Drexel University
Substance Abuse and Addiction in Nursing
There was a time when substance abuse (SA) in nursing was unheard of; however, it was always there. The reality was that it was merely disregarded. How could any type of addiction or SA in nursing be disregarded? It is difficult to speculate why our culture overlooked this, but one explanation is associated with the Gallop Poll which reports nursing as the most trusted and ethical profession in the United States (US) (Cherry & Jacob, 2014). Therefore; how can the most trusted and ethical profession coexist with SA, addiction, or an impaired nurse?
Townsend defines an individual with a substance abuse disorder as a person who fails at several attempts to control or stop a substance that interferes with that individual’s ability to perform daily functions such as obligations at home, school, or work (Townsend, 2014). It is this impaired ability that endangers patients, coworkers, the organization’s reputation, the nursing profession as a whole, and ultimately themselves.
Drug and alcohol abuse is a serious issue that has reached epidemic proportions in the general population (Taylor, Lillis, LeMone, & Lynn, Walters Kluwer Health/Lippincott Williams & Wilkins). It is now believed that the incidence of drug and alcohol abuse in the nursing profession parallels the proportions of the general public (Valdes, 2014). Therefore; ignoring this issue is no longer an option. In order to cease the progression of this critical nursing issue it must be; defined and recognized as an epidemic, acknowledged as a treatable disease with known causative factors, and identified early enough to treat or even prevent.
The Incidence of Substance-Abusing Nurses The first known report of an impaired nurse was over 150 years ago. Jane Gibson was one the nurses who volunteered with Florence Nightingale in the Crimean War. Shortly after their return, Gibson was dismissed
References: (2014, November 19). Retrieved from American Nurses Association: www.nursingworld.org Addiction in nursing. (2011). Journal of Practical Nursing, 9-11. Boulton, M. A., & Nosek, L. J. (2014, February). How do nursing students perceive substance abusing nurses? Archives of Psychiatric Nursing, 29-34. Cherry, B., & Jacob, S. R. (2014). Contemporary nursing: issues, trends, & management. St. Louis: Elsevier Mosby. Rogers, A. E. (2009). The effects of fatigue and sleepiness on nurse performance and safety practices. In Patient Safety and Quality: An Evidenced-Based Handbook for Nurses. Rockville: Hughes RG. Taylor, C. R., Lillis, C., LeMone, P., & Lynn, P. (Walters Kluwer Health/Lippincott Williams & Wilkins). Fundamentals of nursing: the art and science of nursing care. Philadelphia: 2011. Townsend, M. C. (2014). Essentials of psychiatric mental health nursing concepts of care in evidence-based practice. Philadelphia: F.A. Davis Company. Valdes, J. A. (2014). The concept of reentry in the addicted anesthesia provider. American Association of Nurse Anesthetists, 95-100. Wright, H. (2013 Aug-Oct). Worth the second chance: the impaired nurse. Delaware Nurses Association, 7-8.