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Nurses' substance use disorder in disciplinary procedures: A retrospective document analysis.

Katrimaija Luurila1, Mari Kangasniemi2,3, Marja Hult1

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Nurses with substance use disorder (SUD) face disciplinary actions, often involving intoxication or drug theft, leading to practice restrictions. Early identification and intervention are crucial for patient safety and nurse support.

Keywords:
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Area of Science:

  • Nursing
  • Public Health
  • Addiction Medicine

Background:

  • Nurses with substance use disorder (SUD) pose risks to patient safety.
  • Limited research exists on identifying and managing SUD in nurses.

Purpose of the Study:

  • To describe nurses with SUD undergoing disciplinary actions.
  • To analyze trends and outcomes of disciplinary actions for nurses with SUD.

Main Methods:

  • Retrospective analysis of 171 disciplinary decisions concerning nurses with SUD in Finland (2007-2016).
  • Data collected using an electronic extraction sheet with 34 variables; 18 analyzed using descriptive and chi-squared statistics.
  • Study reported following STROBE checklist for cross-sectional studies.

Main Results:

  • The average age of nurses was 43 years.
  • Key reasons for disciplinary actions included substance abuse, working while intoxicated, and drug theft.
  • Medicines and alcohol were the most frequently identified substances involved.
  • The average time to the first disciplinary decision was 6.4 months, and to the final decision was 17.9 months.
  • Restriction of the right to practice was the most common disciplinary outcome.

Conclusions:

  • Findings align with global trends, indicating persistent issues with SUD in nursing.
  • Need for early identification, intervention, and treatment protocols for nurses with SUD.
  • Further research, including qualitative studies and analysis of national registers, is recommended to understand and address SUD in nurses.