药物使用康复期护士的中庸理论

IF 4.2 4区医学 Q1 NURSING

Journal of Nursing Regulation Pub Date : 2024-10-01 DOI:10.1016/S2155-8256(24)00073-5

Karen J. Foli PhD, RN, ANEF, FAAN (Professor Emerita), Yitong Wang MS, RN (Doctoral Student), Nicole Adams PhD, RN, CEN (Associate Research Professor), Jeffrey Coto DNP, MS-CNS, RN, NPD-BC, CCRN, CPCO (Chief Compliance and Strategic Officer)

{"title":"药物使用康复期护士的中庸理论","authors":"Karen J. Foli PhD, RN, ANEF, FAAN (Professor Emerita), Yitong Wang MS, RN (Doctoral Student), Nicole Adams PhD, RN, CEN (Associate Research Professor), Jeffrey Coto DNP, MS-CNS, RN, NPD-BC, CCRN, CPCO (Chief Compliance and Strategic Officer)","doi":"10.1016/S2155-8256(24)00073-5","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Nurses’ substance use (SU) threatens the well-being of nurses as well as patient safety and may precipitate disciplinary actions by state boards of nursing (BONs). Given nurses’ maladaptive behaviors triggered by SU, an in-depth understanding of nurses’ personal, professional, and regulatory experiences is needed.</div></div><div><h3>Purpose</h3><div>The purpose of the present study was to conduct a grounded theory study of nurses who are in recovery from substance use disorder within the regulatory context. Using a constructivist approach, the overall research question was as follows: What are the lived experiences of nurses who become dependent on substances and interface with the regulatory world of nursing practice?</div></div><div><h3>Methods</h3><div>Interviews with 41 nurses from across the United States were recorded via Zoom and archived in a password-protected repository. In pre-interview surveys, nurses responded to demographic items, license status, items related to SU and monitoring programs, and questionnaires to measure resilience, posttraumatic growth, and organizational support.</div></div><div><h3>Results</h3><div>Four global themes emerged: (1) Board of Nursing: “The Great and Powerful Oz”; (2) The Tangible and Intangible Costs of Monitoring; (3) Finding Their Way/What Is Needed; and (4) Trauma, Shame, and Stigma: “Never Thought It Would Happen to Me.” Additionally, a model is proposed with eight semi-linear steps that range from “Confrontation and Contact With Employer/State BON” to “Making Sense of It All/Giving Back.”</div></div><div><h3>Conclusion</h3><div>The middle-range theory of nurses in SU recovery outlines conceptual relationships that can be empirically tested. Recommendations describe compassionate, informed interventions for nurses, healthcare organizations and regulatory bodies to enhance both nurse well-being and patient safety.</div></div>","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"15 3","pages":"Pages 33-46"},"PeriodicalIF":4.2000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A Middle-Range Theory of Nurses in Recovery From Substance Use\",\"authors\":\"Karen J. Foli PhD, RN, ANEF, FAAN (Professor Emerita), Yitong Wang MS, RN (Doctoral Student), Nicole Adams PhD, RN, CEN (Associate Research Professor), Jeffrey Coto DNP, MS-CNS, RN, NPD-BC, CCRN, CPCO (Chief Compliance and Strategic Officer)\",\"doi\":\"10.1016/S2155-8256(24)00073-5\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>Nurses’ substance use (SU) threatens the well-being of nurses as well as patient safety and may precipitate disciplinary actions by state boards of nursing (BONs). Given nurses’ maladaptive behaviors triggered by SU, an in-depth understanding of nurses’ personal, professional, and regulatory experiences is needed.</div></div><div><h3>Purpose</h3><div>The purpose of the present study was to conduct a grounded theory study of nurses who are in recovery from substance use disorder within the regulatory context. Using a constructivist approach, the overall research question was as follows: What are the lived experiences of nurses who become dependent on substances and interface with the regulatory world of nursing practice?</div></div><div><h3>Methods</h3><div>Interviews with 41 nurses from across the United States were recorded via Zoom and archived in a password-protected repository. In pre-interview surveys, nurses responded to demographic items, license status, items related to SU and monitoring programs, and questionnaires to measure resilience, posttraumatic growth, and organizational support.</div></div><div><h3>Results</h3><div>Four global themes emerged: (1) Board of Nursing: “The Great and Powerful Oz”; (2) The Tangible and Intangible Costs of Monitoring; (3) Finding Their Way/What Is Needed; and (4) Trauma, Shame, and Stigma: “Never Thought It Would Happen to Me.” Additionally, a model is proposed with eight semi-linear steps that range from “Confrontation and Contact With Employer/State BON” to “Making Sense of It All/Giving Back.”</div></div><div><h3>Conclusion</h3><div>The middle-range theory of nurses in SU recovery outlines conceptual relationships that can be empirically tested. Recommendations describe compassionate, informed interventions for nurses, healthcare organizations and regulatory bodies to enhance both nurse well-being and patient safety.</div></div>\",\"PeriodicalId\":46153,\"journal\":{\"name\":\"Journal of Nursing Regulation\",\"volume\":\"15 3\",\"pages\":\"Pages 33-46\"},\"PeriodicalIF\":4.2000,\"publicationDate\":\"2024-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Nursing Regulation\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2155825624000735\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Nursing Regulation","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2155825624000735","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 0

摘要

背景护士使用药物（SU）会威胁到护士的健康和患者的安全，并可能导致州护理委员会（BONs）采取纪律处分措施。本研究的目的是在监管背景下对从药物使用障碍中康复的护士进行基础理论研究。采用建构主义方法，总体研究问题如下：对药物产生依赖并与护理实践监管世界接轨的护士有哪些生活经历？方法通过 Zoom 对来自美国各地的 41 名护士进行了访谈记录，并在有密码保护的资料库中存档。在访谈前的调查中，护士们回答了人口统计学项目、执照状况、与 SU 和监控计划相关的项目，以及测量复原力、创伤后成长和组织支持的问卷：(1) 护理委员会："伟大而强大的奥兹国"；(2) 监督的有形和无形成本；(3) 找到自己的路/需要什么；(4) 创伤、羞耻感和耻辱感："从未想到会发生在我身上"。此外，还提出了一个包含八个半线性步骤的模型，这些步骤从 "对抗和与雇主/国家 BON 联系 "到 "理清一切/回馈"。这些建议为护士、医疗保健组织和监管机构提供了富有同情心的知情干预措施，以提高护士的福祉和患者的安全。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

A Middle-Range Theory of Nurses in Recovery From Substance Use

Background

Nurses’ substance use (SU) threatens the well-being of nurses as well as patient safety and may precipitate disciplinary actions by state boards of nursing (BONs). Given nurses’ maladaptive behaviors triggered by SU, an in-depth understanding of nurses’ personal, professional, and regulatory experiences is needed.

Purpose

The purpose of the present study was to conduct a grounded theory study of nurses who are in recovery from substance use disorder within the regulatory context. Using a constructivist approach, the overall research question was as follows: What are the lived experiences of nurses who become dependent on substances and interface with the regulatory world of nursing practice?

Methods

Interviews with 41 nurses from across the United States were recorded via Zoom and archived in a password-protected repository. In pre-interview surveys, nurses responded to demographic items, license status, items related to SU and monitoring programs, and questionnaires to measure resilience, posttraumatic growth, and organizational support.

Results

Four global themes emerged: (1) Board of Nursing: “The Great and Powerful Oz”; (2) The Tangible and Intangible Costs of Monitoring; (3) Finding Their Way/What Is Needed; and (4) Trauma, Shame, and Stigma: “Never Thought It Would Happen to Me.” Additionally, a model is proposed with eight semi-linear steps that range from “Confrontation and Contact With Employer/State BON” to “Making Sense of It All/Giving Back.”

Conclusion

The middle-range theory of nurses in SU recovery outlines conceptual relationships that can be empirically tested. Recommendations describe compassionate, informed interventions for nurses, healthcare organizations and regulatory bodies to enhance both nurse well-being and patient safety.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Journal of Nursing Regulation NURSING-

CiteScore

4.60

自引率

12.50%

发文量

审稿时长

54 days

期刊介绍： Journal of Nursing Regulation (JNR), the official journal of the National Council of State Boards of Nursing (NCSBN®), is a quarterly, peer-reviewed, academic and professional journal. It publishes scholarly articles that advance the science of nursing regulation, promote the mission and vision of NCSBN, and enhance communication and collaboration among nurse regulators, educators, practitioners, and the scientific community. The journal supports evidence-based regulation, addresses issues related to patient safety, and highlights current nursing regulatory issues, programs, and projects in both the United States and the international community. In publishing JNR, NCSBN''s goal is to develop and share knowledge related to nursing and other healthcare regulation across continents and to promote a greater awareness of regulatory issues among all nurses.