Kameg Brayden N, Lindsay Dawn, Lee Heeyoung, Mitchell Ann
Brayden N. Kameg, DNP, PMHNP-BC, CARN, CNE, University of Pittsburgh School of Nursing, Pittsburgh, PA, USA.
Dawn Lindsay, PhD, Institute for Research, Education, and Training in Addictions, Pittsburgh, PA, USA.
J Am Psychiatr Nurses Assoc. 2020 Jul/Aug;26(4):354-363. doi: 10.1177/1078390320905669. Epub 2020 Feb 13.
Substance misuse remains a public health crisis and contributor to morbidity and mortality. The nursing workforce is not immune to the impacts of substance misuse as rates are thought to mirror those of the general population. Additionally, as substance misuse often begins in adolescence or early adulthood, prevalence of misuse among practicing nurses highlights the fact that students are also at risk. The purpose of this study was to examine rates and patterns of substance use and adverse childhood experience (ACE) exposure among nursing students while also examining associations between substance use and ACE exposure. This study utilizes a cross-sectional and descriptive design through the provision of email surveys to nursing students. Email surveys consisting of the Alcohol Use Disorders Identification Test, the Drug Abuse Screening Tool 10-item survey, the ACE Questionnaire, and a demographic inquiry were distributed via Qualtrics survey software. A total of 662 individuals participated in the survey, the majority of whom self-identified as female, were undergraduate students, and were between 18 and 21 years. Moderate- to high-risk alcohol use was identified in 20% of students, while moderate- to high-risk drug use was identified in 3.6% of students. More than half of students endorsed exposure to at least one ACE. Significant associations were found between the Drug Abuse Screening Tool 10-item survey and the ACE Questionnaire. The results of this study have significant implications for nursing educators and must inform groundwork for the development of policies and interventions that are evidence based, nonpunitive, and trauma informed.
药物滥用仍然是一场公共卫生危机，也是发病和死亡的一个因素。护理人员也无法免受药物滥用的影响，因为据认为其发生率与普通人群相当。此外，由于药物滥用往往始于青春期或成年早期，在职护士中药物滥用的流行率凸显了学生也面临风险这一事实。本研究的目的是调查护理专业学生的药物使用情况和不良童年经历（ACE）暴露率及模式，同时研究药物使用与ACE暴露之间的关联。本研究通过向护理专业学生提供电子邮件调查，采用横断面描述性设计。由酒精使用障碍识别测试、药物滥用筛查工具10项调查、ACE问卷和人口统计学询问组成的电子邮件调查通过Qualtrics调查软件进行分发。共有662人参与了调查，其中大多数人自我认定为女性，是本科生，年龄在18至21岁之间。20%的学生被确定有中度至高度风险的酒精使用，3.6%的学生被确定有中度至高度风险的药物使用。超过一半的学生认可至少经历过一次ACE。在药物滥用筛查工具10项调查和ACE问卷之间发现了显著关联。本研究结果对护理教育工作者具有重要意义，必须为制定基于证据、非惩罚性和创伤知情的政策及干预措施奠定基础。
