Pub Date : 2023-05-31DOI: 10.3912/ojin.vol28no02man03
Oriana Beaudet, Daniel Pesut, Olivia Lemberger
Nurses are leading and developing solutions to complex problems across healthcare. Through innovation, they can drive the future creation of additional innovative healthcare ecosystems and networks. The most recent Nursing Scope and Standards of Practice articulates the value of innovation to support approaches and methodologies that foster interprofessional collaborations to transform healthcare. Nurses must develop foresight and futures thinking leadership skills and advance creative ideas to design innovative 21st century healthcare systems. This article briefly reviews the vision, mission, and strategic initiatives of the ANA Enterprise Innovation Department and describes selected programs and strategies to support nurses as they actualize innovation leadership in contemporary healthcare contexts. Many opportunities for involvement are offered virtually. We conclude with a call to action to advance individual nurse-led innovation by seeking education, developing expanded skills, and joining the movement of nurses looking to reshape health, healthcare, and the nursing profession.
{"title":"The ANA Innovation Engine: Activating Innovation Through Education and Communities of Practice","authors":"Oriana Beaudet, Daniel Pesut, Olivia Lemberger","doi":"10.3912/ojin.vol28no02man03","DOIUrl":"https://doi.org/10.3912/ojin.vol28no02man03","url":null,"abstract":"Nurses are leading and developing solutions to complex problems across healthcare. Through innovation, they can drive the future creation of additional innovative healthcare ecosystems and networks. The most recent Nursing Scope and Standards of Practice articulates the value of innovation to support approaches and methodologies that foster interprofessional collaborations to transform healthcare. Nurses must develop foresight and futures thinking leadership skills and advance creative ideas to design innovative 21st century healthcare systems. This article briefly reviews the vision, mission, and strategic initiatives of the ANA Enterprise Innovation Department and describes selected programs and strategies to support nurses as they actualize innovation leadership in contemporary healthcare contexts. Many opportunities for involvement are offered virtually. We conclude with a call to action to advance individual nurse-led innovation by seeking education, developing expanded skills, and joining the movement of nurses looking to reshape health, healthcare, and the nursing profession.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139372299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-31DOI: 10.3912/ojin.vol28no02manos
Carol Fleischhauer
ANA Innovation Engine: Activating Innovation Through Education and Communities of Practice,” the authors describe how the ANA Innovation Department works across the entire ANA enterprise to instill innovation through the establishment of key structures, core innovation principles, and potential key roles for nurses in the innovation arena. The article lists seven “Advisory Committees” within which Communities of Practice could convene; one of which is called “Medical Technology and Devices.” The opportunity for a Community of Practice for virtual nursing to be supported through the ANA Innovation Department has great potential. More broadly, this article validates the incredible potential for nurses to participate and lead innovation
ANA Innovation Engine：作者在《全美护士协会创新引擎：通过教育和实践社区激活创新》一文中介绍了全美护士协会创新部如何通过建立关键结构、核心创新原则以及护士在创新领域可能扮演的关键角色，在全美护士协会的整个企业中开展工作，灌输创新理念。文章列出了七个 "咨询委员会"，实践社区可在这些委员会中召开会议；其中一个委员会名为 "医疗技术与设备"。通过全美护士协会创新部支持虚拟护理实践社区的机会潜力巨大。更广泛地说，这篇文章验证了护士参与和领导创新的巨大潜力
{"title":"Overview and Summary: Virtual Opportunities for Nurses","authors":"Carol Fleischhauer","doi":"10.3912/ojin.vol28no02manos","DOIUrl":"https://doi.org/10.3912/ojin.vol28no02manos","url":null,"abstract":"ANA Innovation Engine: Activating Innovation Through Education and Communities of Practice,” the authors describe how the ANA Innovation Department works across the entire ANA enterprise to instill innovation through the establishment of key structures, core innovation principles, and potential key roles for nurses in the innovation arena. The article lists seven “Advisory Committees” within which Communities of Practice could convene; one of which is called “Medical Technology and Devices.” The opportunity for a Community of Practice for virtual nursing to be supported through the ANA Innovation Department has great potential. More broadly, this article validates the incredible potential for nurses to participate and lead innovation","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"123 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139372157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-31DOI: 10.3912/ojin.vol28no02man05
Breana Taylor, Christine Zamaripa, Jaime Stevens, Maria Satre
Belonging is a fundamental human need and prerequisite for higher-level learning. This sense of belonging in nursing begins during nursing education and coincides with the development of a professional nursing identity. Nurses who have a sense of belonging during their initial education typically develop a solidified professional nursing identity, are committed to the profession, and are less likely to experience burnout as nurses. Belonging is linked with retention; thus, fostering belonging may improve nursing retention among new graduate nurses. The extent to which online education affects a sense of belonging for nursing students and their future commitment to the nursing profession is not well understood. The purpose of this article is to explore belonging in online education, highlighting research within online nursing education where possible, and to review strategies to foster belonging in online nursing classrooms. Nurse educators are positioned to address barriers to belonging and implement strategies to foster a sense of belonging with their students. Future research is needed to examine benefits of a sense of belonging for students and professional nurses, related to educational delivery format, program level, and persistent impact on professional nursing practice.
{"title":"Belonging in Online Nursing Education","authors":"Breana Taylor, Christine Zamaripa, Jaime Stevens, Maria Satre","doi":"10.3912/ojin.vol28no02man05","DOIUrl":"https://doi.org/10.3912/ojin.vol28no02man05","url":null,"abstract":"Belonging is a fundamental human need and prerequisite for higher-level learning. This sense of belonging in nursing begins during nursing education and coincides with the development of a professional nursing identity. Nurses who have a sense of belonging during their initial education typically develop a solidified professional nursing identity, are committed to the profession, and are less likely to experience burnout as nurses. Belonging is linked with retention; thus, fostering belonging may improve nursing retention among new graduate nurses. The extent to which online education affects a sense of belonging for nursing students and their future commitment to the nursing profession is not well understood. The purpose of this article is to explore belonging in online education, highlighting research within online nursing education where possible, and to review strategies to foster belonging in online nursing classrooms. Nurse educators are positioned to address barriers to belonging and implement strategies to foster a sense of belonging with their students. Future research is needed to examine benefits of a sense of belonging for students and professional nurses, related to educational delivery format, program level, and persistent impact on professional nursing practice.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"134 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139372337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-31DOI: 10.3912/ojin.vol28no02man01
Karen Speroni
The COVID-19 pandemic quickly accelerated the opportunity for those in many professions to work remotely. These virtual opportunities continue to be available to some nurses and other healthcare providers, but limited information exists in the literature about nurses’ perceptions of remote work. This article presents perspectives of nurses, most of whom worked remotely in some capacity, and who shared their perceptions on facilitators and barriers regarding remote work. These nurses also ranked both effectiveness of nurse’s remote work and of remote meeting participation for professional nursing governance, in their opinion. Top facilitators were organizational and technological support for both remote workers and those in the hospital setting required to interface with remote workers; time savings; and financial savings. The ability to work remotely contributed to work-life balance. Top barriers were a feeling of disconnectedness from the organization; ineffective technology; and lack of organizational support, including lack of leader presence. Opportunities exist for needs assessment of organizational support of remote workers, evidence to inform nurse types and tasks for remote and hybrid work, as well as remote leadership models.
{"title":"Remote Work in Nursing: Facilitators and Barriers","authors":"Karen Speroni","doi":"10.3912/ojin.vol28no02man01","DOIUrl":"https://doi.org/10.3912/ojin.vol28no02man01","url":null,"abstract":"The COVID-19 pandemic quickly accelerated the opportunity for those in many professions to work remotely. These virtual opportunities continue to be available to some nurses and other healthcare providers, but limited information exists in the literature about nurses’ perceptions of remote work. This article presents perspectives of nurses, most of whom worked remotely in some capacity, and who shared their perceptions on facilitators and barriers regarding remote work. These nurses also ranked both effectiveness of nurse’s remote work and of remote meeting participation for professional nursing governance, in their opinion. Top facilitators were organizational and technological support for both remote workers and those in the hospital setting required to interface with remote workers; time savings; and financial savings. The ability to work remotely contributed to work-life balance. Top barriers were a feeling of disconnectedness from the organization; ineffective technology; and lack of organizational support, including lack of leader presence. Opportunities exist for needs assessment of organizational support of remote workers, evidence to inform nurse types and tasks for remote and hybrid work, as well as remote leadership models.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139372204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-31DOI: 10.3912/OJIN.Vol28No01Man01
C. Dawson-Rose, Y. Cuca, Shanil Kumar, Angela B. Collins
Burnout among nurses is prevalent and has worsened during the COVID-19 pandemic. Trauma-informed care (TIC) is an approach that can bring healing to people and systems who have been impacted by trauma and traumatic events. Nurses working in hospitals experience vicarious trauma and secondary traumatic stress as they witness what their individual patients experience; however, nurses themselves experience traumatic events and that has only escalated with the current pandemic. Working from a model of Trauma-Informed Healthcare (TIHC) and SAMSHA foundations of a trauma-informed approach (TIA) we identify opportunities for organizations such as hospitals to integrate TIA towards altering the system to better provide for nursing staff who are suffering from burnout and exhaustion. We offer an exemplar of an organizational-level approach to supporting nursing staff through TIA.
{"title":"Using a Trauma-Informed Approach to Address Burnout in Nursing: What an Organization Can Accomplish","authors":"C. Dawson-Rose, Y. Cuca, Shanil Kumar, Angela B. Collins","doi":"10.3912/OJIN.Vol28No01Man01","DOIUrl":"https://doi.org/10.3912/OJIN.Vol28No01Man01","url":null,"abstract":"Burnout among nurses is prevalent and has worsened during the COVID-19 pandemic. Trauma-informed care (TIC) is an approach that can bring healing to people and systems who have been impacted by trauma and traumatic events. Nurses working in hospitals experience vicarious trauma and secondary traumatic stress as they witness what their individual patients experience; however, nurses themselves experience traumatic events and that has only escalated with the current pandemic. Working from a model of Trauma-Informed Healthcare (TIHC) and SAMSHA foundations of a trauma-informed approach (TIA) we identify opportunities for organizations such as hospitals to integrate TIA towards altering the system to better provide for nursing staff who are suffering from burnout and exhaustion. We offer an exemplar of an organizational-level approach to supporting nursing staff through TIA.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134036949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-31DOI: 10.3912/OJIN.Vol28No01Man07
Silvia Helena De Bortoli Cassiani, B. Dias, Rebecca Johnson
The transformative and impactful role of nurses has been highlighted throughout the COVID-19 pandemic. The health workforce has endured many particularly difficult challenges during this time, both professionally and in their personal lives, in the effort to respond to the needs of communities, patients, and families. As a result, many nurses and other providers are facing their own mental health challenges due to the prolonged response to address pandemic challenges. In the Region of the Americas, several areas have faced inequities and greater challenge, especially in countries that are low- and middle income. There is a tremendous gap between the number of people who need mental healthcare and those who receive it, even with the current health workforce. Increasing national investments in nursing in the Region of the Americas is necessary and has been addressed by the Pan American Health Organization. A strategic regional focus has been placed to empower healthcare professionals to achieve the levels of education necessary to improve working conditions and to have leadership roles supported and recognized in a model of resilient health systems. Protecting mental health of providers has become an important lesson of the pandemic and an essential and permanent component in the management of health systems and services. This article offers a summary of challenges in the Region of the America as leaders consider the best strategies to support a positive relationship that features resilience, adequate working conditions, and investments in the nursing profession for a post-COVID-19 future that protects workers’ mental health.
{"title":"The Post Pandemic Future: Nursing in the Region of the Americas and Mental Health","authors":"Silvia Helena De Bortoli Cassiani, B. Dias, Rebecca Johnson","doi":"10.3912/OJIN.Vol28No01Man07","DOIUrl":"https://doi.org/10.3912/OJIN.Vol28No01Man07","url":null,"abstract":"The transformative and impactful role of nurses has been highlighted throughout the COVID-19 pandemic. The health workforce has endured many particularly difficult challenges during this time, both professionally and in their personal lives, in the effort to respond to the needs of communities, patients, and families. As a result, many nurses and other providers are facing their own mental health challenges due to the prolonged response to address pandemic challenges. In the Region of the Americas, several areas have faced inequities and greater challenge, especially in countries that are low- and middle income. There is a tremendous gap between the number of people who need mental healthcare and those who receive it, even with the current health workforce. Increasing national investments in nursing in the Region of the Americas is necessary and has been addressed by the Pan American Health Organization. A strategic regional focus has been placed to empower healthcare professionals to achieve the levels of education necessary to improve working conditions and to have leadership roles supported and recognized in a model of resilient health systems. Protecting mental health of providers has become an important lesson of the pandemic and an essential and permanent component in the management of health systems and services. This article offers a summary of challenges in the Region of the America as leaders consider the best strategies to support a positive relationship that features resilience, adequate working conditions, and investments in the nursing profession for a post-COVID-19 future that protects workers’ mental health.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"88 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116382458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-31DOI: 10.3912/OJIN.Vol28NoO1Man02
Nadine Aktan, J. Kwong, Mamilda Robinson, Sallie Porter, Latoya Rawlins, C. Dorsen
The significance of trauma on the nursing workforce is of utmost importance in graduate nursing education. Competing roles of graduate nursing students, such as the demands of nursing practice and advanced education, can increase vulnerability to trauma and chronic stress. Stressors associated with graduate nursing education can significantly impact student and program outcomes. Incorporating a trauma-informed approach to graduate-level education can be an essential component to support the needs of this student population. Creating and sustaining a trauma-informed academic setting requires awareness, open-mindedness, empathy, and incorporating educational practices that promote healing and mitigate harm. Nurse faculty can play a pivotal role in restructuring curriculum design to include principles of a trauma-informed approach. This article reviews what is known about trauma informed care and considers strategies to apply a trauma-informed framework to graduate nursing education.
{"title":"Trauma Informed Educational Practices: An Educational Innovation for Graduate Nursing Students","authors":"Nadine Aktan, J. Kwong, Mamilda Robinson, Sallie Porter, Latoya Rawlins, C. Dorsen","doi":"10.3912/OJIN.Vol28NoO1Man02","DOIUrl":"https://doi.org/10.3912/OJIN.Vol28NoO1Man02","url":null,"abstract":"The significance of trauma on the nursing workforce is of utmost importance in graduate nursing education. Competing roles of graduate nursing students, such as the demands of nursing practice and advanced education, can increase vulnerability to trauma and chronic stress. Stressors associated with graduate nursing education can significantly impact student and program outcomes. Incorporating a trauma-informed approach to graduate-level education can be an essential component to support the needs of this student population. Creating and sustaining a trauma-informed academic setting requires awareness, open-mindedness, empathy, and incorporating educational practices that promote healing and mitigate harm. Nurse faculty can play a pivotal role in restructuring curriculum design to include principles of a trauma-informed approach. This article reviews what is known about trauma informed care and considers strategies to apply a trauma-informed framework to graduate nursing education.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"11 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114032760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-31DOI: 10.3912/OJIN.Vol28No01Man04
Susan R. Mazanec, P. Beam, J. Kloos, E. McClung, Sumin Park, S. Delozier, M. Anthony
The global pandemic of the novel coronavirus (COVID-19) declared in March 2020 has created unprecedented challenges for healthcare professionals and organizations. A significant impact has been physical and psychological stress on nurses working in acute care environments. Stress-related growth may occur concurrently with the experience of negative psychological responses as another facet of coping and adjustment to the stressful event. The primary aim of this study was to describe the degree to which nurses reported stress, anxiety, and stress-related growth during the COVID-19 pandemic. This article discusses the study methods, which included a cross-sectional design with an online survey sent to nurses in a hospital system. Results demonstrated that, of the 1,009 participants in the final analysis, almost 70% reported anxiety symptoms, with 38% having scores at the moderate or severe level. Growth scores were low. Our discussion considers cultural implications of the findings and implications for practice that underscore the need for proactive interventions to mitigate the psychological burden of the pandemic on nurses and the need to implement routine screening of nurses for anxiety.
{"title":"Stress, Anxiety, and Growth in Nurses During the COVID-19 Pandemic","authors":"Susan R. Mazanec, P. Beam, J. Kloos, E. McClung, Sumin Park, S. Delozier, M. Anthony","doi":"10.3912/OJIN.Vol28No01Man04","DOIUrl":"https://doi.org/10.3912/OJIN.Vol28No01Man04","url":null,"abstract":"The global pandemic of the novel coronavirus (COVID-19) declared in March 2020 has created unprecedented challenges for healthcare professionals and organizations. A significant impact has been physical and psychological stress on nurses working in acute care environments. Stress-related growth may occur concurrently with the experience of negative psychological responses as another facet of coping and adjustment to the stressful event. The primary aim of this study was to describe the degree to which nurses reported stress, anxiety, and stress-related growth during the COVID-19 pandemic. This article discusses the study methods, which included a cross-sectional design with an online survey sent to nurses in a hospital system. Results demonstrated that, of the 1,009 participants in the final analysis, almost 70% reported anxiety symptoms, with 38% having scores at the moderate or severe level. Growth scores were low. Our discussion considers cultural implications of the findings and implications for practice that underscore the need for proactive interventions to mitigate the psychological burden of the pandemic on nurses and the need to implement routine screening of nurses for anxiety.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"25 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130965555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-31DOI: 10.3912/OJIN.Vol28No01Man06
A. Choflet, C. Rivero, Arianna Barnes, K. Waite-Labott, Kelly C. Lee, J. Davidson
Nurses are facing increased mental health issues, substance use, and even suicide since the novel coronavirus pandemic arrived in the United States. Nurses with substance use disorder (SUD) may enroll in alternative-to-discipline (ATD) programs to retain their license during initial treatment with the goal to return to practice, but this process is not without challenges. For example, previous analyses have shown that the time surrounding disciplinary/regulatory process regarding substance use disorder (SUD) by either employers or licensure boards was a trigger for nurses who died by suicide. Internet searches are a common approach to find information on health-related topics. This limited critical review sought to replicate and evaluate a simple internet search that a nurse seeking information on their state ATD program may complete. Google searches for information on ATD programs were completed on the 50 continental states and Washington, DC between April and September 2022. States with ATD programs were evaluated for evidence-based components and barriers to accessing program information. Publicly available ATD program information ranged from requirements for contact information to obtain details to websites that outline the entire program, including associated costs. While ATD programs offer a significant improvement over traditional disciplinary responses to nurse substance use, a significant barrier is program cost, which can often exclude participation. In this article, we discuss the detailed results of our critical review and offer implications for practice that include opportunities for research and a national database to track ATD program components and target outcomes to support return to practice for nurses with SUDs.
{"title":"Accessibility and Financial Barriers in the Utilization of Alternative to Discipline Programs in the United States","authors":"A. Choflet, C. Rivero, Arianna Barnes, K. Waite-Labott, Kelly C. Lee, J. Davidson","doi":"10.3912/OJIN.Vol28No01Man06","DOIUrl":"https://doi.org/10.3912/OJIN.Vol28No01Man06","url":null,"abstract":"Nurses are facing increased mental health issues, substance use, and even suicide since the novel coronavirus pandemic arrived in the United States. Nurses with substance use disorder (SUD) may enroll in alternative-to-discipline (ATD) programs to retain their license during initial treatment with the goal to return to practice, but this process is not without challenges. For example, previous analyses have shown that the time surrounding disciplinary/regulatory process regarding substance use disorder (SUD) by either employers or licensure boards was a trigger for nurses who died by suicide. Internet searches are a common approach to find information on health-related topics. This limited critical review sought to replicate and evaluate a simple internet search that a nurse seeking information on their state ATD program may complete. Google searches for information on ATD programs were completed on the 50 continental states and Washington, DC between April and September 2022. States with ATD programs were evaluated for evidence-based components and barriers to accessing program information. Publicly available ATD program information ranged from requirements for contact information to obtain details to websites that outline the entire program, including associated costs. While ATD programs offer a significant improvement over traditional disciplinary responses to nurse substance use, a significant barrier is program cost, which can often exclude participation. In this article, we discuss the detailed results of our critical review and offer implications for practice that include opportunities for research and a national database to track ATD program components and target outcomes to support return to practice for nurses with SUDs.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132659416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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