Journal of addictions nursing最新文献_第2页

The Mediating Effect of Depression on Perceived Discrimination and Persistent Prescription Opioid Use Among Puerto Rican Adults. 抑郁对波多黎各成年人感知歧视和持续处方阿片类药物使用的中介作用。

Journal of addictions nursing Pub Date : 2024-10-01 DOI: 10.1097/JAN.0000000000000594

Inyene E Essien-Aleksi, Yuan Zhang, Ainat Koren, Natalia Palacios, Luis M Falcon, Katherine L Tucker

{"title":"The Mediating Effect of Depression on Perceived Discrimination and Persistent Prescription Opioid Use Among Puerto Rican Adults.","authors":"Inyene E Essien-Aleksi, Yuan Zhang, Ainat Koren, Natalia Palacios, Luis M Falcon, Katherine L Tucker","doi":"10.1097/JAN.0000000000000594","DOIUrl":"10.1097/JAN.0000000000000594","url":null,"abstract":"Background: Stress indicators, including perceived discrimination and depression, have been linked with chronic diseases. Studies have also linked persistent prescription opioid use (PPOU) with depression. With increasing numbers of opioid overdose deaths among Hispanics (predominantly Puerto Rican) in Massachusetts, investigating how perceived discrimination and depression affect PPOU is relevant to public health efforts to address the opioid crisis. This study examined the effect of depression on PPOU and whether depression mediated the association between perceived discrimination and PPOU among Puerto Rican adults.Methods: Data derived from a prospective population-based Boston Puerto Rican Health Study, at baseline and ~2- and ~6-year follow-up, were used to estimate the association between perceived discrimination and PPOU. Baron and Kenny's method was used to examine the potential mediating effect of depression.Results: A total of 798 Puerto Rican adults (aged 56.5 ± 7.5 years, 72.9% women) participated in the study at all three time points, and 6.5% used prescription opioids persistently. Both depressive symptoms (Center for Epidemiological Studies Depression Scale score range: 0-60; OR = 1.03, 95% CI [1.00, 1.05], p = .03) and perceived discrimination (yes/no; OR = 2.43, 95% CI [1.28, 4.61], p = .006) were associated with PPOU. Depressive symptomatology partially mediated the effect of perceived discrimination on PPOU, by 10.3%.Conclusions: Among Puerto Rican adults in Massachusetts, depressive symptomatology partially explained the effects of perceived discrimination on PPOU. Other unidentified factors could play a role in the relationship between perceived discrimination and PPOU. Discussion on the potential risks of PPOU should be considered among underserved populations experiencing chronic pain, discrimination, and depressive symptoms.","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":"35 4","pages":"171-179"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142775733","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

President's Column. 总统的列。

Journal of addictions nursing Pub Date : 2024-10-01 DOI: 10.1097/JAN.0000000000000593

Dana Murphy-Parker

引用次数: 0

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":"35 3","pages":"117-121"},"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":"35 3","pages":"146-155"},"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":"35 3","pages":"122-131"},"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":"35 3","pages":"142-145"},"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":"35 3","pages":"137-141"},"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":"35 3","pages":"132-136"},"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