Journal of addictions nursing最新文献

{"title":"Scenario Validation for Opioid Use Disorder Stigma-Related Nursing Simulations.","authors":"Mirinda Tyo, Jennifer Viveiros, Mary McCurry, Shannon Avery-Desmarais, Monika Schuler, Brianna Kauranen","doi":"10.1097/JAN.0000000000000598","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000598","url":null,"abstract":"<p><strong>Background: </strong>Six high-fidelity simulations were developed to promote empathetic, evidence-based care devoid of stigma for individuals with opioid use disorder (OUD). Study aim was to validate simulation scenario and content for accuracy and clinical relevance.</p><p><strong>Method: </strong>Simulations were video recorded in August 2022 for content validation. Expert assessment was conducted in September 2022 via focus groups using videoconferencing.</p><p><strong>Results: </strong>A panel of OUD experts that included healthcare providers (n = 10), who were also nurse educators (n = 5) or family members affected by OUD (n = 1), validated simulation content. Thematic analysis identified themes: (a) strategies for enhancing realism, (b) recognition for diverse patients, (c) additional cueing to generate empathetic responses, (d) refining cueing to focus on stigma, (e) recognizing OUD as a chronic illness, (f) novel approach to standardized patients, and (g) limitations of mannequins.</p><p><strong>Conclusion: </strong>Evaluation of simulations provided content validation increasing the potential effectiveness of the simulations to achieve desired learning outcomes.</p>","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":"35 4","pages":"216-224"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142775729","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":"Progress to Life Transformation: Measuring Self-Sufficiency in Addiction Recovery Among Populations Experiencing Homelessness.","authors":"Mary Lashley","doi":"10.1097/JAN.0000000000000597","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000597","url":null,"abstract":"<p><strong>Abstract: </strong>Persons experiencing homelessness have higher rates of substance abuse, poorer overall health, and higher mortality from opioid overdose than the general population. Measuring progress throughout the addictions recovery process in these populations is challenging, given the multitude of factors that impact the recovery journey among persons experiencing homelessness. Despite these challenges, outcome assessment is essential for informing the continued improvement of recovery programs and validating effectiveness of evidence-based interventions. To better track and monitor progress throughout a 1-year residential faith-based addictions recovery program, the leadership of a large homeless service and residential recovery organization adapted the Progress to Life Transformation Model, a model based upon self-sufficiency, to measure improvements in self-sufficiency and stability across a diverse range of life domains. The purpose of this paper was to describe the experience of a homeless provider organization as it attempted to measure the impact of its programs on the self-sufficiency of persons experiencing homelessness as they work through the addiction recovery process. This case study of an evidence-based best practice may be used to inform public health nursing practice when working with organizations seeking to measure progress in serving persons experiencing homelessness who are in recovery from chemical addictions.</p>","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":"35 4","pages":"196-202"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142775788","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":"Intravenous Drug Use in the Hospital Setting: Advancing Reconciliation for Indigenous Canadians Using In-Hospital Harm Reduction and Culturally Safe Care.","authors":"Andrea Raynak, Brianne Wood, Christopher Mushquash, Brittney McLaughlin","doi":"10.1097/JAN.0000000000000600","DOIUrl":"10.1097/JAN.0000000000000600","url":null,"abstract":"<p><strong>Abstract: </strong>People who inject drugs are likely to end up admitted to a hospital due to complications associated with substance use. While in hospital, many of these patients will continue the self-administration of nonprescribed drugs. When implemented without a harm reduction approach, self-administration can lead to an increase in the acquisition of infectious diseases, injection-related infections, and fatal and nonfatal overdoses. Often, administrators and providers use punitive approaches to manage this behavior among patients and providers. This abstinence-based approach has, and continues to, disproportionally impact structurally vulnerable communities. To mobilize the Truth and Reconciliation Commission's Calls to Action, Canadian hospitals must respond transparently and urgently to Indigenous peoples, patients, and communities. For example, First Nations, Inuit, and Metis people and communities living in Canada are significantly affected by the opioid epidemic, which can be traced back to the legacy of and continued colonialism and systemic discrimination in health care. Colonial policies and systems manifest as Indigenous populations experiencing a high prevalence of socioeconomic disadvantage and poor access to quality health and social services, on- and off-reserve. Clinicians must understand and receive cultural safety training to adequately care for Indigenous patient populations, as well as other structurally vulnerable populations. Additionally, Canadian hospitals should acknowledge and measure intravenous drug use in their organizations and take a harm reduction approach to mitigate associated adverse outcomes. Finally, hospitals should work with academic institutions to train, recruit, and retain Indigenous clinicians from diverse sociocultural backgrounds.</p>","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":"35 4","pages":"237-242"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142775765","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":"Utilizing Academic Detailing Intervention to Increase Screening, Referral, and Treatment for Opioid Use Disorder Among Primary Care Providers in Randolph County.","authors":"Jennifer Key Foreman, Mitchell Knisely, Jennifer Layton, Jamison Lord","doi":"10.1097/JAN.0000000000000599","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000599","url":null,"abstract":"<p><strong>Background: </strong>Opioid use disorder is a national epidemic that has killed over one million United States residents since 1999. Randolph County, North Carolina (NC) has a significantly higher rate of drug overdose and emergency-department-related visits than the NC state average. Primary care providers are well positioned to intervene and offer screening, referral, and treatment of opioid use disorder, yet this does not often occur.</p><p><strong>Objective: </strong>This quality improvement project serves as a pilot to evaluate the effectiveness of academic detailing (AD) to increase screening, referral, and treatment of opioid use disorder as well as to increase knowledge of community resources available.</p><p><strong>Methods: </strong>Face-to-face one-to-one AD was provided to primary care providers. Content included an overview of the diagnosis, standardized screening tools, management, and community resources available for referral. Assessments pre and post were conducted to evaluate screening, referral and treatment practices, knowledge of available community resources, barriers to providing services, and satisfaction with the AD event.</p><p><strong>Results: </strong>AD did not result in change in frequency of screening or referral for treatment for OUD. None of the providers who participated in the intervention were prescribing buprenorphine prior to the event, nor were they after the event. Results indicated that there was an increase in the knowledge level of providers after AD with a change in median knowledge level from \"I know about some resources in the area\" to \"I am very knowledgeable about area resources.\" Barriers to screening, referral, and treatment were identified, with lack of time being the most frequently cited.</p><p><strong>Conclusions: </strong>AD did not increase screening, referral, or treatment of OUD in this pilot project. However, there was an increase in knowledge of community resources related to OUD. AD is labor and time intensive and may be difficult to scale.</p><p><strong>Implications for nursing: </strong>Providers are well positioned to impact patient lives and increase screening, referral, and treatment for OUD in primary care settings. Continued work is needed to overcome barriers for getting patients adequate OUD treatment. Additional research is needed to ascertain if varied forms of AD would be more time and cost effective.</p>","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":"35 4","pages":"225-228"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142775735","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":"Women Physicians and Nurses in Treatment for Substance Use Disorders: Commonalities and Disparities by Profession.","authors":"Olga González-Irizar, Gemma Nieva, Esperanza Luisa Gómez-Duran, Meritxell Heredia, Enric Llavayol, Tania Pujol, Sergi Valero, Lara Grau-López, Eugeni Bruguera, Maria Dolores Braquehais","doi":"10.1097/JAN.0000000000000595","DOIUrl":"10.1097/JAN.0000000000000595","url":null,"abstract":"<p><strong>Abstract: </strong>Women physicians and nurses are health professionals with significant differences in their role, but they share common social and occupational stressors. This study compares the outcomes of female physicians and nurses in treatment in a highly specialized program for health professionals with substance use disorders. This was a 9-year, survival, observational, cohort study, conducted with data from medical e-records of female nurses (n = 58) and physicians (n = 50) in treatment for addictions. The most common drug of abuse was alcohol (62% of physicians and 75.9% of nurses) followed by sedatives (16% vs. 12.1%). The median time in treatment was similar (49.1 and 46.4 months for physicians and nurses, respectively). Abstinence rates of physicians (76%) were higher than those of nurses (61.4%) as well as their median time to first lapse (15.5 and 7.6 months, respectively). However, after multivariate analyses, differences did not remain statistically significant neither for their abstinence rates nor for their survival time. To have an alcohol use disorder emerged as a risk factor of relapse for all (Hazard Ratio = 3.41, p = .03). More knowledge is needed to ascertain the common and differential factors related to the treatment response of women physicians and nurses with addictions and particularly to improve alcohol use disorder outcomes in these populations.</p>","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":"35 4","pages":"180-188"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142775750","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":"Women Physicians and Nurses in Treatment for Substance Use Disorders: Commonalities and Disparities by Profession.","authors":"","doi":"10.1097/JAN.0000000000000602","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000602","url":null,"abstract":"","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":"35 4","pages":"30"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142775756","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":"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":"10.1097/JAN.0000000000000569","url":null,"abstract":"<p><strong>Objectives: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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]).</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":" ","pages":"229-236"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","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}

{"title":"Effects of Dialectical Behavior Therapy on Cognitive and Executive Functions in Men With Substance Use Disorder Under Methadone Maintenance Treatment: A Randomized Clinical Trial.","authors":"Kiamars Khezrian, Zahra Zanjani, Morad Rasouli Azad","doi":"10.1097/JAN.0000000000000596","DOIUrl":"10.1097/JAN.0000000000000596","url":null,"abstract":"<p><strong>Abstract: </strong>Substance use disorder is a major public health problem, and its treatment is one of the most challenging issues facing clinical professionals. This clinical trial study investigated the effects of the dialectical behavior therapy (DBT) on cognitive and executive functions in patients under methadone maintenance treatment (MMT). Participants included 50 people under MMT who referred to addiction treatment clinics in Kashan in 2018. They were randomly assigned to intervention (DBT + MMT) and control (MMT) groups. Participants in the intervention group received twelve 90-minute sessions of the DBT skills. The used assessments included Structured Clinical Interview for DSM-5 Axis I Disorders, Iowa Gambling Task, Wisconsin Card Sorting Task, and Tower of London Task. The results showed that DBT improved cognitive and executive function. Risky decision making (F = 4.1, p = 0.04), attention (F = 18.2, p = 0.001), cognitive flexibility (F = 18.5, p = 0.001), problem-solving (F = 18.5, p = 0.001), and planning (F = 14.10, p = 0.003) showed improvement in the intervention group following DBT. Therefore, it can be said that DBT alongside the MMT can be useful for patients under MMT.</p>","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":"35 4","pages":"189-195"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142775688","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":"Nurse-Led Evidence-Based Diabetes Prevention Study: An Innovative Risk Reduction Program for Clients With Substance Use Disorders.","authors":"Oluremi A Adejumo, Elizabeth O Ogunbiyi, Ling-Yin Chen","doi":"10.1097/JAN.0000000000000601","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000601","url":null,"abstract":"<p><strong>Background: </strong>Clients with substance use disorders (SUDs) have a substantial risk of developing Type 2 diabetes mellitus (T2DM). The connection between SUD and DM stems from rapid cell damage, pancreatic beta-cell dysfunction, and glucose dysregulation due to increased oxidative stress and decreased antioxidant activity. This study aims to reduce the risk of T2DM among individuals undergoing SUD recovery treatments.</p><p><strong>Methods: </strong>This nurse-led diabetes prevention program, a 1-year-long, peer-based intervention, was implemented among clients at a federally funded, stand-alone drug addictions treatment center based on evidence that lifestyle modifications in dietary control, physical activity, and health behaviors can halt or delay the progression of Type 2 diabetes. Four trained peer educators delivered diabetes prevention interventions to a sample of individuals in drug addiction treatment in Nigeria. The nurse program leader provided weekly mentoring and guidance to the peer educators and collected, reviewed, and analyzed study participants' logs of weights and self-reported lifestyle modifications.</p><p><strong>Results: </strong>There were significant differences in participants' behaviors pre- and post-lifestyle interventions, except in dairy product intakes as well as cigarette and cannabis use.</p><p><strong>Conclusion: </strong>This diabetes prevention program is innovative and effective with this at-risk population. Interventions were delivered with minor financial resources.</p><p><strong>Implications for nursing and patient care: </strong>SUD treatment must address physical and psychological health and consider the heightened risks of chronic illness in this population. Preventing somatic diseases, such as T2DM, is vital to long-term health and well-being.</p>","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":"35 4","pages":"203-215"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142775784","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 35(4): Fall/Winter Issue.","authors":"Ann M Mitchell","doi":"10.1097/JAN.0000000000000592","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000592","url":null,"abstract":"","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":"35 4","pages":"167-168"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142775783","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}