揭示美国护士使用大麻与病人护理的关系趋势

IF 4.2 4区 医学 Q1 NURSING Journal of Nursing Regulation Pub Date : 2024-07-01 DOI:10.1016/S2155-8256(24)00051-6
Jessica G. Rainbow PhD, RN, CNE, Melanie Arnold BSN, RN (PhD student), Sara Richter MS (Principal Statistician), Mengting Zhao MS (Associate Analyst), Kristina Medvescek MPH (Data Scientist), Shawn Gallagher PhD, PMHNP-BC, PMHCNS-BS, FNP-BC (Assistant Clinical Professor), Alicia M. Allen PhD, MPH (Associate Professor)
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引用次数: 0

摘要

背景随着大麻合法化在美国各地的不断扩大,人们越来越需要了解护士使用大麻的情况,特别是大麻使用与其他物质使用的比较情况,以及使用大麻的时间与护士的病人护理责任之间的关系。目的:描述护士使用大麻和其他物质的一般模式,以及使用时间与病人护理的关系。方法:通过社交媒体和列表服务器向全国范围内的执业注册护士发放横断面调查表。调查问题涉及大麻和其他药物的使用情况以及与病人护理有关的大麻使用时间。数据经过加权处理,以反映全国护理人口的情况。对大麻和其他药物的使用情况以及使用时间进行了描述性统计分析。大多数参与者(77.0%;95% CI:73.4%,79.1%)报告饮酒,而四分之一的参与者(加权 23.6%;95% CI:20.9%,26.4%)报告吸食大麻。略高于五分之一的参与者(21%;n = 211)报告既饮酒又吸食大麻。在报告在 263 个工作日内吸食大麻的参与者中,最常见的大麻吸食模式是仅在下班后吸食(81.37%)。结论护士正在使用大麻和其他物质,但他们一般是在下班后使用这些物质,而且使用率与一般公众的使用率相似。食用大麻的方式有很多种--药片、吸烟、吸食、THC(四氢大麻酚)提取物和 CBD(大麻二酚)产品--这意味着需要对大麻素的种类和浓度进行更多研究,因为其效果可能大不相同。监管机构、雇主和研究人员可以重点了解使用的驱动因素,并为护士提供有关大麻和酒精使用的教育。这种教育可能也有益于为医疗和娱乐使用大麻的病人提供护理。
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Uncovering Trends in U.S. Nurse Cannabis Use in Relation to Patient Care

Background

As cannabis legalization continues to expand across the United States, there is a growing need to understand its use among nurses, particularly how cannabis use compares to other substance use and how the timing of its use relates to nurses’ patient care responsibilities. Purpose: To describe patterns of nurse cannabis and other substance use generally and timing of use in relation to patient care.

Methods

A nationwide cross-sectional survey was distributed to practicing registered nurses via social media and listservs. The survey questions concerned the use of cannabis and other substance use as well as the timing of cannabis use in relation to patient care. Data were weighted to reflect the nationwide nursing population. Descriptive statistical analyses of cannabis and other substance use and timing of use were completed.

Results

The study sample comprised a weighted total of 1,010 registered nurses. The majority of participants (77.0%; 95% CI: 73.4%, 79.1%) reported drinking alcohol, whereas cannabis use was reported by a quarter of participants (weighted 23.6%; 95% CI: 20.9%, 26.4%). Just over one-fifth of participants (21%; n = 211) reported using both alcohol and cannabis. The most common cannabis use pattern among those who reported cannabis use across 263 workdays was use after work only (81.37%). Alcohol was the most common substance used alongside cannabis after work.

Conclusion

Nurses are using cannabis and other substances, but they are generally using these substances after work and using them at rates similar to the rates of use among the general public. The many ways cannabis can be consumed—edibles, smoking, vaping, THC (tetrahydrocannabinol) extracts, and CBD (cannabidiol) products—means that more study into the kinds and concentrations of cannabinoids is required because the effects may differ greatly. Regulators, employers, and researchers can focus on understanding drivers of use and providing education for nurses about cannabis and alcohol use. This education may also be beneficial for providing patient care where cannabis is being used medicinally as well as recreationally.

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来源期刊
CiteScore
4.60
自引率
12.50%
发文量
50
审稿时长
54 days
期刊介绍: Journal of Nursing Regulation (JNR), the official journal of the National Council of State Boards of Nursing (NCSBN®), is a quarterly, peer-reviewed, academic and professional journal. It publishes scholarly articles that advance the science of nursing regulation, promote the mission and vision of NCSBN, and enhance communication and collaboration among nurse regulators, educators, practitioners, and the scientific community. The journal supports evidence-based regulation, addresses issues related to patient safety, and highlights current nursing regulatory issues, programs, and projects in both the United States and the international community. In publishing JNR, NCSBN''s goal is to develop and share knowledge related to nursing and other healthcare regulation across continents and to promote a greater awareness of regulatory issues among all nurses.
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