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Physicians and nurses with substance use disorders.

Matthew F Shaw1, Mark P McGovern, Daniel H Angres

  • 1Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut 06510, USA. matthew.shaw@yale.edu

Journal of Advanced Nursing
|August 18, 2004
PubMed
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Nurses and physicians with substance use disorders showed similar treatment outcomes, but nurses faced more relapse triggers and work-related sanctions, indicating unique needs for tailored addiction interventions.

Area of Science:

  • Addiction Medicine
  • Healthcare Professional Studies

Background:

  • Substance use patterns vary among medical professionals based on specialty, gender, age, family history, and drug access.
  • Previous research has not directly compared nurses and physicians, hindering tailored intervention development.

Purpose of the Study:

  • To compare initial clinical presentations, treatment utilization, and post-treatment functioning of nurses and physicians in an addiction program.
  • To identify unique needs for specialized interventions for nurses and physicians with substance use disorders.

Main Methods:

  • Exploratory study combining retrospective record reviews and prospective questionnaires.
  • Dependent variables included initial clinical characteristics, treatment utilization, and post-treatment functioning.
  • Independent variable was professional group (nurse vs. physician).

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Main Results:

  • Nurses and physicians had comparable outcomes in most areas.
  • Nurses exhibited less personality disturbance but worked in environments with more relapse triggers.
  • Post-treatment, nurses received less primary care, worked longer hours, were more symptomatic, and faced more severe work sanctions.

Conclusions:

  • While nurses and physicians show similar overall results, significant differences highlight unique clinical needs.
  • Findings suggest a need for specialized addiction treatment and support strategies for nurses and physicians.
  • Policy implications for healthcare professional addiction programs are discussed.