Don't ask don't tell: substance abuse and addiction among nurses
Don't ask don't tell: substance abuse and addiction among nurses
复制标题
DOI：
10.1111/j.1365-2702.2010.03518.x
复制
发表时间：
2011-02-01
影响因子：
4.2
通讯作者：
Kenaga, Heidi
中科院分区：
文献类型：
--
作者：
Monroe, Todd;Kenaga, Heidi
目的。本手稿的目的是说明滥用药物的护士所面临的挑战，并促进国际对话，讨论当从业人员、管理人员、医疗保健提供者和学生怀疑专业人士滥用药物或他们自己可能患有成瘾时可以采取哪些措施。背景。护士成瘾问题已被该领域的专业人士认识了 100 多年，目前估计，执业护士中药物误用、滥用和成瘾率高达 20%。不幸的是，对惩罚和纪律的恐惧可能会阻止护士或学生为自己寻求帮助或报告需要帮助的同事或朋友。设计。讨论论文。方法。本文综合了之前三篇关于护理专业药物滥用政策的论文的结果。在第一篇论文中，作者回顾了护理成瘾的历史，并比较了纪律和替代纪律政策。第二篇论文的重点是针对护士学校药物滥用问题制定替代解雇政策，并使用电话和电子邮件采访的方式，最后一篇论文报告了美国哪些类型的政策似乎正在努力留住和康复患有毒瘾的护士。最后，本文介绍了针对成瘾护士的国际政策。结论。强制采取惩罚措施的糟糕或无效的政策使有障碍的学生或专业人员难以寻求帮助，从而危及公众。提供早期干预和援助对于帮助同事和学生从成瘾性疾病中康复至关重要，而提供非惩罚性的支持氛围很可能是护士及其护理人员挽救生命的第一步。世界上许多地区和国家现在为患有成瘾的护士提供保密的、非惩罚性的援助。与临床实践的相关性。认识到同事的治疗需要是康复过程中重要的第一步。早期干预和援助对于帮助同事和学生从成瘾性疾病中康复至关重要，而提供保密、非惩罚性的支持氛围很可能是护士及其护理人员挽救生命的第一步。
Aim.The purpose of this manuscript is to illustrate the challenges faced by nurses who abuse substances and to promote international dialogue about what practitioners, administrators, health care providers and students can do when they suspect someone in the profession is abusing substances, or they may themselves be suffering from addiction.Background.Addiction among nurses has been recognised by professionals in the field for over 100 years, and current estimates place rates of substance misuse, abuse and addiction rates as high as 20% among practicing nurses. Unfortunately, fear of punishment and discipline may keep nurses or students from asking for help for themselves or from reporting a colleague or friend who is in need of help.Design.Discursive paper.Method.This paper synthesises the results of three previous papers conducted on substance abuse policies in the nursing profession. In the first paper, the authors reviewed the history of addiction in nursing and compared disciplinary and alternative-to-discipline policies. The second focused on the development of an alternative-to-dismissal policy for substance abuse in a school of nursing and using telephone and email interviews, and the final paper reported findings of what types of polices seem to be working to retain and rehabilitate nurses who suffer from addiction in the USA. Lastly, this paper introduces international policy for nurses with addictions.Conclusions.Poor or ineffective policies that mandate punitive action endanger the public by making it difficult for impaired students or professionals to ask for help. Providing early intervention and assistance is essential in helping colleagues and students recover from an addictive disorder and providing a non-punitive atmosphere of support may well be a life-saving first step for nurses and those in their care. Many territories and countries throughout the world now offer confidential, non-punitive, assistance for nurses suffering from addictions.Relevance to clinical practice.Recognition of a colleague's need of treatment is the important first step in the rehabilitation process. Early intervention and assistance are essential for helping colleagues and students to recover from an addictive disorder and providing a confidential, non-punitive atmosphere of support may well be a life-saving first step for nurses and those in their care.