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Student Registered Nurse Anesthetists' Perceptions of Substance Use [Formula: see text]
Karen J Foli1, Anna K Forster2, Loretta Ann Bostic3
1Karen J. Foli, PhD, RN, ANEF, FAAN, Baylor University, Dallas, TX, USA.
Journal of the American Psychiatric Nurses Association
|April 12, 2025
Summary
Student registered nurse anesthetists (SRNAs) perceive strategies to reduce drug diversion as effective but not implemented. Educational institutions should create safe environments for reporting substance use and offer support programs.
Area of Science:
- Nursing Education
- Anesthesiology
- Substance Use and Diversion
Background:
- Certified registered nurse anesthetist (CRNA) programs involve complex pharmaceuticals under high-stakes conditions.
- High-pressure educational environments may foster maladaptive coping mechanisms, including substance use.
- Limited literature explores student registered nurse anesthetists' (SRNAs) perceptions of substance use and drug diversion.
Purpose of the Study:
- To assess SRNAs' ratings of American Association of Nurse Anesthesiology (AANA) strategies for drug diversion reduction.
- To analyze SRNAs' qualitative insights on substance use within their educational programs.
Main Methods:
- An online survey was distributed to 3,000 SRNAs (AANA members) in March 2021, with approximately 400 responses (13% return rate).
- Descriptive statistics and paired t-tests compared perceived effectiveness with implemented strategies.
- Descriptive content analysis of open-ended questions identified key themes.
Main Results:
- All 11 AANA-recommended strategies were rated significantly higher for effectiveness than for implementation.
- The most effective strategy identified was 'Creating a safe environment for prompt reporting.'
- Qualitative themes revealed a high-pressure, high-stakes educational environment marked by rigidity and incivility.
Conclusions:
- Educational institutions need policies promoting safe environments for self-reporting substance use.
- Increased awareness and implementation of alternative-to-discipline programs are crucial.
- Structured reintegration pathways into educational programs are recommended for SRNAs facing substance use issues.
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