Substance Abuse Problems

Misiaszek has stated that the single sterling(prenominal) factor involved with haves who engage in substance blackguard is the issue of co-dependency. She defines co-dependency as a pattern of behavior and feeling departing from growing up under a system of oppressive family rules in which the expression of feelings and the discussion of problems are avoided. In former(a) words, nurses who engage in substance abuse tend to eff from fairly authoritarian households that do not much come on self-expression.

Misiaszek feels that what happens with co-dependent nurses is that they find the hospital situation somehow evocative of their former(prenominal) life at home (perhaps best in hunting lodge to a hospital to run efficiently, it formulates and adheres to numerous rules) and that they react to the hospital system as "family." As a result, this identification of hospital system and family causes co-dependent nurses to engage in a number of " square-toed" behaviors that one might do for a family member. For example, these nurses will fly the coop extra hours, or go out of their way to swear out other nurses as well as do a number of other extra tasks around the hospital

(3) In addition to the physical symptoms of substance abuse, at that place are several changes in job work which puke be used by hospitals to identify the nurse who performance may be impaired as a result of abusing drugs or alcohol. These job performance changes should be used as an element in any investigative policies and practices developed by hospitals as part of their course of study for remediating the problem of impaired nurses.

By alerting management to these signs of possible nurse impairment through substance abuse, hospitals and other applicable agencies can assist in identifying impaired nurses. Once impairment has been discovered, there is also a need for policies covering what actions to take toward remediating the situation. The first action recommended is that nurse managers confront the nurse.

In this confrontation, nurse managers need to, in a very detailed and specific manner, cite the evidence for the showcase of the abuse. The nurse manager then needs to impose the nurse's penetration into some form of Employee Assistance Program (a general program that is designed to improve work performance by providing an go up to the prevention, diagnosis, and treatment of such affectiones as alcoholism, drug dependence, mental illness and family, marital, financial, and legal difficulties common to all worksites) or other relevant intervention.

Valentine, N. "Nurses in Need of Care: Substance Abuse and worsening Among Nurses." In Dorothy J. Fishman and Ora Strickland (eds.) Nursing Issues in the 1990s. Albany, NY: Delmar Publishing, 1994.

Findings of the study indicated that social remain firm was significantly related to depression such that the greater the take aim of support, the lower the level of depression. In terms of nurses' perceptions, it was also put together that nurses equated the helpfulness of their support groups as equal to that of the 12-step meetings they were attending.

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