Boulton Martha A, O'Connell Kathleen A
Martha A. Boulton, DNP, EdD, APRN, PMHCNS-BC, LADC, CARN-AP, Teachers College, Columbia University, New York, New York, and Changing Perspectives LLP, Westport, Connecticut. Kathleen A. O'Connell, PhD, RN, FAAN, Teachers College, Columbia University, New York, New York.
J Addict Nurs. 2017 Oct/Dec;28(4):179-187. doi: 10.1097/JAN.0000000000000193.
Nurses who abuse substances are a threat to patients, colleagues, society, and themselves. Research indicates that substance use often begins during undergraduate years. The purpose of this research was to identify rates of past year substance use by student nurses.
A quantitative, cross-sectional, correlational design was used to examine past year substance use by student nurses and to determine whether substance use is related to age, gender, race, relationship status, ethnicity, country of birth, type of school program, and year in program. The convenience sample of National Student Nurses' Association members yielded 4,033 completed surveys. Students were asked about their past year substance use via Survey Monkey. Responses were analyzed through exploratory data analysis and logistic regression.
Binge drinking was reported by 61% of the student nurses; 18% reported using marijuana; 5% reported using illegal drugs, excluding marijuana; 8% reported using nonprescribed stimulants to enhance academic performance; and 10% reported using nonprescribed prescription pills. Students who were younger than 28 years old, White, male, born in this country, or single tended to report more substance misuse than other students.
The results suggest that student nurses tend to use fewer drugs than their college counterparts but are slightly more likely to binge drink. Further research is needed on the effect of substance education in the beginning of the nursing program and that continued throughout the program on student nurse substance use. Research on faculty's ability to identify the at-risk student is necessary for early intervention.
滥用药物的护士对患者、同事、社会及自身都构成威胁。研究表明，药物使用往往始于本科阶段。本研究的目的是确定学生护士过去一年的药物使用比率。
采用定量、横断面、相关性设计，以检查学生护士过去一年的药物使用情况，并确定药物使用是否与年龄、性别、种族、恋爱状况、民族、出生国家、学校课程类型及就读年级有关。通过便利抽样选取了美国国家护士学生协会的成员，共获得4033份完整的调查问卷。通过Survey Monkey询问学生过去一年的药物使用情况。通过探索性数据分析和逻辑回归对回答进行分析。
61%的学生护士报告有暴饮行为；18%报告使用过大麻；5%报告使用过除大麻外的非法药物；8%报告使用过非处方兴奋剂以提高学业成绩；10%报告使用过非处方处方药。年龄小于28岁、白人、男性、在本国出生或单身的学生比其他学生更倾向于报告更多的药物滥用情况。
结果表明，学生护士使用的药物往往比其大学同龄人少，但暴饮的可能性略高。需要进一步研究护理课程开始时以及整个课程中药物教育对学生护士药物使用的影响。研究教师识别高危学生的能力对于早期干预很有必要。
