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":"<p><strong>Background: </strong>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.</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>Investigators must design research studies mindful of avoiding societal privilege and cognizant of the lens of the individual living with OUD.</p>","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}
{"title":"Implementing an Updated Alcohol Withdrawal Symptom Management Order Set Focused on Patient Safety.","authors":"","doi":"10.1097/JAN.0000000000000591","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000591","url":null,"abstract":"","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":"35 3","pages":"E29"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367991","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}
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":"<p><strong>Abstract: </strong>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.</p>","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}
Seok Hyun Gwon, Youngjoo Cho, Yourim Kim, Suna Paek, Han-Joo Lee
{"title":"Differences in Attentional Bias Toward e-Cigarette Cues Between e-Cigarette Users and Nonusers.","authors":"Seok Hyun Gwon, Youngjoo Cho, Yourim Kim, Suna Paek, Han-Joo Lee","doi":"10.1097/JAN.0000000000000590","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000590","url":null,"abstract":"<p><strong>Abstract: </strong>The use of electronic nicotine delivery systems (ENDS) has increased rapidly in recent years, particularly among young adults. There is a dearth of research on the cognitive factors that contribute to ENDS use. One of the possible cognitive mechanisms involved with addictive behavior is attentional bias (AB). AB can manifest as either facilitated attention engagement toward or delayed attention disengagement from a relevant stimulus. The purpose of this study was to examine the difference in AB toward ENDS-related cues between ENDS users and non-ENDS users. ENDS users (n = 29) and nonusers (n = 24) between the ages of 18 and 29 years participated in the dot-probe and eye-tracking picture-viewing tasks. The results showed that there was a significant difference in the variance of AB between the two groups. In the eye-tracking task, ENDS users displayed significantly greater net dwell time and fixation time at time frames of 6-9, 9-12, and 12-15 seconds, compared to nonusers. It is noteworthy that ENDS users exhibited attentional fluctuation toward ENDS cues as well as difficulties disengaging attention from ENDS cues. The current findings offer insight into the nature of attentional processes associated with ENDS cues and provide useful data to guide the development of a nurse-led cognitive intervention focusing on biased attentional processing related to ENDS cues.</p>","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":"35 3","pages":"156-165"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367989","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}
Kimberly D Conley, Dana Murphy-Parker, Virginia M Conley
{"title":"Non-Cardiogenic Pulmonary and Peripheral Edema as an Untoward Reaction of Naloxone.","authors":"Kimberly D Conley, Dana Murphy-Parker, Virginia M Conley","doi":"10.1097/JAN.0000000000000579","DOIUrl":"10.1097/JAN.0000000000000579","url":null,"abstract":"","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":"35 2","pages":"114"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238875","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}
Jamila Souza Gonçalves, Jaqueline Lemos de Oliveira, Janaína Cristina Pasquini de Almeida, Juceli Andrade Paiva Morero, Natália Priolli Jora Pegoraro, Maria Olívia Barboza Zanetti, Jacqueline de Souza
{"title":"Effect of an Online Intervention on Nursing Students' Alcohol Consumption and Social Support.","authors":"Jamila Souza Gonçalves, Jaqueline Lemos de Oliveira, Janaína Cristina Pasquini de Almeida, Juceli Andrade Paiva Morero, Natália Priolli Jora Pegoraro, Maria Olívia Barboza Zanetti, Jacqueline de Souza","doi":"10.1097/JAN.0000000000000576","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000576","url":null,"abstract":"<p><strong>Objective: </strong>This research aimed to evaluate the impact of custom-developed software on nursing students' alcohol consumption and perception of social support.</p><p><strong>Method: </strong>A quasi-experimental study was conducted with 88 students in the early years of nursing courses at a Brazilian public university. The members of the intervention group (n = 40) participated in a lecture delivered by a nurse and used online software developed based on cognitive behavioral techniques and social skills training. The members of the control group (n = 48) participated only in the lecture. Data on alcohol consumption profiles and social support characteristics were collected. Descriptive statistics, an analysis of variance test, and the Dunnett's test were utilized for data analysis.</p><p><strong>Results: </strong>Alcohol consumption decreased in both groups without significant differences between them. However, in terms of frequency of use, binge drinking, and the number of drinks consumed, a significant decrease occurred among participants in the intervention group. Regarding social support, both groups showed an increase in satisfaction with support and a decrease in the number of supporters. This reduction was less pronounced in the intervention group than in the control group.</p><p><strong>Conclusion: </strong>This investigation presents relevant results that suggest the potential of using online technologies as supplemental materials for promoting students' mental health.</p>","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":"35 2","pages":"51-58"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238858","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}
Oluremi A Adejumo, Elizabeth O Ogunbiyi, Katherine S Fornili, Ling-Yin Chen, Alfred B Makanjuola, Samuel Kolade Ernest
{"title":"Peer Facilitator Training for Diabetes Prevention in a Nigerian Drug Treatment Center.","authors":"Oluremi A Adejumo, Elizabeth O Ogunbiyi, Katherine S Fornili, Ling-Yin Chen, Alfred B Makanjuola, Samuel Kolade Ernest","doi":"10.1097/JAN.0000000000000575","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000575","url":null,"abstract":"<p><strong>Introduction and background: </strong>Individuals with substance use disorders (SUDs) are at an increased risk of developing comorbid medical conditions, including Type 2 diabetes. Although the diabetes prevention program (DPP) is efficacious and cost-effective, there is no published evidence to support its implementation in Nigeria or within SUD treatment settings. In this first known DPP within an SUD treatment program, we implemented a multiphased, nurse-led DPP at a small outpatient drug treatment center in Nigeria. The aim of this article was to describe only the processes utilized for the initial peer facilitator (PF) training (Phase 1).</p><p><strong>Methods: </strong>In Phase 1, a diabetes prevention master trainer delivered a virtual DPP training to the facility's lead nurse, who return-demonstrated the DPP workshop skills and competencies over four 4-hour sessions. The lead nurse then independently delivered four 8-hour training sessions to a small number of client volunteers (n = 4) who subsequently delivered the DPP lifestyle interventions to their peers in the outpatient treatment program.</p><p><strong>Results: </strong>The client volunteers attended all PF workshop sessions and were observed to be proficient in all aspects of implementation. They indicated that the training objectives were easily achieved and expressed enthusiasm for delivering DPP content to their peers. The need to better contextualize the DPP curriculum specific to Nigerian food preferences was identified.</p><p><strong>Conclusion: </strong>The Phase 1 training process appears to be an appropriate and effective approach for preparing PFs to deliver health programs, like the DPP, in environments with limited resources for populations facing numerous challenges.</p>","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":"35 2","pages":"67-75"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238876","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}
Adele K Stanley, Keville Frederickson, Pallav Pokhrel
{"title":"Electronic Cigarette Use and Anxiety Among College Students: \"Trapped in That Cycle\".","authors":"Adele K Stanley, Keville Frederickson, Pallav Pokhrel","doi":"10.1097/JAN.0000000000000578","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000578","url":null,"abstract":"<p><strong>Introduction: </strong>Electronic cigarette use is the most prevalent form of tobacco among young college adults between 18 and 25 years old. In addition, during the young adult years, mental health issues surface, such as anxiety. As a result of these factors, it is imperative to describe the experience of electronic cigarettes among college students to better understand the cycle of addiction among electronic cigarette users.</p><p><strong>Objective: </strong>This study aims to explore and describe the experience of electronic cigarette use among college students who report feelings of anxiety.</p><p><strong>Methods: </strong>A qualitative descriptive study design with the Roy Adaptation Model as the theoretical framework was used to describe the experience. The setting was at one medium-sized private university on the east coast of the United States. Twenty participants met the study inclusion criteria of traditional undergraduate students aged 18-25 years. Data were collected using a demographic questionnaire, a smoking status questionnaire, a self-report feelings of anxiety questionnaire, and a semistructured interview guide.</p><p><strong>Results: </strong>Data analysis synthesized three themes: the perfect storm, the power of ripping the nic, and trapped in that cycle. It was found through interviews that feelings of anxiety and the vape culture, along with the college experience, led to the powerful draw to electronic cigarette use among this population.</p><p><strong>Conclusion: </strong>This study reflects findings that the college life experience, the vape culture, and the feelings of anxiety contribute to electronic cigarette use and, finally, lead to intense addiction.</p>","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":"35 2","pages":"59-66"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238868","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":"INTNSA USA to Support American Academy of Nursing's Policy to Improve Recognition and Treatment of Mental Health, Substance Use Disorders, and Nurse Suicide.","authors":"Susanne Astrab Fogger","doi":"10.1097/JAN.0000000000000570","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000570","url":null,"abstract":"","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":"35 2","pages":"41-42"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238871","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}
Clayton J Shuman, David Choberka, Mikayla E Morgan, Carol J Boyd
{"title":"ArtSpective™ for Perinatal Substance Use: Feasibility of an Arts-Based Intervention Addressing Stigma.","authors":"Clayton J Shuman, David Choberka, Mikayla E Morgan, Carol J Boyd","doi":"10.1097/JAN.0000000000000577","DOIUrl":"https://doi.org/10.1097/JAN.0000000000000577","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this proof-of-concept pilot study was to test the initial feasibility and limited efficacy of ArtSpective™ for perinatal substance use (PSU), a novel, arts-based intervention designed to decrease stigmatizing attitudes toward PSU.</p><p><strong>Methods: </strong>Using a pre-post mixed methods quasi-experimental design, ArtSpective™ for PSU was pilot tested for proof of concept among a convenience sample of 11 undergraduate and graduate students with experience in maternal-infant nursing from a Midwestern U.S. nursing school. As a proof-of-concept pilot study, we evaluated feasibility (acceptability, demand, and implementation) and limited efficacy. Participants completed presurveys and postsurveys that included satisfaction items, demographic items, and an adapted version of the Attitudes About Drug Use in Pregnancy Scale and participated in a focus group. Focus group data were analyzed using constant comparative methods, and survey data were analyzed using descriptive statistics and Wilcoxon signed rank tests.</p><p><strong>Results: </strong>Participants reported high demand and satisfaction with the intervention and provided recommendations to improve scalability. ArtSpective™ demonstrated significant improvement in stigma toward PSU (pre vs. post: p = .003; d = .633).</p><p><strong>Conclusion: </strong>ArtSpective™ for PSU demonstrated initial feasibility and limited efficacy for improving nurse attitudes toward PSU. Efforts are needed to further test this novel intervention, adapt it to augment existing educational interventions, and improve its scalability.</p>","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":"35 2","pages":"43-50"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238855","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}