Foli Karen J, Zhang Lingsong, Reddick Blake
School of Nursing, Purdue University, West Lafayette IN, USA.
Department of Statistics, Regenstrief Center for Healthcare Engineering, Purdue University, West Lafayette, IN, USA.
West J Nurs Res. 2021 Jan 18:193945920987123. doi: 10.1177/0193945920987123.
Substance use disorders (SUDs) in nursing have individual well-being, patient safety, and licensure/regulatory implications. Literature is scarce related to predicting SUDs in registered nurses; this study included specific items surrounding nurses' psychological trauma. An online survey, consisting of validated scales and investigator-generated items was distributed to 4,000 registered nurses in Indiana with a yield of 1,478 surveys. The World Health Organization: Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) was used as the dependent variable to assess risk of SUDs. Three multivariate regression models with predictive variables for risk of tobacco ( = 0.08), alcohol ( = 0.09), and other substances ( = 0.10) use were found. Of concern, nurses are at moderate risk for tobacco use at 11.6%; alcohol use at 11.6% and for other substances at 10.4%. Each regression model contained distinct predictor variables; however, variables occurring in all three models were: depression, anxiety, and items surrounding psychological trauma (adverse childhood experiences, life events, lateral workplace violence).
护理人员中的物质使用障碍（SUDs）对个人幸福、患者安全以及执照/监管方面都有影响。关于预测注册护士物质使用障碍的文献很少；本研究纳入了围绕护士心理创伤的特定项目。一项由经过验证的量表和研究者自行设计的项目组成的在线调查被分发给印第安纳州的4000名注册护士，共收到1478份调查问卷。世界卫生组织的酒精、吸烟和物质使用筛查测试（ASSIST）被用作评估物质使用障碍风险的因变量。发现了三个多变量回归模型，分别用于预测烟草（=0.08）、酒精（=0.09）和其他物质（=0.10）使用的风险。令人担忧的是，护士使用烟草的中度风险为11.6%；使用酒精的中度风险为11.6%，使用其他物质的中度风险为10.4%。每个回归模型都包含不同的预测变量；然而，在所有三个模型中都出现的变量是：抑郁、焦虑以及围绕心理创伤的项目（童年不良经历、生活事件、工作场所横向暴力）。
