Karen J. Foli PhD, RN, ANEF, FAAN (Professor Emerita), Yitong Wang MS, RN (Doctoral Student), Nicole Adams PhD, RN, CEN (Associate Research Professor), Jeffrey Coto DNP, MS-CNS, RN, NPD-BC, CCRN, CPCO (Chief Compliance and Strategic Officer)
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Using a constructivist approach, the overall research question was as follows: What are the lived experiences of nurses who become dependent on substances and interface with the regulatory world of nursing practice?</div></div><div><h3>Methods</h3><div>Interviews with 41 nurses from across the United States were recorded via Zoom and archived in a password-protected repository. In pre-interview surveys, nurses responded to demographic items, license status, items related to SU and monitoring programs, and questionnaires to measure resilience, posttraumatic growth, and organizational support.</div></div><div><h3>Results</h3><div>Four global themes emerged: (1) Board of Nursing: “The Great and Powerful Oz”; (2) The Tangible and Intangible Costs of Monitoring; (3) Finding Their Way/What Is Needed; and (4) Trauma, Shame, and Stigma: “Never Thought It Would Happen to Me.” Additionally, a model is proposed with eight semi-linear steps that range from “Confrontation and Contact With Employer/State BON” to “Making Sense of It All/Giving Back.”</div></div><div><h3>Conclusion</h3><div>The middle-range theory of nurses in SU recovery outlines conceptual relationships that can be empirically tested. Recommendations describe compassionate, informed interventions for nurses, healthcare organizations and regulatory bodies to enhance both nurse well-being and patient safety.</div></div>","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"15 3","pages":"Pages 33-46"},"PeriodicalIF":4.2000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A Middle-Range Theory of Nurses in Recovery From Substance Use\",\"authors\":\"Karen J. Foli PhD, RN, ANEF, FAAN (Professor Emerita), Yitong Wang MS, RN (Doctoral Student), Nicole Adams PhD, RN, CEN (Associate Research Professor), Jeffrey Coto DNP, MS-CNS, RN, NPD-BC, CCRN, CPCO (Chief Compliance and Strategic Officer)\",\"doi\":\"10.1016/S2155-8256(24)00073-5\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>Nurses’ substance use (SU) threatens the well-being of nurses as well as patient safety and may precipitate disciplinary actions by state boards of nursing (BONs). Given nurses’ maladaptive behaviors triggered by SU, an in-depth understanding of nurses’ personal, professional, and regulatory experiences is needed.</div></div><div><h3>Purpose</h3><div>The purpose of the present study was to conduct a grounded theory study of nurses who are in recovery from substance use disorder within the regulatory context. Using a constructivist approach, the overall research question was as follows: What are the lived experiences of nurses who become dependent on substances and interface with the regulatory world of nursing practice?</div></div><div><h3>Methods</h3><div>Interviews with 41 nurses from across the United States were recorded via Zoom and archived in a password-protected repository. In pre-interview surveys, nurses responded to demographic items, license status, items related to SU and monitoring programs, and questionnaires to measure resilience, posttraumatic growth, and organizational support.</div></div><div><h3>Results</h3><div>Four global themes emerged: (1) Board of Nursing: “The Great and Powerful Oz”; (2) The Tangible and Intangible Costs of Monitoring; (3) Finding Their Way/What Is Needed; and (4) Trauma, Shame, and Stigma: “Never Thought It Would Happen to Me.” Additionally, a model is proposed with eight semi-linear steps that range from “Confrontation and Contact With Employer/State BON” to “Making Sense of It All/Giving Back.”</div></div><div><h3>Conclusion</h3><div>The middle-range theory of nurses in SU recovery outlines conceptual relationships that can be empirically tested. 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A Middle-Range Theory of Nurses in Recovery From Substance Use
Background
Nurses’ substance use (SU) threatens the well-being of nurses as well as patient safety and may precipitate disciplinary actions by state boards of nursing (BONs). Given nurses’ maladaptive behaviors triggered by SU, an in-depth understanding of nurses’ personal, professional, and regulatory experiences is needed.
Purpose
The purpose of the present study was to conduct a grounded theory study of nurses who are in recovery from substance use disorder within the regulatory context. Using a constructivist approach, the overall research question was as follows: What are the lived experiences of nurses who become dependent on substances and interface with the regulatory world of nursing practice?
Methods
Interviews with 41 nurses from across the United States were recorded via Zoom and archived in a password-protected repository. In pre-interview surveys, nurses responded to demographic items, license status, items related to SU and monitoring programs, and questionnaires to measure resilience, posttraumatic growth, and organizational support.
Results
Four global themes emerged: (1) Board of Nursing: “The Great and Powerful Oz”; (2) The Tangible and Intangible Costs of Monitoring; (3) Finding Their Way/What Is Needed; and (4) Trauma, Shame, and Stigma: “Never Thought It Would Happen to Me.” Additionally, a model is proposed with eight semi-linear steps that range from “Confrontation and Contact With Employer/State BON” to “Making Sense of It All/Giving Back.”
Conclusion
The middle-range theory of nurses in SU recovery outlines conceptual relationships that can be empirically tested. Recommendations describe compassionate, informed interventions for nurses, healthcare organizations and regulatory bodies to enhance both nurse well-being and patient safety.
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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