Journal of addictions nursing最新文献_第3页

Predictors of Nurses' and Behavioral Health Professionals' Motivation to Provide Alcohol Use-Related Care: A Secondary Analysis. 护士和行为健康专业人员提供酒精使用相关护理动机的预测因素：二次分析

IF 0.7

Journal of addictions nursing Pub Date : 2025-07-01 Epub Date: 2025-08-12 DOI: 10.1097/JAN.0000000000000627

Khadejah F Mahmoud, Sami Al-Rawashdeh, Deborah S Finnell, Dawn Lindsay, Ann M Mitchell

{"title":"Predictors of Nurses' and Behavioral Health Professionals' Motivation to Provide Alcohol Use-Related Care: A Secondary Analysis.","authors":"Khadejah F Mahmoud, Sami Al-Rawashdeh, Deborah S Finnell, Dawn Lindsay, Ann M Mitchell","doi":"10.1097/JAN.0000000000000627","DOIUrl":"10.1097/JAN.0000000000000627","url":null,"abstract":"Background: Alcohol use continues to be a global public health concern that significantly contributes to economic burden and increased morbidity and mortality rates. Healthcare professionals, including nurses and behavioral health professionals, play a vital role in alcohol use prevention, screening, and management. The purpose of this study is to identify nurses' and behavioral health professionals' demographic and clinical characteristics and professional attitudes as predictors of their motivation toward providing care related to alcohol use.Methods: A secondary analysis employing baseline data pooled across five interventional study cohorts was utilized to build a prediction model. Specifically, to identify the contribution of demographic and clinical characteristics, and professional attitudes in predicting motivation scores relative to alcohol use, a two-step hierarchical multiple linear regression was used.Results: A total sample of 1,164 undergraduate, graduate, and professional nurses', and behavioral health professionals' baseline data were included in the final analyses. The final model demonstrated that specific demographic and clinical characteristics (age, sex, race, student status, and workplace) and professional attitudes (role legitimacy, task-specific self-esteem, and work satisfaction) significantly predicted nurses' and behavioral health professionals' alcohol use-related motivation ( p < .05). This predictive study revealed that all professional attitudes, except for role adequacy, were significant predictors of nurses' and behavioral health professionals' alcohol use-related motivation, which aligns with previous literature findings.Conclusion: These findings can inform larger scale intervention studies targeting nurses' and behavioral health professionals' alcohol use-related motivation to promote timely identification and access to care.","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":" ","pages":"182-190"},"PeriodicalIF":0.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144983945","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

Buprenorphine Extended-Release Injection for Subcutaneous Use (Brixadi): A Novel Option for the Treatment of Opioid Use Disorder. 丁丙诺啡皮下注射缓释（Brixadi）：治疗阿片类药物使用障碍的新选择

IF 0.7

Journal of addictions nursing Pub Date : 2025-07-01 Epub Date: 2025-08-08 DOI: 10.1097/JAN.0000000000000631

Brayden Kameg

引用次数: 0

Experience of the Therapeutic Community Regarding Individuals With Alcohol Use Disorder: Phenomenological Study. 治疗团体对酒精使用障碍个体的经验：现象学研究

IF 0.7

Journal of addictions nursing Pub Date : 2025-07-01 Epub Date: 2025-08-08 DOI: 10.1097/JAN.0000000000000625

Mira Han, Hee Kyung Kim, Mihyong Lee

引用次数: 0

Voices From Young Adults: Perceptions About Electronic Cigarette Use. 年轻人的声音：对电子烟使用的看法。

Journal of addictions nursing Pub Date : 2025-04-01 DOI: 10.1097/JAN.0000000000000614

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":"Background: 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.Purpose: 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.Methods: 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.Results: 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.Conclusion/implication: 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.","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}

引用次数: 0

American Association of Nurse Anesthesiology-Parkdale Partnership Improves Substance Use Disorder Support for Certified Registered Nurse Anesthetists and Resident Registered Nurse Anesthetists. 美国护士麻醉师协会- parkdale合作伙伴关系改善了对注册麻醉师和住院注册麻醉师的物质使用障碍支持。

Journal of addictions nursing Pub Date : 2025-04-01 DOI: 10.1097/JAN.0000000000000622

Rodrigo Garcia, Rebecca Frese, Julie Rice, Ewa Greenier, Brett Morgan, Alyssa Rojo

{"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":"Abstract: 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.","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}

引用次数: 0

Stigmatizing Terminology and Patient-Centered Language in Perinatal Substance Use Chart Notes. 围产期药物使用图表注释中的污名化术语和以患者为中心的语言。

Journal of addictions nursing Pub Date : 2025-04-01 DOI: 10.1097/JAN.0000000000000616

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":"Abstract: 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.","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}

引用次数: 0

The Role of a Transitional Pain Approach to Surgical Care in a Patient With an Opioid Use Disorder: A Case Report. 过渡性疼痛方法在阿片类药物使用障碍患者手术护理中的作用：一个病例报告。

Journal of addictions nursing Pub Date : 2025-04-01 DOI: 10.1097/JAN.0000000000000621

John M Edwards, Tara Bevans, Dorothy Brockopp

{"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":"Introduction: 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.Case report: 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.Discussion: 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.Conclusion: 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.","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}

引用次数: 0

Emergency Department-Initiated Interventions for Illicit Drug Overdose: Retrospective Study Findings and Best Practice Recommendations. 急诊科发起的非法药物过量干预：回顾性研究结果和最佳实践建议。

Journal of addictions nursing Pub Date : 2025-04-01 DOI: 10.1097/JAN.0000000000000615

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":"Abstract: 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.","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}

引用次数: 0

Comparison of CIWA-Ar and MINDS Alcohol Withdrawal Assessments in Hospitalized Patients: Comparison of CIWA-Ar and MINDS. CIWA-Ar和MINDS对住院患者酒精戒断评估的比较：CIWA-Ar和MINDS的比较

Journal of addictions nursing Pub Date : 2025-04-01 DOI: 10.1097/JAN.0000000000000617

Sean P Kane, Sandra M Cebrij, Karen L Hanson

{"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":"Background: 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.Objective: 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.Methods: 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.Results: 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.Conclusion: 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.","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}

引用次数: 0

CrossFit as Adjunctive Treatment in Substance Use Disorders: A Qualitative Study. 混合健身作为药物使用障碍的辅助治疗：一项定性研究。

Journal of addictions nursing Pub Date : 2025-04-01 DOI: 10.1097/JAN.0000000000000619

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":"Introduction: 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.Methods: 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.Results: 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.Conclusions: 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.","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}

引用次数: 0