioid use disorder (OUD) is challenging. Hospitals are frequently not equipped to respond effectively to the pain of these patients following surgery. For example, many caregivers are reluctant to prescribe opioids to these patients because a relapse in their misuse of drugs may occur. Limited research is available on the management of pain in this population, particularly in relation to the transition from the hospital to the community.</p><p><strong>Case report: </strong>A 28-year-old male with a long-standing OUD requiring cardiothoracic surgery to remove a right atrial myxoma was admitted to the hospital. He transitioned from intravenous heroin and fentanyl use to a stable dose of methadone to manage his addiction in anticipation of surgery. In collaboration with the Acute Pain Service, an addiction nurse coordinator, along with an interprofessional team, developed a transitional pain management plan (TPMP) in order to coordinate his care throughout the perioperative period and beyond discharge.</p><p><strong>Discussion: </strong>Concepts to the TPMP were as follows: continuous interaction with a hospital-based addiction nurse coordinator, involvement of an acute pain specialist, a nonjudgmental approach to the patient, continuous teaching regarding his care, ensuring that caregivers worked within the TPMP, and interaction with a community-based addiction specialist.</p><p><strong>Conclusion: </strong>Given that this patient's OUD (a) was controlled during his hospitalization, (b) his pain was effectively managed, and (c) he transitioned to an addiction specialist in the community upon discharge, it appears that this intervention, the development and use of a TPMP, was successful.</p>","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":"36 2","pages":"150-152"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210569","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}
Ruthanne Palumbo, Nancy Ahern, Brandy M Mechling, Amany Bebawy
{"title":"Emergency Department-Initiated Interventions for Illicit Drug Overdose: Retrospective Study Findings and Best Practice Recommendations.","authors":"Ruthanne Palumbo, Nancy Ahern, Brandy M Mechling, Amany Bebawy","doi":"10.1097/JAN.0000000000000615","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000615","url":null,"abstract":"<p><strong>Abstract: </strong>Fatal and nonfatal overdoses (ODs) from illicit drugs continue to increase in U.S. emergency departments (EDs). Meanwhile, protocols that include best practices regarding interventions and discharge planning with this patient population remain inconsistent. A retrospective chart review was conducted with four EDs within one hospital system, during a 1-year period. There were N = 242 patient admissions for accidental, illicit, nonfatal drug ODs. Data regarding interventions, discharge planning, and education provided were extracted. Results included that primary drugs responsible for OD were opioids (e.g., heroin). The average length of stay in the ED was 2 hr and 25 min for stabilization and observation before discharge. Narcan was administered 70% of the time by either emergency medical services (EMS) or witnesses to the OD before the patient arrived at the ED. Drug information regarding opiates, sedatives, and stimulants was provided to patients 93% of the time. OD prevention education was provided 53% of the time. Narcan prescriptions were provided 25% of the time. Primary care provider (PCP) referrals were provided for 36% of patients, and 10% were referred to a medication-assisted therapy (MAT) treatment center. Although medication education was documented, there was no evidence found regarding specific MAT medications initiated in the ED. There were inconsistencies in what information was provided to patients at discharge. An evidence-based, standardized protocol for discharge should be identified for OD patients. This protocol should include four \"gold standards,\" including planned follow-up with a PCP, OD prevention education, distribution of Narcan, and initiation of MAT when and where possible.</p>","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":"36 2","pages":"78-85"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210564","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}
Ralph J Klotzbaugh, Karen Jakub, Elizabeth Skrovanek
{"title":"CrossFit as Adjunctive Treatment in Substance Use Disorders: A Qualitative Study.","authors":"Ralph J Klotzbaugh, Karen Jakub, Elizabeth Skrovanek","doi":"10.1097/JAN.0000000000000619","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000619","url":null,"abstract":"<p><strong>Introduction: </strong>In the United States, an estimated 19.7 million people have a substance use disorder (SUD). Treatment protocol is transition into recovery, necessitating physical well-being and social supports. Exercise is an effective treatment for addiction. One modality that posits success on ability to provide an effective workout and a sense community is CrossFit. This study explored experiences of individuals participating in CrossFit within an SUD recovery program.</p><p><strong>Methods: </strong>This focused ethnography study took place at a recovery center. Inclusion criteria were 18 years of age and older with an SUD and current or former inpatient utilizing CrossFit offered through the center. Twelve participants (N = 12) were recruited. Data collection was through semistructured interviews. A thematic analysis was utilized to understand what CrossFit means to participants. Systematic coding organized data and potential themes were identified. Themes were reviewed and refined through mapping and generation of clear definitions and names.</p><p><strong>Results: </strong>Seven participants were aged 26-35 years, and five were aged 36-45 years, with 5 women and 7 men. All identified as White and cisgender.Three themes emerged from the data: (a) mental health with physical benefits, (b) commonality and community, and (c) building a foundation for life.</p><p><strong>Conclusions: </strong>Prior research has demonstrated exercise as an effective treatment for addiction. Ours is the only known study to focus on CrossFit. Future studies might obtain similar findings beyond CrossFit-branded programming. Additionally, longitudinal research related to CrossFit or high-intensity interval training might provide additional evidence in long-term recovery.</p>","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":"36 2","pages":"112-120"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210563","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}
Sarah Cottingham, Donna Biederman, Blanca Iris Padilla, Julie Thompson, Devon Noonan
{"title":"Preparing a Residential Substance Use Treatment Program to Be Smoke Free: A Quality Improvement Project.","authors":"Sarah Cottingham, Donna Biederman, Blanca Iris Padilla, Julie Thompson, Devon Noonan","doi":"10.1097/JAN.0000000000000618","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000618","url":null,"abstract":"<p><strong>Abstract: </strong>Substance use disorders (SUD) are associated with a two- to fourfold increase in rates of tobacco use. Clients with comorbid SUD and tobacco dependence are more likely to die of tobacco-related causes, and smoking cessation is associated with a reduced risk of returning to substance use. Therefore, smoking cessation care should be an integral part of SUD treatment. However, many organizations do not follow recommendations for integrating tobacco cessation practices into their SUD treatment models. A large residential SUD treatment program in the southeastern United States with a tobacco use rate over 70% implemented a quality improvement project to improve smoking cessation care in preparation for a statewide policy prohibiting tobacco products. The project involved enhanced smoking cessation screening and intervention using the 5As approach and implementing a multiweek smoking cessation course composed of combination nicotine replacement therapy (NRT), counseling, and peer support. The project was implemented in collaboration with state and local tobacco control boards and an academic-practice partnership. Tobacco use counseling rates improved from 31.8% preimplementation to 71.4% postimplementation. The smoking cessation classes had high rates of retention and were associated with nearly 43% of clients quitting tobacco use for at least 7 days during the implementation period and 14% remaining tobacco free 60 days after course completion. The enhanced screening, counseling, and smoking cessation course reduced smoking rates in anticipation of a statewide tobacco ban.</p>","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":"36 2","pages":"104-111"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210566","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":"Comparison of CIWA-Ar and MINDS Alcohol Withdrawal Assessments in Hospitalized Patients: Comparison of CIWA-Ar and MINDS.","authors":"Sean P Kane, Sandra M Cebrij, Karen L Hanson","doi":"10.1097/JAN.0000000000000617","DOIUrl":"10.1097/JAN.0000000000000617","url":null,"abstract":"<p><strong>Background: </strong>The revised Clinical Institute Withdrawal Assessment (CIWA-Ar) and the Minnesota Detoxification Scale (MINDS) are two scales used to assess alcohol withdrawal symptom severity among hospitalized patients. There is a lack of data supporting the reliability of these scales in acutely ill patients.</p><p><strong>Objective: </strong>The objective of this study was to measure the reliability of CIWA-Ar and modified MINDS (mMINDS) and the correlation of the two scales to each other.</p><p><strong>Methods: </strong>A prospective, observational study was conducted to evaluate adult patients with an alcohol withdrawal order set within 48 hr of hospital admission at two community hospitals. During nursing hand-off, the outgoing and incoming nurse both completed a CIWA-Ar and mMINDS assessment consecutively and independently. Correlations between CIWA-Ar, mMINDS, and the two observers were calculated.</p><p><strong>Results: </strong>A total of 114 hand-off observations were collected for 73 patients. The frequency of an \"unable to assess\" item resulting in an invalid total score was 34.2% with CIWA-Ar and 28.9% with mMINDS. The median scores for CIWA-Ar and mMINDS were both 6 (IQR 3 to 10) and correlated well to each other (r = .801). Correlations between the two nurse raters was moderate for both CIWA-Ar (r = .68) and mMINDS (r = .72). As withdrawal scores increased, the difference in score between nursing raters also increased for both instruments.</p><p><strong>Conclusion: </strong>CIWA-Ar and mMINDS are moderately correlated to each other and produce similar total scores. Correlations between two nursing raters suggest similar performance in rater agreement for both instruments; however, performance diminished as withdrawal severity increased.</p>","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":"36 2","pages":"99-103"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210562","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":"Emergency department-initiated interventions for illicit drug overdose: Retrospective study findings and best practice recommendations.","authors":"","doi":"10.1097/JAN.0000000000000623","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000623","url":null,"abstract":"","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":"36 2","pages":"E3"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210565","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}
Jarrah Al-Kayed, Chizimuzo C Okoli, Lovoria B Williams, Melinda J Ickes, Mary Kay Rayens
{"title":"The Association Between Work- and Trauma-Related Factors and Risky Alcohol Use Among Health Care Providers: A Systematic Review.","authors":"Jarrah Al-Kayed, Chizimuzo C Okoli, Lovoria B Williams, Melinda J Ickes, Mary Kay Rayens","doi":"10.1097/JAN.0000000000000620","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000620","url":null,"abstract":"<p><strong>Background: </strong>About 65 million health care providers worldwide are exposed to trauma. Work-related trauma exposure is associated with risky alcohol use, which is correlated with health burdens and productivity impairments among health care providers. Hence, it is important to highlight the association between work-related trauma exposure factors and risky alcohol use among health care providers.</p><p><strong>Objective: </strong>In this systematic review, we examined the relationship between work-related factors, trauma exposure, and risky alcohol use among health care providers.</p><p><strong>Methods: </strong>We conducted a systematic search of PubMed, PsychINFO, and Google Scholar databases including studies published in English up to February 2024.</p><p><strong>Results: </strong>Of 15 retrieved studies, researchers examined the association between work-related factors and risky alcohol use among health care providers in 10 studies. Increased burnout (work stress) was significantly associated with increased risky alcohol use among health care providers. However, there were differences between nurses/midwives and physicians in the relationship of risky alcohol use with work schedules (e.g., night shifts and hours worked). In the remaining five studies, trauma exposure increased risky alcohol use among health care providers.</p><p><strong>Conclusions: </strong>Evidence suggests that work-related factors and trauma exposure are significantly associated with risky alcohol use among health care providers. However, the extent of the association varies among health care provider specialties. Thus, it is necessary in the future to evaluate the association between work- and trauma-related factors and risky alcohol use among each specialty of health care providers, especially nursing, which represents the largest number of employees in the health sector.</p>","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":"36 2","pages":"121-143"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210568","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}