Registered Nurses' Perceptions of Their Own Chemical Impairment and Diversion, and Re-entry Into Practice PDF Download
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Author: Janice R. Finney
Publisher:
ISBN:
Category :
Languages : en
Pages : 618
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Book Description
Author: Janice R. Finney
Publisher:
ISBN:
Category :
Languages : en
Pages : 618
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Book Description
Author:
Publisher:
ISBN:
Category : Dissertations, Academic
Languages : en
Pages : 690
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Author: Patricia Ellen Lund
Publisher:
ISBN:
Category : Nurses
Languages : en
Pages : 298
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Book Description
Author: Josie Lu Bird O'Quinn
Publisher:
ISBN:
Category : Nurses
Languages : en
Pages : 374
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Book Description
Author: Kimberly S. Esquibel
Publisher:
ISBN:
Category : Drug abuse
Languages : en
Pages : 406
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Book Description
Author: Josie Lu Bird O'Quinn-Larson
Publisher:
ISBN:
Category : Nursing students
Languages : en
Pages : 187
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Author: Mercy Ngosa Mumba
Publisher:
ISBN:
Category : Medical personnel
Languages : en
Pages : 155
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Book Description
There are approximately 3.1 million nurses in the Unites States (US Census Bureau, 2016) and approximately 8% of them suffer from chemical dependency and substance use disorders (Kunyk, 2015). In Texas, nurses with impaired practice are referred to peer assistance programs such as the Texas Peer Assistance Program for nurses (TPAPN), a monitoring program for nurses as they seek rehabilitation and recovery. Nurses are referred for various reasons including diversion of medications from patients and impairment at work. Currently, 348 nurses in TPAPN are actively participating in the program for substance abuse related offenses. Many nurses are also referred to the program are for dual diagnoses. Of all the nurses that were referred to TPAPN over the last six years, 1553 were specifically for substance abuse related problems. These represent two percent of the population of nurses in Texas. The average age of participants in this study was 40.1 years, and approximately half of them were under the age of 40. Females represented 75% of participants and 76% were registered nurses. About 32% relapsed while they were in the program, and about 41% successfully completed the program. Nurses with impaired practice abuse variety of substances including prescription drugs and illegal drugs. Opioids were the most frequently abuse class of drugs, followed by alcohol, and then stimulants. The majority of nurses obtained their drugs by diverting from patients. Contrary to what is in the literature, nurses working in long-term care, medical-surgical units, and home health care had the highest prevalence of impaired practice. In this study, psychiatric comorbidity was not significantly associated with relapse. Self-report status was significantly associated with gender, age category, license type, relapse, and drug of choice. There was a significant inverse relationship between time it takes to enroll and number of days abstinent. Men were also more likely to be employed while in the program compared to their female counterparts. Of the twelve-predictor variables used in Cox Regression analysis, only two were significant predictors of relapse among nurses with impaired practice in TPAPN. These two predictors were (a) having substance use disorder as the referral type and (b) having alcohol as the primary drug of choice. The findings of this will help develop interventions that promote recovery, reduce relapse rates, and ultimately protect the public from impaired practice.
Author:
Publisher:
ISBN:
Category : Dissertation abstracts
Languages : en
Pages : 784
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Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309459575
Category : Medical
Languages : en
Pages : 483
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Book Description
Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.
Author: Peggy L. Chinn
Publisher: Mosby
ISBN: 9780323530613
Category : Medical
Languages : en
Pages : 560
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Book Description
Apply the five patterns of knowing to improve patient care! Knowledge Development in Nursing: Theory and Process, 10th Edition helps you understand nursing theory and its links with nursing research and practice. It examines the principles of knowledge development, from the relationship between patterns of knowing to their use in evidence-based nursing care. Written by nursing educators Peggy Chinn and Maeona Kramer, this unique book is updated with new examples from clinical practice. Coverage of the five Patterns of Knowing includes empiric, personal, aesthetic, ethical, and emancipatory knowledge, defining the different types of knowledge and how they relate to each other. Full-color map in the book and online animation depict how the patterns of knowing are related. Think About It questions sharpen your understanding of the emancipatory knowing process of praxis - a synthesis of thoughtful reflection, caring, and action. Discussion of evidence-based practice provides examples of how the five patterns of knowing may be applied to nursing practice. Interpretive summaries highlight the interrelatedness of all patterns of knowing, making it easier to master all dimensions of knowing. A glossary defines the key terms and concepts of nursing theory. NEW! Updated real-life examples bring complex concepts to life. NEW! Embedded prompts promote understanding and reflection: Why is this important?, Consider this, Imagine this, and Discuss this.
