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Challenges for Nurse Anesthetists Reentering Practice Following Substance Use Disorder Treatment
T'Anya Carter1, Nancy Wingo2, Susan McMullan3
1is a practicing CRNA in Dallas, Texas.
AANA Journal
|April 2, 2024
Summary
Certified Registered Nurse Anesthesiologists (CRNAs) face significant stigma and relapse concerns when returning to practice after substance use disorder (SUD) treatment. Increased SUD education can facilitate their reentry into the workforce.
Area of Science:
- Anesthesiology
- Healthcare Professions
- Substance Use Disorders
Background:
- Substance Use Disorder (SUD) affects approximately 10% of anesthesia providers due to medication access.
- Certified Registered Nurse Anesthesiologists (CRNAs) have a higher risk of developing SUD.
- Employment outcomes for CRNAs post-SUD treatment are not well-documented.
Purpose of the Study:
- To explore the challenges CRNAs in recovery face when reentering practice after SUD treatment.
- To identify facilitators and barriers to successful reentry for CRNAs with SUD.
- To understand the impact of stigma on CRNAs in recovery.
Main Methods:
- Qualitative multiple-case study design.
- Semistructured interviews with 36 participants (CRNAs in recovery, colleagues, employers, health program employees).
- Guided by the Worker Well-Being conceptual model.
Main Results:
- Increased Substance Use Disorder (SUD) education is a key facilitator for CRNA reentry.
- Risk of relapse is a significant concern for CRNAs in recovery.
- Stigma remains the most substantial barrier for CRNAs seeking to return to practice.
Conclusions:
- Stigma significantly impacts CRNAs with SUD, increasing shame and hindering reentry.
- Addressing stigma and providing further SUD education are crucial for supporting CRNAs in recovery.
- Facilitating successful reentry for CRNAs improves workforce stability and patient safety.
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