TY - JOUR AB - BACKGROUND: Prescription Drug Monitoring Programs (PDMPs) have shown impacts on a number of opioid-related outcomes but their role in clinician emotional experience of opioid prescribing has not been studied. OBJECTIVES: This study explores the impact of PDMPs on clinician attitudes toward and comfort with opioid prescribing, their satisfaction with patient interactions involving discussion of opioid prescriptions, and their recognition of opioid use disorder (OUD) and ability to refer patients to treatment. METHODS: Researchers conducted semi-structured interviews with five physicians and two nurse practitioners from a variety of specialties and practice environments. RESULTS: Many participants reported negative emotions surrounding opioid-related patient encounters, with decreased anxiety related to PDMP availability. These effects were less pronounced with clinicians who had greater opioid prescribing experience (either longer careers or higher-volume pain practices). Many participants felt uncomfortable around opioid prescribing. Data from the PDMP often changed prescribing practices, sometimes leading to greater comfort writing a prescription that might have felt riskier without PDMP data. Clinicians easily recognized patient behaviors, symptoms, and prescription requests suggesting that opioid-related adverse events were accumulating, but did not usually apply a label of OUD to these situations. PDMP findings occasionally contributed to a diagnosis and treatment referral for OUD. CONCLUSIONS: PDMP data is part of a nuanced approach to prescribing opioids. The objectivity of the data may be helpful in mitigating clinician negative emotions that are common around opioid therapy. AD - Department of Medicine, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA. Division of Infectious Diseases, Massachusetts General Hospital, Boston, MA, USA. Department of Medical Oncology, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA. AN - 35133217 AU - Zavodnick, J. AU - Wickersham, A. AU - Petok, A. AU - Worster, B. AU - Leader, A. C1 - Conflicts of interest: The authors report no conflicts of interest. C2 - PMC9357854 C6 - NIHMS1803555 DA - Oct-Dec DO - 10.1080/10550887.2022.2035168 DP - NLM ET - 20220208 IS - 4 KW - Analgesics, Opioid/therapeutic use Humans *Opioid-Related Disorders/drug therapy Practice Patterns, Physicians' *Prescription Drug Monitoring Programs Qualitative Research Prescription drug monitoring programs attitude of health personnel opioid-related disorders LA - eng N1 - 1545-0848 Zavodnick, Jillian Orcid: 0000-0003-1454-3324 Wickersham, Alexis Orcid: 0000-0001-9981-2700 Petok, Alison Worster, Brooke Orcid: 0000-0002-6687-1760 Leader, Amy Orcid: 0000-0002-9514-3631 P30 CA056036/CA/NCI NIH HHS/United States Journal Article Research Support, N.I.H., Extramural England 2022/02/09 J Addict Dis. 2022 Oct-Dec;40(4):527-537. doi: 10.1080/10550887.2022.2035168. Epub 2022 Feb 8. PY - 2022 SN - 1055-0887 (Print) 1055-0887 SP - 527-537 ST - "1,000 conversations I'd rather have than that one:" A qualitative study of prescriber experiences with opioids and the impact of a prescription drug monitoring program T2 - J Addict Dis TI - "1,000 conversations I'd rather have than that one:" A qualitative study of prescriber experiences with opioids and the impact of a prescription drug monitoring program VL - 40 ID - 85768 ER - TY - JOUR AD - Advocate Children's Hospital AN - 142206988. Language: English. Entry Date: 20200318. Revision Date: 20200707. Publication Type: Article AU - Wittmayer, Kimberly AU - Waddell, Kristi DB - cin20 DO - 10.1016/j.pmn.2020.02.016 DP - EBSCOhost IS - 2 KW - Naloxone -- Supply and Distribution Analgesics, Opioid -- Adverse Effects Overdose -- Mortality Overdose -- Prevention and Control Death -- Prevention and Control Congresses and Conferences -- Oregon Oregon Centers for Disease Control and Prevention (U.S.) National Health Programs N1 - abstract; proceedings. Journal Subset: Blind Peer Reviewed; Core Nursing; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 100890606. PY - 2020 SN - 1524-9042 SP - 209-209 ST - 1D2 Free Naloxone Discharge Kits: An Innovative Approach to the Prevention of Opioid Related Overdose Deaths...American Society for Pain Management Nursing 29th National Conference, September 18-21, 2019, Portland, Oregon T2 - Pain Management Nursing TI - 1D2 Free Naloxone Discharge Kits: An Innovative Approach to the Prevention of Opioid Related Overdose Deaths...American Society for Pain Management Nursing 29th National Conference, September 18-21, 2019, Portland, Oregon UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=142206988&site=ehost-live&scope=site VL - 21 ID - 87290 ER - TY - JOUR AB - The proceedings contain 1453 papers. The special focus in this conference is on Medicinal Plants. The topics include: Repellency effects of commercial formulation of eucalyptus extract on red flour beetle, tribolium castaneum herbst; antifungal effects of fennel oil on the growth of aspergillus flavus; in vitro antifungal affects essential oil of origanum vulgare L. and comparison with synthetic thymol on aspergillus flavus; antimicrobial activity of avicennia marina extract against staphylococcus aureus; antimicrobial activity of avicennia marina extract against escherichia coli; study of milk thistle (silybum marianum L) germination attributes and seed vigor under salinity stress by osmopriming accelerators; evaluation of hesperidin flavonoid in different tissues during fruit development of limon (C. limon Cv. eureka); inhibitory effect of tea tree oil and aloe vera leaf gel shampoo on malassezia furfur; effect of gamma irradiation on antioxidant and antimicrobial activities of echinacea (echinacea purpurea L.); development of a validated high pressure liquid chromatography method for simultaneous determination of stevioside and rebodioside a in sweeteners; allelopathic potential of madder (rubia tinctorum) extracts on field bindweed (convolvolus arvense L.) and corn (Zea Mays L.) germination characteristics; suppressing effects of rhubarb (rheum ribe) extracts on purslane (portulaca oleracea) and alfalfa (medicago sativa) seedling growth; effect of dormancy breaking treatments on germination charachteristics of acacia (Albezia Lebbek); investigation of chemical essential oil components of chaerophyllum macrospermum in kandovan; evaluation effects of antimicrobial thyme essential oil on loads microbial and qualitative characteristics of fresh-cut carrotvilmorincultivar in duration storage; the study of effects of berberis vulgaris hydriethanolic extracts on serum bilirubin level and aenzymes of the liverin male cholestatic rats; the effect of aqueous extract of allium sativum on behavioral changes in parkinson male rat; investigation of chemical essential oil components of thymus eriocalyx in peresk area (in alashtar-lorestan province); investigation of chemical essential oil components of thymus lancifolious in zagheh area (in lorestan province); effect of different soil series and manure application on dried flower yield, essential oil and chamazulene content and essential oil yield of german chamomile; effect of manure application on essential oil content, essential oil yield and chamazulene content of German chamomile in different soil series of Chaharmahal–Va–bakhtiari province; chemical compositions and antimicrobial activity of essential oil of phlomis cancellata bunge. from mazandaran; effect of ruta graveolens extract on histopathologic changes in mice livers; composition of free and glycosidically bound volatile components of achillea tenuifolia lam. root; study gene expressions of cinnamyl alcohol--dehydrogenase, lignin and lignan compounds at different organs of linum album; antiproliferative effects of ferula gummosa extracts on different cancer cell lines; investigation antibacterial activity of essential oils from plant family lamiaceae on tree bacterial species; effects of biologic and organic fertilizers on mentha piperita in hydroponic condition; investigate effect of different nursery bed on marcotting rosemary cutting; comparative studies on phosphomolybdenum assay, DPPH and reducing power antioxidant properties in microshoots of five persian walnuts; the effects of salinity on soluble sugars and prolin in the medicinal plant borago officinalis L. on the hydroponic conditions; the effects of salinity on chlorophyll content and growth of borago officinalis L.; introduction of medicinal plants in the upper giyan region in tafresh area; comparative study of anti-inflammatory effects of rubia tinctorum L. extracts in carrageenan-induced paw edema in rats; effect of microwave radiation on seed germination and seedling growth of thyme; effect of B vitamins on germination factors of fennel; intro uction of medicinal plants of ashtian mountain protected area; effect of NaCl and gibberellic acid on seed germination and seedling growth of 5 medicinal plants; investigation of medinical plant consumption in khorram abad township viewpoint herbal grocery; effect of different levels of irrigation and plant growth promoting rhizobacteria on grain yield and root chang of chamomile (matricaria recutita L.); effect of bio-fertilizer on germination and seedling of chamomil (matricaria recutita L.) cultivars; antimicrobial effects of alcohol extract of curcuma longa L. on the some of bacteria; antioxidative, antimicrobial and cytotoxic activities of kunstlerone from beilschmiedia species; alkaloidal compounds from bark of beilschmiedia; bioactivities of kunstleramide as a dienamide from lauraceae family; alkaloidal natural products in the leaf of malaysian beilschmiedia; identification of agronomic traits influencing seed yield of some Iranian fenugreek (trigonella foenumgraecum L) ecotypes; the effect of salinity stress on germination in dracocephalum moldavica seeds; study of genetic diversity in persian shallot (allium hirtifolium) based on morphological traits; amount of micro and macro elements in leaves of medicinal plant calendula officinalis L. with foliar application of bio-stimulators; the effects of different nitrogen levels on yield, yield components and oil percentage of spring safflower cultivars in kerman, Iran; protective effects of green tea on antioxidative biomarkers in chemical laboratory workers; effect of IBA as a root promoting hormne and bio-fertilizers in propagating of lavandula (lavandula officinal ) by cutting; shoot initiation of bistort (polygonum bistorta) explants under in vitro condition; antihypertensive effect of celery seed on rat blood pressure in chronic administration; investigation of salicylic acid and kinetin effects on seed germination and seedling growth of lemon balm (melissa officinalis L.) under salinity stress; investigation the amonut of fiber and phenolic compounds in sclerorhachis leptoclada from south Khorasan; he effect of differen super absorbent polymer and drought stress on grain yield and essintial oil of chamomile; the effect of strains of pseudomonas on growth and development of root in thyme (thymus vulgaris L.); isolation, structural characterization and antioxidant activity of a new water-soluble polysaccharide from acanthophyllum squarrosum roots; the study of polyphenols profiles, carbohydrates content and antioxidant capacities in sophora pachycarpa C. A. Mey; evaluation of nutrient content (crude protein, fat content, crude fiber, neutral detergent fiber and acid detergent fiber) and heavy metals in sophora pachycarpa C. A. Mey; effects of mulching on quantity and quality yield of garlic populations (allium sativum L.); study of different weed management methods of thyme (thymus vulgaris L.); effect of humic acid and vermicompost on flower yield, seed yield and yield components of safflower in kerman, Iran; introduction of medicinal plants of zalian area in the city sareband located in the Markazi province; effect of wormwood (artemisia absinthium) essential oil on antioxidant status and lipid peroxidation in broiler chickens; effect of essential oil of cumin (cuminum cyminum) medicinal herb on antioxidant status, lipid peroxidation and serum metabolities in broiler chickens; effect of different salinity levels on germination and early seedling growth of medical plant capparis spinosa L.; studies on seed germination and seedling growth in mentha longifolia L. under abiotic stress conditions; evaluation of heavy metals in some medicinal plants growing in sistan region; antibacterial activity of teucrium polium essential oil against clinical isolates of klebsiella pneumoniae; the effect of methanol and nano-iron chalate fertilizer on chlorophyll content, some morphological and agronomical traits of ocimum basilicum L.; new trends in the utilization of medicinal and aromatic plants; response of anticancer compounds to nitrogen fertilizer in naein-E havandi (androg aphis paniculata); photosynthesis and antioxidative systems of naein-E havandi (andrographis paniculata) as affected by compost tea rates; effects of water stress (drought) on the mineral and vitamin content of the leaves of a medical plant brassica rapa L.; the effects of hydroalcoholic extract of nigella sativa on the activity of liver enzymes in female rats; influence of some environmental factors on the morphological traits of thymus daenensis celak; improvement of solvent systems in TLC chromatography of flavonoids from leaves of glycyrrhiza glabra L. and fritillaria imperialis L. using a software system; distribution of spirulina the blue-green gold of Iran; electrobotany of medicinal algae of Iran; introduction to engineering for medicinal plants of Iran; the cites and medicinal plants of Iran; the importance for aquatic medicinal plants of Iran; the prospects and challenges for algae therapy in Iran; optimization of microencapsulation of pomegranate seed oil by response surface methodology; effect of sucrose concentration on the growth and trigonelline production in hairy root culture of Iranian fenugreek (trigonella foenum-graecum L.); investigation the sustainability of mazooj gall and its inducer agent wasp in oak forests of West-Azerbaijan; volatile oil of artemisia santolina decreased the morphine withdrawal jumping in mice; species diversity and distribution of the medicinal galls by oak gall wasps species in West-Azerbaijan; identifying the best time to harvest of mazooj gall in oak forests of West-Azerbaijan province; bioactive sesquiterpene lactone from artemisia santolina; presence of monoterpene synthase in four labiatae species and SPME- GC-MS analysis of their aroma profiles; monoterpene synthase from lavandula angustifolia and solid-phase microextraction- gass chromatography-mass spectroscopy analysis of its aroma profile; antioxidant and hydroxyl radical scavenging activity of phoenix dactylifera L. var.deyry fruit and seed; GC/Mass analysis of the volatile compounds of P. hyrcanicumdiethyl ether extract and GC profiling of some Iranian polygonum species; effects of sowing date in spring and summer, and various amounts of vermicompost on growth and yield of fenugreek; effect of salt stress on germination factors of lemon balm (melissa officinalis L.); chemical composition and antioxidant activity of essential oils of three Iranian herbs (apiaceae family); effects of drought stress and different nitrogen levels on the quantitative and qualitative yield of black cumin (nigella sativa L.) in sistan region; evaluation of free radical scavenging activity of plant extracts and essential oil of mentha aquatica L.; analysis of volatile oil components extracted by SDE technique and antioxidant activity of oily components of “water mint”; analysis of the essential oil components of mentha aquatic L. collected in tehran province; changes in oil yield and chemical components of the essential oil of satureja bachtiarica bunge under five drying methods; effects of cold stress and seed scratching on seed germination and some growth related characteristics of wild pistachio (pistacia atlantica desf.); evaluation of medical and pharmaceutical effects of extract bark of tree species beech, spruce and oak; callus induction evaluation of two Iranian native seashore iris subspecies, using different explants through in vitro culture; effect of drought stress in different growth stages on some of morphological traits of peppermint (mentha piperiat L.); effect of osmoprinimg on seed germination of osimum basilicum under drought stresses; chemical constitutes of the essential oil of artemisia aucheri boiss from high altitude of chaharmahal va bakhtiari; study of effects on wounds healing of rhubarb extract in rat; local effect of eugenol oil on the skin wound healing in rat; comparison of carvacrol level and antibacterial properties of industrial and laboratory extracted essential oils of the wild and cultivated satureja khuzestanica; effect of phytohormones on composition of sambucus nigra L. essential oil; oleuropein extracted from olive tree leaves maceration and soxhlet method and measured with high performance liquid chromatography; the effect of salinity stress from NaCl on seedling growth of docrosia anethifolia herb in hydroponic irrigation condition and determination its salinity tolerance threshold; investigation of in vitro apocarotinoid gene expression in perianth of saffron (crocus sativus) Iran; effect of height on hypericin content of St. John’S wort; effect of elaegnus angustifolia L. hydroethanolic leaf extract on serum triglycerides, LDL, HDL and total cholesterol of male rats; the investigation of the some chemİCal components of volatile oil of four specİEs MİNt leaves İN the VarİOus growth stages; antifungal activity of the essential oil of salvia virgata; evaluation of the effect of organic fertilizers and mulch application on growth, development, essential oil content, and microbial load in peppermint (mentha piperita L.); the comparision GC and GC-MS of allium ampeloprasum L. Var, atroviolaceum regel and allum Iranicum wendelbo (wendelbo); in vitro antimicrobial activity of allium ampeloprasum L. var atroviolaceum regel; effect of methanol and nano-iron chelated fertilizer application on activity of polyphenol oxidase, glutathione peroxidase and essential oils content in basil (ocimum basilicum L.); diterpene compounds in essential oils of juniperusexcelsa; in vivo effect of melissa officinalis essential oil on growth and aflatoxin production by aspergillus flavus isolated from stored corn; clinical acute toxicity information of mentha longifolia essential oil investigation of medinical plant consumption in khorram abad township viewpoint customers; evaluation of different drying methods on essential oil and chamazolene contents of chamomile flowers; study of different drying methods on qualitative characteristics of thyme; analysis of seed germination in two medicinal species of salvia under different chemical treatments; the survey on effects of irrigation and weed control on yield, yield component and seed oil contents of marigold (calendula officinalis L.); the survey on effects of nitrogen fertilizer application and density on seed yield, yield components and oil content of marigold (calendula officinalis L.); evaluation of antiradical activity and antioxidant capacity of methanolic extract of gorg tigh plant (lycium ruthenicum murry); determination of total phenolic, tannin and flavonoid content in lycium ruthenicum murry; anticonvulsive effects of vitexin, a flavonoid, on pentylenetetrazole-induced seizure in rats; correlation and path coefficient analysis of seed yield and yield components of flax; effect of No on Fe deficiency-induced chlorosis in melissa officinalis; effect of valerian officinalis on FSH and estrogen in female mature rats; investigation of antioxidant enzymes activities, soil texture, and stigma-like structures in petals culture of saffron (crocus sativus L.); phylogenetic analysis of the tribe fabeae based on plastid DNA sequences; effect of UV-C radiation on some physico chemical on pomegranate in warehouse (punica granatum L.); preparation of nanoniosomal paclitaxel formulation and evaluation its effects on the breast cancer cell line (MCF-7); heavy metal accumulation in medicinal plants chenopodium album collected from environmentally different sites; aerial parts flavonoids of eleocharis uniglumis (link) schult. (cyperaceae); root flavonoids of cyperus L. (cyperaceae) species in markazi province, Iran; antibacterial activities of euphorbia splendida mobayen (euphorbiacea); chemical constituents of artemisia kopetdaghensis krasch; antimicrobial activity and essential oil composition of thymus transcaucasicus ronniger; chemical composition and antibacterial activity of essential oil of nepeta asterotricha rech. F. from Iran; the study of the essential oil constituents of various species of the mint flower in the flowering and after flowering stages; cadmium increase glycyrrhizic acid content in glycyrrhiza glabra var. glandulifera calli; the effect of salicylic acid on anthocy nin content in licorice; silymarinattenuated themycophenolate mofetil-induced villous atrophyand lipid peroxidation in the duodenum of rat; effect of cynara scolymus on the fat metabolism under heat stress condition in broiler chickens; compare of the crataegus extract and nimodipine effect on passive avoidance learning of male wistar rats; NAA and IBA as plant growth regulators for micro propagation of thymus vulgaris L.; recycling preparative high performance liquid chromatography for separation of the curcumin from curcuminoids present in curcuma longa L.; in vitro micropropagation of lavandula angustifolia l.; evaluation on the effects of nitrogen and potassium fertilizers on growth and yield of roselle (hibiscus sabdariffa var. L.) in Iranshahr; bilogical activities of stachys kermanshahensis rech. F. essential oil; effect of olive leaves as a phytobiotic feed additive on performance, antioxidant status and ascites mortality reduction in broiler chickens; streptozotocin-induced diabetic rats; effects of environmental factors on rooting of (pistacia mutica) micropropagation; studies on bacterial contamination of pistacia mutica seeds and leaves through DNA fingerprinting; evaluation of the use of herbal medicines by the people in the karaj city; investigation on development and promotion of herbal medicines in karaj pharmacies; in vitro culture of pistacia mutica (baneh); the effects of red dried stigmas of crocus sativus L.flowers (saffron) on growth and maturation of oocytes in female three spot gourami (trichogaster trichopterus); foliar application of salicylic acid changes essential oil content and compositions of peppermint (mentha piperita L.); chemical composition and biological activites of salvia compressa essential oil; evaluation of salicylic acid on tolerance to salt and alkali stresses in peppermint (mentha piperita L.); evaluation of growth response in echinacea purpurea to application of zinc sulphate under drought stress; evaluation of the achillea millefolum effect in nausea and vomiting of early pregnancy; the insecticidal effects of laurus nobilis and myrtus commonison essential oils against immature stages of ephestia kuehniella zeller; chemical constitutes of the essential oil of tanacetum persicum (boiss.) mozaff from kallar mountain; chemical composition of the essential oil of valerina sisymbriifolia vahl from kallar mountain; the oviposition deterrency of two plant essential oils from, laurus nobilis and myrtus commonis on the adults of mediterranien flour moth, ephestia kuehniella zeller; the medicinal effect of lavender on nervous system; influences of salicylic acid and droughts stress on growth characteristics of thymus daenensis celak; study of tissue culture and callus induction in papaver bracteatum; root and shoot growth of isabgol (plantago ovata) under organic manure, phosphate bio-fertilizer and chemical fertilizer treatments; analysis of the volatile compounds in origanum vulgare L. subsp.viride using HS-SPME-GC-MS and comparison with conventional method; effect of calendula officinalispowder on broiler chickens weight and lymphoid organ weights under heat stress condition; diversity ofchemical compositions of essential oil of various landraces of cuminum cyminum L from northeastIran; enhancement of extracellular baccatin III production and Dbat gene expression in cell suspension culture of taxus treated by methyl jasmonate; jasmonic and salicylic acid effects on chemical composition of melissa officinalis L.oil; effect of essential oil of thymus deanensis clelak, satureja bachtiarica bung and ziziphora clinopodioides lam on hematological parameters in rats; effects of plant density on yield, yield components of medicinal plant coneflower (echinacea purppurea); comparison on quality and quantity of essential oil six cultivated thymus species at before flowering and full flowering stages; ecological investigation of 10 aromatic plant species of asteraceae family in yazd province; survey on phenology and aeclimitization some thymus species in field; the effect of salinity on seed g rmination and early seedling growth saturega bachtiarica; survey on quality and quantity of essential oil cultivated accessions of thymus lancifolius in province yazd; survey on quality and quantity of essential oil cultivated accessions of thymus kotschyanus in province yazd; study of the effect of hydroalcoholic extract of wulnut leaves on blood factor changes of LDL, HDL, trigly ceride and full cholesterol in female hypercholestrolemic rabbits; effect of different biofertilizers on some physiological of three ecotypes of hemp under saline soils and saline waters; evaluation the response of inoculation black cumin seed (nigella sativa L.) with azospirillum and azotobacter; effect of spraying amino acid on thymoquinone, carvone and yield of black cumin (nigella sativa L.); the effect of salinity stress on germination and plantlet growth of safflower medicinal plants genotypes; inhibitory effect of medicinal plant aqueous and ethanolic extracts on alternaria solani mycelial growth; solvent effects on extraction and determination of the isoflavone daidzein in soybean and its extracts by high-performance liquid chromatography; howthorn berries hydroalcoholic extract with high triterpenic acid content reduces the experimentally-induced colitis damages in rat; in vitro establishment and control of browning in seedless berberis vulgaris; effect of different nursery bed on lavandula’s marcotting; the effects of allium hirtifolium boiss. on cardiovasicular risk factors in hypercholesterolemic rabbit; comparing various methods of seed and embryo culture and charcoal effect in optimizing in vitro culture of ferula assa-foetida; comparativ pollen morpholoy of the genera allium and calochortus of order liliales; the effect of salinity stress on seed germination and seedling growth indesert rod (eremostachys laciniata (L.) bunge); the antibacterial effect of the total methanol extract of the petal and stamen of saffron flowers (crocus sativus) against five bacterial food borne strains; allelopathy effects of lavender, absinthium and walnut on germination and growth of convolvulus arvensis, portulaca oleracea and triticum aestivum; protective effects of ocimum basilicum L. (basil) on electrocardiogram, cardiac function and histopathology in isoproterenol induced myocardial infarction in rats; study of the medicinal plants biodiversity species of dashtestan county in bushehr province; determination of total phenolic content in two extracts from cruciferous plants and its correlation with their antioxidant capacities; study of the primary ethnobotanical of genaveh county in bushehr province; allelopathic effect of different concentrations of caraway essential oil on germination characteristics in amaranth and barnyardgrass; antibacterial activity of polyphenol and anthocyanin–rich extracts of thymus kotschyanus aerial parts; antioxidant activity of flavonoid-rich fraction from thymus kotschyanus aerial parts; effect of different levels of nitrogen fertilizer on essential oil component in “ducrosia anethifolia”; computational identification of novel conserved micrornas, and their targets in eucalyptus grandis; evaluation of digitalis nervosa performance in northern parts of Iran; allelopathic potential of galbanum different tissues on germination traits and preliminary growth of lambsquarters; effect of irrigation intervals and phosphorous content carvacrol and essential oils of thymus vulgaris L.; the role of the use of the phosphorus and duration of irrigation on yield and thymol of thymus vulgaris L.; the comparison between arbescular mycorrhizal and salicylic acid on some antioxidant compounds in ocimum basilicum L. under salinity stress; evaluation of different drying methods on essential oil and estragol contents of tarragon; comparison between foeniculum vulgare and vitex agnus castus on ovulation in three spot gouirami; design and fabrication of magneticnanoparticles for herbal medicine delivery applications; chemical composition and biological activites of phlomis rigida labill essential oil; polymer coated magnetic nan particles as a novel carrier in curcumin nanomedicine; effect of altitude on the rutin and chlrojenic acid content of sambucus ebulus leaves in golestan province; the effect of irrigation interval and plant density on the amount of active ingredient linoleic acid and oleic acid in the oil of black cumin (nigella sativa); the effect of drought stress on some biochemical and physiologicalparameters of the lippiacitriodora; silymarin regulates pharmacokinetic of atorvastatin in diabetic rats; effect of salicylic acid and nitric oxide on germination and subsequently seedling growth of borago officinalis under drought stress; determination the critical period of weed control in medicinal plants of safflower (carthamus tinctorius) cultivar sofe in the arak; determination of heavy metals in lycium ruthenicum murry plant; effect of magnetic field and nano-particles of titanium dioxide (Tio2) on seed germination and seedlings early growth of ajowan (ammi copticum L.); effect of Si nano-prticles and magnetic fields on seed germination and seedling growth characteristics of (securigera securidaca L.); determination of total phenolic, flavonoid contents and antioxidant activity in aqueous and alcoholic extracts of crocus sativus L. stigma; effect of different nitrojen sources on quantitative and qualitative charactrictics of parsley (petroselinum crispum mill.) in jiroft region; woody branch and leaf anatomy of two subspecies of fraxinus angustifolia vahl.(oleaceae) in Iran; the effect of nutrition with microelements on yield of rosa damascena mill; the application of medicinal plants, antibiotic and their effects on serum composition in broiler chickens; effect of bio-fertilezers and micronutrients on germination characteristics of ajowan (carum copticum); effect of hydroalcoholic effect of citrullus colocynthis fruits on cysts of giardia lambia in invito; evidence of antifungal activity of madder (rubia tinctorum L.) on some fungal plant pathogens; diversity of chemical compositions of the essential oils of wild populations of myrtus communis L from khuzestan and lorestan provinces, southwest Iran; antimicrobial effects of zingiber officinale; extraction of volatile compounds of thymus vulgaris L. by microwave radiation and comparison with hydrodistillation method; response of costmary (tanacetum balsamita) to foliar application of urea and amino asids; influence of iron on the accumulation of some medicinal compounds in parsley; evaluation of cytotoxic effect of nanoliposomal 6-gingerol on breast cancer MCF-7 cell line; evaluation of gingerol extracted from zingiber officinale against breast cancer; effect of growth regulators on callus induction in saffron; fumigant toxicity of two essential oils on the mediterranien flour moth, ephestia kuehniella zeller and identify of their chemical component; effect of different drying methods on drying time and essential oil content of anise hyssop (agastache foeniculum L.); chemical constitutes of the essential oil of tanacetum kotschyi (boiss.) from kallar mountain; chemical composition of the essential oil of heracleum lasiopetalum boiss leaves; chemical composition of the essential oils of wild populations of myrtus communis L from chaharmahal va bakhtiari provinces, Iran; red clover hydroalcoholic extract with high phenol content scavenges free radicals; the parthenolide concentration of tanacetum parthenium in culture condition; a study on trace elements and heavy metals purchased in camel’S thorn manna, willow manna, pocks pray manna, oak manna from selected market in Tehran; effect of salicylic acid and salt stress on organosulphur anticancer compound in broccoli sprouts; investigation the cardinal temperatures of sagebrush (artemisia abrotanum) and artichoke (cynarascolymus); the effects of time harvesting and irrigation intervals on the active ingredient of stinging nettle (urtica dioica L.) leaf; effect of shallot extract on fat quality of silver carp (hypophthalmichthys molitrix) paste during frozen storage; the effects of mycorrhiza and thiobacillus inoculatuon and sulfur app ication on garlic (allium sativum) growth; analgesic property of aqueous extract of ajuga chamaecistus ssp. tomentella; analysis of diosgenin in wild yam extracts by high-performance liquid chromatography; evaluation of UV-B effects on morphological and physiological characteristics of two cultivars of coriander (coriandrum sativum L.); determination of fatty acid profile in the oils of cydonia oblonga and mespilus germanica by NMR techniques; comparative survey effects coriandrum sativumand ziziphora cliniopodiodes powder in dietary onrbc, HB, HCT in common carp (cyprinus carpio); furanocoumarins from root of prangos ferulaceae; performance and blood parameter of broiler chickens given clove powder and essential oil reared under heat stress; study the effect of salt stress on some morphological and biochemical parameters of artichoke under invitro conditions; the study of different hormons level in callus production in garlic (allium sativum) tissue culture; evaluation of phenolic compounds contents and antioxidative activity in leaf and seed of ( peganum harmala L.); effec of pectic acid (PA) on induction of apoptosis via no release in human prostate cancer cell line DU145; hypoglycemic effect of hydroalcoholic extract of parstinaca sativa seeds in normal and streptozotocin induced diabetic rats; effect of apple pectin or pectic acid and modified citrus pectin on no release and inhibition of cell proliferation in rat pituitary tumor cells GH3/B6; hypolipidemic effect of hydroalcoholic extract of parstinaca sativa seeds in normal and streptozotocin induced diabetic rats; stem anatomical structure in stellaria (caryophyllaceae) in Iran; effects of hydroalcoholic extract of parstinaca sativa seeds on activity of liver enzymes in normal and streptozotocin induced diabetic rats; assessment of salinity tolerance in Iranian fennel landraces in seed germination stage; effect of seed priming by salicylic acid on germination improvement and seedling growth parameters in garden cress (lepidium sativum) under saline conditions; investigation of different concentrations of Fe ions on rosmarinic acid biosynthesis in melissa officinalis; assessment of drought tolerance in Iranian fennel landraces in seed germination stage; role of mucilage in germination of medicinal plants; investigation of flavonoid content and anti-oxidant enzymes activity in trestedmelissa officinalisseedling with Fe ions; study of some characteristics related to primer after using rapd marker in order to evaluation of genetic diversity among cuminum cyminum L. accessions; the evaluation of vitamin C, anthocyanin and flavonoid in three cultivars of pomegranate in mazandaran provice; in vitro evaluating the effect of heavy metals on germination and growth parameters of some medicinal plants; study the effect of seed priming by plant growth regulators on seed germination and seedling growth criteria in matricaria aurea; the effect of hydro alcoholic extract of glycyrrhizaglabra on some electrocardiogram parameters and its interaction with nitric oxide system of male rat; the effect of campylobacter jejuni vaccine and extract of echinacea purpurea on colonization of campylobacter jejuni in gastrointestinal of broilers; the effect of organic acid, probiotic, and echinacea purpurea application on campylobacter jejuni colonization in gastrointestinal of broilers; effect of resvaraterol on teratogenecity in experimental model of preeclampsia in rat; microwave and ultrasound assisted hydrodistillation of rosemary antioxidants and comparison with conventional hydrodistillation; antibacterial activity of salvia limbata essential oil; nano Cuo and Zno application affect phenolic compounds production in licorice seedlings; evaluation and comparison of anti-inflammatory and analgesia effects of three plants tanacetum parthenium, anethum graveolens L., apium graveolens (celery); effect of organic and chemical fertilizers on yield and essential oil on two savory (satureja hortensis L.) ecotypes, under drought stress condition; effect of aqueous and ethanolic extracts of nigella sativa seeds on milk production in rats; study the effect of natural compounds and essential oils of medicinal plants on improving maintenance of fresh cut cucumber; study of cell cycle changes in human prostate cancer cell line DU145 after treatment with combination of β-glucan and doxorubicin; the effects of different temperatures and osmotic potentials on germination of scrophularia striata; effect of melissa officinalis hydro alcoholic extract on liver enzymes ALP, AST, ALT in mice; effects of echinacea purpurea, levamisole and propolis on serum biochemical metabolites in broiler chicks; effect of nanosilver particles on medicinal plant germination index of cumin (cuminum cyminum); effect of phytobiotic collected by honey bee on intestine morphology in broiler chicks; the effect of information and communication technologies (ICT) and technology on sustainable agriculture; analysis of the effect of different concentrations of Fe ion on the biosynthesis pathway of sulforaphane in lepidium draba seedlings; isolation and determination of sulforaphane from lepidium draba; biomass and essential oil content of spearmint (mentha spicata L.) harvested in different months in semi tropical climate; the effect of salt stress on aloe vera; effect of nitrogen different levels on yield and mucilage content of isabgol (plantago ovata L.); changes in essential oil content of myrtle myrtle (myrtus communis) during different months of year in ahvaz condition; evaluation of qualitative and quantitative yield of isabgol affected by different vermicompost levels; optimization of atropine extraction process from atropa belladonna by modified bubble column extraction with ultrasonic bath (BCE-UB) method; effect of salicylic acid on quality and essential oil componets of moldavian balm (dracocephalum moldavica L.); the study of two ecotypes of german chamomile (matricaria chamomila) in climatic condition of ahvaz; study of seed and biological yield and mucilage content of isabgol affected by different cow manure amounts; effect of arbuscularmycorrhiza on content of essential oils in mint; phylogeny of tanacetum L. sect. xanthoglossa based on CpDNA Ndhf-Rpl32 spacer sequences data; a new method based on the UV-visible spectroscopy for quantitative analysis of atropine in biological extracts; inhibitory effect of helichrysum arenarium L essential oil on growth of food contaminated fungal; marketing the medicinal plants products based on its qualities; antifungal activity of essential oil of ziziphora clinopodioides L; liquoric triterpenoids transport via CaCo-2 cells monolayer; phylogenetic relationships of some spiny astragalus (astragalus, fabaceae) using nrdnaits sequences; silymarin down regulated the varicocele-induced protein oxidation and E2F1 exxpression in the tetis; pollen morphology of some silene species of lasiostemones section in Iran; effect of different cultivars on naringin and hesperidin flavonoides contents in different fruit parts on citrus aurantium rootstock; a study on total chlorophyll content in leaves of daucus carota L. grown in two provinces of Iran and its correlation with some meteorological parameters and carotenoids levels; evaluation of agronomic characteristics, seed germination mass of thyme (thymus vulgaris L.) by gibberellic acid and salicylic acid; comparison of total phenolic contents in three infusions of black tea; antifungal activity of the essential oil of salvia officinalis; effect of deficit irrigation and salicylic acid on free proline and some of physiological characteristics of basil (ocimum basilica L.); study the effect of strip intercropping patterns on morphological characteristics of bean and dill in tabriz region, Iran; effect of strip intercropping on leaf area index of bean (phaseolus vulgaris) and dill (anethum graveolens); germination improvement in tanacetum polycephalum; evaluation of medicinal organs of plant species in miankaleh; ecological studies of salvia sahandica; evaluation of medicinal flora in summer rangeland of arjmand in firozkoh; evaluation of medicinal flora in summer angeland of arjmand in firozkoh; a new avenue for prediction of pseudo chamomile using decision tree; effect of salinity treatment on colocynth seedling growth; enzymatic treatment of aloe vera gel to reduce viscosity for pharmacutical applications; effect of potassium nitrate primingon seed germination of colocynth; the effects of bio-fertilizers and bio-stimulators on chlorophyll content and leaves properties of ocimum basilicum L.; study of ocimum (ocimum bacilicum L.) germination attributes and seed vigor under salinity stress; the effecte of drought sterss on germination of thymus species (T. Daenensis, T. Eriocalyx, T. Vulgaris); the effects of bio-fertilizers and bio-stimulators on morphophisiological properties of ocimum basilicuml; fumigant toxicity and median lethal time (LT50) on the immature stages of mediterranien flour moth, ephestia kuehniella zeller; fumigant toxicity and persistence of two medicinal plant essential oils from laurus nobilisand myrtus commonisonagainst adult stages of mediterranien flour mothephestiakuehniella zeller; the effect of Pb on leaf of matricaria chamomilla in vegetative and reproductive stages; effect of different concentrations of colchicine on ploidy levels and morphology of dracocephalum kotschyi boiss; application of natural essential oils, silver and copper nano-particles to extend the vase life of two carnation cut flower cultivars; effect of some bio and chemical fertilizers on some morphological characterestics and percent of root colonizationof dill (anethum graveolens L.); evaluation of different sowing dates on yield and yield components in saffron (crocus sativus L.); the effect of elicitor methyl jasmonate on secondary metabolites of medicinal plant pot marigold(calendula officinalis L.); effect of coronatine pretreatment in basil plant(ocimum bassilicum)subjected to arsenic toxicity on difference phenolic compounds and pal activity; study of yield and yield components in different ecotypes of saffron (crocus sativus L.); effect of coronatine pretreatment in basil plant (ocimum bassilicum); micro-morphological study of mericarp and seed in different erodium (geraniaceae) species of Iran; the effect of plant density and date of planting on total phenol and flavonoid of artichoke (cynara scolymus L.) in gorgan and ilam conditions; selenium improves growth and antioxidant defense system in melissa officinalis; interaction of the auxin hormoneand rooting media in cuttings of the medicinal plant myrtus (myrtus communis); the influence of exogenous aba on photosynthesis and antioxidative enzymes activity in melissa officinalis; the effect of application of phosphorus fertilizer and mycorrhizal fungus on yield, yield component and effective material ofpot marigold (calendula officinalisl.); the effect of different sugar on rosmarinic acid production in salvia reuterana hairy root culture; cytotoxicity effects of scorzonera grossheimii lipsch. & vassilcz extract on hela cell line and Mcf-7 cell line; evaluation of in vitro culture of mohr-E khosh medicinal plant species; the effect of antioxidant attributes of aqueous garlic extract in mice; evaluation of mohr-E khosh (zhmeriamajdaerech. F. &wendelbo) tissue culture; effect of bap hormone treatment on in vitro shoot regeneration and proliferation of medicine herbhenbane lattice (hyoscyamus reticulatus L.); antioxidant activity of two sea cucumber species and brown algae from persian gulf; comparison of 1,8-cineole in the essence of four wild populations of yellow yarrow (achilleawilhelmsiic.koch) in fars province; the effect of planting date and harvest stage on growing indexes and percentagethymolin saturejahortensis L; chemical analysis of hops (humulus lupulus L.) extract collected from zarrin gol zone, golestan province, Iran; local effect ofeugenol oilon the skin woundhealingin rat; influence of manure, compost and biofertilizer on growth and yield of ajowan (trachyspermum ammi sprague); variation of rutin content in caper leaves during heir phenological cyces; the changes of hypophysys hormones in pcos rats that treat d with aqueous fennel extract; the effect of aqueous and methanolic extract of caper leaf and GA3 on germination of capparis spinosal; effect of density on quantity characteristics of thmusspecies (T. Daenensis, T. Eriocalyx, T. Vulgaris) indryland condition of kermanshah; autecology and phenology study of salvia leriifolia; hairy root cultures of salvia reuterana transformed with agrobacterium rhizogenes; comparison of salvia (salvia sclarea L.) accessions according to morphological traits, essence yield and chemical compounds; the evaluation effects of plant density and sowing dates on yield and yield components of black cumin (nigella sativa) under ilam climate condition; investigation on morphology and root yield of chicory (C. Intybus) landraces for inulin production; effect of eugenol in the context of ethanol teat microbial load on dairy cow; the effect of slope direction on morphological characteristics of juniperus polycarposc.koch needels; effect of thymol and carvacrol on two cultivars of cut gerbera flowers vase life; influence of arbuscularmycorrhizal fungi and salt stress on essential oil content of summer savory (satureja hortensis L.); influence of arbuscularmycorrhizal fungi on growth and morphological characteristicsof summersavory (satureja hortensis L.) plant under salt stress conditions; antimicrobial activity of five plant essential oils on bacillus sp.; study of protective effective of pollen in proportion to royal jelly on liver tissue in experimental polycystic ovary syndrome in adult female rats; curcumin nanomidicine; appliacations of β-cyclodextrin in cuccumin solubility enhancment; investigation of the effects of different rate of nitrogen and zinc on yield of chamomile (matricaria chamomilla L.); protective effect of parsley aqueous extract versus glyburide on diabetes-induced derangement in the ovary; evidence for follicular growth and biochemical alteration; phytochemical screening, antioxidant and burn healing potential of galium odoratumm ethanolic extract; evaluation hydroalcolic extract of plantago majorleaf on sperm count and FSH, Lhlevels in streptozotocine (STZ) induced diabetic rat; the effect of indole butyric acid (IBA) and naphthalene acetic acid (NAA) on stem cuttings of myrtle (myrtus communis L.); effect of hydroalcolic extract of descurainia sophia seedon sperm morphology and FSH, lhlevelsin streptozotocine (STZ) induced diabetic rat; determination of totalphenolic,flavonoid contents and inhibitory effect of euphorbia spinidens methanolic extract against HSV1; effect of sesameoil (sesamum indicum L) on sperm parameters in streptozotocine (STZ)- induced diabetic rat; improvement in germination and seedling growth of hyoscyamus squarrosusgriff; recognition and usage of medicinal plants according to the views of local communities (sample studying of top taleghan in alborz province); comparison of morphological and agronomical traits of fenugreek (trigonella foenum-gracum L.) under drought stress and biostimulatorsingreenhouse and fieldcrops; ffect drought stress and biostimulators on morphological traits of fenugreek (trigonella foenum-gracum L.); endometrial changes in pcos female rats that treated with aqueous fennel extraction; effect of priming on seed vigor and antioxidant enzymes activities in thyme (thymus vulgaris L.) under salinity stress; effect of potassium nitrate onsome germination traits of balango (lallemantiaroyleana L.) under salinity stress; comparison of the essential oil components in wild and cultivate population of salvia lachnocalyx; effect of irrigation intervals on yield and yield components of degen & Drfi (securiger securidaca L.); the anatomical properties of alyssum (sect. gamosepalum dudley); comparison of the essential oil components in wild and cultivate population of salvia verticillata; comparison of the essential oil components in wild and cultivate population of salvia virgata; the effect of different kind of salt on seed germination and seedling growth of nigella sativa L. and guizotia abyssinica cass; high-frequency in vitro direct shoots egeneretion from axillary nodal and shoot tips explants of clary sage (salvia sclarea L.); essential oil composition in stachys byzantina cultivated in Iran; antioxidant activities of the bark of pterocarya fraxinifolia L.; isolation and purification of terpenoids from aerial parts of echinophora cinerea; induction of salt stress resistance in foeniculum vulgar by application of hydro and halo seed priming; chemical composition of stem essential oils of pterocarya fraxinifolia L.; effect of sowing date and growing season on agronomical characters of isfahanian and indian black cumin; effect of different vermicompost levels and ecotype on growth parameters of basil (ocimum basilicum L.); the effect of bacterial inoculation on qualitative and quantitative yield of the aloe vera plant; triterpene constituents of euphorbia erythradenia boiss; evaluation of the effect of three biologic fertilizers on aloe vera plant; introduce some medicinal plants used for gastro-intestinal diseases in east-mazandaran region; histopathologic changes in rat liver treated with quercetin extracted from onion after infected by toxoplasma gondii; effect of growing media on rooting of stem cuttings in hana(lawsonia inermis L.); effect of colchicines treatments on some morphological and cytological characteristics of agastache foeniculum; antiradical, antioxidant and antimicrobial activities of crataegus elbursensis extracts; evaluation of somesecondary metabolitesinthree olivegenotypes and twoharvesting time; ovicidal activity of essential oils from three plants against mould mite (tyrophagusputrescentiae schrank); role of mycorrhizal fungi and salicylic acid in resistance of ocimum basilicum L. to aluminum toxicity; investigation of histological effects of humulus lupuluson ovarian tissue of female three spot gourami; phenolic acid analysis and antioxidant activity determination of froriepia subpinnata; study of antimicrobial effect thyme and mint essential oils and edta, on staphylococcus aureus; the effect of corn oil on liberkuhn glands goblet cells secrition activity in rabbit; effectsof elicitation onalkaloids production in suspension cell cultures ofpapaver somniferum; effect of plant growth regulators on in vitro culture of artemisia aucheri; effect of echinacea extract on parenteral lysozyme activity in serum of beluga (huso huso); survey of antimicrobial effect thyme and peppermint essential oils and edta, on salmonella typhimurium; total phenolic content, antiradical and antioxidant activities of eryngium caucasicum extracts; effects of plant growth regulators on callus formation fenugreek (trigonella foenumgraecum L) of in vitro; influence of different concentration of 2,4-D and kinetin on callus formation milk thistles (silymbum marianum) plants; the effect of nitrogen fertilizer and plant density on quantitative and qualitative characteristics of castor (ricinus communis L.); evaluation of genetic diversity in some linseed (linum usitatissimum L.) genotypes using EST-SSR markers; effect of altitude on some of the morphological characteristic and chlorophyll content of nettle in mazandaran and golestan conditions; evaluation of primers indices used in the study of genetic diversity of papaver macrostemum ecotypes viaissr marker; studies on the amino acids, flavonoids and total phenolics in ziziphus jujuba; comparison study of antibacterial effect essential oils oregano and cumin and edta on salmonella typhimurium by disc diffusion and broth microdilution mic testing; comparison study of antibacterial effect oregano and cumin essential oils and edta on staphylococcus aureus by disc diffusion method and broth microdilution mic testing; the study of antioxidant activity of phenol compounds inartemisia fragranswilld.and artemisia vulgaris L.; impact of planting patterns on weed density, and growth characteristics of caraway; effect of drying methods on essential oil contents and citronellal of lemon balm; a comparison on effect of the thiobacilus biological fertilizer and superabsorbent on the morphological traits and essential oil yield f thymus vulgaris t. daenensis; investigation of effect of different doses of hydroalcoholic extract of glycyrrhiza glabra’s rhizom on the mechanical activity of isolated trachea of male rat; aloe vera gelconcentration by reverse osmosis method (reduction energy consumption); the effect of drought stress on germination characteristics and preliminary growth of fleawort and purple coneflower; preparation of an herbal emulgel for treatment of hemorrhoids; effect of varying level of biological and chemical phosphors on same morphological traits summer savory (satureja hortensis L.) plant; study on the technical efficiency in rose water industray in city of kashan, Iran; the effects of corn oil on colonic mucosal thickness in rabbit; estimation of the milk thistle oil percent by using stepwise regression; the effects of mycorrhiza, thiobacillus inoculatuon and sulfur application on some physiological parmeters of garlic (allium sativum L.); the study of some medicinal-chemical characteristics in four olive cultivars; allelopathic effects of citrullus (citrullus colocynthisl.) extract on seed germination and seedling growth of ocimum (ocimum basilicuml.); the effect of polyamines (putrescin, spermidin and spermin) on growth, yield and essential oil of moldavian dracocephalum L.; effect of different density levels on marigold yield; allelopathic effects of citrullus (citrullus colocynthisl.) extract on seed germination and seedling growth of purslane (portulaca oleracea L.); sterols from nizamudiinia zanardinii, a brown alga of oman sea; analyzing of 4 medicinal plants essential Oil’S potential allelopathic activity on pigweed seeds (amaranthus retroflexus L) germination and growth; flavonol glycosides from paliurus spina-christi; physiological responses of anise hyssop (agastache foeniculum L.) to drought stress; potential allelopathicactivity of 4 medicinal plants essential oil on lamb’s-quarters weed seeds (chenopodium album) germination and growth; humic acidcounteracts the ecotoxicological effects of arsenic on seed germination and seedling growth parameters of savory; effect of different planting beds on yield and yield components of garlic (allium sativum L.); the effect of cadmium on phenol and flavonoid contents in basil(ocimumbasilicuml.); yield and yield components of different species of lallemantia. Sp; effect of temperature androsemary (rosmarinusofficinalisl.) essential oils in potato sprout inhibition and tuber quality after post harvest; comparison of anti-inflammatory and analgesic activity of the artemisia absinthiumand its main component; improvement of antioxidant production in rosmarinus officinalis by tissue culture; two new dammarane type terpenoids from geum heterocarpum; absorption spectra of chlorophyll A and B and fresh weight of leaves in different ecotypes of lallemantia.Sp as affected by deficit irrigation; morphological investigation of hairy roots induced in hyoscyamus niger; germination of balangu (lallemantia royleana) as affected by hydropriming and germination temperatures; yield potential assessment of cumin ecotypes under irrigated and water-stressed conditions; investigation of grows rate and antifungal efects of ganoderma lusidum on plant pathogen karst (basidiomycota); effects of artemisia dracunculus on the clotting time; the effects of explants and growth regulators on callus induction of lippia citriodora L., an important medicinal plant; aquatic and alcohol extract effect consideration of equsetum arvens on the wound and skin inflammations amendment; the comparison the effects of humic acid and thiobacillusbiofertilizer on morphological characteristics on two species of thymus (T.Vulgaris and T.Kotschyanus); antioxidant activities of some pepper (capsicum annuum L.) varieties phenolic extracts; antioxidant and toxicological evaluation of hydroethanol extract of trogpogon buphthalmoides aerial parts; aquatic and alcohol extract effect consideration of ephedra intermedia on the wound and skin inflammations amendment; study on different levels of annatto seed meal (bixa orellana in the diet on some biological indices of rainbow trout (oncorhynchus mykiss); cytotoxic evaluation of 24-hydroperoxy-24-vinyl cholesterol isolated from nizamuddinia zanardinii, a brown alga from oman sea; effects of salicylic acid on total phenolic and rosmarinic acid contents in lemon balm (melissa officinalis L.) plants exposed to nickel stress; determination of total phenolic and scavenging activity of free radicals in 4 species fruits of solanaceae; determination of antioxidant activities of two adonis species; in vitrochangesof cholorogenic and cafeic acidsof artichoke under salin stress; effect of PGPR inoculation on the quality and quantity of summer savory (saturejahortensis L.); the economic result of tragacanth astragalus and sell product; two new ditepenoids from the root of salvia chloroleuca; effect of putrescine spraying on the quality and quantity of summer savory (saturejahortensis L.); effect of salicylic acid spraying on the quality and quantity of summer savory (satureja hortensis L.); study of physiological and biochemical responses of saffron (crocus sativus L.)to salt stress and alleviative effects of salycilic acid; the effect of selenium (So2) on ionic content of melissa ossicinalis; of gene flow and genetic differentiation among populations of species anthemis tinctoria using peroxidase isozymes; evaluating the germination of artemisia populations in different temperatures and polyethylene glycol; study of physiological and biochemical responses of saffron (crocus sativus L.) to drought stress and alleviative effects of salycilic acid; a study of generative organs characteristics of avicennia marina (forsk.) vierh (avicenniaceae); histophatological changes of spleen in pcos female rats treated with aqueousextraction of foeniculum vulgare; semi-preparative LC-MS of taxane diterpenoids; influences of drought stress on seed germination parameters in (ruta graveolens L.); fabrication of albumin nanoparticles contains model drug; optimization of in vitro regeneration of some salvia species via nodal explants culture; medicinal and antioxidant properties of kernel and green shell a mong some pistachio genotypes; comparison of chemical constituent of essential oil of stachys lavandulifoliavahl from kaboodarahang and roodsar; effect of ecotype on total phenol and flavonoids content of sambucus ebulus leaves; anticancer activity evaluation of the acinosgraveolensaerial parts; phenotypic variation of colocynth accession from different Iran geographical area of (citrullus colocynthis); phenolic content and DPPH radical scaveningactivity and total protein of cucurbitaceae in Iran; the effect of water deficit and spraying on agronomictraits and yield of dragonhead; investigation of anti-inflammatory effect of N--hexane extract of leaves of ziziphora clinopodiodes.lam on NMRI male mice; evaluation of the antioxidant activity of the acinosgraveolensaerial parts from qamsar area; the relation of traits in artemisia of Tehran Province, Iran; study of different drying methods on essential oil and menthol contents of peppermint; genetic diversity among naked seed of cucurbita pepo var. styriaca and comparison with other varieties of pepo species; effect of osmopriming with Kno3 on seed germination of lallemantia royleana; study on seed morphological markers of naked seed and other cucurbits to evaluate genetic variation; comparison of the effects of drought and salinity stress on fennel seed germination under hydropriming condition; evaluation of allelopathic activity of juniperus sabina; effect of ethanolic extract of barberry root (berberis vulgaris (on renal toxicity of the drug cisplatin; callus induction from different parts of milk thistle(silbum marianum L.); anticancer activity of nigella sativa; radical scavening activity and total phenolic content of three species of pear(pyrus. L); effects of various salts on the germination of silybum marianum; evaluation phenol and flavonoid level in seven genotypes of olive maturity; allelopathic potential of common mallow (malva sylvestris) on the germination and t e initial growth of blanket flower, Cock’S comb and sweet william; mathematical study of dorema aucheri extraction with supercritical carbon dioxide; cheminformatics study of natural thujone like compounds for pharmacologic activity; application of response surface methodology for the optimisation of ultrasound assisted emulsification microextraction of fatty acids from pomegranate seed; study effect of parsley (petroselinum crispum) as an abortifacient on pregnant rats; phytochemical study on dichloromethane extract of artemisia ciniformis; comparison of the effects of drought and salinity stresses on linseed seed germination under hydropriming condition; salicylic acid and salinity effects on proline content and growth characteristics in thymus daenensis; optimization of ultrasound assisted emulsification microextraction for separation of fatty acids of Iranian (bandar abbas) jatrophacurcus seed; effects of dietry cinnamon oil (cinnamomum verum) supplementation on growth performance in Japanese quail; phytochemistry study on medicine plant of artemisiasieberi and assesind its allelopathic effect on agropayrum elongathum seeds; optimization of media for in vitro callus growth of taxus baccata; optimization of sterile treatmentsfor in vitro culture of taxus baccata and T.Brevifolia; identification and medicinal characteristics investigation of some of the most important medicinal trees, shrubs and grass in lorestan province (case study in yaftehkouh, khorramabad); haploid induction in medicinal pumpkin using gamma irradiated pollent technique; effect of thymus extract on meat quality in Japanese quail chicks; the effect of chamomile extract on reproductive system in male mice; the effec of biological and chemical nitrogen fertilizer on dry flower yield and essential oil content of calendus (calendula officinalis); yield potential evaluation of different cumin ecotypes in different winter sowing dates; antibacterial activity of eremurus persicus boiss. leaves and flowers; effect of leave kind on the secondary metabolits certain in olive (olea europaea L.); extraction and identification of a new ester coumarin from ferula orientalis roots; the effect of different levels of vermicompost on nutrients balance of dracocephalummoldavical; a new PH-responsive polymer coated magnetic nanoparticles for loading and delivery of quercetin; the study of genetic parameter related of salinity tolerance in sofflower; amino-silane modified magnetic nanoparticles for loading and delivery of chlorogenic acid; study of correlation between yield and yield components of cumin under different irrigation intervals treated with iron chelate nano fertilizer; evaluation of effect attract moisture substances and organic fertilizers on quality and quantity yield of purslane (portulaca oleracea L.) in ahvaz region; gene mapping of quanthitative traite for salinity tolerance in safflower; changes in the amount of essential oil eucalyptus species grown in qom and behshahr, and its relation to morphological characteristics of leaves; study of antimicrobial effects of narcissus jonquilla essence on common gram positive and negative bacterias (E.Coli, B.Cereus, S.Aureus); the effect of different levels zeolite on carotenoid and chlorophyll of calendula officinalis L.; the effect of lettuce hydro alcoholic extract on some blood parameters in mice; designing of herbal based inhibitory bioactive molecules for vegfr in angiogenesis; the effect of harvest time and density on essence yield of biennial tarragon (artemisia dracunculus L.); study effect of organic, inorganic fertilizers and cutting on agronomic characteristics in common purslane(portulacaoleracea L.); influence of calciumnitrateon the change of morphological characteristicsand mucilage content of borage; effects of drought stress induced by polyethylene glycol on germination and morphophysiological characteristics ofdracocephalummoldavica; study of the chemicalcharacteristics of somepomegranate cultivarsin mazandaran and khorasan; the effect of optimum planting date and harvest stage on essential oil of saturejahortensis in saveh; the effects of boric acid and seed osmopriming on germination and early seedling growth of petroselinum crispum; antioxidant activity of some extracts from aerial parts of ajuga chamaecistus Ssp. tomentella; evaluation of silver nanoparticles influence on abscission and oil content ofseed borage; effect of priming with polyetilene glycol and NaCl salinity on germination herb purslane (portulacaoleracea L.); effect of altitude on some of the secondary metabolits of nettle in golestan and mazandaran conditions; Effectofsowingdateandpatternongrowthphysiologic Al parametersof purslane (portulaca oleracea) under ahvazclimaticconditions; study on the tissue damage of oral administration of different doses of zataria multiflora essential oil in persian sturgeon (acipenser persicus); effect of hormons and explant in callus induction and shoot organogenesis in tissue culture of echinacea purpurea; antiaging effects of glycyrrhiza glabra, hypericum perforatum, silybum marianum and mixture of them on D-galactose induced aging in male mice; assessment of some biochemical parameters in two rosa damascene mill genotypes in dry cold weather conditions (case study of semnan city); comparison of antioxidant properties mentha longifolia L. hudson var.chlorodictya rech.F. in sabzevar and gorgan; effect of growth regulators, explants source and light/ dark condition on in vitro callus growth of artemisia vulgaris; applicability of flavonoid spot profiles in taxonomic circumscription of fritillaria L. species in Iran; optimalization suspension culture of medicinal plant artemisia deracunculus; he effect of salinity on germination factors and growth of five medicinal plants (carthamus tinctorius, carum carvi, sesamum indicum, foeniculum vulgare and cultivated endive); investigation of exclusive and synergistic antibacterial activity of edible medicinal vegetables; kinetic study of mechanism of an enzymatic reaction catalyzed with esterase enzyme; the concentration of parthenolide in native tanacetum parthenium; investigation on the effect of hormonal regulators on the adventitious shoot and root regeneration in artemisia vulgaris; effects of aloe vera cream on healing diabetic foot ulcer; antibacterial potential of some Iranian medicinal plant extracts on pseudomonas aeruginosa; survey of callogenesis by two artemisia species (artemisia vulgaris and artemisia deracunculus); enhancement of flavonoid content by squalestatin and methyl jasmonate in cell suspension culture yew; screening of anthbacterial effects of aerial shoot extracts from some medicinal vegetables; the correlation between malone dealdehyde (MDA) and proline content and stigma-like structures (SLSS) in tissue culture of saffron; a survey on the antibacterial properties of the achille millefollium against some pathogene bacteria; effect of biological and chemical fertilizer on morphological characteristics in two basil (ocimum basilicum L.) landraces; effect of cinnamomun zeylanicum neeson LH and estrogen in female rats; effect of arbuscularmycorrhizas on metals absorption on three genotype of mentha spicata; comparison the antibacterial activities of ajowan, black zira and cinnamon essential oils using agar diffusion method; investigation of mentha pulegium L. effects on broiler chickens; the economic estimate of the biological and chemical fertilizers cost toward biomass and essential oil yield in two basil (ocimum basilicum L.) landraces; expression profile of some genes involve in nicotiana benthamiana alkaloid biosyntesis pathway under abiotic stresses; ethnobotanical study of medicinal plant of sirjan district, province Kerman; evaluating antibacterial property of eucalyptus essence on superficial sores of grass carp (ctenopharyngodon idella) juveniles’ skin; evaluation effect of medicinal plants intercropping with garlic (allium sativum L.) on garlic yield in ahvaz conditions; the effects of lead heavy metal on purslane (portulaca oleraceae L.) seed germination and seedling traits; effect of drought stress and plant growth promothing r izobacteri DB - Embase KW - essential oil antioxidant fertilizer flavonoid salicylic acid antiinfective agent acid iron plant medicinal product water methanol peppermint alcohol plant extract heavy metal enzyme phenol phenol derivative anthocyanin Matricaria chamomilla extract phytohormone nitrogen fertilizer nitrogen peroxidase free radical carvacrol rosmarinic acid proline zinc marker phosphorus antibiotic agent silver nanoparticle ispagula solvent jasmonic acid methyl ester cadmium fatty acid organic fertilizer cannabis thymol ascorbic acid sodium chloride chlorophyll humic acid fumigant carbohydrate streptozocin hormone curcumin polyphenol protein antifungal agent polymer ion pigment mannan sulfur vegetable oil carbon tetrachloride trace element carotenoid atropine putrescine natural product liver enzyme amino acid oxidizing agent eugenol antidepressant agent metal alkaloid magnetic nanoparticle rutoside silver titanium dioxide coumarin silicon terpene volatile agent nitric oxide iron chelate Ruta graveolens extract chlormequat mineral DNA colchicine paclitaxel absorbent potassium nitrate arsenic corn oil glycoside flavonol kinetin imidacloprid fennel oil gum tragacanth vitamin pectin sedative agent chamazulene parthenolide lavender oil synthetase medicinal plant germination Thymus (plant) concentration (parameter) Iran plant seed rat plant leaf callus (plant) species plant antioxidant activity basil drought stress gall (plant) thymus plant growth fennel parameters Salvia in vitro study thyme date (fruit) chemical composition cock (bird) morphological trait male Artemisia savory fenugreek salt stress Satureja hortensis garlic population flower black cumin human antimicrobial activity cumin extraction cow (mammal) cultivar salinity Achillea female mouse broiler irrigation (agriculture) diabetes mellitus Melissa officinalis fruit (structure) antibacterial activity myrtle ecotype Calendula officinalis Aloe vera safflower plant density manure explant Tuber (genus) Crocus sativus rosemary alcoholism artichoke chicken marigold fruit Echinacea purpurea pomegranate Silybum marianum Zataria multiflora Portulacaceae intercropping toxicity vermicompost Artemisia dracunculus climate morphology seedling coriander weed microwave radiation Staphylococcus aureus genotype anise genetic variability grain (structure) Ocimum herb Mentha piperita serum squash Mentha colocynth sowing date parsley Tanacetum tissue culture Ferula flowering Urtica dioica germander mycorrhiza dill Portulaca oleracea high performance liquid chromatography lemon Berberis chlorophyll content Nepeta cytotoxicity alfalfa Cucurbita pepo planting time Matricaria recutita harvesting hydrodistillation Foeniculum Ammi seed yield storage Allium Borago suspension cell culture Plantago Stachys fungus shallot Chrysoperla carnea Pelargonium Rubia weight antifungal activity Oncorhynchus mykiss ultrasound lavender mucilage laboratory harvest period pollen growth curve Eucalyptus Lavandula angustifolia oak cell line temperature summer bacterium soil Pistacia alga embryo (anatomy) metabolite density rooting olive Hibiscus sabdariffa city galbanum drought bile phylogeny cell suspension growth regulation biomass Leporidae oregano blood arbuscular mycorrhiza Agastache Rosa damascena gas model water stress salt tolerance Anthemis adult rangeland Trigonella Lamiaceae weed control cancer cell culture Matricaria chamomilla Hyoscyamus heat stress micropropagation leaf area lipid peroxidation onion Salvia officinalis stem cutting Artemisia vulgaris Citrullus flour dormancy compost liver Scrophulariaceae Matricaria Glycyrrhiza glabra Hypericum perforatum callus culture hairy root culture Avicennia Vitex Escherichia coli harvest Bacillus cereus bark Chrysopidae color carp Rumex tea moisture supplementation inoculation Lippia purification Calendula linseed moth Lycium comparative study cut flower Euphorbia screening chicory Glycyrrhiza Sophora celery Sargassum hen Human alphaherpesvirus 1 mortality tissues herbal medicine callus Salmonella enterica serovar Typhimurium Laurus nobilis disk diffusion sea medicinal species Mentha spicata watercress culture medium fertilizer application Ruta graveolens antineoplastic activity Cinnamomum zeylanicum phytochemistry Taxus baccata case study planting density Curcuma longa Phlomis season liver toxicity DNA extraction clove vegetable pH Echinacea powder Pseudomonas aeruginosa Viola tricolor microalga Gracilaria Tanacetum parthenium postharvest period inflorescence biological activity tomato developmental stage Carum embryo Securidaca motoneuron magnetic field Myricaceae Sambucus Azerbaijan forest newborn grain yield synthesis mangrove caraway grain genus symbiosis wound food engineering solvent extraction healing meat Fritillaria Coturnix japonica environmental factor biosynthesis Malva coastal waters water deficit regeneration sweet potato whitefly gene expression photosynthesis antiinflammatory activity diet chick Campylobacter jejuni Aspergillus flavus sour orange Oman abiotic stress Mentha longifolia enzyme activity breast cancer Azadirachta indica sperm bean petal flora brown alga radiation Chenopodium album Juniperus Ajuga tree Wistar rat Rheum Asteraceae ploidy Bacillus thuringiensis milk Laurus Crataegus fiber Linum fermentation Ricinus communis Silene Verbenaceae flax Klebsiella pneumoniae Fumaria pepper dermatitis cinnamon path analysis fingerling grape Atropa anatomical concepts wound healing oral drug administration aging antidiabetic activity prostate cancer sweet orange subspecies puberty cardamom lymphocyte pistachio sciatic nerve Thiobacillus immune response immune system Marrubium scar formation sprout willow Aegle marmelos Cirsium dry weight nonalcoholic fatty liver apricot patient Salmonella enterica serovar Enteritidis MCF-7 cell line tail suspension test vapor ginger Valeriana officinalis aroma plant disease examination solid phase microextraction plant regeneration diseases bioassay nutrition LA - English M3 - Conference Review N1 - L75003105 2014-01-20 PY - 2013 SN - 1735-0328 1726-6890 SP - 43 ST - 2nd National Congress on Medicinal Plants T2 - Iranian Journal of Pharmaceutical Research TI - 2nd National Congress on Medicinal Plants UR - https://www.embase.com/search/results?subaction=viewrecord&id=L75003105&from=export VL - 12 ID - 95354 ER - TY - JOUR AB - The purpose of the study was to describe the sense of coherence (SOC) of three groups of Finnish polytechnic students (n=287) at the beginning of their studies and to follow it during a period of 3 year amongst the health care students (n=63) of this group. The associations between SOC and smoking, drinking and physical exercise were also studied. The data were collected with a questionnaire which included Antonovsky's (Adv. Nurs. Sci. 1(1983)37) SOC scale. Data analysis was with SPSS statistical software. The students showed a strong sense of coherence at the beginning of their studies. Physical activity was related to the strength of SOC, but no association was found with smoking and drinking. Health care students showed a stronger SOC at the beginning of their studies than the two other groups. During the follow-up focused on the health care students, SOC weakened in 6%, remained unchanged in 65% and strengthened in 32% of the participants. Smoking, drinking and physical exercise showed no association with these changes. Future research should be focused on identifying factors that are related to SOC during education. AD - Research and Development Centre for Social Welfare and Health, Seinäjoki Polytechnic, Finland; merja.kuuppelomaki@seamk.fi AN - 106846337. Language: English. Entry Date: 20030704. Revision Date: 20200701. Publication Type: Journal Article AU - Kuuppelomäki, M. AU - Utriainen, P. DB - cin20 DO - 10.1016/s0020-7489(02)00103-7 DP - EBSCOhost IS - 4 KW - Alcohol Drinking -- Finland Exercise -- Finland Smoking -- Finland Students, Allied Health -- Psychosocial Factors -- Finland Students, College -- Psychosocial Factors -- Finland Adult Coefficient Alpha Convenience Sample Data Analysis Software Descriptive Research Descriptive Statistics Female Finland Male One-Way Analysis of Variance Pilot Studies Prospective Studies Psychological Theory Scales Structured Questionnaires T-Tests Human N1 - research; tables/charts. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 0400675. PMID: NLM12667515. PY - 2003 SN - 0020-7489 SP - 383-388 ST - A 3 year follow-up study of health care students' sense of coherence and related smoking, drinking and physical exercise factors T2 - International Journal of Nursing Studies TI - A 3 year follow-up study of health care students' sense of coherence and related smoking, drinking and physical exercise factors UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=106846337&site=ehost-live&scope=site VL - 40 ID - 89666 ER - TY - JOUR AD - Washington State University AN - 136088699. Language: English. Entry Date: 20190502. Revision Date: 20190604. Publication Type: Article AU - Wilson, Marian DB - cin20 DO - 10.1016/j.pmn.2018.11.030 DP - EBSCOhost IS - 2 KW - Patient Attitudes -- Evaluation Pain -- Drug Therapy Analgesics, Opioid -- Therapeutic Use Substance Use Disorders -- Therapy Outpatient Service Congresses and Conferences -- Florida Florida N1 - abstract; proceedings; research. Journal Subset: Blind Peer Reviewed; Core Nursing; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 100890606. PY - 2019 SN - 1524-9042 SP - 99-99 ST - 4D Transitioning from Pain Initiation into Addiction Treatment: "They Just Want to Feel Normal"...American Society for Pain Management Nursing 28th National Conference, September 26-29, 2018, Bonita Springs, Florida T2 - Pain Management Nursing TI - 4D Transitioning from Pain Initiation into Addiction Treatment: "They Just Want to Feel Normal"...American Society for Pain Management Nursing 28th National Conference, September 26-29, 2018, Bonita Springs, Florida UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=136088699&site=ehost-live&scope=site VL - 20 ID - 87526 ER - TY - JOUR AB - QUESTION: What information do patients want about patient controlled analgesia (PCA)?DesignFocus groups. Findings were used to revise a patient information leaflet, which was subsequently evaluated in a randomised controlled trial (RCT). Only the findings of the focus groups are reported here.Setting{St. George's Hospital NHS Trust, London, UK.}*Participants24 patients (19-72 y, 54% women) were recruited from 8 surgical wards. All had used PCA during the previous week after major gynaecological, orthopaedic, abdominal, or renal surgery. Exclusion criteria were inability to ambulate, inability to speak or understand English, and unwellness.Methods7 focus groups were held. Patients were asked, 'If you were going to use PCA for the first time, what would you want to know?' They were then asked to recommend changes to the content of a previously used information leaflet Sessions were transcribed, and a thematic analysis was done. Topics were identified as themes when viewed as important by > 1 focus group. The content of the new leaflet was based on themes from the first 5 focus groups (n=15). Focus groups 6 and 7 (n=9) reviewed first and second drafts of the new leaflet, respectively.Main findings6 themes were identified. (1) Patients worried about the dangers of morphine used in PCA, fearing addiction and overdose. Only 1 patient knew that PCA contained morphine, and the leaflet did not include this information. (2) Patients experienced various side effects of morphine, including fatigue, nightmares, and hallucinations, which sometimes caused them to stop PCA. The leaflet mentioned only nausea as a side effect. Patients felt it was important to identify other potential side effects so that they could seek help to alleviate them. (3) Patients were unaware that alternative pain relief to PCA was available if they were worried about morphine or experienced side effects. Some patients were confused when they were given alternative medication during weaning from morphine or to supplement PCA. (4) Patients felt confusion about how to use PCA and how it worked. When they awoke from the anaesthetic, some were simply told to 'press the button' when they had pain. They didn't know how quickly morphine would work or how long each dose would last (5) Patients felt a lack of support from staff. They felt they received contradictory instructions about the use of PCA and wanted detailed explanations from the pain team. (6) Patients talked about receiving information. Only 1 patient received the leaflet before surgery. Some patients would have liked an opportunity to discuss the leaflet with medical staff before surgery, and some would have preferred to have PCA explained to them. Others suggested that the pain team should bring a pump to the ward before surgery so that patients could become familiar with it. Some patients felt anxious because they didn't understand why the machine 'bleeped'. Other suggestions for the leaflet were that it include an illustration of the PCA machine or other diagrams, be printed in different languages, inform patients that PCA avoided the need for injections and that pain relief could be obtained without consulting nursing staff, and highlight important information in bold print.ConclusionsPatients who used patient controlled analgesia (PCA) after surgery contributed to a new education leaflet after discussing their concerns and information needs about PCA, which included dangers of morphine, side effects, alternatives to PCA, confusion about how to use PCA, lack of support from staff, and receiving information.*Information provided by author AD - Clinical Nurse Specialist, Hamilton Health Sciences, Hamilton, Ontario, Canada AN - 106717989. Language: English. Entry Date: 20040402. Revision Date: 20150820. Publication Type: Journal Article AU - Coker, E. DB - cin20 DP - EBSCOhost IS - 3 KW - Information Needs Pamphlets Patient Attitudes Patient Education Patient-Controlled Analgesia -- Education Postoperative Pain -- Drug Therapy Adult Aged Audiorecording England Female Focus Groups Male Middle Age Morphine -- Adverse Effects Multimethod Studies Questionnaires Surgical Patients Thematic Analysis N1 - abstract; commentary. Original Study: Chumbley GM, Hall GM, Salmon P. Patient-controlled analgesia: what information does the patient want? (J ADV NURS) Sep2002; 39 (5): 459-471. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 9815947. PMID: NLM12882206. PY - 2003 SN - 1367-6539 SP - 93-93 ST - 6 themes described patients' information needs related to patient controlled analgesia T2 - Evidence Based Nursing TI - 6 themes described patients' information needs related to patient controlled analgesia UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=106717989&site=ehost-live&scope=site VL - 6 ID - 89651 ER - TY - JOUR AB - INTRODUCTION: Opioid addiction is a mounting problem and concern in all parts of the world. Drug overdose related to opioid addiction was the leading cause of accidental death in the United States in 2015; this extends to people across all ages, races, genders, and socioeconomic statuses. It is estimated that 21 million Americans aged 12 years or older has one form of substance use disorder, of which 2 million involves the use of prescription pain relievers. The cost of opioid misuse is estimated to be $78.5B based on 2013 data. This amount has exponentially increased more than $20 billion per year compared with 6 years ago. PURPOSE: We conducted a concept analysis of opioid addiction in the 21st century and present its implications for nursing. METHODS: Walker and Avant's eight steps for analyzing a concept were utilized. RESULTS: Uses of opioid addiction from the perspectives of healthcare, sociology, law, and economics are presented. Defining attributes of opioid addiction based on review of the literature include physical dependence to opioids, psychological craving for opioids, habitual use, and lack of self-control. Antecedents, consequences, and empirical referents are also identified. Model, related, and contrary cases are developed. CONCLUSION: This concept analysis article enhances understanding of the current opioid addiction crisis that is affecting the country. IMPLICATIONS TO NURSING: Nurses are in a position to play critical roles in the fight against opioid addiction. Nursing opportunities exist starting from the bedside and can reach up to the White House. AD - Kirsten Kidd, RN, Tina Weinberg, RN, and Meriam Caboral-Stevens, PhD, RN, NP-C, School of Nursing, Eastern Michigan University, Ypsilanti. AN - 32132420 AU - Kidd, K. AU - Weinberg, T. AU - Caboral-Stevens, M. DA - Jan/Mar DO - 10.1097/jan.0000000000000321 DP - NLM IS - 1 KW - *Attitude of Health Personnel Drug Overdose/*nursing/psychology Humans Opioid-Related Disorders/*nursing/psychology United States LA - eng N1 - 1548-7148 Kidd, Kirsten Weinberg, Tina Caboral-Stevens, Meriam Journal Article United States 2020/03/07 J Addict Nurs. 2020 Jan/Mar;31(1):17-22. doi: 10.1097/JAN.0000000000000321. PY - 2020 SN - 1088-4602 SP - 17-22 ST - The 21st Century Opioid Addiction: A Concept Analysis and Implications for Nursing T2 - J Addict Nurs TI - The 21st Century Opioid Addiction: A Concept Analysis and Implications for Nursing VL - 31 ID - 85678 ER - TY - JOUR AB - In most hospitals in the United States, inpatient psychiatric units are not equipped to accommodate medically complex patients. To address this problem, Kern Medical hospital in Bakersfield, California implemented the primary psychiatry service (PPS) that is complementary to the 24-bed psychiatric unit and the psychiatric consultation and liaison service. PPS facilitates care to patients who meet criteria for inpatient psychiatric hospitalization but are not eligible for admission to the inpatient psychiatric unit due to medical requirements. With PPS, patients are admitted to the medical/surgical floor under primary management of the consultation liaison psychiatry team. Additional care is provided by medical/surgical nursing staff previously trained by the psychiatry department, attending psychiatrist, psychiatry residents, and consulting physicians. A protocol for admission includes patients on a legal psychiatric hold or under voluntary psychiatric hospitalization who also have concurrent acute psychiatric and chronic medical conditions that are not suitable for the inpatient psychiatric unit. Primary psychiatry admission is approved by the attending psychiatrist and insurance. Some of the funding for patients admitted to PPS is provided by Kern County’s Behavioral Health and Recovery Services through the Mental Health Services Act. As a result of this service, Kern Medical admitted 49 patients to PPS in 2021. The main diagnoses of primary-psychiatric-eligible patients were mood disorders, psychotic disorders, and disorders related to substance use. The most common medical conditions requiring admission to PPS were for impaired ambulation and COVID-19 infection requiring isolation. Additional data will be included in the poster. The primary psychiatric service has been helpful with providing acute psychiatric care to medically compromised patients and has facilitated the flow of psychiatric patients within the emergency department. Being able to finance such protocols can be challenging as well, but the benefits are innumerable. There are potential challenges that can arise in such systems, including issues with medical complications and potentially lengthy disposition. Overall, from our single center experience it has been quite positive. Whether this novel system can be replicated in other centers effectively would be an area for further evaluation. Learning Objectives: - Awareness of an alternative model of psychiatric care to the traditional inpatient psychiatric setting - List benefits and challenges to having a psychiatric primary service as part of the consultation liaison service - Identify key patient diagnoses that one may encounter from psychiatric primary service References: Hussain M, Seitz D. Integrated models of care for medical inpatientswith psychiatric disorders: a systematic review. Psychosomatics. 2014 Jul-Aug;55(4):315-325. Epub 2014 Apr 13. PMID: 24735866. Kathol RG, Kunkel EJ, Weiner JS, McCarron RM, Worley LL, Yates WR, Summergrad P, Huyse FJ. Psychiatrists for medically complex patients: bringing value at the physical health and mental health/substance-use disorder interface. Psychosomatics. 2009 Mar-Apr;50(2):93-107. PMID: 19377017. AU - Reyes, C. AU - Kim, B. AU - Kiong, T. AU - Orantes, L. M. AU - Lyons, T. DB - Embase DO - 10.1016/j.jaclp.2022.10.027 KW - adult awareness California chronic disease complication conference abstract consultation coronavirus disease 2019 drug dependence emergency ward female finance funding health hospitalization human insurance learning liaison psychiatry male medical surgical nursing mental disease mental health mental health care mental health service mental patient mobilization mood disorder physician psychiatric department psychiatric treatment psychiatrist psychiatry psychosis psychosomatics resident substance use surgery systematic review LA - English M3 - Conference Abstract N1 - L2021104059 2022-12-27 PY - 2022 SN - 2667-2960 SP - S124 ST - (24) Psychiatric Treatment of the Medically Complex Patient: An Overview of the Primary Psychiatric Service on a Medical/Surgical Unit T2 - Journal of the Academy of Consultation-Liaison Psychiatry TI - (24) Psychiatric Treatment of the Medically Complex Patient: An Overview of the Primary Psychiatric Service on a Medical/Surgical Unit UR - https://www.embase.com/search/results?subaction=viewrecord&id=L2021104059&from=export http://dx.doi.org/10.1016/j.jaclp.2022.10.027 VL - 63 ID - 94100 ER - TY - JOUR AB - The article presents abstracts on 26th annual conference of the American psychiatric nurses association, Pittsburgh, Pennsylvania which include seclusion, trauma, and postincident support: an Australian study, social stigma: the conundrum of mental health care, and a nurse-led group cognitive behavioral therapy program for insomnia. AN - 85358116. Language: English. Entry Date: 20130213. Revision Date: 20200708. Publication Type: Abstract. Journal Subset: Core Nursing DB - cin20 DO - 10.1177/1078390312471805 DP - EBSCOhost IS - 1 KW - Psychiatric Nursing American Psychiatric Nurses Association Mental Disorders -- Nursing Psychophysiology Psychopathology Child Psychiatry Substance Abuse -- Nursing Stigma -- Prevention and Control Congresses and Conferences -- Pennsylvania Pennsylvania Child Infant Students, Nursing Patient Isolation Restraint, Physical Depression, Postpartum Cognitive Therapy Simulations Forensic Nursing Violence Patient Safety N1 - Nursing; Peer Reviewed; USA. NLM UID: 9507418. PY - 2013 SN - 1078-3903 SP - 11-35 ST - 26th Annual Conference of the American Psychiatric Nurses Association, Pittsburgh, PA, November 7-10, 2012 T2 - Journal of the American Psychiatric Nurses Association TI - 26th Annual Conference of the American Psychiatric Nurses Association, Pittsburgh, PA, November 7-10, 2012 UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=85358116&site=ehost-live&scope=site VL - 19 ID - 88540 ER - TY - JOUR AB - Study Objectives: Overdoses are now the leading cause of injury-related death in the United States with recent increases influenced by multiple factors including the COVID-19 pandemic. Among the most recent overdose deaths, about 75% involved a prescription or illicit opioid. Naloxone can rapidly reverse fatal overdose and evidence shows reduced mortality when naloxone is available in the community. Although emergency physicians are generally willing to prescribe naloxone to patients at risk of opioid overdoses, prescriptions remain uncommon. We hypothesize that the implementation of a Best Practice Advisory (BPA) alert within the electronic medical record (EMR) can increase the number of naloxone prescriptions given to high risk patients within the emergency department (ED). Study Design/Methods: In this retrospective chart review, we measured the number of naloxone prescriptions in a 5-month period prior to the initiation of the BPA and compared that to the number of naloxone prescriptions in the 5-month period after the initiation of the BPA. The chart review was inclusive of 9 EDs across a health system with a total annual volume of 450,000 visits per year. We also quantified the total number of BPA triggers and the action taken by the type of ED clinician including physician, resident, physician assistant and nurse practitioner. The BPA was designed to prompt a prescription for naloxone for patients at-risk for opioid overdose that meet criteria including: patients prescribed opioids with comorbidities including chronic lung or heart disease, opioid use disorder, history of opioid overdose, and those with an opioid prescription greater than 50 morphine milligram equivalents per day. Results/Findings: In the 5-month period after naloxone BPA initiation, there were 740 naloxone prescriptions. This compares to 180 naloxone prescriptions in the 5-month period prior to initiation of the BPA, a 311% increase in naloxone prescriptions after BPA initiation. The BPA fired 2,450 times after initiation and the clinician clicked to “accept” the BPA 1,428, a 58.3% acceptance rate. The rates of ED clinicians clicking “accept” who encountered the naloxone BPA by the type of ED clinician were as follows: physicians (56.5%), residents (67.2%), physician assistants (54.8%), nurse practitioners (42.5%). Conclusion: Increasing naloxone availability should be considered an important part of a multi-pronged approach to combatting our current opioid epidemic. BPAs within the EMR could be a low-cost, effective intervention to increase naloxone prescription rates for patients at-risk of opioid overdose in the ED. Further investigation is needed to determine pharmacy fill rates of naloxone prescriptions and understand clinician perspectives toward naloxone prescription in order to characterize the most effective model for naloxone distribution. No, authors do not have interests to disclose AU - Printen, S. AU - Miller, J. AU - Tokarski, G. AU - Manteuffel, J. DB - Embase DO - 10.1016/j.annemergmed.2022.08.058 IS - 4 KW - naloxone opiate adult chronic lung disease comorbidity conference abstract controlled study drug overdose drug therapy electronic medical record emergency physician emergency ward female heart disease high risk patient human male medical record review nurse practitioner opiate addiction physician physician assistant prescription resident retrospective study risk assessment LA - English M3 - Conference Abstract N1 - L2020426066 2022-12-26 PY - 2022 SN - 1097-6760 0196-0644 SP - S16 ST - 35 Increasing Naloxone Prescriptions Through Electronic Medical Record Best Practice Advisory Alerts T2 - Annals of Emergency Medicine TI - 35 Increasing Naloxone Prescriptions Through Electronic Medical Record Best Practice Advisory Alerts UR - https://www.embase.com/search/results?subaction=viewrecord&id=L2020426066&from=export http://dx.doi.org/10.1016/j.annemergmed.2022.08.058 VL - 80 ID - 94120 ER - TY - JOUR AB - Objectives: Adult-onset Still’s disease (AOSD) is a rare systemic inflammatory disease of unknown etiology characterized by persistent high-spiking fevers, rash, and joint involvement. Its annual incidence has been estimated between 0.16 and 0.4 per 100,000 persons worldwide, independent of ethnic group. The reported prevalence rates range from 1 to 34 cases per 1 million people. Women seem to be slightly more affected than men. There is a bimodal age distribution: one peak between ages 15 and 25 years and the second between ages 35 and 45 years. This case presentation will illustrate the multiple ways a child and adolescent psychiatrist can treat transitional age youth (TAY) who experience a chronic medical illness. Methods: This case presentation will describe the course of illness in a TAY male first diagnosed with Still’s disease by abnormalities in laboratory work ordered by the treating child and adolescent psychiatrist. The speaker will emphasize the important roles of child and adolescent psychiatrists, such as making referrals, serving as a liaison and educator to multiple specialties, coordinating visiting nurses, educating other mental health providers about the illness, treating mental illness symptoms, and advocating for patients who are limited and facing the fear of multiple diagnostic tests and invasive procedures. Results: Patient J is a single, white, male, age 18 years and diagnosed with MDD with psychotic features, substance use disorder (SUD), low average IQ, obesity, diabetes mellitus, gastroesophageal reflux disease, and asthma. Patient J has been in state custody since age 10 years secondary to neglect and physical abuse by his parents. He has been hospitalized 8 times and given multiple diagnoses, such as bipolar disorder, ADHD, ODD, learning disability, MDD with psychotic features, SUD, OCD, and a low average IQ. At 3 months after admission to the outpatient clinic, patient J complained of fatigue and pain in his ankles, refusing activities that led residential staff to believe that he was being oppositional. Laboratory tests showed abnormalities in red blood cells, white blood cells, hemoglobin, and platelets. Patient J was referred to receive hematology/oncology treatment, and multiple tests led to the diagnosis of Still’s disease by pediatric rheumatology. The course of illness will be presented demonstrating the influence that Still’s disease had on patient J’s ability to cope with his mental illness symptoms. Conclusions: Child and adolescent psychiatrists play a crucial role with TAY that suffer with lifelong chronic medical illnesses. These patients need close monitoring and are at high risk for onset and/or exacerbation of mental illnesses. DDD, MDM, CON AU - Van Deusen, T. C. DB - Embase DO - 10.1016/j.jaac.2018.07.216 IS - 10 KW - endogenous compound hemoglobin adolescent adult onset Still disease age distribution ankle asthma attention deficit hyperactivity disorder bipolar disorder child conference abstract congenital malformation custodial care diabetic obesity diagnosis disease exacerbation drug dependence erythrocyte fatigue fear female gastroesophageal reflux hematology human human cell invasive procedure laboratory test learning disorder leukocyte major clinical study male mental health monitoring neglect nurse oncology outpatient department pain physical abuse psychiatrist rheumatology staff systemic juvenile idiopathic arthritis thrombocyte LA - English M3 - Conference Abstract N1 - L2001171037 2018-10-22 PY - 2018 SN - 1527-5418 0890-8567 SP - S51 ST - 35.2 Adult-Onset Still's Disease (AOSD) During the Transitional Age Youth (TAY) Years T2 - Journal of the American Academy of Child and Adolescent Psychiatry TI - 35.2 Adult-Onset Still's Disease (AOSD) During the Transitional Age Youth (TAY) Years UR - https://www.embase.com/search/results?subaction=viewrecord&id=L2001171037&from=export http://dx.doi.org/10.1016/j.jaac.2018.07.216 VL - 57 ID - 94777 ER - TY - JOUR AB - Anyone working in the healthcare field is familiar with HIPAA legislation guiding medical data privacy and security. However, there are also federal regulations pertaining to medical records about substance use disorder. Legal Nurse Consultants working on cases involving these records, particularly the burgeoning number of cases related to opiate abuse, should know about these regulations. AD - Owner of Elizabeth Murray Consulting, LLC AN - 140316761. Language: English. Entry Date: 20191216. Revision Date: 20210311. Publication Type: Article AU - Murray, Elizabeth DA - Winter2019 DB - cin20 DP - EBSCOhost IS - 4 KW - Electronic Health Records Privacy and Confidentiality -- Legislation and Jurisprudence Substance Use Disorders Government Regulations Legal Nurse Consultants Consent Truth Disclosure Child Abuse Health Services Accessibility Analgesics, Opioid -- Adverse Effects Death N1 - pictorial; tables/charts. Journal Subset: Editorial Board Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 9507785. PY - 2019 SN - 1080-3297 SP - 14-17 ST - 42 CFR Part 2: Confidentiality of Substance Use Disorder Records T2 - Journal of Legal Nurse Consulting TI - 42 CFR Part 2: Confidentiality of Substance Use Disorder Records UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=140316761&site=ehost-live&scope=site VL - 30 ID - 87372 ER - TY - JOUR AB - Background: Guyana features one of the highest suicide rates in the world, driven by a high prevalence of alcohol use, limited mental health resources, and widespread stigma (Groh et al, 2018). Guyanese in the US have higher substance use rates than those in Guyana (Chrystoja et al, 2022). The Guyanese community is the 4th largest NYC immigrant group, yet their mental health needs are inadequately understood, particularly due to low rates of care utilization. We have experienced that consultation-liaison psychiatry (CLP) may be the only mental health care touchpoint for members of this and other immigrant communities. We report three Guyana-born male patients presenting with alcohol withdrawal and suicidal ideation, illustrating barriers to care. Cases: 1. 58-year-old single male with prior alcohol withdrawal presented with breakthrough seizures while intoxicated and nonadherent with antiepileptics. He admitted to drinking excessively while grieving, endorsing poor mood, insomnia, and passive suicidal ideation. He initially declined resources, vaguely committing to avoid alcohol “on my own,” and then eventually accepted medication-assisted treatment. 2. 67-year-old divorced male presented for self-reported tremors and suicidal thoughts. On evaluation he was concrete yet contradicted himself and denied suicidal ideation, minimizing all symptoms. He accepted naltrexone but was unmotivated to continue outpatient care. 3. 52-year-old married male presented after self-strangulation while intoxicated. Patient was unable to engage in safety planning and trivialized the suicidal gesture and prior statements. He met criteria for involuntary psychiatric hospitalization and was transferred upon medical stabilization. Discussion: These patients each exhibited limited insight into their alcohol use and mood symptoms, oversimplified their plans for abstinence or self-care, and resisted outpatient resources. It is unclear whether they coped with depressive symptoms through substances, and/or whether using substances exacerbated mood symptoms; these mechanisms have previously been suggested in the Guyanese population (Lacey et al, 2016). We suspect a strong cultural stigma against the adaptive use of mental health resources, with alcohol serving as a maladaptive, alternative method for reducing intolerable affect. Conclusions: Guyana has initiated efforts to reduce mental health stigma and increase access to care (Groh et al, 2018), yet approaches for Guyanese immigrants in the US are limited. Additional studies to identify barriers may help develop culturally-sensitive interventions that maximize motivation and adherence among high-risk individuals. CLPs benefit from awareness of these cultural phenomena as inpatient medical settings may be only potential opportunity for any psychiatric intervention. References: Chrystoja BR et al. Alcohol-Attributable Burden of Disease in the Americas in 2000 and 2016. J Stud Alcohol Drugs. 2022;83(1):45-54. Lacey KK et al. Substance Abuse Among Blacks Across the Diaspora. Subst Use Misuse. 2016;51(9):1147-1158. Groh CJ et al. The Aftermath of Suicide: A Qualitative Study With Guyanese Families. Arch Psychiatr Nurs. 2018;32(3):469-474. AU - Ng, C. K. AU - Jimenez, X. DB - Embase DO - 10.1016/j.jaclp.2022.10.048 KW - alcohol naltrexone abstinence adult alcohol consumption alcohol withdrawal syndrome awareness Black person case report case study clinical article conference abstract consultation depression disease burden divorced person drinking drug safety drug withdrawal female gesture grief Guyana Guyanese hospital patient hospitalization human immigrant insomnia liaison psychiatry male married person mental health mental health care mood motivation outpatient care psychiatry qualitative research seizure self care stigma strangulation substance abuse suicidal ideation tremor LA - English M3 - Conference Abstract N1 - L2021104063 2022-12-27 PY - 2022 SN - 2667-2960 SP - S134-S135 ST - (45) Barriers to Care in Guyanese Patients with Alcohol Withdrawal and Suicidal Ideation in the Medical Setting: A Case Series T2 - Journal of the Academy of Consultation-Liaison Psychiatry TI - (45) Barriers to Care in Guyanese Patients with Alcohol Withdrawal and Suicidal Ideation in the Medical Setting: A Case Series UR - https://www.embase.com/search/results?subaction=viewrecord&id=L2021104063&from=export http://dx.doi.org/10.1016/j.jaclp.2022.10.048 VL - 63 ID - 94101 ER - TY - JOUR AB - BACKGROUND CONTEXT: Optimal postoperative pain control is critical after spinal fusion surgery. Significant variability remains in the use of postoperative intravenous opioid patient-controlled analgesia (PCA) and very little data evaluating its utility compared to nurse-controlled analgesia (NCA) in lumbar fusion patients. PURPOSE: We performed a retrospective evaluation of posterior lumbar spinal fusion patients being treated postoperatively with patient-controlled analgesia (PCA) and compared their pain-related outcomes to nurse-controlled analgesia (NCA). PCA utilization was independently associated with increased opioid prescription in the postoperative period. After controlling for preoperative opioid use, we found that opioid naive patients have worse pain control with PCA than NCA, and patients with very high opioid consumption (>90 MME/day) had greater rates of opioid-related adverse events with PCA. STUDY DESIGN/SETTING: Retrospective clinical study, single institution. PATIENT SAMPLE: A retrospective review from a single institution was conducted in consecutive patients treated with posterior lumbar spinal fusion for degenerative pathology. Patients with scoliosis, traumatic, neoplastic, infectious and minimally invasive treatments were excluded. OUTCOME MEASURES: Postoperative numerical rating scale (NRS) pain scores, length of stay, and total opioid consumption were collected and compared. Opioid-related adverse events for each patient were also measured. METHODS: Patients were divided into two cohorts: those treated postoperatively with PCA or NCA. Outcome measures were compared for patients in groups. Patients were stratified according to preoperative opioid consumption as naïve, low (60 morphine milligram equivalents (MME) daily), high (61-90 MME) or very high (>90 MME) for analysis. RESULTS: A total of 240 patients were identified: 62 and 178 patients in PCA and NCA groups, respectively. PCA patients had higher mean preoperative opioid consumption compared to the NCA group (49.2 vs 24.3 MME, p=0.009). PCA patients had higher mean opioid consumption in first 72 hours in all preoperative opioid consumption categories. Pain control and adverse event rates were similar between PCA and traditional opioid therapy in the low to high preoperative opioid consumption groups (>0 to 90 MME daily). Opioid naive patients had worse mean and highest NRS pain scores in the first 72 hours (all p<0.05) despite higher opioid consumption. Patients with very high opioid consumption (>90 MME daily) had a greater rate of opioid-related adverse events (95% vs 70%, p<0.001). CONCLUSIONS: Postoperative PCA utilization is associated with significantly more opioid consumption and equal or worse postoperative pain scores compared to NCA after lumbar spinal fusion surgery. FDA DEVICE/DRUG STATUS: This abstract does not discuss or include any applicable devices or drugs. AU - Walker, C. AU - Patel, A. A. AU - Godzik, J. AU - Uribe, J. S. AU - Turner, J. D. DB - Embase DO - 10.1016/j.spinee.2019.05.103 IS - 9 KW - opiate adult adverse drug reaction clinical outcome cohort analysis conference abstract controlled study drug therapy female human length of stay major clinical study male minimally invasive procedure neoplasm numeric rating scale nurse opiate addiction patient controlled analgesia postoperative pain postoperative period preoperative evaluation prescription retrospective study scoliosis side effect spine fusion surgery LA - English M3 - Conference Abstract N1 - L2002164984 2019-08-27 PY - 2019 SN - 1878-1632 1529-9430 SP - S43-S44 ST - 90. Impact of patient-controlled analgesia on clinical outcomes after posterior lumbar spinal fusion surgery T2 - Spine Journal TI - 90. Impact of patient-controlled analgesia on clinical outcomes after posterior lumbar spinal fusion surgery UR - https://www.embase.com/search/results?subaction=viewrecord&id=L2002164984&from=export http://dx.doi.org/10.1016/j.spinee.2019.05.103 VL - 19 ID - 94644 ER - TY - JOUR AB - Background: Scurvy is a rare deficiency of vitamin C characterized by hematologic, musculoskeletal, and neuropsychiatric symptoms [1-2]. Children with autism spectrum disorder (ASD) are particularly vulnerable to this nutritional deficiency due to selective eating [2]. While there are reports of scurvy in patients with ASD, these are limited to a pediatrics population [3]. We present the case of an adult patient with presumptive diagnosis of ASD who presented with severe symptoms of scurvy secondary to highly restrictive eating habits that were exacerbated during the coronavirus disease 2019 (COVID-19) pandemic. Case Presentation: Patient is a 26-year-old male with unspecified depressive disorder and attention-deficit/hyperactivity disorder (ADHD) admitted with lower extremity weakness, perifollicular petechiae, and anemia concerning for scurvy. Psychiatry was consulted to evaluate for a contributing psychiatric condition after he reported eating exclusively “pizza bagels” for the preceding eight months. There were no signs or symptoms of acute depression, psychosis, or mania and no prior history of psychosis, intellectual impairment, or substance use. However, he met DSM-5 criteria for avoidant-restrictive food intake disorder (ARFID), and there was high suspicion of ASD. His presentation was not consistent with other eating disorders such as anorexia nervosa. Low blood ascorbic acid level was confirmed, and vitamin C was repleted, resulting in significant symptomatic improvement. He was discharged to a skilled nursing facility with recommendations for outpatient neuropsychiatric follow up. Discussion: The adult psychiatric literature on scurvy is focused on patients with psychotic disorders, classic eating disorders, or substance use disorders - known risk factors for vitamin C deficiency [1,4]. There is minimal literature on scurvy in adults with ARFID. However, pediatric cases have described scurvy as an initial presentation of ASD co-occurring with ARFID [3], the suspected diagnoses in this patient. Social isolation during the COVID-19 pandemic likely exacerbated this patient’s restrictive eating, making him more prone to severe malnutrition [2]. Conclusion: This report highlights the importance of keeping a broad differential that includes neurodevelopmental disorders when evaluating adults with avoidant or restrictive eating patterns. Though uncommon, scurvy may present in vulnerable populations such as those with psychiatric illness, particularly under the strains of the COVID-19 pandemic. References: 1. Wright AD, Stevens E, Ali M, Carroll DW, Brown TM. The neuropsychiatry of scurvy. Psychosomatics. 2014;55(2):179-185. 2. Seifer CM, Glaser A, Gesiotto Q, Waknin R, Oller KL. Petechiae, Purpura, and a Pandemic: A Recipe for Scurvy. Cureus. 2020;12(10):e10960. 3. Sharp WG, Berry RC, Burrell L, Scahill L, McElhanon BO. Scurvy as a Sequela of Avoidant-Restrictive Food Intake Disorder in Autism: A Systematic Review. J Dev Behav Pediatr. 2020;41(5):397-405. 4. Nousari Y, Wu BC, Tausk F. From the Caravels to the Wards: Scurvy and Schizophrenia. J Acad Consult Liaison Psychiatry. 2021;62(6):665-666. AU - Weiss, J. R. AU - Sreekumar, P. AU - Chandrasekhara, S. DB - Embase DO - 10.1016/j.jaclp.2022.10.114 KW - ascorbic acid adult anemia anorexia nervosa attention deficit hyperactivity disorder autism avoidant restrictive food intake disorder berry child complication conference abstract coronavirus disease 2019 depression drug dependence DSM-5 eating disorder eating habit follow up human human tissue intellectual impairment liaison psychiatry lower limb male malnutrition mania mental disease neuropsychiatry nursing home outpatient pandemic petechia psychiatry psychosis psychosomatics purpura risk factor schizophrenia scurvy social isolation substance use systematic review vulnerable population weakness LA - English M3 - Conference Abstract N1 - L2021104835 2022-12-27 PY - 2022 SN - 2667-2960 SP - S167-S168 ST - (111) Scurvy as a Manifestation of Avoidant-Restrictive Food Intake Disorder during the COVID-19 Pandemic: A Case Report T2 - Journal of the Academy of Consultation-Liaison Psychiatry TI - (111) Scurvy as a Manifestation of Avoidant-Restrictive Food Intake Disorder during the COVID-19 Pandemic: A Case Report UR - https://www.embase.com/search/results?subaction=viewrecord&id=L2021104835&from=export http://dx.doi.org/10.1016/j.jaclp.2022.10.114 VL - 63 ID - 94102 ER - TY - JOUR AB - Objective To investigate the knowledge about health education and self-management behavior in patients with early diabetic nephropathy, and provide reference for establishment of targeted health education and nursing plan. Methods A convenience sample of 118 patients with early diabetic nephropathy was enrolled. The general information, patients'knowledge about health education and their self-management behavior were assessed by self-made Knowledge Assessment Scale and the Summary of Diabetes Self-Care Activities Measure(SDSCA). Results The average score of lifestyle dimension of Knowledge Assessment Scale was (2. 58± 0. 59), and the lowest score was reported in diet sub-dimension(2. 29±0. 56), followed by exercise(2. 59±0. 69), stopping smoking(2. 96±0. 88), stopping alcohol(3. 17±0. 95)and bodyweight control (3. 33±0. 93). The average score of medication management dimension was (3. 11±0. 65), and average score of symptoms observation and nursing practice was(2. 55±0. 73) and(2. 55±0. 89), respectively. The average score of social-psychological nursing and follow-up management was(3. 28±0. 60)and(3. 28±0. 60), respectively. The score of each dimension of SDSCA was listed as follows: diet(3. 39±1. 30), exercise(4. 05±2. 85), blood sugar monitoring (1. 14±1. 82), medication adherence(4. 20±2. 30)and foot care(1. 87±2. 47). There were 39 (33. 05%)smokers who consumed averaged 19. 01 cigarettes per day. Conclusion Patients with early diabetic nephropathy had poor knowledge about health education, practically in knowledge about diet and exercise. Efforts should be made to enhance the health education on knowledge about prevention and treatment of early diabetic nephropathy. In addition, the poor self-management behavior among patients with early diabetic nephropathy may indicate poor diabetes selfmanagement as a negative influencing factor of progression of early diabetic nephropathy. 目的探讨早期糖尿病肾病患者健康教育知识水平及自我管理行为现状, 为 制定针对性的健康教育及护理方案提供依据。方法采用便利抽样方法对纳入某 三级甲等中医院符合纳入排除标准的118例早期糖尿病肾病患者实施调查, 调查内 容包括患者一般资料、自编的早期糖尿病肾病相关知识知晓情况调查表、糖尿病自 我管理活动问卷(SDSCA), 并对数据资料进行描述性统计分析。结果早期糖尿 病肾病患者健康教育知识水平调查结果显示, 生活方式平均得分(2. 58±0. 59)分, 其 中饮食(2. 29±0. 56)分、运动(2. 59±0. 69)分、戒烟(2. 96±0. 88)分、戒酒(3. 17± 0. 95)分、体质量控制(3. 33±0. 93)分;用药管理平均得分(3. 11±0. 65)分, 症状观察 (2. 55±0. 73)分, 护理操作技巧(2. 55±0. 89)分;社会心理护理(3. 28±0. 60)分, 复诊 管理(3. 24±0. 96)分;SDSCA 量表的各维度中得分为饮食(3. 39±1. 30)分、运动 (4. 05±2. 85)分、血糖监测(1. 14±1. 82)分、遵医用药(4. 20±2. 30)分和足部护理 (1. 87±2. 47)分。39(33. 05%)人吸烟, 平均每日吸烟19. 01支。结论早期糖尿病 患者的健康教育知识水平知晓情况较差, 尤其是生活方式中的饮食及运动方面, 早期糖尿病肾病防治的相关 知识的宣传教育和科普亟待加强;此外, 早期糖尿病肾病患者的自我管理行为也较差, 可能进一步验证了不良 的糖尿病自我管理是早期糖尿病肾病疾病进展的重要因素。. AD - 浙江省宁波市中医院护理部, 浙江宁波, 315010 浙江省宁波市中医院内分泌科, 浙江宁波, 315010 浙江省宁波市中医院肾病中心, 浙江宁波, 315010 AN - 160346356. Language: Chinese. Entry Date: 20221129. Revision Date: 20221214. Publication Type: Article AU - 陈芙蓉 AU - 周建平 AU - 毛丹旦 AU - 薄静 AU - 庄姬 DB - cin20 DO - 10.55111/j.issn2709-1961.202207006 DP - EBSCOhost IS - 10 KW - Health Education Health Knowledge Self-Management Diabetic Nephropathies Health Behavior Surveys Convenience Sample Scales Clinical Assessment Tools Life Style Exercise Smoking Cessation Alcohol Abuse -- Prevention and Control Weight Control Medication Management Nursing Practice Diet Blood Glucose Monitoring Medication Compliance Foot Care Patient Education Disease Progression Human N1 - research; tables/charts. Instrumentation: Diabetes Self-Care Activities measure; Knowledge Assessment Scale. PY - 2022 SN - 2709-1961 SP - 24-29 ST - 118 例早期糖尿病肾病患者健康教育知识水平及 自我管理行为现状调查 T2 - Chinese Journal of Integrative Nursing TI - 118 例早期糖尿病肾病患者健康教育知识水平及 自我管理行为现状调查 UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=160346356&site=ehost-live&scope=site VL - 8 ID - 86782 ER - TY - JOUR AB - Study Objectives: Emergency department (ED) visits for opioid use disorders (OUD) have seen a four- to ten- fold increase in the last five years across Canada. In comparison, there has been a 30% increase of OUD-related ED visits in the United States from 2016 to 2017, with limited access to treatment. There is a growing body of evidence for improving ED-based symptomatic treatment of acute opioid withdrawal, medication-assisted treatment of OUD on discharge from the ED, and the transition to outpatient services. This cross-sectional study aims to understand current management of OUD across Canadian EDs, establish a baseline understanding of OUD amongst emergency physicians, complete a needs-assessment of EDs to increase utilization of best practice guidelines, and optimize the OUD response in EDs. Methods: We completed a cross-sectional study of emergency physicians across Canada using a self-administered 16-question survey circulated through SurveyMonkey via the Canadian Association for Emergency Physicians (CAEP) survey deployment service. We used a modified Dillman methodology to develop the survey tool consisting of multiple choice, likert-scale, and open-ended questions. Descriptive statistics were used to calculate rates and averages. Results: Surveys were fully completed by 179 physicians, or 9.7% of eligible CAEP members. Approximately half of respondents (45%) worked in community settings and half (55%) in academic settings. Most were attending physicians (83%) working in high volume EDs (81%). The majority saw patients presenting with OUD at least 1-5 times a week (43%) or more than 6 times per week (32%). Over half (54.6%) of the participants felt dissatisfied with the care their patients receive for OUDs in the ED. The most commonly reported interventions for patients with OUD included: provision of a take-home naloxone (54.1%), referral to a methadone/buprenorphine clinic (60.7%), referral to an addiction clinic (73.2%), and/or instructions to see their family physician (74.3%). Most physicians never or rarely provided buprenorphine in the ED (74%) or via outpatient script (78%). Most (89%) never or rarely provided a prescription for other medications to prevent withdrawal symptoms. Physicians identified pre-printed order sets (91%), phone (92%) or on-site (88%) access to addiction specialists, on-site case managers (93%), and rapid access to addictions clinics (73%) as useful supports. Respondents identified written protocols as the most useful educational tool, followed by in-person presentations (75%) and brief online learning modules (75%). Conclusion: Clinical guidelines now strongly recommend buprenorphine as first line treatment for OUD, and ED-initiated and ED-prescribed buprenorphine have been found to be both feasible and effective. However, buprenorphine for OUD is currently underutilized in Canadian EDs, and only half of physicians surveyed routinely offer take-home naloxone. The reasons for this are likely multifactorial and systemic, and naloxone and buprenorphine may not always be available in EDs. Uptake of evidence-based recommendations may work to improve ED provider satisfaction in caring for patients with OUD. We will seek options to rapidly disseminate the simple interventions identified in this study, including pre-printed order sets and protocols. AU - Hoyeck, P. AU - Wiercigroch, D. AU - Clarke, C. AU - Sheikh, H. AU - Hulme, J. DB - Embase DO - 10.1016/j.annemergmed.2019.08.124 IS - 4 KW - buprenorphine methadone naloxone opiate adult Canada care behavior case manager conference abstract controlled study cross-sectional study drug therapy drug withdrawal emergency physician emergency ward female general practitioner human learning Likert scale male needs assessment outpatient patient referral practice guideline prescription prevention satisfaction withdrawal syndrome LA - English M3 - Conference Abstract N1 - L2003124921 2019-10-07 PY - 2019 SN - 1097-6760 0196-0644 SP - S48-S49 ST - 119 Opioid Use Disorder Management in Canadian Emergency Departments: A Cross-Sectional Survey T2 - Annals of Emergency Medicine TI - 119 Opioid Use Disorder Management in Canadian Emergency Departments: A Cross-Sectional Survey UR - https://www.embase.com/search/results?subaction=viewrecord&id=L2003124921&from=export http://dx.doi.org/10.1016/j.annemergmed.2019.08.124 VL - 74 ID - 94636 ER - TY - JOUR AB - Study Objectives: To establish perceived preparedness of multidisciplinary emergency department (ED) staff in handling workplace violence incidents within a regional health system. Methods: Anonymous survey study of all multidisciplinary ED staff at twenty Midwestern EDs encompassing a large health system between 11/18/2020 and 12/31/2020. Cohort included clinicians, nursing staff, Care Team Assistants, ancillary testing services, registration/finance staff, paramedics/emergency medical technicians, social workers, respiratory therapy, environmental services staff, management, and security officers. Preparedness to handle verbal abuse and physical assault was solicited, as well as perceived factors that lead to workplace violence in the ED. Chi-squared and Fisher’s exact tests were used to analyze the results. This study was deemed exempt by Mayo Clinic Institutional Review Board. Results: A total of 833 respondents completed the survey with 598 (71.6%) indicating some form of violence experienced in the preceding 6 months. Five-hundred and ninety-four (71.1%) respondents indicated experiencing verbal abuse and 258 (30.9%) indicated experiencing some form of physical assault. Respondents indicated how prepared they felt to handle verbal abuse in the ED with 19.2% indicating feeling extremely prepared, 39.5% very prepared, 26.8% moderately prepared, 11.3% slightly prepared, and 3.2% not prepared. Males indicated feeling more prepared to handle verbal abuse compared to females (p <.001), as did those with more years of experience (p = 0.026) and those working in the positions of social work and security (p < 0.001). Respondents indicated how prepared they felt to handle physical assault in the ED with 11.5% indicating feeling extremely prepared, 22.7% very prepared, 33.0% moderately prepared, 20.0% slightly prepared, and 12.9% not prepared. Males indicated feeling more prepared to handle physical assault compared to females (p <.001), as did those with more years of experience (p = 0.010) and those working in security (p < 0.001). Respondents were asked to indicate what they thought were the top factors that lead to workplace violence in the ED with responses including influence of alcohol (73.1%), significant mental illness (72.9%), influence of illicit drugs (70.2%), history of violence (57.1%), drug-seeking behavior (54.6%), prolonged wait times (36.5%), and crowding/high patient volumes (24.2%). Conclusion: Our findings indicate poor preparedness overall among multidisciplinary ED staff in their self- reported ability of handling workplace violence, with female staff members feeling less prepared than their male colleagues and those with fewer years of experience feeling less prepared than more seasoned staff. As EDs seek to improve the safety of their staff, it is essential that they consider staff comfort level with handling difficult violent encounters. Future efforts to educate staff may benefit from involvement of social workers and security personnel as educators, based on their personal experiences and self-reported preparedness in handling these difficult situations. AU - McGuire, S. AU - Finley, J. AU - Gazley, B. AU - Mullan, A. AU - Clements, C. DB - Embase DO - 10.1016/j.annemergmed.2021.09.141 IS - 4 KW - alcohol illicit drug adult assault comfort conference abstract controlled study crowding (area) drug seeking behavior emergency ward female finance human institutional review major clinical study male mental disease nursing staff patient volume perception personal experience personnel management rescue personnel respiratory care security personnel social work social worker verbal hostility violence workplace violence LA - English M3 - Conference Abstract N1 - L2015225901 2022-03-16 PY - 2021 SN - 1097-6760 0196-0644 SP - S53 ST - 131 Staff Perception of Preparedness to Handle Workplace Violence in Emergency Departments Across a Health System T2 - Annals of Emergency Medicine TI - 131 Staff Perception of Preparedness to Handle Workplace Violence in Emergency Departments Across a Health System UR - https://www.embase.com/search/results?subaction=viewrecord&id=L2015225901&from=export http://dx.doi.org/10.1016/j.annemergmed.2021.09.141 VL - 78 ID - 94325 ER - TY - JOUR AB - Background/Significance: Internationally, women in areas with limited health access are at higher risk for postpartum depression and anxiety in comparison to urban cities, stemming from disparities in access to care (Mollard, 2015). Emerging data shows telepsychiatry consultations to rural obstetrical units can help bridge this gap in areas without access to perinatal psychiatry resources (Gopalan, 2021). Consolidated health systems allow for innovative models of care that bring highly subspecialized care from large academic centers to geographically distanced locations. Our institution is implementing a telepsychiatry perinatal consultative service to a women’s hospital 125 miles from our academic center with approximately 2000 deliveries per year. We aim to obtain stakeholder input prior to initiation of this service. Methods: We performed a needs assessment of local stakeholders to obtain input prior to implementation of a perinatal telepsychiatry consultation-liaison service. An anonymous, electronic survey was sent to assess comfort, knowledge, and attitudes towards patients with psychiatric illness. This project was approved by the University of Pittsburgh Quality Improvement Review Committee. Results: 31 responses were recorded (80.1% nurses; 16.1% nurse practitioners/physician assistants; 3.2% physicians). Respondents indicated that the following areas were most relevant to their patients: depression (n=29), anxiety (n=29), opioid use (n=26), trauma (n=20), other substances (n=19), and perinatal loss (n=18). 25.8% felt uncomfortable taking care of patients with mental health concerns. 22.2% of those who prescribe medications indicated comfort in starting an SSRI for perinatal patients; 25% felt comfortable managing medication for opioid use disorder. Respondents demonstrated knowledge deficits for perinatal psychiatry (e.g., 6.4% responded correctly that psychiatric conditions are the most common complication of delivery). 51.7% indicated that patients with mental health issues are harder to care for than those without. The majority thought their patients would benefit from access to telepsychiatry services (90.3%) and would welcome access to telepsychiatry services (93.5%). Discussion: Staff indicated that mental health and substance use conditions were relevant to their practice. Identified low comfort in perinatal mental health suggests a need for education on perinatal psychiatric conditions. Results of this survey will be presented alongside administrative processes in clinical service development. Conclusion/Implications: Our stakeholder survey suggests a need for telemedicine perinatal psychiatry consultation services at a high volume remote women’s hospital within our large, consolidated health system. Targeted educational interventions for staff will be developed alongside clinical service development. References: Mollard E, Hudson DB, Ford A, Pullen C. An Integrative Review of Postpartum Depression in Rural U.S. Communities. Arch Psychiatr Nurs. 2016 Jun;30(3):418-24. Epub 2015 Dec 17. PMID: 27256951. Gopalan P, Auster L, Brockman I, Shenai N. Consultation-Liaison Telepsychiatry on an Inpatient Obstetrical Labor and Delivery Unit. J Acad Consult Liaison Psychiatry. 2021 Nov-Dec;62(6):577-581. Epub 2021 Apr 20. PMID: 33972195. AU - Spada, M. AU - Shenai, N. AU - Zyczynski, M. M. AU - Mack, E. N. AU - Kullen, L. N. AU - Gopalan, P. DB - Embase DO - 10.1016/j.jaclp.2022.10.205 KW - endogenous compound opiate protein c jun serotonin uptake inhibitor adult anxiety comfort complication conference abstract consultation controlled study depression drug therapy education female hospital patient human injury labor liaison psychiatry major clinical study mental disease mental health needs assessment nurse nurse practitioner obstetric delivery physician physician assistant postnatal depression psychiatry substance use telemedicine telepsychiatry total quality management LA - English M3 - Conference Abstract N1 - L2021102965 2022-12-27 PY - 2022 SN - 2667-2960 SP - S211-S212 ST - (203) Stakeholder Assessment for a Remote Perinatal Telepsychiatry Service T2 - Journal of the Academy of Consultation-Liaison Psychiatry TI - (203) Stakeholder Assessment for a Remote Perinatal Telepsychiatry Service UR - https://www.embase.com/search/results?subaction=viewrecord&id=L2021102965&from=export http://dx.doi.org/10.1016/j.jaclp.2022.10.205 VL - 63 ID - 94099 ER - TY - JOUR AB - Purpose: To understand adolescents’ perceptions of prescription opioid medication misuse and preferences for education. Methods: The study team developed an online survey to characterize high school students’ attitudes and knowledge about misuse of prescription opioids, safe handling, storage, information seeking behaviors, and their preferences for education about medication safety practices. Survey questions also included demographic information and zip codes. Students in grades 9-12 in three Wisconsin high schools were recruited to participate in this study. The online survey was developed and administered through REDCap. Students received a link to complete the online survey from their high school administrators or a member of the research team. Data were analyzed using R and Stata statistical software. Survey responses focused on were related to prescription opioid medications misuse and education sources. Demographics and survey responses were compared across separate strata of grade, gender, and race/ethnicity. Kruskal-Wallis test was used to compare continuous items across strata. Fisher’s Exact test was used for categorical or binary items. Statistical significant was assessed at α=0.05. Results: About 190 students (53% female, 53% White, 32% Hispanic) completed the survey. Majority of students (84%) correctly identified misuse as using someone else’s prescription to get an opioid medication, using someone else’s prescribed opioid medication, and using higher dosages or using the medication more frequently than prescribed. Conversely, 33% of students perceived that using an opioid prescription after it expired was not considered misuse. Additionally, 14% of students perceived returning an unused opioid medication to the pharmacy as misuse. Most students identified that prescription opioid misuse does “quite a bit” or a “great deal” of harm to one’s physical health, mental health, ability to perform successful in school, and family, friend, and peer relationships. However, about 20% of students stated that they would consider using a friend’s prescription opioid for relief or consider offering their prescription opioids to a friend for relief. Student’s residence was associated with perceptions of opioid harm, individuals living in zip codes of small town perceiving the highest harm. When asked about what sources’ students have used to find information about prescription opioids, student indicated they had used Google or other search engines (68%), newspapers (19%), and online videos (43%). Several students stated that they would seek information about prescription opioids from their parents (57%) and by talking to their doctors or nurses (55%). However, 65% of students had never learned how to dispose of prescription opioids and 70% of students had never learned how to safely store prescription opioids. Students identified their prefer method for receiving opioid safety education which included instructor led lectures (40%), educational websites (34%), online videos (32%), written information sheets (20%), and educational games (18%). Conclusions: Many students understand that opioid misuse consists of sharing medications or using more than prescribed but would consider using a friend’s prescription for pain relief. Students are unaware about safe storage and disposal of prescription opioids, seek information from online sources and prefer a variety of approaches for education such as lectures, websites, videos and games. Sources of Support: University of Wisconsin-Madison AU - Abraham, O. DB - Embase DO - 10.1016/j.jadohealth.2019.11.262 IS - 2 KW - opiate administrative personnel adolescent analgesia awareness conference abstract controlled study doctor nurse relation drug megadose drug safety drug therapy ethnicity female friend gender high school student Hispanic human human experiment information seeking Kruskal Wallis test major clinical study male mental health peer group perception pharmacokinetics prescription drug misuse race search engine software videorecording Wisconsin LA - English M3 - Conference Abstract N1 - L2004571395 2020-01-14 PY - 2020 SN - 1879-1972 1054-139X SP - S131 ST - 259. Adolescents’ Awareness About Prescription Opioid Misuse and Preferences for Educational Interventions T2 - Journal of Adolescent Health TI - 259. Adolescents’ Awareness About Prescription Opioid Misuse and Preferences for Educational Interventions UR - https://www.embase.com/search/results?subaction=viewrecord&id=L2004571395&from=export http://dx.doi.org/10.1016/j.jadohealth.2019.11.262 VL - 66 ID - 94578 ER - TY - JOUR AB - Objective: Although alcohol and cigarette use by pregnant women have decreased, studies suggest marijuana and opioid use have increased. In the US, opioid prescriptions and use have increased in general. This study aims to assess pregnant women’s perspectives of opioid use. Study Design: We applied a cross-sectional survey design to pregnant women who received prenatal care at Geisinger. We excluded those with limited English-speaking proficiency. A clinic staff member approached patients during their prenatal visits and provided the study information flyer and survey. After completion, the patient sealed her completed survey in an envelope and returned it to the staff member. Results: Two-hundred and eighty-four surveys were collected. Ethnic background: white 87%, black 5%. Relationship status: Married or living with partner 88%. Health insurance: private 61%, Medicaid 32%, no insurance 4%. Prenatal care provider: physician 47%, certified nurse midwife 14%, nurse practitioner or physician assistant 34%. Sixty percent of women in the study believe doctors prescribe opioids too often, 76% believe opioid addiction has hurt their community, 32% believe opioid use has affected them or their family, and 48% believe opioids are easy to obtain in their community. Forty seven percent patients believe there are community resources to help people with opioid addiction. Thirteen percent of patients reported they felt pain most days and 18% reported receiving pain medications during this pregnancy; 80% believe it is very important to receive advice from a medical provider regarding safe use of pain medication during pregnancy. Conclusion: Most pregnant women in this study agreed that opioid addiction is a major concern and has a negative impact on their community and is too easily accessible. Patients believe medical providers are prescribing opioids too often, but value their advice on pain medication. Physicians should adhere to current guidelines regarding prescription of opioids during pregnancy. In cases of acute or chronic pain during pregnancy, the risks of such medications should be reviewed with the patient. AU - Satti, M. A. AU - Mackeen, A. D. AU - Reed, E. G. AU - Wenker, E. S. AU - Schulkin, J. AU - Power, M. L. DB - Embase DO - 10.1016/j.ajog.2019.11.503 IS - 1 KW - opiate adult alcohol consumption chronic pain conference abstract disease course drug therapy female health insurance human major clinical study male married person medicaid nurse midwife nurse practitioner opiate addiction physician assistant practice guideline pregnancy pregnant woman prenatal care prescription speech LA - English M3 - Conference Abstract N1 - L2004455561 2020-01-03 PY - 2020 SN - 1097-6868 0002-9378 SP - S319 ST - 487: Pregnant women's knowledge and attitudes about opioid use T2 - American Journal of Obstetrics and Gynecology TI - 487: Pregnant women's knowledge and attitudes about opioid use UR - https://www.embase.com/search/results?subaction=viewrecord&id=L2004455561&from=export http://dx.doi.org/10.1016/j.ajog.2019.11.503 VL - 222 ID - 94587 ER - TY - JOUR AB - Patients seen in hepatology clinics require alcohol use disorder (AUD) screening. While this is usually performed by direct questioning, a structured approach using AUDIT-10 (>8= problem drinking) is recommended to identify subjects at risk. We first collected data retrospectively regarding AUD detection and aimed to train the providers and follow the data prospectively to check for improvement in AUD detection & subsequent interventions in VA transplant center. Methods: Retrospective: Individual encounters in hepatology clinics over the last 1 year were evaluated by 2 independent reviewers in 2 cohorts (Cohort 1: 6mth-1 yr prior to training & cohort 2: 6 mths-time of training). Clinic encounters were evaluated for (1) whether alcohol use was asked about (2) if yes, was it followed by AUDIT-10 questioning and (3) if problem drinking detected, was intervention suggested. Questionnaire and personal training: Individual GI providers were asked about AUD and training was provided regarding alcohol and follow up with AUDIT-10 and referral as necessary. AUDIT-10 templates in the EMR were created and demonstrated. Prospective study: Similar data as the retrospective study were collected for 6 months after the training. Changes in (a) inquiry about alcohol use (b) AUDIT-10 provision (c) alcohol-related counselling and (d) alcohol-related interventions between retrospective & prospective studies were compared. Results: Training details: 17 providers (3 Nurse practitioners, 9 Fellows and 5 GI Attendings, age 41±6 yrs) underwent training. Most trainees had passing/no familiarity with AUD DSM-V criteria, were largely unfamiliar with AUDIT-10 & most did not consult with mental health for AUD. Patient comparisons: 239 patients were in retrospective cohort 1 (95% men), 139 in cohort 2 (96% men) &125 (95% men) were in the prospective group. Groups were similar with respect to age, advanced fibrosis, alcohol etiology &active alcohol use but prospective patients had lower HCV. Alcohol-related activities (Table): A significantly higher proportion in the prospective group received counselling regardless of their current alcohol use. In those who admitted to active drinking, further inquiry via AUDIT-10 was higher in prospective group, which also resulted in higher intervention rates compared to both retrospective groups. Missed opportunities were lower in prospectively enrolled patients. No differences were seen between the 2 retrospective cohorts. Conclusions: Specific training and education about AUD to providers in a VA transplant center greatly improves rates of screening for and action taken as a result of detection of AUD and problem drinking. The familiarity of GI fellows with AUD-related instruments can be improved with training and placing AUDIT-10 in the EMR, which results in greater AUD screening and intervention rates over time. AU - Saraireh, H. AU - Redman, J. AU - Mangray, S. AU - Gilles, H. AU - Patel, S. S. AU - Davis, B. AU - Puri, P. AU - Fuchs, M. AU - Morris, A. AU - Malpaya, Z. AU - Wade, J. AU - Bajaj, J. S. DB - Embase DO - 10.1016/S0016-5085(20)33902-0 IS - 6 KW - alcohol adult alcoholism cohort analysis conference abstract controlled study counseling DSM-5 education female fibrosis follow up heavy drinking human major clinical study male mental health nurse practitioner patient referral prospective study questionnaire retrospective study LA - English M3 - Conference Abstract N1 - L2005913851 2020-06-02 PY - 2020 SN - 1528-0012 0016-5085 SP - S-1296 ST - 916 MULTI-MODAL TRAINING OF SPECIALTY CLINICAL TRAINEES SIGNIFICANTLY IMPROVES THE DETECTION AND RESULTANT INTERVENTIONS FOR ALCOHOL USE DISORDER T2 - Gastroenterology TI - 916 MULTI-MODAL TRAINING OF SPECIALTY CLINICAL TRAINEES SIGNIFICANTLY IMPROVES THE DETECTION AND RESULTANT INTERVENTIONS FOR ALCOHOL USE DISORDER UR - https://www.embase.com/search/results?subaction=viewrecord&id=L2005913851&from=export http://dx.doi.org/10.1016/S0016-5085(20)33902-0 VL - 158 ID - 94542 ER - TY - JOUR AB - Objective: Opioids are associated with side effects and concerns about persistent use after Cesarean Delivery (CD). To try to reduce in-hospital opioid use after CD, we updated our order-set to allow for patient-centered “split doses” of oral oxycodone, i.e. administering half the dose initially, and remainder of the dose 1 hour later only if required. The aim of study was to determine if split dosing led to reduced opioid use and related side effects without worsening post- CD pain. Study Design: An IRB exemption was granted for this impact study. Electronic medical record data were obtained for 5 months before and 5 months after we implemented a new order-set for CD performed with neuraxial anesthesia. Our post- CD analgesia protocol includes neuraxial morphine (intrathecal 150 mcg or epidural 3 mg), and scheduled acetaminophen 650 mg and ibuprofen 600 mg PO every 6 hours. Oxycodone orders changed from 5 mg for verbal pain score (VPS 0-10) 1-4 and 10 mg for VPS 5-10 PO every 4 hours as needed to 2.5 mg for VPS 1-4 or 5 mg for VPS 5- 10 every 4 hours as needed, with a nursing check 1 hour later to assess if the remainder of the dose (i.e. another 2.5 mg or 5 mg respectively) was desired by the patient. The same total 4 hourly dose, i.e. 5 or 10 mg, based on VPS, was unchanged with the new order-set. The primary outcome was opioid use in the first 48 hours. Secondary outcomes included peak and average VPS in first 48 hours, and incidence and treatment of postoperative nausea/vomiting (PONV) and pruritis. Results: A total of 1050 women were evaluated (542 before and 508 after the order-set change). There was significantly reduced opioid use in the first 48 hours (median [IQR], Before = 10.0 [1.3-25.0] mg vs. After = 4.4 [0-12.5] mg; P < 0.001) (Fig 1). There was a statistically significant but trivial increase in average VPS (mean ± SD, Before = 1.8 ± 1.0 vs. After = 2.0 ± 1.3; P = 0.01), and no difference in peak VPS. There was a significant reduction in the percentage of patients who reported and were treated for PONV (Fig 2). Conclusion: This study of over 1000 patients found that splitting doses of oxycodone and allowing the patient to receive the remainder of the dose 1 hour later reduced 48-hour opioid use by over 50% after CD. This simple, patient-centered, opioid-reduction strategy did not compromise pain relief and should be further investigated and adopted in obstetric practices to reduce postpartum opioid consumption. [Figure presented] [Figure presented] AU - Nanji, J. A. AU - Guo, N. AU - Riley, E. T. AU - Carvalho, B. DB - Embase DO - 10.1016/j.ajog.2018.11.991 IS - 1 KW - ibuprofen morphine opiate oxycodone paracetamol adult adverse drug reaction analgesia anesthesia cesarean section conference abstract controlled study drug combination drug therapy electronic medical record female human incidence labor pain major clinical study nursing opiate addiction outcome assessment postoperative nausea and vomiting pruritus side effect LA - English M3 - Conference Abstract N1 - L2001405768 2018-12-31 PY - 2019 SN - 1097-6868 0002-9378 SP - S622-S623 ST - 967: Impact of a post-cesarean analgesia order-set with split doses of oral opioids T2 - American Journal of Obstetrics and Gynecology TI - 967: Impact of a post-cesarean analgesia order-set with split doses of oral opioids UR - https://www.embase.com/search/results?subaction=viewrecord&id=L2001405768&from=export http://dx.doi.org/10.1016/j.ajog.2018.11.991 VL - 220 ID - 94736 ER - TY - JOUR AB - Objective: Pregnant women with substance use disorder (SUD) are vulnerable to stigmatization in the healthcare system, leading to delayed care and worse outcomes. We examined hospital staff attitudes towards SUD by whether they worked with perinatal women, infants, or both. Study Design: The Collaborative Values Inventory from the National Center on Substance Abuse and Child Welfare was distributed to inpatient and outpatient providers and staff at a tertiary care center for women and infants from July-Sept 2018. Self-reported interaction with perinatal or newborn patients was a criterion for participation. The 57-item survey addressed drug testing, parenting, child removal/reunification, treatment/relapse, and SUD as a disease. Staff were classified based on their self-reported area of work: 1) Pregnant [Antepartum, Labor, Maternity Evaluation, or outpatient units] 2) Infants [Neonatal Intensive Care Unit, Continuing Care Nursery] or 3) Both [Mother Baby or multiple units]. Groups were compared using chi square tests or analysis of variance (ANOVA) as appropriate. Results: Of 942 staff, 243 (26%) responded. Those working with infants were more likely to be white and have more years of experience than those working with perinatal women. The majority of respondents, regardless of area, endorsed universal drug screening of pregnant women and infants. However, those interacting with pregnant patients were significantly less likely to support universal drug testing. While a majority of respondents agreed that SUD is a disease and pharmacotherapy should be available to pregnant women, staff working with infants were more likely to view pharmacotherapy as substituting one drug for another and to believe some parents will never succeed in treatment. Conclusion: Although the majority of respondents recognized SUD as a disease, responses highlight discrepancies in perception of the need for pharmacotherapy and indications for drug testing. Educational efforts should be targeted based on providers’ area of work in order to decrease stigma associated with SUD and treatment for perinatal women and their infants. [Formula presented] [Formula presented] AU - Williams, M. A. AU - Muir, S. AU - Padalino, L. AU - Casey, B. M. AU - Perez, W. M. AU - Mazzoni, S. AU - Harper, L. M. DB - Embase DO - 10.1016/j.ajog.2019.11.1229 IS - 1 KW - adult analysis of variance child child abuse child parent relation child welfare conference abstract controlled study drug dependence drug screening female hospital patient hospital personnel human infant neonatal intensive care unit newborn nursery outpatient department perception pregnancy pregnant woman relapse stigma substance abuse tertiary care center LA - English M3 - Conference Abstract N1 - L2004455283 2020-01-03 PY - 2020 SN - 1097-6868 0002-9378 SP - S748-S749 ST - 1217: Attitudes towards substance use disorder in pregnancy differs whether providers work with women or infants T2 - American Journal of Obstetrics and Gynecology TI - 1217: Attitudes towards substance use disorder in pregnancy differs whether providers work with women or infants UR - https://www.embase.com/search/results?subaction=viewrecord&id=L2004455283&from=export http://dx.doi.org/10.1016/j.ajog.2019.11.1229 VL - 222 ID - 94586 ER - TY - JOUR AN - 105496446. Language: English. Entry Date: 20090807. Revision Date: 20150711. Publication Type: Journal Article DB - cin20 DP - EBSCOhost IS - 4 KW - Access to Information Administration, Inhalation Adolescence Adolescent Mothers Aged Anemia, Sickle Cell -- Physiopathology Anger Asians -- United States Biological Markers Black Persons Cardiovascular Nursing Caregiver Burden Child Abuse -- Complications Clinical Indicators Collaboration Community Living -- In Old Age Cultural Sensitivity Cultural Values Decision Making, Patient Demography Depression Depression -- In Adolescence -- Thailand Depression -- Risk Factors -- In Adolescence Depression -- Symptoms Diabetes Mellitus Diabetes Mellitus -- Risk Factors Diabetes Mellitus, Type 2 Diabetes Mellitus, Type 2 -- Symptoms Diabetes Mellitus, Type 2 -- Therapy Education, Non-Traditional Enterocolitis, Necrotizing -- Psychosocial Factors Faculty Attitudes Faculty-Student Relations Female Grandparents Health Beliefs Health Knowledge Health Promotion Health Services Accessibility Health Status Heart Catheterization Heart Failure -- Diet Therapy -- Kentucky Heart Failure -- Psychosocial Factors Hispanic Americans HIV Infections -- Ethnology Hypertension -- Risk Factors Hypertension -- Therapy Immigrants -- United States Infant, Newborn Infant, Premature Infection Information Needs Information Technology Instrument Validation Interprofessional Relations Kentucky Life Experiences Life Style Lung Diseases, Obstructive -- Taiwan Male Metabolic Syndrome X -- Therapy Military Personnel Mother-Infant Relations Mothers Myocardial Infarction -- Complications -- In Old Age Native Americans NCLEX Examination Nurse Attitudes Nurse Managers Nursing Knowledge Outcomes of Education Parenting Patient Attitudes Patient Safety Pedometers Pet Therapy Phenomenological Research Physical Activity -- In Old Age Physicians Postnatal Period Postoperative Care Psychometrics Quality of Health Care Quality of Life Race Factors Rape -- Complications Religion and Religions Risk Taking Behavior Self Report Self-Efficacy Sepsis -- Drug Therapy Sepsis -- Physiopathology Sepsis -- Risk Factors Sex Education Sex Factors Sexuality -- In Adolescence Sexually Transmitted Diseases -- In Adolescence Smoking Socioeconomic Factors Sodium Spirituality Spouses Stress, Psychological Students, Nursing Substance Abuse -- In Adolescence Support, Psychosocial Taiwan Thailand Transcultural Care Treatment Outcomes United States Weight Loss Weight-Bearing White Persons Women's Health N1 - abstract. Journal Subset: Blind Peer Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 101135885. PY - 2008 SN - 1538-0696 SP - 3-3 ST - 2008 SNRS abstracts -- C T2 - Southern Online Journal of Nursing Research TI - 2008 SNRS abstracts -- C UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=105496446&site=ehost-live&scope=site VL - 8 ID - 89169 ER - TY - JOUR AN - 105496451. Language: English. Entry Date: 20090807. Revision Date: 20150711. Publication Type: Journal Article DB - cin20 DP - EBSCOhost IS - 4 KW - Adolescence Aged Asians Attitude to Change -- In Old Age Black Persons Breast Neoplasms Burnout, Professional -- Honduras Burnout, Professional -- Southeastern United States Burns -- In Infancy and Childhood Cancer Survivors Caregivers Case Management Chemotherapy, Cancer Child Communication Barriers Community Health Nursing Community Health Services Depression Education, Non-Traditional Emergency Care Empowerment Fatigue Female Fractures -- Complications Glucose Tolerance Test Grandchildren Grandparents Health Knowledge Health Services Accessibility Health Status Heart Failure Heart Rate Variability Cardiac Surgery Help Seeking Behavior Hispanic Americans HIV Infections Home Health Care Honduras Inflammation Injuries, Self-Inflicted -- In Adolescence Job Experience Job Satisfaction Kentucky Life Experiences Male Memory Muscular Dystrophy Myocardial Infarction -- Complications Myocardial Infarction -- Symptoms Nurse Attitudes Nursing Practice -- Trends Nursing Practice, Evidence-Based Optimism Pain -- Drug Therapy Patient Attitudes Pedometers Physical Activity Postnatal Period Postoperative Pain Practical Nurses Public Policy -- Kentucky Quality of Health Care Quality of Life Registered Nurses Risk Assessment Self Report Sexuality Siblings Smoking -- Legislation and Jurisprudence -- Kentucky Southeastern United States Staff Nurses Stress, Psychological Stroke Students, Nursing, Baccalaureate Support, Psychosocial Terminal Care -- In Infancy and Childhood Tumor Necrosis Factor Veterans Vulvar Neoplasms White Persons Women's Health Work Environment N1 - abstract. Journal Subset: Blind Peer Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 101135885. PY - 2008 SN - 1538-0696 SP - 8-8 ST - 2008 SNRS abstracts -- L T2 - Southern Online Journal of Nursing Research TI - 2008 SNRS abstracts -- L UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=105496451&site=ehost-live&scope=site VL - 8 ID - 89170 ER - TY - JOUR AN - 105496452. Language: English. Entry Date: 20090807. Revision Date: 20150711. Publication Type: Journal Article DB - cin20 DP - EBSCOhost IS - 4 KW - Administration, Intravenous Adolescence Adolescent Behavior -- Thailand Aerobic Exercises Aged Anxiety -- Complications Autonomy Breast Neoplasms C-Reactive Protein Cancer Pain Cancer Patients Cancer Survivors Cesarean Section Child Child Abuse Childbirth -- Psychosocial Factors Chronic Pain -- Therapy Cognitive Therapy Coping Coronary Disease -- Mortality Coronary Disease -- Symptoms Critical Care Nursing Decision Making, Clinical Decision Making, Patient Dementia Depression Diabetes Mellitus -- Drug Therapy -- In Adolescence Diabetic Foot Diet -- In Adolescence Elder Abuse Exercise -- In Adolescence Family Family History Fathers Female Fibromyalgia -- Symptoms Fibromyalgia -- Therapy Food Intake -- In Pregnancy Genetic Screening Grandchildren Grandparents Hardiness Health Knowledge Health Knowledge -- Evaluation Health Services Accessibility Health Status Health Status -- In Old Age Heart Failure Hemodialysis Hispanic Americans Holistic Care Home Health Care Human Rights Infant Feeding Infant, Newborn Infant, Premature Infection -- Diagnosis -- In Infancy and Childhood Injections, Intramuscular Medication Errors -- Prevention and Control Methicillin Resistance Minority Groups Mothers Motivation -- In Adolescence Multiple Chemical Sensitivity Nurse Attitudes Nursing Role Oral Health -- In Pregnancy Palliative Care Parent-Child Relations Parents Patient Discharge Education Patient Positioning Pedometers Physical Activity Poverty Poverty -- In Pregnancy Pregnancy Professional Development Psychometrics Quality of Life -- In Old Age Recovery Registered Nurses Research Research Instruments Rural Health Services Self Care Sleep Disorders Smoking -- Complications Socioeconomic Factors Southeastern United States Spirituality -- In Old Age Spouses Staphylococcal Infections Stress, Psychological Students, Middle School Students, Nursing Sucrose -- In Infancy and Childhood Support, Psychosocial Thailand Travel Health Treatment Outcomes Voice Volunteer Workers Women's Health N1 - abstract. Journal Subset: Blind Peer Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 101135885. PY - 2008 SN - 1538-0696 SP - 9-9 ST - 2008 SNRS abstracts -- M T2 - Southern Online Journal of Nursing Research TI - 2008 SNRS abstracts -- M UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=105496452&site=ehost-live&scope=site VL - 8 ID - 89171 ER - TY - JOUR AN - 105496455. Language: English. Entry Date: 20090807. Revision Date: 20150711. Publication Type: Journal Article DB - cin20 DP - EBSCOhost IS - 4 KW - Adolescence After Care Aged Alcohol Drinking -- Prevention and Control Attitude to Change Attitude to Health Autistic Disorder -- Diagnosis Autistic Disorder -- Symptoms Automobile Driving Bacterial Contamination Black Persons Blood -- Microbiology Breast Feeding Breast Neoplasms -- Familial and Genetic Breast Neoplasms -- In Old Age Breast Neoplasms -- Prevention and Control Breast Neoplasms -- Psychosocial Factors Buddhism Cancer Screening Cancer Survivors Caregiver Burden Child Chlorhexidine Community Health Nursing Community Health Services Cultural Competence Cultural Sensitivity Cultural Values -- Puerto Rico Dementia Depression -- In Old Age Depression -- Therapy Empowerment Environmental Exposure Environmental Pollutants Ethics, Nursing Exercise Family Health Fatigue Female Food Intake Health Knowledge Health Promotion Health Resource Utilization Health Services Accessibility Health Status Heart Transplantation Hispanic Americans Hypertension -- Drug Therapy Immigrants Infertility Inflammation Information Resources Instrument Validation Job Satisfaction Life Experiences Life Style Changes Louisiana Male Marriage Medication Errors Men's Health Mental Disorders -- In Infancy and Childhood Mental Health Services -- Utilization Microbial Culture and Sensitivity Tests Multiple Sclerosis -- Complications Natural Disasters -- Louisiana Nurse Attitudes Nurses Nursing Knowledge Patient Attitudes Patient Compliance Patient Safety Pediatric Nursing Pesticides Povidone-Iodine Puerto Rico Quality of Health Care Quality of Life Race Factors Radiation Rehabilitation, Cardiac Research Methodology Respiratory Muscles Self Care Self Report Self-Efficacy Sex Factors Sleep -- In Old Age Smoking -- Prevention and Control -- In Adolescence Stress, Occupational Stress, Psychological Students, College Support, Psychosocial Survival Ventilator Weaning White Persons Women's Health World Wide Web N1 - abstract. Journal Subset: Blind Peer Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 101135885. PY - 2008 SN - 1538-0696 SP - 12-12 ST - 2008 SNRS abstracts -- S T2 - Southern Online Journal of Nursing Research TI - 2008 SNRS abstracts -- S UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=105496455&site=ehost-live&scope=site VL - 8 ID - 89172 ER - TY - JOUR AN - 105496459. Language: English. Entry Date: 20090807. Revision Date: 20150711. Publication Type: Journal Article DB - cin20 DP - EBSCOhost IS - 4 KW - Academic Medical Centers -- Maryland Activities of Daily Living Adolescence Adolescent Mothers Aged Agriculture Attachment Behavior Black Persons Cancer Survivors Certification Child Childhood Neoplasms -- Psychosocial Factors Communication Coping Critical Care Nursing Critical Thinking Critically Ill Patients Daughters Dementia Demography Depression -- Risk Factors Faculty, Nursing Faculty-Student Relations Female Functional Status Gerontologic Nursing Health Services Accessibility Health Status Heart Failure Heart Rate Heart Transplantation Help Seeking Behavior Home Health Care Hydrocortisone Hypertension -- Familial and Genetic Hypertension -- Risk Factors Infant Behavior Infant, Newborn Infant, Premature Intensive Care Units, Neonatal Life Experiences Louisiana Lung Diseases, Obstructive Male Maryland Mothers Motor Vehicles Music Therapy -- In Infancy and Childhood Myocardial Infarction National Institutes of Health (U.S.) Natural Disasters -- Louisiana Nurse Attitudes Nursing Care Nursing Home Patients Nursing Home Personnel Oncologic Care -- Economics Oncologic Care -- In Old Age Organ Procurement Organ Transplantation Oxygen Saturation Papillomavirus Infections -- In Adolescence Parental Attitudes Patient Safety Physical Activity Physicians Prehospital Care Pressure Ulcer -- Risk Factors Professional-Patient Relations Public Housing Quality of Nursing Care Race Factors Respiration, Artificial Risk Taking Behavior -- In Infancy and Childhood Rural Health Services Sleep Sleep Disorders -- In Old Age Smoking Smoking Cessation Social Environment Socioeconomic Factors Special Populations Storytelling Stress, Occupational Stress, Psychological Structural Equation Modeling Student Attitudes Student Knowledge Students, Nursing Students, Nursing, Baccalaureate Support, Psychosocial Surgical Patients Teaching Methods Terminal Care Transcultural Care Treatment Outcomes Urinary Incontinence -- In Old Age Veterans War Women's Health Pediatric Obesity -- Ethnology N1 - abstract. Journal Subset: Blind Peer Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 101135885. PY - 2008 SN - 1538-0696 SP - 14-14 ST - 2008 SNRS abstracts -- W - Z T2 - Southern Online Journal of Nursing Research TI - 2008 SNRS abstracts -- W - Z UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=105496459&site=ehost-live&scope=site VL - 8 ID - 89173 ER - TY - JOUR AB - The proceedings contain 141 papers. The topics discussed include: EPA and DHA: evidence based health claims, recommended dosages and implementation thereof; nutrition knowledge, attitudes and practices of professional health workers at Morogoro urban district; association between serum hs-CRP levels with nutritional factors in depressed and healthy nurses; knowledge, beliefs and practices of dietitians and doctors in South Africa on the use of the Internet in healthcare; immune measures in treatment-naïve 13 to 15-year-old adolescents with alcohol use disorders; analysis of omega-3 fatty acid content of South African fish oil supplements; washout kinetics of eicosapentanoic and docosahexanoic acid from plasma lipids after supplementation with salmon oil; future South African health care professionals: do they practice what they ought to preach?; and food insecure and HIV affected Indian families: a double burden for the HIV infected child. DB - Embase IS - 3 KW - omega 3 fatty acid fish oil acid South Africa society dietetics nutrition human health care personnel occupational health serum recommended drug dose Internet adolescent nurse dietitian health evidence based practice Indian physician health care salmonine alcoholism fatty acid analysis kinetics supplementation lipid blood level food child Human immunodeficiency virus LA - English M3 - Conference Review N1 - L71007579 2013-03-12 PY - 2010 SN - 1607-0658 ST - 2010 NSSA/ADSA Congress Abstracts T2 - South African Journal of Clinical Nutrition TI - 2010 NSSA/ADSA Congress Abstracts UR - https://www.embase.com/search/results?subaction=viewrecord&id=L71007579&from=export VL - 23 ID - 95540 ER - TY - JOUR AB - Question In patients with chronic noncancer pain, are long-acting opioids associated with risk for mortality compared with analgesic anticonvulsants or low-dose cyclic antidepressants (control medications)? Methods Design Cohort study using linkage of Medicaid data with death certificates and a state-wide hospital discharge database. Mean follow-up was 176 d (long-acting opioids) and 128 d (control medications). Setting Tennessee, USA. Patients 45 824 Medicaid enrollees < 75 years of age (mean age 48 y, 60% women) who had chronic pain (back, abdominal, headache, or other musculoskeletal or neurologic pain) diagnosed in the previous 90 d; starting a new treatment episode with a long-acting opioid (n = 22 912) or a nonnarcotic pain regimen (i.e., analgesic anticonvulsant or low-dose tricyclic antidepressant) (n = 22 912) at a dose recommended for chronic pain between 1999 and 2012; and did not have a filled prescription for a study drug in the previous year. Exclusion criteria included drug abuse, cancer, life-threatening disease, hospice or other terminal care, residence in a nursing home, or < 30 days since discharge from a hospital stay. Patients who received long-acting opioids were matched with those who received anticonvulsants or antidepressants using propensity scores based on 122 variables, including demographics, pain-related diagnosis, short-acting opioids and other pain medications, benzodiazepines and psychotropic medications, psychiatric conditions, cardiovascular conditions, respiratory diseases, other illnesses, and health care use. Risk factors Filled prescriptions for long-acting opioids (sustained-release morphine, controlled-release oxycodone, transdermal fentanyl, or methadone), anticonvulsants indicated for chronic pain (gabapentin, pregabalin, or carbamazepine), or low-dose cyclic antidepressants; and period of use*** (≤ 30 d, 31 to 180 d or > 180 d). Outcomes Primary outcome was all-cause mortality. Main result Included patients had back pain (75%), other musculoskeletal pain (63%), or abdominal pain (18%). Long-acting opioids increased risk for mortality (Table), with 69 (95% CI 28 to 121) excess deaths/10 000 person-y. Risk for mortality was increased ≤ 30 and 31 to 180 days after start of treatment. Conclusion In patients with chronic noncancer pain, long-acting opioids increased risk for mortality compared with analgesic anticonvulsants or low-dose cyclic antidepressants. AD - Oregon Health & Science University Portland, Oregon, USA Vanderbilt University, Nashville, TN, USA AN - 118233595. Language: English. Entry Date: 20160923. Revision Date: 20160927. Publication Type: Article AU - Chou, Roger AU - Ray, W. DB - cin20 DO - 10.7326/ACPJC-2016-165-6-034 DP - EBSCOhost IS - 6 KW - Chronic Pain -- Drug Therapy Chronic Pain -- Mortality Narcotics -- Adverse Effects Delayed-Action Preparations -- Adverse Effects Prospective Studies Databases, Health Antidepressive Agents -- Administration and Dosage Anticonvulsants -- Administration and Dosage Medicaid Tennessee Male Female Adult Middle Age Aged Prescriptions, Drug Survival Analysis Retrospective Design Confidence Intervals Descriptive Statistics N1 - abstract; commentary; tables/charts. Journal Subset: Biomedical; Peer Reviewed; USA. Special Interest: Pain and Pain Management; Patient Safety. NLM UID: 9104824. PY - 2016 SN - 1056-8751 SP - 9-9 ST - 2016 - Long-acting opioids for chronic noncancer pain were linked to mortality T2 - ACP Journal Club TI - 2016 - Long-acting opioids for chronic noncancer pain were linked to mortality UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=118233595&site=ehost-live&scope=site VL - 165 ID - 87976 ER - TY - JOUR AB - Practical relevance: Increases in cat ownership worldwide mean more cats are requiring veterinary care. Illness, trauma and surgery can result in acute pain, and effective management of pain is required for optimal feline welfare (ie, physical health and mental wellbeing). Validated pain assessment tools are available and pain management plans for the individual patient should incorporate pharmacological and non-pharmacological therapy. Preventive and multimodal analgesia, including local anaesthesia, are important principles of pain management, and the choice of analgesic drugs should take into account the type, severity and duration of pain, presence of comorbidities and avoidance of adverse effects. Nursing care, environmental modifications and cat friendly handling are likewise pivotal to the pain management plan, as is a team approach, involving the cat carer. Clinical challenges: Pain has traditionally been under-recognised in cats. Pain assessment tools are not widely implemented, and signs of pain in this species may be subtle. The unique challenges of feline metabolism and comorbidities may lead to undertreatment of pain and the development of peripheral and central sensitisation. Lack of availability or experience with various analgesic drugs may compromise effective pain management. Evidence base: These Guidelines have been created by a panel of experts and the International Society of Feline Medicine (ISFM) based on the available literature and the authors’ experience. They are aimed at general practitioners to assist in the assessment, prevention and management of acute pain in feline patients, and to provide a practical guide to selection and dosing of effective analgesic agents. AD - P.V. Steagall, Department of Clinical Sciences, Faculty of Veterinary Medicine, Universite de Montréal, Saint-Hyacinthe, Canada AU - Steagall, P. V. AU - Robertson, S. AU - Simon, B. AU - Warne, L. N. AU - Shilo-Benjamini, Y. AU - Taylor, S. DB - Embase Medline DO - 10.1177/1098612X211066268 IS - 1 KW - antiinflammatory agent buprenorphine butorphanol fentanyl hydromorphone methadone morphine nalbuphine narcotic analgesic agent opiate remifentanil allodynia analgesia animal experiment article avoidance behavior cat chronic kidney failure comorbidity consensus facial expression female general practitioner human hyperalgesia injury loading drug dose local anesthesia male neurophysiology nonhuman nursing care ovariohysterectomy pain pain assessment practice guideline psychological well-being sensitization uremia veterinary medicine welfare LA - English M3 - Article N1 - L2014593964 2022-01-04 2022-02-21 PY - 2022 SN - 1532-2750 1098-612X SP - 4-30 ST - 2022 ISFM Consensus Guidelines on the Management of Acute Pain in Cats T2 - Journal of Feline Medicine and Surgery TI - 2022 ISFM Consensus Guidelines on the Management of Acute Pain in Cats UR - https://www.embase.com/search/results?subaction=viewrecord&id=L2014593964&from=export http://dx.doi.org/10.1177/1098612X211066268 VL - 24 ID - 94261 ER - TY - JOUR AB - Research seeking to resolve issues regarding the use of opiate analgesia in treating non-cancer-related chronic pain is confusing. In caring for a patient experiencing pain, the relief of pain is the primary objective. Yet a number of significant concerns arise when evaluating and using opiates on a long-term basis. Specifc and measurable outcomes of functionality are available to guide use; attention to these may help to significantly improve outcome of long-term opiate therapy. This course provides an evidence-based approach to selecting and using opiates in the management of chronic, non-cancer-related pain, critiquing the appropriateness of the associated intervention(s). AD - Professor, Department of Nurse Anesthesia, Virginia Commonwealth University, Richmond, VA AN - 106640518. Language: English. Entry Date: 20050603. Revision Date: 20150820. Publication Type: Journal Article AU - Biddle, C. DB - cin20 DP - EBSCOhost IS - 1 KW - Analgesics, Opioid -- Administration and Dosage Chronic Pain -- Drug Therapy Analgesics, Opioid -- Adverse Effects Codeine Drug Tolerance Education, Continuing (Credit) Molecular Structure Morphine Naloxone Receptors, Drug N1 - CEU; pictorial; tables/charts. Journal Subset: Blind Peer Reviewed; Core Nursing; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 0431420. PMID: NLM15727286. PY - 2005 SN - 0094-6354 SP - 62-69 ST - AANA Journal course 6: update for nurse anesthetists, the long-term use of opiates for pain control: Laputa revisited? T2 - AANA Journal T3 - AANA Journal course no. 24 TI - AANA Journal course 6: update for nurse anesthetists, the long-term use of opiates for pain control: Laputa revisited? UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=106640518&site=ehost-live&scope=site VL - 73 ID - 89503 ER - TY - JOUR AB - Posttraumatic stress disorder (PTSD) is an anxiety disorder that develops after exposure to a traumatic event and is characterized by symptoms of reexperiencing, emotional numbing, persistent arousal, and avoidance. Approximately 6.8% of the people in the United States will be diagnosed with PTSD at some point in their lives. The presence of PTSD in a surgical patient can be important because PTSD is associated with the use of psychoactive medications, risky health behaviors, cardiovascular comorbidities, depression, chronic pain, and cognitive dysfunction, all of which may influence the risk of perioperative morbidity and mortality. In addition, patients with PTSD are anxious around unfamiliar people and in unfamiliar environments. The purposes of this journal course are to provide anesthetists with a working knowledge of the symptoms, treatments, and comorbidities associated with PTSD and to suggest ways of interacting with patients with the disorder that increase trust and decrease the risk of evoking posttraumatic symptoms in the perioperative environment. AD - Active duty Navy CRNA, Duke University School of Nursing, Durham, North Carolina Director, Durham VA Medical Center, Post Traumatic Stress Disorder (PTSD) Clinic, Durham, North Carolina Staff psychiatrist, Durham VAMC Associate professor, Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina Professor, Duke University School of Nursing Associate professor, Duke University School of Medicine, Durham, North Carolina AN - 84616732. Language: English. Entry Date: 20130122. Revision Date: 20130122. Publication Type: Article AU - Wofford, Ken AU - Hertzberg, Michael AU - Vacchiano, Charles DB - cin20 DP - EBSCOhost IS - 6 KW - Stress Disorders, Post-Traumatic Perioperative Care Surgical Patients -- Psychosocial Factors Education, Continuing (Credit) Stress Disorders, Post-Traumatic -- Epidemiology Stress Disorders, Post-Traumatic -- Symptoms Postoperative Complications Depression Substance Abuse Mortality Severity of Illness N1 - CEU; tables/charts. Journal Subset: Blind Peer Reviewed; Core Nursing; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 0431420. PY - 2012 SN - 0094-6354 SP - 463-470 ST - AANA Journal Course Update for Nurse Anesthetists: The Perioperative Implications of Posttraumatic Stress Disorder T2 - AANA Journal TI - AANA Journal Course Update for Nurse Anesthetists: The Perioperative Implications of Posttraumatic Stress Disorder UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=84616732&site=ehost-live&scope=site VL - 80 ID - 88550 ER - TY - JOUR AB - Pulmonary edema is a generalized descriptive term for the accumulation of fluid within the interstitium and/or the alveolar spaces of the lungs. This accumulation of fluid has a cause that may be termed cardiogenic or noncardiogenic. Pulmonary edema of cardiogenic origin is usually due to failure of the left side of the heart, but it also can be attributed to the right side of the heart. Noncardiogenic pulmonary edema (NCPE) usually is attributable to certain lung injuries or disease states, but it also can be neurogenic in origin. Some occurrences of NCPE can be traced directly to the administration of anesthesia. For example, NCPE can result from upper airway obstruction or the administration of naloxone. AD - J.A. Joyce, Wesley Long Community Hospital, Greensboro, NC, United States AU - Joyce, J. A. DB - Embase Medline IS - 5 KW - nalmefene naloxone human larynx spasm lung edema medical literature nurse review thorax pressure United States LA - English M3 - Review N1 - L29530080 1999-11-23 PY - 1999 SN - 0094-6354 SP - 469-473 ST - AANA Journal Course: Update for nurse anesthetists - Anesthesia-related noncardiogenic pulmonary edema: A literature review T2 - Journal of the American Association of Nurse Anesthetists TI - AANA Journal Course: Update for nurse anesthetists - Anesthesia-related noncardiogenic pulmonary edema: A literature review UR - https://www.embase.com/search/results?subaction=viewrecord&id=L29530080&from=export VL - 67 ID - 95945 ER - TY - JOUR AB - Many breast-feeding women are exposed to anesthetic drugs. The question of breast feeding following an anesthetic is a highly relevant issue in part because it is desirable to allow breast feeding to resume quickly while minimizing the potential for drug-related infant morbidity. The physiology of breast milk production and the factors influencing the transfer of drugs into breast milk is reviewed. Generally there is incomplete or sparse information on the potential effects upon the suckling infant. Despite this, certain reasonable conclusions and recommendations can be developed. Among these include a substantive risk with high-dose and long-standing therapies, particular vulnerability in the premature neonate or when a mother is receiving multidose therapy, and consideration of temporarily interrupting the feeding schedule where sufficient doubt exists. Overall, the importance of breast feeding must be carefully considered in light of the potential for side effects in each maternal/child scenario. AD - Department of Anesthesiology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire AN - 107400366. Language: English. Entry Date: 19950301. Revision Date: 20150820. Publication Type: Journal Article AU - Biddle, C. DB - cin20 DP - EBSCOhost IS - 6 KW - Breast Feeding Milk, Human -- Drug Effects Anesthetics -- Adverse Effects Anesthesia -- Adverse Effects Milk, Human -- Analysis Milk -- Analysis Infant Formula -- Analysis Lactation -- Physiology Antianxiety Agents, Benzodiazepine Thiopental Propofol Narcotics Muscle Relaxants, Central Anesthesia, Inhalation Breast -- Anatomy and Histology Anesthesia Nursing Education, Nursing, Continuing Pregnancy Female N1 - pictorial; tables/charts. Journal Subset: Blind Peer Reviewed; Core Nursing; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 0431420. PMID: NLM7879586. PY - 1994 SN - 0094-6354 SP - 537-544 ST - AANA Journal course: update for nurse anesthetists -- 'Is it okay to breast feed my baby after anesthesia?' A scientific basis for an informed response T2 - AANA Journal TI - AANA Journal course: update for nurse anesthetists -- 'Is it okay to breast feed my baby after anesthesia?' A scientific basis for an informed response UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=107400366&site=ehost-live&scope=site VL - 62 ID - 90143 ER - TY - JOUR AB - Ventilation is normally precisely linked to body metabolic needs. A variety of drugs, commonly utilized in anesthesia, can profoundly alter the body's response to ventilatory challenges. This installment of the AANA Journal course describes the control of the respiratory drive and the effects that anesthetic drugs have on ventilation in humans. Knowledge of such effects will go a long way in preventing what might otherwise be catastrophic complications. AD - Dept of Anesthesiology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire AN - 107386450. Language: English. Entry Date: 19961001. Revision Date: 20150820. Publication Type: Journal Article AU - Biddle, C. DB - cin20 DP - EBSCOhost IS - 4 KW - Respiratory System -- Drug Effects Anesthetics -- Adverse Effects Carbon Dioxide Anesthetics, Inhalation Anesthetics, Intravenous Muscle Relaxants, Central Anoxemia Narcotics Respiratory Tract Physiology N1 - tables/charts. Journal Subset: Blind Peer Reviewed; Core Nursing; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 0431420. PMID: NLM9095708. PY - 1996 SN - 0094-6354 SP - 349-355 ST - AANA Journal course: update for nurse anesthetists -- the control of ventilation and its modification by anesthetic-related drugs... part 3 T2 - AANA Journal TI - AANA Journal course: update for nurse anesthetists -- the control of ventilation and its modification by anesthetic-related drugs... part 3 UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=107386450&site=ehost-live&scope=site VL - 64 ID - 90063 ER - TY - JOUR AB - Anesthesia for the patient with a perforated globe can be complicated. Cognizance of the anatomy and physiology of the eye, including maintenance of intraocular pressure, is essential for the development of an anesthetic plan. Since the induction phase of anesthesia is the most critical period during which intraocular pressure is affected, understanding the pharmacology of the various anesthetic agents and their effects on the eye is important. To avoid increasing intraocular pressure, a smooth, atraumatic induction is desired. However, methods to achieve this end may place the patient at risk for aspiration. Various techniques that attempt to accomplish this goal are described, including the use of narcotics, lidocaine, nitroglycerin, alpha (alpha 2) agonism, beta (beta) adrenergic and calcium channel blockades, plus the laryngeal mask airway. AD - Brookwood Medical Center, Birmingham, Ala., USA. AN - 10876455 AU - Wright, E. L. AU - Kossick, M. A. DA - Feb DP - NLM IS - 1 KW - Anesthesia/adverse effects/*methods/*nursing Eye Injuries, Penetrating/nursing/physiopathology/*surgery Humans Intraocular Pressure Intubation, Intratracheal/adverse effects/methods/nursing Neuromuscular Blocking Agents/therapeutic use Nurse Anesthetists/education Patient Care Planning Rupture LA - eng N1 - Wright, E L Kossick, M A Journal Article Review United States 2000/07/06 AANA J. 2000 Feb;68(1):73-83. PY - 2000 SN - 0094-6354 (Print) 0094-6354 SP - 73-83 ST - AANA Journal course: update for nurse anesthetists--anesthesia for the ruptured globe T2 - Aana j TI - AANA Journal course: update for nurse anesthetists--anesthesia for the ruptured globe VL - 68 ID - 86549 ER - TY - JOUR AB - Research seeking to resolve issues regarding the use of opiate analgesia in treating non-cancer-related chronic pain is confusing. In caring for a patient experiencing pain, the relief of pain is the primary objective. Yet a number of significant concerns arise when evaluating and using opiates on a long-term basis. Specifc and measurable outcomes of functionality are available to guide use; attention to these may help to significantly improve outcome of long-term opiate therapy. This course provides an evidence-based approach to selecting and using opiates in the management of chronic, non-cancer-related pain, critiquing the appropriateness of the associated intervention(s). AD - Department of Nurse Anesthesia, Virginia Commonwealth University, Richmond, VA, USA. AN - 15727286 AU - Chuck, B. DA - Feb DP - NLM IS - 1 KW - Analgesics, Opioid/history/pharmacology/*therapeutic use Chronic Disease Drug Monitoring History, 19th Century History, 20th Century Humans Opioid-Related Disorders/prevention & control Pain/*drug therapy/rehabilitation *Patient Care Planning LA - eng N1 - Chuck, Biddle Historical Article Journal Article Review United States 2005/02/25 AANA J. 2005 Feb;73(1):62-9. PY - 2005 SN - 0094-6354 (Print) 0094-6354 SP - 62-9 ST - AANA journal course: Update for nurse anesthetists--part 6--The long-term use of opiates for pain control: Laputa revisited? T2 - Aana j TI - AANA journal course: Update for nurse anesthetists--part 6--The long-term use of opiates for pain control: Laputa revisited? VL - 73 ID - 86038 ER - TY - JOUR AB - A major responsibility of nurse anesthetists caring for patients is the provision of adequate pain relief. A growing body of evidence in the literature suggests that gender of the provider and gender of the patient may affect the clinical management of pain. The different socialization processes of children has been theorized to influence how, as adults, individuals perceive and express pain. The willingness of females to express their discomfort has led to the perception that females are more emotional and expressive than males; this perception has led investigators to note that females may be at a disadvantage in the treatment of pain. Recently recognized disparities between the sexes in their response to antidepressants, certain opioids, and inhalation agents, as well as the identification of gender distributions for certain diseases, has heightened awareness among the scientific community of gender influences and gender differences that were not evident in the past. Awareness among nurse anesthetists of these differences, as well as the possible influence of gender, is critical to individualize anesthetic management and to minimize the potential for gender bias in providing pain management. AD - Virginia Commonwealth University, Richmond, Virginia, USA. AN - 12526154 AU - Criste, A. DA - Dec DP - NLM IS - 6 KW - Analgesics, Opioid/therapeutic use Attitude of Health Personnel Female Humans Male Nurse Anesthetists/*education Pain/drug therapy/*epidemiology Pain Threshold Patient Acceptance of Health Care Sex Factors LA - eng N1 - Criste, Amy Comparative Study Journal Article Review United States 2003/01/16 AANA J. 2002 Dec;70(6):475-80. PY - 2002 SN - 0094-6354 (Print) 0094-6354 SP - 475-80 ST - AANA journal course. Update for nurse anesthetists. Gender and pain T2 - Aana j TI - AANA journal course. Update for nurse anesthetists. Gender and pain VL - 70 ID - 85837 ER - TY - THES AB - Purpose: Research in health and productivity management link health to the ability to work. Employees' ability to work affects work productivity. Approximately US$260 billion are lost each year due to health-related productivity loss. Workers that engage in physically demanding jobs and experience health problems may also have increased presenteeism (decreased on-the-job performance due to the presence of health problems) and absenteeism (time missed from work because of health problems). Certified nursing assistants (CNAs) employed in nursing homes perform many physically and emotionally demanding tasks and they could have health problems or engage in health behaviors that affect their ability to work. The purpose of this study is to describe the ability to work in CNAs and investigate the relationships among key variables (self-reported health status, select health conditions and health behaviors), and CNAs' ability to work. Methods: A cross-sectional correlational survey is used to describe the relationships between CNAs ability to work and self-reported health status, health conditions and health behaviors. Results: CNAs in five nursing homes (N=106; response rate 88%) responded to a pencil and paper survey. Forty percent of the respondents' reported at least some impairment in their ability to work. Self-reported health status, diagnosed depression and current smoking were associated with impairment in the ability to work.Implications: Employers of CNAs need to recognize that health-related impairment in the ability to work is prevalent and they need to develop strategies to assist CNAs in optimizing their health and improving their ability to work. AU - Melekwe, Obiajulu E. DB - cin20 DP - EBSCOhost KW - Health Behavior Health Status Certified Nursing Assistants Nursing Homes -- North Carolina Depression -- Diagnosis Descriptive Statistics Human North Carolina Questionnaires Self Report Smoking -- Diagnosis Stress, Occupational M1 - Ph.D. N1 - Accession Number: 109774681. Language: English. Entry Date: 20150206. Revision Date: 20150923. Publication Type: Doctoral Dissertation; research. UMI Order AAI3634042 PB - University of North Carolina at Chapel Hill PY - 2014 SN - 9781321142419 SP - 141 p-141 p ST - Ability to work and its relationship with health status and health behaviors in nursing assistants employed in North Carolina nursing homes TI - Ability to work and its relationship with health status and health behaviors in nursing assistants employed in North Carolina nursing homes UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=109774681&site=ehost-live&scope=site ID - 88339 ER - TY - JOUR AB - LEARNING OBJECTIVE #1: Recognize the spectrum of statin related myotoxicity, including the rare entity of anti-HMGCR positive immune mediated necrotizing myopathy (IMNM). CASE: A 71-year-old African American male with a past medical history of hypertension, hyperlipidemia, diabetes mellitus type two, and prior history of tobacco use disorder presented to the ED with three months of progressive proximal muscle weakness associated with dysphagia and urinary retention. His medications included long-term 20 mg atorvastatin, amlodipine, olmesartan-hydrochlorothiazide, linagliptin, and metformin. The patient was thin with temporal wasting with a normal skin exam, 3/5 strength in the proximal extremities, 5/5 strength in the distal extremities, and areflexia. Laboratory results showed markedly elevated CPK (16,515), AST (425), ALT (400), ESR (20), and UA with large hemoglobin and 1-5 RBCs. His statin was discontinued, and he received IV normal saline and high dose steroids with subsequent decline in CPK to 5443 during his hospitalization. He underwent an extensive autoimmune and neuromuscular workup and had a negative anti-Jo1. A muscle biopsy revealed necrotizing myopathy with focal mild necrosis. Subsequently, his anti-HMG-CoA reductase antibody was strongly positive (>200 U/mL). He was discharged on oral prednisone to a skilled nursing facility where he showed no change in weakness or urinary retention 2 weeks post discharge. IMPACT/DISCUSSION: The range of statin related myotoxicity includes: asymptomatic elevated CPK, myalgia, myopathy, rhabdomyolysis, and anti-HMGCR positive myopathy, an IMNM [1]. IMNMs are rare with an estimated incidence of 4 in 100,000 person years and are subcategorized into anti-SRP, anti-HMGCR, and autoantibody negative [2,3]. Anti-HMGCR myopathy was first recognized in 2010, and its predominance is among those with prior exposure to statins with an estimated incidence of 2-3 cases per 100,000 patients on statin therapy per year [3-5]. Between 2012-2013, 39.2 million Americans were prescribed statins; therefore, it is important to be aware of this adverse effect as immunosuppressive therapy is often indicated and it is seldom selflimited [6]. Although it can manifest with a variety of presentations, the diagnosis is confirmed by the presence of myofiber necrosis on muscle biopsy and anti-HMGCR autoantibodies commonly in the context of proximal muscle weakness and elevated CPK [1,3,4,7]. This vignette offers a unique case of an individual with statin associated anti- HMGCR myopathy who presented with the expected proximal muscle weakness and elevated CPK, while also demonstrating areflexia, dysphagia, and urinary retention. CONCLUSION: Although an uncommon form of statin related myotoxicity, anti-HMGCR should remain on the differential, particularly given its implications on management and clinical course. Refractory proximal muscle weakness following the discontinuation of statin therapy should prompt anti- HMGCR antibody assessment and consideration for biopsy to evaluate for IMNM. AD - T.J. Lemoine, LSUHSC Medical School, Louisiana State University Health Sciences Center New Orleans, New Orleans, LA, United States AU - Lemoine, T. J. AU - Ice, A. AU - Benton, W. DB - Embase DO - 10.1007/s11606-020-05890-3 IS - SUPPL 1 KW - amlodipine plus atorvastatin endogenous compound hemoglobin hydrochlorothiazide plus olmesartan hydroxymethylglutaryl coenzyme A reductase hydroxymethylglutaryl coenzyme A reductase (NADPH) Jo 1 antibody linagliptin metformin prednisone sodium chloride adverse drug reaction African American aged areflexia aspartate aminotransferase level conference abstract controlled study diabetes mellitus drug megadose drug therapy dysphagia hospitalization human hyperlipidemia hypertension immunosuppressive treatment incidence limb major clinical study male medical history muscle biopsy muscle injury muscle necrosis muscle toxicity muscle weakness myalgia nursing home rhabdomyolysis side effect skin tobacco dependence urine retention vignette LA - English M3 - Conference Abstract N1 - L633957610 2021-03-04 PY - 2020 SN - 1525-1497 SP - S375 ST - An abnormal presentation of statin-associated autoimmune myopathy T2 - Journal of General Internal Medicine TI - An abnormal presentation of statin-associated autoimmune myopathy UR - https://www.embase.com/search/results?subaction=viewrecord&id=L633957610&from=export http://dx.doi.org/10.1007/s11606-020-05890-3 VL - 35 ID - 94528 ER - TY - JOUR AB - There is a lack of knowledge about Health-Related Quality of Life (HRQL) of Aboriginal Australians with self-reported hepatitis C infection in Western Australia. This marginalised group of people is disproportionally affected by the hepatitis C virus (HCV) for which there is no preventative vaccine. This study provides data that help understand the long-term consequences of living with HCV infection within the Aboriginal community. It outlines opportunities for nursing interventions for hepatitis care that focus on supporting mental health and drug and alcohol issues within this population. We surveyed 123 Aboriginal people living with HCV in a community setting. Survey data included demographics, drug use history, length of time since diagnosis, changes in lifestyle since diagnosis, fatigue, social support, alcohol consumption, and physical and mental health measures. Most participants reported amphetamine injecting frequently in the last six months and their duration of injecting drug ranged from 8 to more than 11 years. Additionally, half of the participants were classified as high-risk alcohol users. Overall 52% of participants were in poor physical and 60% of participants were in poor mental health. This survey of Aboriginal people with self-reported hepatitis C infection indicates substantial problems of mental and physical comorbidities among this population. There is a need for the development of HCV community clinics in Aboriginal health care settings with trained Aboriginal community health nurses to reduce problematic alcohol consumption, assess liver health and subsequently provide HCV treatment in a culturally appropriate way. AD - School of Nursing and Midwifery, Edith Cowan University Joondalup Campus, 6207, Australia School of Psychology & Public Health, Department of Public Health, La Trobe University, Bundoora, 3083, Australia Curtin University National Drug Research Institute, Australia AN - 143800412. Language: English. Entry Date: 20200701. Revision Date: 20200701. Publication Type: Article AU - Rashidi, Amineh AU - Higgs, Peter AU - Carruthers, Susan DB - cin20 DO - 10.1016/j.colegn.2019.08.006 DP - EBSCOhost IS - 3 KW - Aboriginal Australians Chronic Disease Hepatitis C, Chronic -- Complications Community Health Nursing Nursing Role Health Status Quality of Life Human Nursing Interventions Support, Psychosocial Mental Health Alcohol Abuse Surveys Community Living Hepatitis C, Chronic Fatigue Substance Abuse -- History Risk Assessment Comorbidity Confidence Intervals Cross Sectional Studies Adult Middle Age Aged Aged, 80 and Over Research Subject Recruitment Questionnaires Consent Age Factors Sex Factors Educational Status Marital Status Descriptive Research Data Analysis Software Bivariate Statistics Logistic Regression N1 - research; tables/charts. Journal Subset: Australia & New Zealand; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed. Instrumentation: 36-Item Short Form Health Survey (SF-36). NLM UID: 9612493. PY - 2020 SN - 1322-7696 SP - 250-257 ST - Aboriginal people with chronic HCV: The role of community health nurses for improving health-related quality of life T2 - Collegian TI - Aboriginal people with chronic HCV: The role of community health nurses for improving health-related quality of life UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=143800412&site=ehost-live&scope=site VL - 27 ID - 87249 ER - TY - JOUR AB - The article presents a review of prevalence of smoking among physicians and medical nurses suffering from nicotine dependence. The most of smoking medical workers began to smoke already during student years. they don't relate their diseases with smoking. The incomplete awareness of true causes of one's own diseases is manifested in ignoring preventive activities and healthy life-style. The actuality of necessity of development of program of prevention tobacco dependence in medical workers suffering from tobacco dependence is demonstrated. AU - Zakharova, L. A. AU - Ibatov, A. D. AU - Nagibina, Y. V. DB - Medline DO - 10.1016/0869-866X-2017-25-5-286-289 IS - 5 KW - health care personnel human smoking student tobacco dependence LA - Russian M3 - Article N1 - L623063833 2018-07-20 PY - 2017 SN - 0869-866X SP - 286-289 ST - About Development of Programs of Struggle with Tobacco Smoking in Medical Workers T2 - Problemy sotsial'noi gigieny, zdravookhraneniia i istorii meditsiny TI - About Development of Programs of Struggle with Tobacco Smoking in Medical Workers UR - https://www.embase.com/search/results?subaction=viewrecord&id=L623063833&from=export http://dx.doi.org/10.1016/0869-866X-2017-25-5-286-289 VL - 25 ID - 94952 ER - TY - JOUR AD - Professor and Queen Emma Nurse Researcher, School of Nursing, University of Hawaii and The Queen's Medical Center, Honolulu, HI AN - 107268481. Language: English. Entry Date: 19980701. Revision Date: 20150711. Publication Type: Journal Article AU - Verderber, A. DA - 1997 Spring DB - cin20 DP - EBSCOhost KW - Outcomes (Health Care) Cultural Diversity Ethnic Groups -- Hawaii HIV Seropositivity -- Psychosocial Factors Quality of Life Risk Taking Behavior -- In Pregnancy Coronary Artery Bypass Attitude to Illness Coping Substance Abuse Hawaii Research Instruments Pregnancy Female N1 - abstract; proceedings. Journal Subset: Nursing; Peer Reviewed; USA. NLM UID: 7707277. PY - 1997 SN - 0160-1652 SP - 73-78 ST - Abstracts of symposium presentations. Client outcomes in culturally diverse ethnic populations... proceedings of the Communicating Nursing Research Conference and WIN Assembly held May 1-3, 1997 in Portland, Oregon T2 - Communicating Nursing Research TI - Abstracts of symposium presentations. Client outcomes in culturally diverse ethnic populations... proceedings of the Communicating Nursing Research Conference and WIN Assembly held May 1-3, 1997 in Portland, Oregon UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=107268481&site=ehost-live&scope=site VL - 30 ID - 90022 ER - TY - JOUR AB - The old paradigm of chronic pancreatitis related to alcohol abuse has changed. Smoking, genetics and other disease entities are now found to play a larger role than previously thought. Explore these changes, review the workup and treatment while sharpening your skills with challenging case reviews. AN - 103067371. Language: English. Entry Date: 20150624. Revision Date: 20160610. Publication Type: Article AU - Buch, Peter DB - cin20 DO - 10.1097/SGA.0000000000000115 DP - EBSCOhost IS - 2 KW - Pancreatitis, Chronic Alcohol Abuse Smoking Genetics N1 - abstract. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 8915377. PY - 2015 SN - 1042-895X SP - 142-142 ST - Abstracts. WHAT YOU NEED TO KNOW ABOUT CHRONIC PANCREATITIS...Society of Gastroenterology Nurses and Associates 42nd Annual Course, Stepping Forward: Connecting with Our Gl Community, Baltimore, MD, May 15-19, 2015 T2 - Gastroenterology Nursing TI - Abstracts. WHAT YOU NEED TO KNOW ABOUT CHRONIC PANCREATITIS...Society of Gastroenterology Nurses and Associates 42nd Annual Course, Stepping Forward: Connecting with Our Gl Community, Baltimore, MD, May 15-19, 2015 UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=103067371&site=ehost-live&scope=site VL - 38 ID - 88191 ER - TY - JOUR AB - Purpose: The purpose of this study was to describe the incidence of abuse among pregnant teens in the three developmental stages of adolescence and to determine if abuse was related to pregnancy planning, high school participation, substance use during pregnancy, pregnancy complications, and infant birth weight. Design: Prospective survey. Methods: A total of 559 pregnant adolescents between the ages of 13 and 19 were interviewed. Abuse was measured by the Abuse Assessment Screen. Substance use was measured by self-report. Birth weights were obtained from hospital records. Results: Abuse was reported by 37% of the adolescents. In every age group, the incidence of low birth weight was higher in those who had been abused. Clinical Implications: The high rates of abuse reported by both adolescent and adult women in this study emphasize the need for nurses in every setting to incorporate routine screening for abuse into their nursing assessments. AD - Distinguished Professor, Oregon Health Sciences University, 3181 S.W. Sam Jackson Park Road, Portland, OR 97201-3098; e-mail: currym@ohsu.edu AN - 107269150. Language: English. Entry Date: 19980701. Revision Date: 20150818. Publication Type: Journal Article AU - Curry, M. A. AU - Doyle, B. A. AU - Gilhooley, J. DB - cin20 DP - EBSCOhost IS - 3 KW - Pregnancy in Adolescence Violence -- Epidemiology -- In Pregnancy Adolescent Development Prospective Studies Surveys Research Instruments Convenience Sample Substance Abuse Descriptive Statistics Interrater Reliability Interviews Data Analysis Software Chi Square Test Infant, Low Birth Weight Prenatal Care Northwestern United States Age Factors Pregnancy Adolescence Female Human N1 - research; tables/charts. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Instrumentation: Abuse Assessment Screen (Parker and McFarlane). NLM UID: 7605941. PMID: NLM9595911. PY - 1998 SN - 0361-929X SP - 144-150 ST - Abuse among pregnant adolescents: differences by developmental age T2 - MCN: The American Journal of Maternal Child Nursing TI - Abuse among pregnant adolescents: differences by developmental age UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=107269150&site=ehost-live&scope=site VL - 23 ID - 89974 ER - TY - JOUR AB - BACKGROUND: Women with abuse-related post-traumatic stress who are pregnant experience symptoms that nurses and midwives may not recognize or know how to respond to. AIM: The purpose of this article is to increase familiarity with the post-traumatic stress disorder diagnostic framework by illustrating the symptom categories and associated features with women's descriptions of the symptoms from qualitative interviews. METHODS: A secondary analysis was performed with data from a qualitative interview study of the maternity care experiences of 15 American women who had abuse-related post-traumatic stress during pregnancy. Content analysis was used to extract all participant statements describing how post-traumatic stress disorder symptoms and associated features manifested in pregnancy. These were then juxtaposed with the post-traumatic stress disorder diagnostic framework. RESULTS: Participants' interviews included a range of descriptions of the intrusive re-experiencing, avoidance and numbing, and hyperarousal core symptoms of post-traumatic stress disorder, as well as associated psychological features such as somatization, dissociation and interpersonal sensitivity, and associated behavioural features such as substance abuse, disordered eating, high-risk sexual behaviours, suicidality, and revictimization. CONCLUSIONS: Limitations of this study include that it is a secondary analysis, using a small North American sample, and focusing only on abuse-related post-traumatic stress disorder. Descriptive information from this qualitative study may bridge the gaps between psychiatric technical language, women's subjective experiences, and clinicians' perceptions of a woman's post-traumatic stress reactions. AD - Assistant Research Scientist, School of Nursing, University of Michigan, 400 N. Ingalls, Ann Arbor, MI 48109-0482; jseng@umich.edu AN - 106653497. Language: English. Entry Date: 20050425. Revision Date: 20200708. Publication Type: Journal Article AU - Seng, J. S. AU - Low, L. K. AU - Sparbel, K. J. H. AU - Killion, C. DB - cin20 DO - 10.1111/j.1365-2648.2004.03051.x DP - EBSCOhost IS - 6 KW - Child Abuse, Sexual -- Complications Childbirth Expectant Mothers -- Psychosocial Factors Stress Disorders, Post-Traumatic -- In Pregnancy Adult Audiorecording Content Analysis Eating Disorders Female Funding Source Interviews Midwestern United States Midwifery Narratives -- Evaluation Patient Attitudes -- Evaluation Pregnancy Qualitative Studies Secondary Analysis Self-Injurious Behavior Snowball Sample Somatoform Disorders Stress Disorders, Post-Traumatic -- Symptoms Substance Abuse Human N1 - research; tables/charts. Commentary: Callister LC. Toward evidence-based practice. [Commentary on] Abuse-related post-traumatic stress during the childbearing year. (MCN) Jan/Feb2005; 30 (1): 72-72. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. Grant Information: University of Iowa College of Nursing Parent, Child, and Family Nursing Area of Study. NLM UID: 7609811. PMID: NLM15154901. PY - 2004 SN - 0309-2402 SP - 604-613 ST - Abuse-related post-traumatic stress during the childbearing year T2 - Journal of Advanced Nursing (Wiley-Blackwell) TI - Abuse-related post-traumatic stress during the childbearing year UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=106653497&site=ehost-live&scope=site VL - 46 ID - 89559 ER - TY - JOUR AB - The definition of a child in African societies varies. From the moment the girl child can talk and walk, she is allocated responsibilities within the family. Westernized cultures view such responsibilities as forms of abuse. Thus, various reports had been written about girl children and had been critical of African societies without acknowledging that Africa is a very large continent. This paper sets out to identify, explore, and present potential areas of abuse of the girl child, for example, female circumcision, child slaves, rape survivors, child soldiers, child prostitution, teenage pregnancy, and arranged marriages. This paper suggests strategies that healthcare professionals could initiate in situations where a girl child is being abused. AD - Associate Professor of Nursing, School of Health and Rehabilitation Sciences, Faculty of Health Sciences, University of Cape Town, Anzio Road, Observatory 7925, South Africa; dkhalil@uctgsh1.uct.ac.za AN - 106459739. Language: English. Entry Date: 20060623. Revision Date: 20150818. Publication Type: Journal Article. Journal Subset: Blind Peer Reviewed AU - Khalil, D. D. DB - cin20 DO - 10.1111/j.1744-6198.2006.00032.x DP - EBSCOhost IS - 1 KW - Child Abuse -- Africa Cultural Values -- Africa Gender Bias Adolescence Africa Child Female Genital Mutilation Female Marriage Military Personnel Pregnancy Pregnancy in Adolescence Sex Work Rape Substance Abuse N1 - Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 0401006. PMID: NLM16512869. PY - 2006 SN - 0029-6473 SP - 13-24 ST - Abuses of the girl child in some African societies: implications for nurse practitioners T2 - Nursing Forum TI - Abuses of the girl child in some African societies: implications for nurse practitioners UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=106459739&site=ehost-live&scope=site VL - 41 ID - 89433 ER - TY - JOUR AB - Psychiatric liaison nurse manager Russell Jones examines the ambiguity surrounding the terminology used to describe those who overindulge in alcohol and illicit drugs, and looks at how some people turn their illness to their advantage. AD - Psychiatric Liaison Nurse Manager, Ysbyty Glan Clwyd, North Wales AN - 106338623. Language: English. Entry Date: 20060922. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Europe AU - Jones, R. DB - cin20 DP - EBSCOhost IS - 4 KW - Alcoholism Attitude to Mental Illness Nomenclature Psychiatric Patients -- Psychosocial Factors Substance Abusers -- Psychosocial Factors Attitude of Health Personnel Public Figures Social Attitudes N1 - Nursing; Peer Reviewed; UK & Ireland. NLM UID: 9506310. PY - 2006 SN - 1353-0283 SP - 24-24 ST - Abusive language T2 - Mental Health Nursing TI - Abusive language UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=106338623&site=ehost-live&scope=site VL - 26 ID - 89387 ER - TY - JOUR AB - Alcohol is a psychoactive drug, which has the potential to modify the functioning of brain and to cause serious damages such as behavioral disorders, chronic diseases and addiction. The World Health Organization classifies ethanol among drugs and recommends total abstaining under 16 years of age. Despite this, in recent years there has been a rapid and alarming growth of the phenomenon of alcohol abuse by adolescents and, at the same time, a reduction in the age of first drinking. Increasingly frequent habits among teenagers include binge drinking, the association of different types of beverages and/or of alcohol and drugs, and new ways of assuming alcohol such as eyeballing, jello shots and others. Methods. Literature review regarding four areas: epidemiological data, risk factors, alcohol-related harm and the role of the pediatric nurse. Results. More than 90% of teenagers in Europe have already drunk alcoholic beverages, with an average start age of 12 years and a half. In Italy, more than 10% of 11 years old children drink alcohol at least once a week. Teenagers are subjected to various influences in their choices: an important role is played by the peer group and by social factors such as advertising. Damages resulting from the abuse of alcohol, even occasionally, may be serious. Considering that on average a drink contains 12 grams of alcohol and that the liver is able to metabolize about 7 grams per hour, the excess pass into the bloodstream causing tissue damage. Since alcohol gives many calories without being a nutrient, this led young girls to embrace a new model of 'diet', drunkorexia. With regards of alcohol abuse Pediatric Nurses play a delicate role, especially in early detection of acute intoxication, Literature shows the usefulness of fast and simple screening tests followed by implementation of brief interventions aimed at changing behavior. L'alcol è una sostanza psicotropa, in grado cioè di modificare il funzionamento del cervello, che può causare danni gravi, turbe del comportamento oltre a patologie croniche e dipendenza. L'Organizzazione Mondiale della Sanità lo classifica fra le droghe e ne raccomanda la totale astensione fino ai 16 anni di età. Nonostante questo, negli ultimi anni si è assistito ad una rapida e preoccupante crescita del fenomeno dell'abuso alcolico da parte degli adolescenti e, al contempo, una riduzione dell'età in cui si inizia a bere. Si è passati da un modello del bere in cui l'alcol aveva un valore nutritivo e alimentare, accompagnando il pasto, ad un modello in cui l'alcol ha assunto una funzione esclusivamente inebriante: aumenta il fenomeno del binge drinking (5 o più drinks in breve tempo), si instaura sempre più il modello del policonsumo (associazione di diversi tipi di bevande alcoliche oppure associazione di alcol e droghe), nascono nuovi modelli del bere (vodka eyeballing, jelly happy shot). La revisione della letteratura ha permesso di distinguere quattro macro-aree: dati epidemiologici, fattori di rischio, danni alcol-correlati e ruolo dell'Infermiere pediatrico. In Europa, più del 90% degli adolescenti si è già avvicinato alle bevande alcoliche, con una età media di 12 anni e mezzo. In Italia, più del 10% dei ragazzi a 11 anni beve alcolici almeno una volta a settimana. L'adolescente subisce diverse influenze nelle sue scelte, sicuramente un ruolo rilevante è da attribuire al gruppo dei pari e a fattori sociali come la rete e la pubblicità. I danni che risultano dall'abuso alcolico, seppur occasionale, sono gravi. Considerando che, in media, una bevanda alcolica contiene 12 grammi di alcol e che il fegato è in grado di metabolizzarne circa 7 in un'ora, i grammi in eccesso passano nel circolo sanguigno danneggiando le cellule e i tessuti con cui entrano in contatto (nel giro di un quarto d'ora vengono raggiunti cervello, cuore e reni e in un'ora muscoli e tessuto adiposo). Inoltre, l'alcol produce molte calorie senza essere una sostanza nutriente, questo ha portato le giovani ragazze a seguire un nuovo modello di 'dieta', la drunkoressia, che prevede il digiuno dai pasti precedenti alla serata e un eccessivo sforzo fisico, il tutto per salvaguardare l'apporto calorico e, eventualmente, bere fino a vomitare se prima della serata fosse stato ingerito del cibo. In quest'ottica di abuso alcolico e di nuovi consumi, il ruolo dell'Infermiere pediatrico diventa difficile soprattutto nel riconoscimento tempestivo dell'intossicazione acuta, anche a causa della carenza di conoscenze e competenze riguardo all'argomento. Dalla letteratura emerge l'utilità di test di screening, veloci e semplici, seguiti dall'attuazione di interventi brevi volti a cambiare un comportamento. AD - Università degli Studi di Milano, Corso di Laurea in Infermieristica Pediatrica AN - 97719768. Language: Italian. Entry Date: 20140903. Revision Date: 20160610. Publication Type: Article AU - Barilati, Ester Maria AU - Cantoni, Barbara AU - Bezze, Elena DB - cin20 DP - EBSCOhost IS - 2 KW - Alcohol Abuse -- Epidemiology -- In Adolescence Human Adolescence Systematic Review Alcohol Abuse -- Risk Factors Alcohol Abuse -- Nursing Nursing Role Alcoholic Beverages N1 - research; systematic review. Journal Subset: Continental Europe; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed. Special Interest: Evidence-Based Practice; Pediatric Care. PY - 2014 SN - 2036-2218 SP - 53-57 ST - Abuso alcolico negli adolescenti. Analisi di un problema trascurato T2 - Children's Nurses: Italian Journal of Pediatric Nursing Science / Infermieri dei Bambini: Giornale Italiano di Scienze Infermieristiche Pediatriche TI - Abuso alcolico negli adolescenti. Analisi di un problema trascurato UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=97719768&site=ehost-live&scope=site VL - 6 ID - 88279 ER - TY - JOUR AB - The proceedings contain 128 papers. The topics discussed include: disparities in the use of in-person and telehealth outpatient visits among Medicare beneficiaries in an accountable care organization during covid-19; impact of covid-19 on prescriptions for controlled substances for veterans with opioid use disorder; trends in covid-19 cases, related deaths, and staffing shortage in nursing homes by rural and urban status; hospice saves costs for families: evidence from 16 years of Medicare survey data; impacts of patient-centered inpatient psychiatric care on trust and post-discharge engagement with care; federally qualified health centers play a critical role in ensuring equitable covid-19 vaccine access; and using mixed methods with multiple stakeholders to inform development of a breast cancer screening decision aid for women with limited health literacy. DB - Embase IS - SUPPL 2 KW - controlled substance opiate SARS-CoV-2 vaccine accountable care organization adult breast cancer cancer screening conference review controlled study coronavirus disease 2019 female health center health literacy hospice hospital patient human medicare mental health care nursing home outpatient prescription telehealth trust veteran LA - English M3 - Conference Review N1 - L636233597 2021-10-21 PY - 2021 SN - 1475-6773 ST - AcademyHealth Annual Research Meeting, ARM T2 - Health Services Research TI - AcademyHealth Annual Research Meeting, ARM UR - https://www.embase.com/search/results?subaction=viewrecord&id=L636233597&from=export VL - 56 ID - 94336 ER - TY - JOUR AB - BACKGROUND: Both inpatient and outpatient treatment centers that focus solely on psychosocial therapies for the treatment of alcohol dependence have high relapse rates. Thus, extensive research has focused on the development of pharmacologic moieties to attenuate the craving for alcohol after acute alcohol detoxification. Three drug therapies are currently approved by the US Food and Drug Administration (FDA) for this purpose: disulfiram, naltrexone, and acamprosate. The latter was approved by the FDA in 2004. OBJECTIVE: This article describes the pharmacologic properties and clinical usefulness of acamprosate for the treatment of alcohol dependence. METHODS: Relevant information was identified through searches of MEDLINE (1966 to March 2005), International Pharmaceutical Abstracts (1970-2005), Current Contents (1996-2005), and Cumulative Index to Nursing and Allied Health Literature (1982-Week 2, 2004) using the key words acamprosate, alcohol dependence, and alcoholism (MeSH). RESULTS: Acamprosate limited to randomized, controlled clinical trials yielded 33 hits in MEDLINE. Twenty-two articles were reviewed for efficacy end points, and 10 were reviewed for pharmacology and pharmacokinetics data. Acamprosate plus pharmacokinetics and pharmacodynamics yielded 19 hits, some of which were duplicates from the previously described search. Acamprosate plus meta-analysis (MeSH) yielded 5 hits, naltrexone plus meta-analysis (MeSH) yielded 9 hits, and disulfiram plus meta-analysis yielded 3 hits. The most recent review articles and their reference lists were assessed to ensure completeness of literature searches. Based on these searches, acamprosate is known to be an analogue of taurine and gamma-aminobutyric acid (GABA), 2 central nervous system neuromodulators. Acamprosate is thought to share some of the cellular actions of taurine affecting GABA and glutaminergic receptors in the nucleus accumbens, a brain region that may be responsible for the reinforcing effects received after alcohol consumption. Acamprosate is thought to also suppress excitation-induced calcium entry that results from chronic alcohol exposure, thereby altering the conformation of the N-methyl-d-aspartate receptors. The percentage of patients taking acamprosate who were completely abstinent throughout the different durations of the studies varied from approximately 18% to 61%, compared with 4% to 45% with placebo. Diarrhea was the most common adverse effect accompanying acamprosate therapy, and this was generally described as dose related and transient. CONCLUSIONS: Acamprosate is associated with modest treatment effects. Its efficacy is similar to naltrexone, and the combination of acamprosate and naltrexone appears to be more efficacious than acamprosate alone, when combined with psychosocial interventions. AD - Harrison School of Pharmacy, Auburn University, Auburn, AL AN - 106465239. Language: English. Entry Date: 20060630. Revision Date: 20200708. Publication Type: Journal Article AU - Boothby, L. A. AU - Doering, P. L. DB - cin20 DO - 10.1016/j.clinthera.2005.06.015 DP - EBSCOhost IS - 6 KW - Alcohol Deterrents -- Therapeutic Use Alcoholism -- Drug Therapy CINAHL Database Disulfiram -- Therapeutic Use Drug Interactions GABA -- Drug Effects Medline Meta Analysis Naltrexone -- Therapeutic Use Quality of Life Human N1 - research; systematic review; tables/charts. Journal Subset: Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. NLM UID: 7706726. PMID: NLM16117977. PY - 2005 SN - 0149-2918 SP - 695-714 ST - Acamprosate for the treatment of alcohol dependence T2 - Clinical Therapeutics TI - Acamprosate for the treatment of alcohol dependence UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=106465239&site=ehost-live&scope=site VL - 27 ID - 89485 ER - TY - JOUR AB - Objectives: The COVID 19 pandemic has created challenges in providing timely care for patients and families with Substance Use disorders (SUDs). With the difficulties in face-to-face consultations because of social distancing measures, telepsychiatry services can be beneficial. The study proposes implementing an e-consult for SUD management and measuring its acceptability among the health care providers (HCPs) in India. Methods: The mobile-based e-consult for SUD, connecting HCPs with addiction specialists, was implemented during the COVID lockdown period in India from 25 March to 31 May (71 days). A total of 153 HCPs, i.e., doctors, nurses, counselors, consulted for 110 cases of SUD. Sixty-eight provided feedback by filling the survey form derived from the Service User Technology Acceptability Questionnaire (SUTAQ). Result: More than 60% of HCPs reported overall high satisfaction. More than 98% providers reported high acceptability concerning"access to specialist care," "trusted to work appropriately", “saving time,” "would like torecommend to others," easier to get touch with a specialist." The doctors reported significantly high acceptability about “access to specialist care,” "satisfied with recommendations,"recommend to others" compared to other HCPs. Conclusion: During COVID 19 pandemic lockdown in India, e-consult was an acceptable tool in managing SUDs. The majority of HCPs could discuss their cases with addiction experts. There is a need to expand this further in other mental health conditions. AD - P. Chand, Centre for Addiction Medicine and NIMHANS Digital Academy, Department of Psychiatry, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore 29, India AU - Sahu, P. AU - Mathur, A. AU - Ganesh, A. AU - Nair, S. AU - Chand, P. AU - Murthy, P. DB - Embase Medline DO - 10.1016/j.ajp.2020.102451 KW - addiction specialist adult article coronavirus disease 2019 drug dependence feedback system female health care access health care personnel health personnel attitude human India major clinical study male mobile application pandemic priority journal psychiatrist questionnaire satisfaction scoring system Service User Technology Acceptability Questionnaire telepsychiatry LA - English M3 - Article N1 - L2008360101 2020-10-23 2020-10-30 PY - 2020 SN - 1876-2026 1876-2018 ST - Acceptance of e-consult for Substance Use Disorders during the COVID 19 pandemic: A study from India T2 - Asian Journal of Psychiatry TI - Acceptance of e-consult for Substance Use Disorders during the COVID 19 pandemic: A study from India UR - https://www.embase.com/search/results?subaction=viewrecord&id=L2008360101&from=export http://dx.doi.org/10.1016/j.ajp.2020.102451 VL - 54 ID - 94450 ER - TY - JOUR AB - BACKGROUND: Acceptance to a family practice is key to access and continuity of care. While Canadian patients increasingly report not being able to acquire acceptance to a family practice, little is known about the association between requiring opioids and acceptance. We aim to determine the proportion of family physicians who would accept new patients who require opioids and describe physician and practice characteristics associated with willingness to accept these patients. METHODS: Census telephone survey of family physicians' practices in Nova Scotia, Canada. MEASURES: physician (i.e., age, sex, years in practice) and practice (i.e., number/type of provider in the practice, care hours/week) characteristics and practice-reported willingness to accept new patients who require opioids. RESULTS: The survey was completed for 587 family physicians (83.7% response rate). 354 (60.3%) were taking new patients unconditionally or with conditions; 326 provided a response to whether they would accept new patients who require opioids; 91 (27.9%) reported they would not accept a new patient who requires opioids. Compared to family physicians who would not accept patients who require opioids, in bivariate analysis, those who would, tended to work in larger practices; had fewer years in practice; are female; and provided more patient care. The relationship to number of providers in the practice, having a nurse, and experience persisted in multivariate analysis. CONCLUSIONS: The strongest predictors of willingness to accept patients who require opioids are fewer years in practice (OR = 0.96 [95% CI 0.93, 0.99]) and variables indicating a family physician has support of a larger (OR = 1.19 [95% CI 1.00, 1.42]), interdisciplinary team (e.g., nurses, mental health professionals) (OR = 1.15 [95% CI 1.11, 5.05]). Almost three-quarters (72.1%) of surveyed family physicians would accept patients requiring opioids. AD - Department of Family Medicine, Dalhousie University, Suite 402, 1465 Brenton Street, Halifax, Nova Scotia, B3J 3T4, Canada. emily.marshall@dal.ca. Department of Family Medicine, Dalhousie University, Suite 402, 1465 Brenton Street, Halifax, Nova Scotia, B3J 3T4, Canada. Nova Scotia Health Authority, Department of Family Practice, Mumford Professional Centre, 6960 Mumford Road, Suite 265, Halifax, Nova Scotia, B3L 4P1, Canada. AN - 31640570 AU - Marshall, E. G. AU - Burge, F. AU - Gibson, R. J. AU - Lawson, B. AU - O'Connell, C. C1 - The authors declare that they have no competing interests. C2 - PMC6806488 DA - Oct 23 DO - 10.1186/s12875-019-1027-3 DP - NLM ET - 20191023 IS - 1 KW - Adult Aged Analgesics, Opioid/*therapeutic use Family Practice/organization & administration/*statistics & numerical data Female Health Services Accessibility/statistics & numerical data Humans Male Middle Aged Nova Scotia Physicians, Family/statistics & numerical data Refusal to Treat/*statistics & numerical data Surveys and Questionnaires Access Family medicine Interdisciplinary care teams Opioid Primary care Primary health care LA - eng N1 - 1471-2296 Marshall, Emily Gard Orcid: 0000-0001-8327-0329 Burge, Frederick Gibson, Richard J Lawson, Beverley O'Connell, Colleen Journal Article Research Support, Non-U.S. Gov't England 2019/10/24 BMC Fam Pract. 2019 Oct 23;20(1):141. doi: 10.1186/s12875-019-1027-3. PY - 2019 SN - 1471-2296 SP - 141 ST - Accepting new patients who require opioids into family practice: results from the MAAP-NS census survey study T2 - BMC Fam Pract TI - Accepting new patients who require opioids into family practice: results from the MAAP-NS census survey study VL - 20 ID - 85927 ER - TY - JOUR AB - There are deleterious consequences to untreated mental health and substance abuse concerns among people living with HIV/AIDS (PLWHA). Most research on this population accessing specialized services has been described from the clients' perspectives. However, case managers play an important role in PLWHA receiving services. This study examined HIV case managers' perspectives of the barriers and facilitators encountered by their HIV-positive clients when seeking mental health and substance use treatment. In addition, the study describes case managers' use of mental health and substance abuse assessment instruments. Cross-sectional survey data were collected from case managers (N = 113). Structural challenges, such as financial concerns and limited transportation, were found to be significant barriers to mental health and substance abuse treatment. Positive client-provider relationships, accessible services, and case manager availability were influential in PLWHA accessing specialized services. Service delivery systems recommendations include increased social support systems, colocated and integrated services, and training of case managers to motivate clients to seek mental health and substance abuse treatment. AD - associate professor, School of Social Work, Portland State University, 1800 SW 6th Avenue, Suite #600, Portland, OR 97201 assistant professor, School of Social Work, University of Southern California, Los Angeles associate professor, School of Social Work, University of Texas, Austin doctoral candidate, School of Social Work, Arizona State University, Phoenix AN - 102836814. Language: English. Entry Date: 20150526. Revision Date: 20160502. Publication Type: Article AU - Orellana, Edwin Roberto AU - Goldbach, Jeremy AU - Rountree, Michelle Angela AU - Bagwell, Meredith DB - cin20 DO - 10.1093/hsw/hlv023 DP - EBSCOhost IS - 2 KW - Health Services Accessibility Mental Health Services -- Utilization Substance Use Rehabilitation Programs -- Utilization Case Managers HIV-Positive Persons Attitude of Health Personnel Human Cross Sectional Studies Surveys Transportation Data Analysis Software Male Female Clinical Assessment Tools Substance Use Disorders -- Rehabilitation N1 - research. Journal Subset: Allied Health; Peer Reviewed; USA. NLM UID: 7611528. PY - 2015 SN - 0360-7283 SP - e10-e14 ST - Access to Mental Health and Substance Abuse Services by People Living with HIV/AIDS: The Case Manager Perspective T2 - Health & Social Work TI - Access to Mental Health and Substance Abuse Services by People Living with HIV/AIDS: The Case Manager Perspective UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=102836814&site=ehost-live&scope=site VL - 40 ID - 88170 ER - TY - THES AB - Homelessness in the United States has significantly increased with homeless women and children representing the fastest growing group. The Surgeon General's report, Oral Health in America, declared dental caries the 'silent epidemic' with the worst oral health found among the poor of all ages. A prospective repeated measures study elucidated predictors of oral health access, utilization, and oral health status for children in female-headed homeless families, and determined whether shelter-based care increased utilization. A convenience sample of 120 mother-child dyads was recruited from an urban shelter. Measured predictors based on the Behavioral Model for Vulnerable Populations were age of mother/child, oral health beliefs, ethnicity, education, family size, number of times homeless, victimization, substance abuse, mental health concerns, and insurance status. Access barriers, utilization, and oral health status were tested on intake and one month follow-up. Level of health and oral health status of homeless children residing at the shelter were measured at intake.Each child (N=236) had an average of 2-3 health problems (only 24 children had no health problems). Thus, the level of health of the homeless child was fair-to-poor. Dental caries (n=98) was the number one health and oral health problem of homeless children. Ten independent variables explained 33% of the variance in Access Barriers to Care. The three most influential predictors of Access were Mental Health of Mother (B=-.43), Maternal Oral Health Beliefs (B=-.24), and Maternal Victimization (B=.19). Ten independent variables explained 24.3% of the variance of oral health status. Mother's age (B=.35), number of children at the shelter (B=.34), and race (B=.15) had the most influence. Few families (n=9) actually utilized oral health services within one month. Nonetheless, shelter-based care was effective in improving access to dental care because 43% of families were able to secure dental appointments. Perceived access barriers decreased after Pediatric Nurse Practitioner care (p <.001). Predictors of access and oral health status in homeless children were identified and can guide nursing strategies to reduce health disparities among shelter-based homeless children. AU - DiMarco, M. A. DB - cin20 DP - EBSCOhost KW - Dental Care -- Utilization Health Services Accessibility Homeless Persons -- In Infancy and Childhood Aging Child Comorbidity Convenience Sample Dental Caries -- Epidemiology Educational Status Ethnic Groups Health Beliefs Insurance, Health Poverty Prospective Studies Repeated Measures Substance Abuse United States Human M1 - Ph.D. N1 - Accession Number: 109849749. Language: English. Entry Date: 20080815. Revision Date: 20150923. Publication Type: Doctoral Dissertation; research. UMI Order AAI3264526 PB - Case Western Reserve University PY - 2007 SN - 9780549024996 SP - 168 p-168 p ST - Access/utilization of dental care by homeless children TI - Access/utilization of dental care by homeless children UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=109849749&site=ehost-live&scope=site ID - 89337 ER - TY - JOUR AB - Injection drug users (IDU) experience complex barriers to accessing primary medical care which may result in over reliance on emergency health services. Supervised injecting facilities (SIF) aim to address HIV and overdose risks, as well as improve access to primary medical care among IDU. This study sought to investigate IDU perspectives regarding the impact of SIF on access to care and treatment of injection-related infections. Semi-structured qualitative interviews were conducted with 50 individuals recruited from a cohort of SIF users known as the Scientific Evaluation of Supervised Injecting (SEOSI). Audio-recorded interviews were transcribed verbatim and a thematic analysis was conducted. IDU narratives indicate the availability of on-site nursing attention at the SIF facilitated uptake of health services. IDU reported that the facility provided assessment and care of injection-related infections, as well as enhanced access to off-site medical services. The presence of professional nursing personnel within a sanctioned drug consumption setting serves to address social and structural barriers that often impede IDU access to health care. This study emphasizes that the facility enables contact with the healthcare system and thereby helps to facilitate the management of injection-related infections. AD - British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, University of British Columbia, Canada. AN - 105560147. Language: English. Entry Date: 20090220. Revision Date: 20200708. Publication Type: Journal Article AU - Small, W. AU - Wood, E. AU - Lloyd-Smith, E. AU - Tyndall, M. AU - Kerr, T. DB - cin20 DO - 10.1016/j.drugalcdep.2008.05.014 DP - EBSCOhost IS - 1/2 KW - Abscess -- Nursing Health Services Accessibility Needle Exchange Programs -- Utilization Substance Abuse, Intravenous -- Complications Adult Female Male Middle Age Patient Satisfaction -- Statistics and Numerical Data Qualitative Studies Referral and Consultation -- Statistics and Numerical Data Substance Abuse, Intravenous -- Epidemiology Substance Abuse, Intravenous -- Nursing Human N1 - research; tables/charts. Journal Subset: Biomedical; Europe; Peer Reviewed; UK & Ireland. NLM UID: 7513587. PMID: NLM18650034. PY - 2008 SN - 0376-8716 SP - 159-162 ST - Accessing care for injection-related infections through a medically supervised injecting facility: a qualitative study T2 - Drug & Alcohol Dependence TI - Accessing care for injection-related infections through a medically supervised injecting facility: a qualitative study UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=105560147&site=ehost-live&scope=site VL - 98 ID - 89116 ER - TY - JOUR AD - M. Moore AU - Moore, M. DB - Medline IS - 3 KW - alcoholism article family group therapy health personnel attitude human nursing LA - English M3 - Article N1 - L90443761 1970-09-02 PY - 1970 SN - 0360-5973 SP - 21-27 ST - An account of a nurse's role and functions in an alcoholic treatment program T2 - Journal of psychiatric nursing and mental health services TI - An account of a nurse's role and functions in an alcoholic treatment program UR - https://www.embase.com/search/results?subaction=viewrecord&id=L90443761&from=export VL - 8 ID - 96182 ER - TY - JOUR AB - The author interviewed 60 Canadian Indians who had migrated from reserves to Toronto, to identify and obtain frequencies of specific acculturation stressors, to identify which stressors were the most difficult to cope with, and to determine if alcohol was used to cope with acculturation stress. 8 extrapersonal factors, 6 intrapersonal factors and 5 interpersonal factors are predominant acculturation stressors in the lives of Canadian Indians in Toronto. Two-thirds of the subjects related use of alcohol to coping with problems in the city, suggesting that the use of alcohol may be a reaction to acculturation stress. The author suggests strategies which public health nurses may use to encourage the development of effective coping patterns among native people who are faced with acculturation stress in the urban environmnent. AD - Department of Health, Winnipeg, Man. R3G 0N6 AU - Drew, L. L. DB - Embase Medline IS - 2 KW - alcoholism ethnic or racial aspects female human male normal human personality short survey social interaction physiological stress LA - English M3 - Article N1 - L18145335 1988-07-07 PY - 1988 SN - 0008-4263 SP - 115-118 ST - Acculturation stress and alcohol usage among Canadian Indians in Toronto T2 - Canadian Journal of Public Health TI - Acculturation stress and alcohol usage among Canadian Indians in Toronto UR - https://www.embase.com/search/results?subaction=viewrecord&id=L18145335&from=export VL - 79 ID - 96091 ER - TY - JOUR AB - BACKGROUND: In December 2006, all UK NHS trusts introduced smoke-free regulations prohibiting smoking on all NHS sites. These rules are to be enforced by all NHS trust staff. We have investigated the implementation of these regulations by health care workers when they encounter smokers on a NHS hospital site. METHODS: Eighty-five medical and nursing staff working in acute medicine at the Queen Elizabeth Hospital, Gateshead, completed a questionnaire reporting their behavior when exposed to smokers on NHS hospital sites. RESULTS: Over 50% of medical and nursing staff reported that they would not challenge patients, staff or visitors smoking on NHS trust site. There was a trend for employees to be more likely to challenge patients than visitors, and to be more likely to challenge visitors than other staff. Fear of aggression was the most commonly reported reason for not challenging smokers. CONCLUSIONS: Most medical and nursing staff report that they do not enforce NHS smoke-free regulations and do not challenge smokers on NHS sites. This is due to many real and perceived barriers including fear of aggression. Overcoming these barriers is an important area of research to guide successful implementation of future smoking policy. There may be scope for improvement through training in NHS policy and in non-confrontational communication skills. AD - Gateshead Health NHS Trust, Queen Elizabeth Hospital, Sheriff Hill, Gateshead NE9 6SX, UK. drmdshipley@hotmail.com AN - 105885930. Language: English. Entry Date: 20080411. Revision Date: 20200708. Publication Type: Journal Article AU - Shipley, M. AU - Allcock, R. DB - cin20 DO - 10.1093/pubmed/fdn004 DP - EBSCOhost IS - 1 KW - Environment Government Regulations Hazardous Materials Hospitals Passive Smoking -- Legislation and Jurisprudence Personnel, Health Facility -- Standards Safety Smoking -- Legislation and Jurisprudence Adult Data Collection Female Great Britain Male National Health Programs Passive Smoking -- Prevention and Control Questionnaires Smoking -- Prevention and Control Human N1 - research. Journal Subset: Europe; Peer Reviewed; Public Health; UK & Ireland. NLM UID: 101188638. PMID: NLM18292178. PY - 2008 SN - 1741-3842 SP - 2-7 ST - Achieving a smoke-free hospital: reported enforcement of smoke-free regulations by NHS health care staff T2 - Journal of Public Health TI - Achieving a smoke-free hospital: reported enforcement of smoke-free regulations by NHS health care staff UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=105885930&site=ehost-live&scope=site VL - 30 ID - 89213 ER - TY - JOUR AB - Pain is one of the most common and distressing elements of suffering related to cancer and cancer treatment. Progress in cancer treatment means people will live longer with the sequelae of cancer and disease-directed treatments, and both the short- and long-term effects of opioid use must be considered. Skilled practitioners caring for individuals with cancer help to alleviate cancer-related pain by using the World Health Organization (WHO) step-wise approach to pain management as well as recently updated national and international guidelines. Current guidelines go beyond the unidimensional WHO model by addressing comprehensive assessment, pharmacological management of opioids and adverse effects associated with opioid use, the role of adjuvants, and the application of non-pharmacological treatments. By following current guidelines promoting a multifaceted approach to the management of cancer-related pain and advocating for patient-centered care, nurses are uniquely positioned to champion effective cancer pain management. AD - Nurse Practitioner, Cleveland Clinic, Taussig Cancer Institute, and Cleveland Clinic, The Harry R. Horvitz Center for Palliative Medicine, and Case Western Reserve University, School of Nursing, Cleveland, Ohio, USA. Nurse Practitioner, Cleveland Clinic, Taussig Cancer Institute, and Cleveland Clinic, Harry R. Horvitz Center for Palliative Medicine. Staff Physician, Cleveland Clinic, Taussig Cancer Institute, Cleveland Clinic, Harry R. Horvitz Center for Palliative Medicine, and Cleveland Clinic, Lerner School of Medicine, Case Western Reserve University. AN - 24356502 AU - Fielding, F. AU - Sanford, T. M. AU - Davis, M. P. DA - Dec DO - 10.12968/ijpn.2013.19.12.584 DP - NLM IS - 12 KW - Adolescent Adult Aged Aged, 80 and over Analgesics, Opioid/*therapeutic use Child Female *Guidelines as Topic Humans Male Middle Aged Neoplasms/complications/*nursing Pain/*drug therapy/etiology Pain Management/*methods/*standards Patient-Centered Care/*standards World Health Organization Young Adult LA - eng N1 - Fielding, Flannery Sanford, Tanya M Davis, Mellar P Journal Article Review England 2013/12/21 Int J Palliat Nurs. 2013 Dec;19(12):584-91. doi: 10.12968/ijpn.2013.19.12.584. PY - 2013 SN - 1357-6321 (Print) 1357-6321 SP - 584-91 ST - Achieving effective control in cancer pain: a review of current guidelines T2 - Int J Palliat Nurs TI - Achieving effective control in cancer pain: a review of current guidelines VL - 19 ID - 86129 ER - TY - JOUR AB - Despite available treatment options for addiction, there remains an abysmal uptake of treatment initiation and engagement among varying communities. The existing treatment gap is based on historical occurrences, including discriminatory drug policies that have targeted communities of color with addiction. The current opioid epidemic and differential treatment therein exemplifies the severity of the existing disparity in addiction treatment, highlighting barriers such as institutionalized racism and vulnerabilities in the social determinants of health. To mitigate the disparity, an array of solutions to address these inequities are discussed, thereby providing a pathway forward to eliminating this treatment gap. AD - A. Jordan, Department of Psychiatry, Yale University School of Medicine, 300 George Street, Suite 901, New Haven, CT, United States AU - Jordan, A. AU - Mathis, M. L. AU - Isom, J. DB - Embase Medline DO - 10.1016/j.psc.2020.05.007 IS - 3 KW - opiate addiction crime cultural anthropology drug approval drug dependence drug therapy drug use evidence based medicine Food and Drug Administration health care need health care policy health disparity health equity health service history human medical decision making mental health mental health service minority group nurse practitioner opiate addiction patient counseling policy primary health care priority journal correctional facility psychotherapy review social aspect social stigma United States LA - English M3 - Review N1 - L2007368992 2020-08-11 2020-09-10 PY - 2020 SN - 1558-3147 0193-953X SP - 487-500 ST - Achieving Mental Health Equity: Addictions T2 - Psychiatric Clinics of North America TI - Achieving Mental Health Equity: Addictions UR - https://www.embase.com/search/results?subaction=viewrecord&id=L2007368992&from=export http://dx.doi.org/10.1016/j.psc.2020.05.007 VL - 43 ID - 94492 ER - TY - JOUR AB - Purpose: A broncho-esophageal fistula (BEF) may be congenital or acquired. Esophageal cancer is the most common cause of an acquired BEF. Causes include cuff-related trauma secondary to tracheal intubation, infections and ulcerations from Barrett's esophagus. Patients present with non-specific symptoms of cough, abdominal pain, hemoptysis and recurrent respiratory tract infections. Surgery is usually curative. We present a case of an acquired BEF in a man with a history of self-induced vomiting. A 66-year-old man with alcoholism presented to an outside hospital with dysphasia, odynophagia and recurrent pneumonia (PNA). Medical history was notable for dementia and self-induction of vomiting for multiple years. On admission, an esophagram showed a tight stricture at the gastro-esophageal junction with a contained posterior perforation. CT of the chest revealed perforation of the inferior esophagus with connection to the right lower lobe (RLL) of the lung. The patient was referred to our institution for further care. At our hospital, the patient was hemodynamically stable although mildly tachypneic with a productive cough. On exam, decreased breath sounds over the right lung base were auscultated. Initial blood work was normal. On hospital day two, an esophagogastroduodenoscopy showed a 3 cm wide opening at the distal esophagus exposing multiple bronchi. The fistula was too distal to close with an esophageal stent so closure of the fistula and repair of the esophageal defect was performed by cardiothoracic surgery one week later. Pathology returned negative for any malignant or infectious etiology. Post-surgical esophagram revealed no further evidence of a fistula or active leak. By hospital day 32, the patient began tolerating solids orally and was discharged back to his nursing home soon after. Per nursing home staff, the patient has denies further symptoms nor has been re-hospitalized for PNA. He does continue to induce vomiting daily. The etiology of this patient's BEF is unclear, but a few possibilities may be considered. Frequent vomiting over time may have led to a BEF from gastric acid erosion of the esophageal lining with extension into the bronchial tree. Increased intra-thoracic pressure with purging may also have lead to a Boerhaave's lesion with formation of a fistula as has been described. Likewise, recurrent PNA may have led to empyema formation with fistulous extension through the esophagus. In this case, all three mechanisms may have played a role. Regardless, early recognition of a patient with a BEF can facilitate diagnosis, corrective treatment and prevention of future morbidity. To our knowledge, this is the first recorded case of BEF in a patient with self-induced vomiting. AD - A. Korman, Internal Medicine, Beth Israel Medical Center, Manhattan, NY, United States AU - Korman, A. AU - Kassab, M. AU - Wang, L. S. AU - Loree, R. AU - Patton, B. AU - Reyes, A. AU - Carr-Locke, D. DB - Embase DO - 10.1038/ajg.2011.336_7 KW - human patient college vomiting esophagus fistula gastroenterology hospital fistula esophagus perforation male lung coughing etiology nursing home tracheobronchial tree empyema diagnosis prevention morbidity esophagus cancer cuff injury endotracheal intubation infection ulcer abdominal pain hemoptysis respiratory tract infection surgery alcoholism dysphasia odynophagia pneumonia medical history dementia thorax abnormal respiratory sound blood esophagogastroduodenoscopy bronchus stent thorax surgery pathology solid stomach acid Barrett esophagus LA - English M3 - Conference Abstract N1 - L70556218 2011-10-18 PY - 2011 SN - 0002-9270 SP - S169 ST - Acquired broncho-esophageal fistula in a patient with self-induced vomiting T2 - American Journal of Gastroenterology TI - Acquired broncho-esophageal fistula in a patient with self-induced vomiting UR - https://www.embase.com/search/results?subaction=viewrecord&id=L70556218&from=export http://dx.doi.org/10.1038/ajg.2011.336_7 VL - 106 ID - 95450 ER - TY - JOUR AB - The social construction of disease and responses to it has implications not only for how nurses approach caregiving responsibilities but also for how we strategize for and participate in prevention efforts and elaborate priorities for advocacy. Historical review of responses to public health threats, along with critical examination of current social constructions of disease and public health practice, can inform our theory building and offer important insights for educators and clinicians striving to improve the care of people with acquired immunodeficiency syndrome (AIDS). Understanding what underlies responses is key to effecting changes. Although unique, AIDS has commonalities with other diseases and public health threats, past and present. Thus lessons learned from the past may be applicable to the current situation. AN - 107354801. Language: English. Entry Date: 19960101. Revision Date: 20150818. Publication Type: Journal Article. Journal Subset: Blind Peer Reviewed AU - Bennett, J. A. DB - cin20 DP - EBSCOhost IS - 1 KW - Attitude to AIDS Social Attitudes Nurse Attitudes Social Change Causal Attribution Attitude to Sexuality Sexually Transmitted Diseases -- Psychosocial Factors Stereotyping Substance Dependence Risk Taking Behavior N1 - Core Nursing; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 8702105. PMID: NLM7593370. PY - 1995 SN - 0887-9311 SP - 77-89 ST - Acquired immunodeficiency syndrome and social dis-ease T2 - Holistic Nursing Practice TI - Acquired immunodeficiency syndrome and social dis-ease UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=107354801&site=ehost-live&scope=site VL - 10 ID - 90112 ER - TY - JOUR AB - AIM: To report an analysis of the concept of acquired pharmaco-dynamic opioid tolerance. BACKGROUND: Acquired pharmaco-dynamic opioid tolerance is a complex and poorly understood phenomenon associated with strong opioid therapy for managing pain. Critical review of the concept provides greater clarification of the attributes, assisting healthcare professionals in addressing pain and functional management of patients, particularly those with non-malignant pain. DESIGN: Concept analysis. DATA SOURCES: A systematic literature search was undertaken using electronic data bases: CINAHL, British Nursing Index, EMBase, Medline, Pubmed and AMED. All literature reviewed was in English and published between 1976 and 2012. The key search terms were 'chronic non-malignant pain', 'strong opioid therapy' and 'development of acquired pharmaco-dynamic opioid tolerance'; all possible variant terms were also searched. METHOD: The Walker and Avant approach was used to guide the concept analysis. RESULTS: The concept analysis revealed four empirical referents: plasticity, drug administration, reduced analgesic efficacy and increased drug dosing. Tachyphylexia was identified as a borderline case, opioid induced hyperalgesia as a related case and pseudo-tolerance as a contrary case. The antecedent is administration of an opioid analgesic drug and the consequences, increasing opioid drug dose to maintain analgesic effect. CONCLUSION: Untangling the antecedents, empirical referents and consequences of tolerance help healthcare professionals understand its complexities. Improved knowledge may ultimately influence patient outcomes through the construction of better monitoring systems. This concept analysis may also provide insights for policy change and give empirical direction for future research. AD - Anaesthetic Department, Royal Gwent Hospital, Newport, UK. AN - 23600762 AU - Middleton, C. AU - Harden, J. DA - Feb DO - 10.1111/jan.12150 DP - NLM ET - 20130421 IS - 2 KW - Abdominal Pain/drug therapy/etiology Adaptation, Physiological/drug effects Adult Analgesics, Opioid/administration & dosage/*pharmacology Back Pain/drug therapy/etiology Dose-Response Relationship, Drug Drug Tolerance/*physiology Female Humans Hyperalgesia/chemically induced/physiopathology Male Middle Aged Pain/*drug therapy/physiopathology Tachyphylaxis/physiology analysis chronic concept conditions management nursing opioid tolerance LA - eng N1 - 1365-2648 Middleton, Carolyn Harden, Jane Case Reports Journal Article Review England 2013/04/23 J Adv Nurs. 2014 Feb;70(2):272-81. doi: 10.1111/jan.12150. Epub 2013 Apr 21. PY - 2014 SN - 0309-2402 SP - 272-81 ST - Acquired pharmaco-dynamic opioid tolerance: a concept analysis T2 - J Adv Nurs TI - Acquired pharmaco-dynamic opioid tolerance: a concept analysis VL - 70 ID - 86288 ER - TY - JOUR AB - Objective: to evaluate knowledge about sexual health, with blind people, before and after educational intervention. Method: action research conducted with 58 blind people enrolled in a philanthropic educational institution. A form with sociodemographic and knowledge variables about Sexually Transmitted Infections was used. The Chi-square and Fisher tests were performed. Results: men presented higher frequency of alcoholism (p <0.001) and illicit drugs (p = 0.006). It was found that they used a male condom more frequently than women using a female condom (p = 0.003), although they had more knowledge about the prevention of Sexually Transmitted Infections (p = 0.006). Among these infections, Trichomonas vaginalis (52.4%) was more frequent. Knowledge gaps on risk factors and safe sex were identified. After the intervention, an increase in the knowledge about sexual health was detected. Conclusion: the educational intervention, in the light of problematizing pedagogy, (re) constructed the knowledge on sexual health, empowering the participants regarding the prevention of Sexually Transmitted Infections. Therefore, it is necessary that nurses carry out educational interventions with this clientele, aiming to soften deficits of knowledge about the thematic in screen. AD - Universidade Federal da Paraíba, João Pessoa, PB, Brazil Universidade Estadual da Paraíba, Campina Grande, PB, Brazil Universidade de Pernambuco, Recife, PE, Brazil Scholarship holder at the Fundação de Amparo a Ciência e Tecnologia do Estado de Pernambuco (FACEPE), Brazil Scholarship holder at the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brazil AN - 141701908. Language: English. Entry Date: 20200219. Revision Date: 20200506. Publication Type: Article AU - Xavier de França, Inacia Sátiro AU - Silva Coura, Alexsandro AU - Stélio de Sousa, Francisco AU - da Silva Aragão, Jamilly AU - Rodrigues Silva, Arthur Felipe AU - Ribeiro dos Santos, Sérgio DB - cin20 DO - 10.1590/1518-8345.3006.3163 DP - EBSCOhost KW - Blindness Persons with Disabilities -- Education Sexual Health -- Education Health Knowledge -- Evaluation Outcomes of Education Human Action Research Socioeconomic Factors Chi Square Test Fisher's Exact Test Sex Factors Male Female Alcoholism Substance Abuse Condoms Sexually Transmitted Diseases -- Prevention and Control Trichomonas Vaginitis Health Education Quantitative Studies Adult Young Adult Thematic Analysis Nursing Role Students, Nursing Data Analysis Software Descriptive Statistics Clinical Trials Funding Source N1 - clinical trial; research; tables/charts. Journal Subset: Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Mexico & Central/South America; Nursing; Peer Reviewed. Grant Information: Supported by Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brazil, grant #482371/2012-9.. NLM UID: 9420934. PY - 2019 SN - 1518-8345 SP - 1-9 ST - Acquiring of knowledge about sexual health by blind people: an action research T2 - Revista Latino-Americana de Enfermagem (RLAE) TI - Acquiring of knowledge about sexual health by blind people: an action research UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=141701908&site=ehost-live&scope=site VL - 27 ID - 87589 ER - TY - THES AB - Reports highlight growing concern about the state of pain and pain management in the United States. Furthermore, there is concern that pain education curricula for nursing students are lacking, resulting in graduates who are unable to effectively manage pain in the clinical setting. Traditional pain curricula omit essential content about beliefs and misconceptions about pain and experiential learning opportunities that may affect successful transfer of pain knowledge and clinical judgment to practice.The aim of this randomized pretest-posttest repeated measures study was to describe the state of nursing students' knowledge and attitudes about pain and clinical judgment regarding pain management following completion of foundational courses about pain and pain management practices and examine the effects of high fidelity patient simulation (HFPS) on the development of BSN nursing students' knowledge, attitudes, and clinical judgment regarding pain management. The control group completed an interactive case study and the experimental group completed a HFPS. Both groups completed pretest and posttest measures of knowledge and attitudes regarding pain and clinical judgment regarding pain management using the Knowledge and Attitudes Regarding Pain Survey (KASRP) and Lasater's Clinical Judgment Rubric (LCJR). The sample consisted of 14 BSN students.The data suggest that students have deficient knowledge and attitudes related to narcotic and nonnarcotic medications used to manage pain as well as knowledge deficits about the risk of addiction. There was a significant improvement (p < .05) in mean KASRP scores for both groups following the intervention; however the improvement was not sustained on the posttest. Furthermore, both groups showed a statistically significant improvement in clinical judgment as measured by the LCJR (p = < .05). There was no statistically significant difference between the two groups in either the KASRP or the LCJR scores. These findings are limited by the sample size and the difficulty isolating the influence of didactic and clinical courses on knowledge, attitudes, and clinical judgment regarding pain, however, these data suggest there are curricular deficits that influence students' acquisition of knowledge, attitudes, and clinical judgment needed to effectively manage pain. Additionally, HFPS may be an effective teaching strategy to address these issues. AU - Kulju, Lori A. DB - cin20 DP - EBSCOhost KW - Education, Nursing Nursing Knowledge -- Evaluation Pain -- Education Patient Simulation -- Evaluation Case Studies Curriculum Education Research Human Interaction (Research) Learning Methods Narcotics Pretest-Posttest Design Questionnaires Repeated Measures Students, Nursing, Baccalaureate United States M1 - Ph.D. N1 - Accession Number: 109864358. Language: English. Entry Date: 20140509. Revision Date: 20150923. Publication Type: Doctoral Dissertation; case study; research. Instrumentation: Knowledge and Attitudes Regarding Pain Survey (KASRP); Lasater's Clinical Judgment Rubric (LCJR). UMI Order AAI3606003 PB - University of Northern Colorado PY - 2013 SN - 9781303628481 SP - 353 p-353 p ST - The acquisition of pain knowledge, attitudes, and clinical judgment in baccalaureate nursing students: The effect of high fidelity patient simulation TI - The acquisition of pain knowledge, attitudes, and clinical judgment in baccalaureate nursing students: The effect of high fidelity patient simulation UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=109864358&site=ehost-live&scope=site ID - 88521 ER - TY - JOUR AB - Children's pain is undertreated worldwide. Using a model of pediatric cancer pain management in Amman, Jordan, the authors demonstrated that an action research approach to pain service development resulted in a sustainable program of pain control. Barriers to care were due more often to health professionals' misconceptions concerning pain and opioid use than to concerns related to cultural, religious, or societal beliefs. Successful implementation of a pain management program requires education, policy development, and support from several levels of hospital administration. Role-modeling and mentorship are important factors. Established knowledge translation theories explained some but not all of the findings. Outcomes included consistent pain assessment and documentation by nursing staff, increased consultation for pain management, and increased use of intravenous opioids. AD - Dalhousie University, Halifax, Nova Scotia, Canada. allen.finley@dal.ca AN - 18258410 AU - Finley, G. A. AU - Forgeron, P. AU - Arnaout, M. DA - Apr DO - 10.1016/j.jpainsymman.2007.05.006 DP - NLM ET - 20080206 IS - 4 KW - Child Developing Countries Humans Jordan Medical Oncology/*organization & administration Neoplasms/*complications *Pain Management Pediatrics/*organization & administration Program Development LA - eng N1 - Finley, G Allen Forgeron, Paula Arnaout, Maha Journal Article Research Support, Non-U.S. Gov't United States 2008/02/09 J Pain Symptom Manage. 2008 Apr;35(4):447-54. doi: 10.1016/j.jpainsymman.2007.05.006. Epub 2008 Feb 6. PY - 2008 SN - 0885-3924 (Print) 0885-3924 SP - 447-54 ST - Action research: developing a pediatric cancer pain program in jordan T2 - J Pain Symptom Manage TI - Action research: developing a pediatric cancer pain program in jordan VL - 35 ID - 86581 ER - TY - JOUR AB - Background: Members of the public know about actions they can take to prevent major physical diseases, but there has been less attention to the public's capacity to take action to prevent mental disorders. Since mental disorders often have first onset during youth, young people's beliefs about prevention are of particular relevance. Methods: Young people's prevention beliefs were assessed by a national telephone survey of 3746 Australian youth aged 12-25 years. To allow a comparison with professional beliefs, postal surveys were carried out with 470 GPs, 591 psychiatrists, 736 psychologists and 522 mental health nurses. Respondents were asked to rate the helpfulness of 9 potential strategies in relation to the prevention of four disorders: depression, depression with alcohol misuse, social phobia and psychosis. Results: Both young people and professionals believed that mental disorders could be prevented by physical activity, keeping contact with family and friends, avoiding use of substances, and making time for relaxing activities. However, professionals disagreed with young people about the benefits of avoiding stressful situations, particularly for social phobia. Professionals were also less optimistic about the prevention of psychosis than depression and anxiety. Limitations: The surveys assessed beliefs, but not actual use of preventive strategies. Conclusions: Given the beliefs of young people and professionals that prevention is possible, there is fertile ground for health promotion in this area. However, young people need to be aware that avoiding stressful situations may not be helpful for anxiety. © 2009 Elsevier B.V. All rights reserved. AD - A. F. Jorm, Orygen Youth Health Research Centre, Centre for Youth Mental Health, University of Melbourne, Locked Bag 10, Parkville, VIC, Australia AU - Jorm, A. F. AU - Morgan, A. J. AU - Wright, A. DB - Embase Medline DO - 10.1016/j.jad.2010.03.011 IS - 1-2 KW - adolescent adult anxiety disorder article child cooperation depression drug misuse family relation female friendship health belief health care personnel health promotion health survey human major clinical study male mental health care nurse physical activity primary prevention priority journal psychiatrist psychologist psychosis school child social phobia physiological stress teleconsultation LA - English M3 - Article N1 - L50869354 2010-04-15 2010-09-16 PY - 2010 SN - 0165-0327 SP - 278-281 ST - Actions that young people can take to prevent depression, anxiety and psychosis: Beliefs of health professionals and young people T2 - Journal of Affective Disorders TI - Actions that young people can take to prevent depression, anxiety and psychosis: Beliefs of health professionals and young people UR - https://www.embase.com/search/results?subaction=viewrecord&id=L50869354&from=export http://dx.doi.org/10.1016/j.jad.2010.03.011 VL - 126 ID - 95504 ER - TY - JOUR AB - As a result of improved survival in cancer and the transfer of care from hospital to primary care, community nurses are taking increasing responsibility for the management of patients at all stages of the disease. Persistent or background pain is common, but between 40% and 80% of patients with advanced cancer also experience breakthrough pain (BTP), a sudden, rapidly escalating flare of pain occurring against a background of otherwise well-controlled persistent pain. While background pain can be successfully managed in most patients, BTP presents a particular challenge to community nurses, because short-acting, 'normal release' oral opioid drugs are absorbed too slowly to treat the typical episode. As this article explains, Actiq is an effective strong opioid with a rapid onset and short duration of action that closely matches the characteristics of an episode of BTP. AD - Bereavement Service, Royal Free Hospital, London. diane.laverty@ntlworld.com AN - 17851311 AU - Laverty, D. DA - Jul DO - 10.12968/bjcn.2007.12.7.23825 DP - NLM IS - 7 KW - Administration, Buccal Analgesics, Opioid/*administration & dosage Chemistry, Pharmaceutical Community Health Nursing/*organization & administration Drug Administration Schedule Drug Information Services Fentanyl/*administration & dosage Humans Internet Neoplasms/*complications Nurse's Role Nursing Assessment Pain/diagnosis/*drug therapy/etiology/nursing Pain Measurement/nursing Patient Selection Risk Factors Time Factors LA - eng N1 - Laverty, Diane Journal Article Research Support, Non-U.S. Gov't Review England 2007/09/14 Br J Community Nurs. 2007 Jul;12(7):311, 313-6. doi: 10.12968/bjcn.2007.12.7.23825. PY - 2007 SN - 1462-4753 (Print) 1462-4753 SP - 311, 313-6 ST - Actiq: an effective oral treatment for cancer-related breakthrough pain T2 - Br J Community Nurs TI - Actiq: an effective oral treatment for cancer-related breakthrough pain VL - 12 ID - 85895 ER - TY - JOUR AB - The ability of health care workers to communicate with patients and their significant others is a vital component of competent patient care. One technique that can strengthen the communication process is 'active listening.' This article examines components of the Karkoff Technique. A case study of a person with a spinal cord injury is used to illustrate how the appropriate use of active listening skills could have been used to prevent an adverse patient outcome related to Benzodiazepine withdrawal. The goal of this paper is to encourage nurses to listen to their patients and significant others and to accurately process what it is that they are communicating. AD - Providence Hood River Memorial Hospital, The Dalles, Oregon AN - 105903619. Language: English. Entry Date: 20080502. Revision Date: 20150820. Publication Type: Journal Article AU - Brophy, J. L. DB - cin20 DP - EBSCOhost IS - 2 KW - Communication Skills Confusion -- Etiology Conversation Professional-Patient Relations Substance Withdrawal Syndrome Aged Hearing Listening Male Professional-Family Relations Veterans N1 - case study. Journal Subset: Allied Health; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 8503185. PY - 2007 SN - 0888-8299 SP - 3p-3p ST - Active listening: techniques to promote conversation T2 - SCI Nursing TI - Active listening: techniques to promote conversation UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=105903619&site=ehost-live&scope=site VL - 24 ID - 89306 ER - TY - JOUR AB - OBJECTIVE: Nausea and/or vomiting (N/V) are frequent side effects of opioid drugs. These are of major concerns to patients and caregivers and only few studies have focused on their economical costs. DESIGN: This is a prospective, nonproduct-related, activity-based evaluation of personnel and material costs of opioid-related N/V among inpatients. SETTING: Data were obtained from surgical, general medicine, and palliative care wards at 16 German hospitals of different size, healthcare mandate, and ownership. PATIENTS, PARTICIPANTS: According to predefined criteria, of 462 documented N/V events, 340 were diagnosed as opioid related. INTERVENTIONS: Elicited activities and pharmacological interventions for N/V episodes followed local standards. MAIN OUTCOME MEASURE: Both materials used and the time engaged to treat patients with N/V were documented on an "ad hoc" activity recording form. The total cost of an opioid-related N/V episode was calculated based on standard wages of the involved personnel and standard costs of the inherent materials used. RESULTS: Mean staff tenure time for handling an episode of N/V was 26.2 ± 19.8 minutes (nausea 16.9 ± 28.7 minutes; nausea + vomiting: 33.4 ± 26.8 minutes). In the German context, this corresponds to average personnel costs of €18.06 ± 13.64. Material cost contributes to another €13.49 ±13.38 of costs mainly depending on acquisition costs of antiemetic drugs. CONCLUSIONS: N/V showed to have impact on workload of nurses and (to lesser extent) physicians and economic burden of €31 ± 22 for each N/V episode. In view of these results, the potential costs of strategies to minimize the incidence of N/V (use of antiemetics and/or the use of new analgesics) should be outweighed against the incurred costs of N/V. AD - Department of Anesthesiology & Intensive Care Medicine, Philipps-University Marburg, Marburg, Germany. Department of Anesthesia and Critical Care, University of Würzburg, Würzburg. Department of Anesthesiology & Intensive Care Medicine, Philipps-University Marburg, Marburg, Germany; 5Med GmbH, Bad Abbach, Germany. AN - 25531959 AU - Eberhart, L. AU - Koch, T. AU - Kranke, P. AU - Rüsch, D. AU - Torossian, A. AU - Nardi-Hiebl, S. DA - Nov-Dec DO - 10.5055/jom.2014.0238 DP - NLM IS - 6 KW - Adult Aged Analgesics, Opioid/*adverse effects Antiemetics/*economics/*therapeutic use Cost-Benefit Analysis Drug Costs Female Germany *Hospital Costs Humans *Inpatients Male Medical Staff, Hospital/economics Middle Aged Models, Economic Nausea/chemically induced/diagnosis/*economics/*therapy Nursing Staff, Hospital/economics Prospective Studies Salaries and Fringe Benefits Time Factors Vomiting/chemically induced/diagnosis/*economics/*therapy Workload LA - eng N1 - Eberhart, Leopold Koch, Tilo Kranke, Peter Rüsch, Dirk Torossian, Alexander Nardi-Hiebl, Stefan Journal Article Multicenter Study Research Support, Non-U.S. Gov't United States 2014/12/23 J Opioid Manag. 2014 Nov-Dec;10(6):415-22. doi: 10.5055/jom.2014.0238. PY - 2014 SN - 1551-7489 (Print) 1551-7489 SP - 415-22 ST - Activity-based cost analysis of opioid-related nausea and vomiting among inpatients T2 - J Opioid Manag TI - Activity-based cost analysis of opioid-related nausea and vomiting among inpatients VL - 10 ID - 86515 ER - TY - JOUR AB - BACKGROUND: This review aims to evaluate the effectiveness and safety of acupuncture treatment for reducing opioid consumption in patients with chronic pain. METHODS: We will search the following electronic databases from their inception to November 2019: MEDLINE, EMBASE, the Cochrane Central Register of Controlled Trials, the Cumulative Index to Nursing and Allied Health Literature, the Allied and Complementary Medicine Database, the China National Knowledge Infrastructure (a Chinese database), the Japan Science and Technology Information Aggregator (a Japanese database), and five Korean databases (KoreaMed, Research Information Service System, Korean Studies Information Service System, Database Periodical Information Academic, and Oriental Medicine Advanced Searching Integrated System). Randomized controlled trials comparing acupuncture to no treatment, sham acupuncture, and other active interventions for the reduction of opioid consumption in chronic pain patients will be included. The risk of bias will be assessed using the Cochrane risk of bias tool. The primary outcomes will include the prescribed or consumed dose of opioids and withdrawal symptoms related to opioid reduction. A meta-analysis will be performed to estimate a pooled effect, if possible. CONCLUSION: This study may provide important practical guidance for patients, practitioners, and health-policy makers regarding the use of acupuncture in opioid taper support programs. DISSEMINATION: The results will be disseminated through a peer-reviewed journal or conference presentations. TRIAL REGISTRATION NUMBER: PROSPERO 2019: CRD42019143486. AD - Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Kyung Hee University. Department of Acupuncture and Moxibustion Medicine, Graduate School, Kyung Hee University, Seoul, Republic of Korea. AN - 31860970 AU - Lee, S. AU - Jo, D. H. C1 - The authors report no conflicts of interest. C2 - PMC6940175 DA - Dec DO - 10.1097/md.0000000000018237 DP - NLM IS - 51 KW - *Acupuncture Analgesia/methods Analgesics, Opioid/administration & dosage/*therapeutic use Chronic Pain/drug therapy/*therapy Humans Pain Measurement/methods LA - eng N1 - 1536-5964 Lee, Seunghoon Jo, Dae-Hyun Journal Article Meta-Analysis Systematic Review United States 2019/12/22 Medicine (Baltimore). 2019 Dec;98(51):e18237. doi: 10.1097/MD.0000000000018237. PY - 2019 SN - 0025-7974 (Print) 0025-7974 SP - e18237 ST - Acupuncture for reduction of opioid consumption in chronic pain: A systematic review and meta-analysis protocol T2 - Medicine (Baltimore) TI - Acupuncture for reduction of opioid consumption in chronic pain: A systematic review and meta-analysis protocol VL - 98 ID - 85788 ER - TY - JOUR AB - • Patients aged 11–17 showed adult alcohol levels and high incidence of alcoholic coma. • Patients aged 18–24 required emergency service at night both at weekend and weekdays. • Patients mostly requiring emergency service are from 25 to 44 years old. • Patients aged 45–64 had the highest blood alcohol concentration. • Patients aged ≥ 65 showed the highest percentage of alcohol-related traumatic causes. Risky alcohol consumption can occur from a young age and affects people of all age groups, sometimes requiring the intervention of the emergency medical services. Determining the timing and characteristics of emergency calls (to the "118" emergency number) relating to subjects in all age groups, in which alcohol was a contributing factor, along with the biochemical correlates, in a great metropolitan area. On the basis of these, future interventions would target specific training for nurses and paramedics working in emergency medical services. An observational single-centre retrospective study carried out from 1 January 2014 to 31 December 2018 involving patients requiring emergency care and attending the Emergency Department of an University Hospital. Out of a total of 47,252 emergency calls, 2.22% were for alcohol-related conditions and mainly involved male patients (78.4%). A high incidence of alcoholic coma was found in patients aged 11 to 17 years. Emergency medical assistance was required mainly at night on weekdays by patients aged 11–17, 25–44 years and during the weekend and on weekdays by patients aged 18–24 years. A blood alcohol concentration higher than 50 mg/dL was found in more than 67% of patients aged 11–17 and 18–24 years at weekends. The most alarming finding from our data is that, despite prevention policies, young people requiring emergency medical assistance showed similar alcohol levels as adults and a high incidence of alcoholic coma. AD - Clinical Pathology Unit, AOU Policlinico Consorziale di Bari-Ospedale Giovanni XXIII, Bari, Italy Department of Biomedical Sciences and Human Oncology, University of Bari "Aldo Moro", Bari, Italy Operations Centre of Emergency Services (118) - Policlinico Hospital, Bari, Italy Department of Internal Medicine, Hospital "Cavalier Raffaele Apicella"–ASL Naples 3 Sud, Pollena (Napoli), Italy Forensic Medicine, Hospital "Miulli", Acquaviva delle Fonti (Bari), Italy AN - 154386526. Language: English. Entry Date: 20220120. Revision Date: 20220120. Publication Type: Article AU - Di Serio, Francesca AU - Giustino, Arcangela AU - Calamita, Cesare AU - Savoia, Giovanni AU - Lovero, Roberto AU - Mascolo, Elisa AU - Buttiglione, Maura AU - Finelli, Carmine AU - Zambetta, Giovanni AU - De Salvia, Maria A. DB - cin20 DO - 10.1016/j.ienj.2021.101113 DP - EBSCOhost KW - Alcoholic Intoxication -- Therapy Age Factors Prehospital Care Biochemical Phenomena Academic Medical Centers -- Italy Human Italy Child Adolescence Adult Middle Age Aged Aged, 80 and Over Emergency Service Alcohols -- Blood Urban Areas Nurses Emergency Medical Technicians Emergency Medical Services Nonexperimental Studies Retrospective Design Coma Incidence Treatment Outcomes Descriptive Statistics Male Female Sex Factors N1 - research. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 101472191. PY - 2022 SN - 1755-599X SP - N.PAG-N.PAG ST - Acute alcohol intoxication across different age groups in 2014–2018: Prehospital care and biochemical correlates at a large University Hospital in southern Italy T2 - International Emergency Nursing TI - Acute alcohol intoxication across different age groups in 2014–2018: Prehospital care and biochemical correlates at a large University Hospital in southern Italy UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=154386526&site=ehost-live&scope=site VL - 60 ID - 86939 ER - TY - JOUR AB - Many studies demonstrate inadequate pain treatment in children. The aim of this nationwide survey was to evaluate the prevalence of acute and postoperative pain in children; extent of, and reasons for, inadequate pain therapy; therapy methods; pain-management structure; and the need for education of healthcare professionals. Questionnaires concerning these points were sent to all departments in Sweden involved in the treatment of children. The response rate was 75% (299/ 395). Answers from physicians and nurses showed that, despite treatment, moderate to severe pain occurred in 23% of patients with postoperative pain and 31% of patients with pain of other origin. Postoperative pain seemed to be a greater problem in units where children were treated along with adults and in departments where fewer children were treated. According to 45% of physicians and nurses, treatment of pain could often or always be managed more efficiently. Pain assessments were performed regularly in 43% of all departments, but pain measurement was less frequent; 3% of the departments had no formal organization for pain management; and 15% never or infrequently used potent opioids. Educational needs were high. Insufficient pain treatment seemed to be mostly related to organizational aspects, such as inadequate prescriptions. Anxiety in children or parents also contributed to ineffective pain treatment. Swedish treatment practices for the management of pain in children roughly follow the published guidelines, but many improvements are still necessary. CONCLUSION: Acute pain in children is still undertreated in Swedish hospitals. This seems to be related mainly to organizational aspects. AD - Department of Anaesthesia and Intensive Care, University Hospital of Northern Sweden, Umeå. mats.karling@vll.se AN - 12162598 AU - Karling, M. AU - Renström, M. AU - Ljungman, G. DO - 10.1080/080352502760069070 DP - NLM IS - 6 KW - Acute Disease Analgesia/*statistics & numerical data Analgesics/*administration & dosage Analgesics, Non-Narcotic/administration & dosage Analgesics, Opioid/administration & dosage Attitude of Health Personnel Child Child, Preschool Drug Utilization Female Health Care Surveys Hospitals, Pediatric Humans Male *Needs Assessment Pain/diagnosis/drug therapy Pain Measurement Pain, Postoperative/*diagnosis/*drug therapy Practice Patterns, Physicians' Severity of Illness Index Sweden Treatment Outcome LA - eng N1 - Karling, M Renström, M Ljungman, G Comparative Study Journal Article Norway 2002/08/07 Acta Paediatr. 2002;91(6):660-6. doi: 10.1080/080352502760069070. PY - 2002 SN - 0803-5253 (Print) 0803-5253 SP - 660-6 ST - Acute and postoperative pain in children: a Swedish nationwide survey T2 - Acta Paediatr TI - Acute and postoperative pain in children: a Swedish nationwide survey VL - 91 ID - 86168 ER - TY - JOUR AB - SESSION TITLE: Wednesday Medical Student/Resident Case Report Posters SESSION TYPE: Med Student/Res Case Rep Postr PRESENTED ON: 10/23/2019 09:45 AM - 10:45 AM INTRODUCTION: Leukoencephalopathy is the structural alteration of the white matter.Toxic leukoencephalopathy may be caused by exposure to drugs of abuse.It has a characteristic appearance on Magnetic Resonance Imaging (MRI).We discuss a case of leukoencephalopathy due to suspected fentanyl exposure from heroin abuse. CASE PRESENTATION: A 27 year old male with past medical history of schizophrenia, post-traumatic stress disorder and polysubstance abuse including heroin and phencyclidine was found unresponsive in his car.The patient was given naloxone intranasally and intravenously by paramedics with improvement in respiration prior to arrival to the emergency department.However, he subsequently developed respiratory failure requiring intubation.There were no ischemic changes on the electrocardiogram.Initial computed tomography (CT) of the head show marked accentuation of periventricular white matter of both hemispheres.The osmolar gap was within normal range.Alcohol level was 45 mg/dL.Urine toxicology was negative, including opiates and phencyclidine.Unfortunately, levels for synthetic opioids were never sent.Infectious work up was negative.Magnetic resonance imaging of the brain demonstrated abnormal restricted diffusion throughout the white matter of the cerebral and cerebellum hemispheres concerning for toxic leukoencephalopathy.Electroencephalogram demonstrated diffuse severe encephalopathy and no evidence of seizure.The patient later developed autonomic dysfunction which was managed with dexmedetomidine.The patient retained brainstem reflexes, however, he did not make a meaningful neurologic recovery and was discharged to a nursing home following extubation and percutaneous gastrostomy tube placement. DISCUSSION: The pathophysiology of heroin related leukoencephalopathy is unclear.In our literature review, the patient presentation is consistent with hypoxia and heroin exposure and more commonly noted to be associated with inhaled heroin.There are case reports of leukoencephalopathy related to fentanyl patches.Hypoxia has been linked with both early and late leukoencephalopathy.It is hypothesized that the neurotoxicity of heroin may be due to it’s contaminants causing hypoxic-ischemic injury leading to spongiform degeneration, along with mitochondrial dysfunction, evident on brain biopsy.The most common contaminant is fentanyl.Brain MRI shows diffuse symmetrical white matter hyperintensities in the cerebrum and cerebellum on T2 images.There is increased signal in periventricular white mater on diffusion weighted images with low signal on apparent diffusion (ADC) coefficient maps. CONCLUSIONS: Given the rising opioid epidemic, one needs to be cognisant of this condition with it's distinct imaging on MRI for early recognition, management and prognosis. Reference #1: Ciaran F.Keogh, Gordon T.Andrews, Sian D.Spacey, Kevin E.Forkheim, and Douglas A.Graeb.Neuroimaging Features of Heroin Inhalation Toxicity: “Chasing the Dragon”, American Journal of Roentgenology 2003 180:3, 847-850 Reference #2: Blasel S, Hattingen E, Adelmann M, Nichtweiss M, Zanella F, Weidauer S.Toxic leukoencephalopathy after heroin abuse without heroin vapor inhalation: MR imaging and clinical features in three patients.Clin Neuroradiol.2010;20(1):48-53. Reference #3: In Sub Yoo, MD, Sang Hak Lee, MD, Seung-Han Suk, MD, PhD.A Case of Fentanyl Intoxication and Delayed Hypoxic Leukoencephalopathy Caused by Incidental Use of Fentanyl Patch in a Healthy Elderly Man.J Neurocrit Care.2015;8 (1):35-38. Disclosures: No relevant relationships by Jasanjeet Jawanda, source=Web Response No relevant relationships by Antarpreet Kaur, source=Web Response No relevant relationships by Abhas Khurana, source=Web Response No relevant relationships by Simrina Sabharwal, source=Web Response. AU - Sabharwal, S. AU - Jawanda, J. AU - Khurana, A. AU - Kaur, A. DB - Embase DO - 10.1016/j.chest.2019.08.2195 IS - 4 KW - alcohol dexmedetomidine diamorphine fentanyl naloxone opiate phencyclidine adult aged autonomic dysfunction body weight brain biopsy brain stem case report clinical article clinical feature computer assisted tomography conference abstract drug therapy drug toxicity electrocardiogram emergency ward epidemic extubation hemisphere human human tissue hypoxia illicit drug inhalation intoxication intubation leukoencephalopathy male medical history neuroimaging neurotoxicity nuclear magnetic resonance imaging nursing home posttraumatic stress disorder prognosis radiology reflex remission respiratory failure schizophrenia seizure side effect stomach tube toxicology urine osmolality white matter LA - English M3 - Conference Abstract N1 - L2002982957 2019-10-02 PY - 2019 SN - 1931-3543 0012-3692 SP - A2252-A2253 ST - ACUTE LEUKOENCEPHALOPATHY DUE TO HEROIN ABUSE T2 - Chest TI - ACUTE LEUKOENCEPHALOPATHY DUE TO HEROIN ABUSE UR - https://www.embase.com/search/results?subaction=viewrecord&id=L2002982957&from=export http://dx.doi.org/10.1016/j.chest.2019.08.2195 VL - 156 ID - 94634 ER - TY - JOUR AB - Objectives:This article examines agreement between physicians and psychiatric inpatients on the presence of comorbid substance abuse. In addition, inpatients with comorbid substance abuse were compared on demographic and diagnostic-related symptoms with those with a single, non-substance-related disorder.Methods:At admission and discharge, 539 patients completed self-report measures of substance use and diagnostic symptoms. Their attending physicians and nurses completed rating scales in the same time frame. In addition, physician discharge diagnoses were examined.Results:For 69% of patients there was agreement between patients and physicians for the absence (30.4%) or presence (38.6%) of substance abuse. For 31%, there was disagreement; 10% were those in whom physicians diagnosed substance abuse but patients denied it, and 21% endorsed substance abuse which their physicians did not diagnose. Also, those who were not substance users tended to receive more severe clinician ratings but self-reported fewer symptoms. They also were more likely to be older, have longer lengths of stay, and to have been admitted involuntarily.Conclusions:A considerable number of psychiatric inpatients are underdiagnosed for comorbid substance abuse. Multimodal means of assessment would probably enhance the inclusion of such diagnoses. Also, differences in symptoms may suggest differences in treatment regimens. AD - University of Texas-Houston Harris County Psychiatric Center, 2800 South MacGregor Way, Houston, TX 77021 AN - 106813666. Language: English. Entry Date: 20030307. Revision Date: 20150711. Publication Type: Journal Article AU - Averill, P. M. AU - Veazey, C. AU - Shack, A. AU - Krajewski, K. AU - Rocha, D. AU - Varner, R. DB - cin20 DP - EBSCOhost IS - 4 KW - Mental Disorders -- Diagnosis Comorbidity Substance Abuse -- Diagnosis Inpatients Psychiatric Patients Acute Disease Physicians Self Report Length of Stay Diagnosis, Dual (Psychiatry) Substance Abuse -- Therapy Texas Psychological Tests Scales Brief Symptom Inventory Substance Abuse Detection Questionnaires Chi Square Test Multivariate Analysis of Variance Univariate Statistics Analysis of Variance Repeated Measures Data Analysis Software Post Hoc Analysis Psychiatric Nursing Sex Factors Cross Sectional Studies Female Male Adult Human N1 - research; tables/charts. Journal Subset: Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. Instrumentation: Beck Depression Inventory (BDI); Brief Symptom Inventory (BSI) (Derogatis et al); Global Assessment of Functioning Scale (GAF); Internal State Scales (ISS); Brief Psychiatric Rating Scale-Anchored (BPRS-A); Affective Disorders Rating Scale (ADRS); SMAST; DRAST (Screen Test for Drug Abuse). NLM UID: 101148822. PY - 2002 SN - 1531-5754 SP - 119-125 ST - Acute mental illness and comorbid substance abuse: physician-patient agreement on comorbid diagnosis and treatment implications T2 - Addictive Disorders & Their Treatment TI - Acute mental illness and comorbid substance abuse: physician-patient agreement on comorbid diagnosis and treatment implications UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=106813666&site=ehost-live&scope=site VL - 1 ID - 89703 ER - TY - JOUR AB - Acute pain assessment and management and their accurate documentation have been identified by The Joint Commission on the Accreditation of Healthcare Organization as significant components of the emergency department experience. Research studies have historically focused on the subjective perception of the physician or nurse for evidence of acute musculoskeletal pain assessment for the patient; however, the lack of interrater reliability between caregivers and patients has illustrated the need to evaluate the patient's perception of pain. A review of the literature for acute musculoskeletal pain in the emergency department shows that a patient's pain experience is often underestimated, and severity of pain often does not predict pain management. Relying on patient satisfaction surveys as a surrogate marker for effectiveness of pain management is inadequate, and factors, such as age, gender, or ethnicity, may contribute to a disparity in pain management. The purpose of this article is to review pain management practices for patients with acute musculoskeletal pain who present to the emergency department and to provide recommendations for advanced practice nurses working with this emergency department patient population. Promising areas for future research include targeting mechanisms of pain with specific medications, identifying vulnerable populations at risk for inadequate pain management, and universal use of a standardized pain rating scale. AD - Department of Physiological Nursing, University of California, San Francisco, San Francisco, California 94143-0610, USA. Roxanne.garbez@nursing.ucsf.edu AN - 16082234 AU - Garbez, R. AU - Puntillo, K. DA - Jul-Sep DO - 10.1097/00044067-200507000-00005 DP - NLM IS - 3 KW - Acute Disease Age Factors Analgesia/methods/nursing Analgesics, Opioid/therapeutic use Anti-Inflammatory Agents, Non-Steroidal/therapeutic use Emergency Nursing/*organization & administration Emergency Treatment/methods/*nursing Female Humans Male *Musculoskeletal Diseases/diagnosis/therapy Nurse Clinicians/organization & administration Nurse's Role Nursing Assessment/methods *Pain/diagnosis Pain Management Pain Measurement/methods/*nursing Severity of Illness Index Sex Factors LA - eng N1 - Garbez, Roxanne Puntillo, Kathleen Journal Article Review United States 2005/08/06 AACN Clin Issues. 2005 Jul-Sep;16(3):310-9. doi: 10.1097/00044067-200507000-00005. PY - 2005 SN - 1079-0713 (Print) 1079-0713 SP - 310-9 ST - Acute musculoskeletal pain in the emergency department: a review of the literature and implications for the advanced practice nurse T2 - AACN Clin Issues TI - Acute musculoskeletal pain in the emergency department: a review of the literature and implications for the advanced practice nurse VL - 16 ID - 85769 ER - TY - JOUR AB - BACKGROUND: Rapid development of acute opioid tolerance is well established in animals and is more likely to occur with large doses of short-acting drugs. The authors therefore tested the hypothesis that intraoperative remifentanil administration results in acute opioid tolerance that is manifested by increased postoperative pain and opioid requirement. METHODS: Fifty adult patients undergoing major abdominal surgery were randomly assigned to two anesthetic regimens: (1) desflurane was kept constant at 0.5 minimum alveolar concentrations and a remifentanil infusion was titrated to autonomic responses (remifentanil group); or (2) remifentanil at 0.1 microg. kg-1. min-1 and desflurane titrated to autonomic responses (desflurane group). All patients were given a bolus of 0.15 mg/kg morphine 40 min before the end of surgery. Morphine was initially titrated to need by postanesthesia care nurses blinded to group assignment. Subsequently, patients-who were also blinded to group assignment-controlled their own morphine administration. Pain scores and morphine consumption were recorded for 24 postoperative h. RESULTS: The mean remifentanil infusion rate was 0.3 +/- 0.2 microg. kg-1. min-1 in the remifentanil group, which was significantly greater than in the desflurane group. Intraoperative hemodynamic responses were similar in each group. Postoperative pain scores were significantly greater in the remifentanil group. These patients required morphine significantly earlier than those in the desflurane group and needed nearly twice as much morphine in the first 24 postoperative h: 59 mg (25-75% interquartile range, 43-71) versus 32 mg (25-75% interquartile range, 19-59; P < 0.01). CONCLUSIONS: Relatively large-dose intraoperative remifentanil increased postoperative pain and morphine consumption. These data suggest that remifentanil causes acute opioid tolerance and hyperalgesia. AD - Department of Anesthesiology, Hôpital Ambroise Paré, Boulogne-Billancourt, France. AN - 10910490 AU - Guignard, B. AU - Bossard, A. E. AU - Coste, C. AU - Sessler, D. I. AU - Lebrault, C. AU - Alfonsi, P. AU - Fletcher, D. AU - Chauvin, M. DA - Aug DO - 10.1097/00000542-200008000-00019 DP - NLM IS - 2 KW - Analgesia, Patient-Controlled Analgesics, Opioid/*adverse effects *Anesthetics, Inhalation Colectomy Desflurane *Drug Tolerance Female Hemodynamics/drug effects Humans Intraoperative Period Isoflurane/*analogs & derivatives Male Middle Aged Morphine/*administration & dosage Pain Measurement Pain, Postoperative/*drug therapy Piperidines/*adverse effects Remifentanil LA - eng N1 - Guignard, B Bossard, A E Coste, C Sessler, D I Lebrault, C Alfonsi, P Fletcher, D Chauvin, M GM58273/GM/NIGMS NIH HHS/United States Clinical Trial Journal Article Randomized Controlled Trial Research Support, Non-U.S. Gov't Research Support, U.S. Gov't, P.H.S. United States 2000/07/26 Anesthesiology. 2000 Aug;93(2):409-17. doi: 10.1097/00000542-200008000-00019. PY - 2000 SN - 0003-3022 (Print) 0003-3022 SP - 409-17 ST - Acute opioid tolerance: intraoperative remifentanil increases postoperative pain and morphine requirement T2 - Anesthesiology TI - Acute opioid tolerance: intraoperative remifentanil increases postoperative pain and morphine requirement VL - 93 ID - 86445 ER - TY - JOUR AB - Studies have determined that nurses and physicians undermedicate patients for postoperative pain as a result of inadequate knowledge and erroneous attitudes. Fear of addiction seems to be the major reason for this undertreatment. A patient who abuses drugs requires larger than usual doses of narcotics postoperatively; however, larger doses are rarely given. This article emphasizes factors influencing the postoperative pain experience and presents 3 case studies to illustrate pain management in patients who abuse substances. AD - Harbor UCLA Medical Center, Department of Nursing, Torrance 90509. AN - 2148762 AU - Tucker, C. DA - Dec DO - 10.1097/01376517-199012000-00003 DP - NLM IS - 6 KW - Adult Analgesics/pharmacokinetics/pharmacology/*therapeutic use Attitude of Health Personnel Drug Interactions Education, Nursing, Continuing Humans Male Middle Aged Pain, Postoperative/complications/*drug therapy/nursing Substance-Related Disorders/complications/*drug therapy/nursing Therapeutic Equivalency LA - eng N1 - Tucker, C Case Reports Journal Article Review United States 1990/12/01 J Neurosci Nurs. 1990 Dec;22(6):339-49. doi: 10.1097/01376517-199012000-00003. PY - 1990 SN - 0888-0395 (Print) 0888-0395 SP - 339-49 ST - Acute pain and substance abuse in surgical patients T2 - J Neurosci Nurs TI - Acute pain and substance abuse in surgical patients VL - 22 ID - 86555 ER - TY - JOUR AB - OBJECTIVES: To evaluate the adequacy of as-needed (prn) dosing of narcotics during the acute postoperative period following laryngectomy and to evaluate the role of nurses' interpretation and implementation of narcotic orders in postoperative pain management. STUDY DESIGN: A retrospective review of the medical records of 37 patients who underwent laryngectomy at the University of Oklahoma. The postoperative care was standardized through a clinical pathway to provide a uniform level of care. METHODS: The parameters reviewed include (1) the type and dose of analgesic prescribed, (2) the quantity and frequency of analgesic administered to each patient, and (3) the adequacy of the initial pain-control prescription. RESULTS: All physician orders for narcotics were at or above the minimum dosing guidelines; 68% met a recommended adequate postoperative prescription for moderate pain. However, none of the patients actually received the intended dose during a 24-hour period while hospitalized. Physicians were contacted about 13 patients (35%) because of inadequate pain relief, but only 8 patients (22%) had their narcotic dose increased appropriately. Patients were dosed below the minimum prescribed dose 19 times (2.8%), and in 24 instances (3.6%) the backup analgesic, designated as "prn breakthrough pain," was given as the primary analgesic. CONCLUSIONS: As-needed dosing of analgesia resulted in suboptimal pain control for at least 35% of patients undergoing laryngectomy. Inadequate prescription and variable implementation of prn orders contributed to this. AD - Department of Otorhinolaryngology, University of Oklahoma Health Sciences Center, PO Box 26901, WP1360, Oklahoma City, OK 73190, USA. AN - 12117345 AU - Orgill, R. AU - Krempl, G. A. AU - Medina, J. E. DA - Jul DO - 10.1001/archotol.128.7.829 DP - NLM IS - 7 KW - Adult Aged Analgesics, Opioid/*administration & dosage Drug Prescriptions Female Head and Neck Neoplasms/*surgery Humans Intensive Care Units Laryngectomy/*adverse effects Male Middle Aged Morphine/administration & dosage Nurse's Role Pain, Postoperative/*drug therapy/nursing Practice Patterns, Physicians' Retrospective Studies LA - eng N1 - Orgill, Richard Krempl, Greg A Medina, Jesus E Journal Article United States 2002/07/16 Arch Otolaryngol Head Neck Surg. 2002 Jul;128(7):829-32. doi: 10.1001/archotol.128.7.829. PY - 2002 SN - 0886-4470 (Print) 0886-4470 SP - 829-32 ST - Acute pain management following laryngectomy T2 - Arch Otolaryngol Head Neck Surg TI - Acute pain management following laryngectomy VL - 128 ID - 86019 ER - TY - JOUR AN - WOS:000360207900001 AU - Paschkis, Z. AU - Potter, M. L. DA - Sep DO - 10.1097/01.NAJ.0000471243.30951.92 IS - 9 N1 - 26273927 PY - 2015 SN - 0002-936X SP - 24-32 ST - Acute Pain Management for Inpatients with Opioid Use Disorder Overcoming misconceptions and prejudices T2 - American Journal of Nursing TI - Acute Pain Management for Inpatients with Opioid Use Disorder Overcoming misconceptions and prejudices VL - 115 ID - 96318 ER - TY - JOUR AB - BACKGROUND: Despite new guidelines and nationally mandated regular assessments, managing pain in cognitively impaired patients remains a complex and challenging task. Numerous studies have focused on assessing pain in this population; however, studies of treatment are limited. PURPOSE: The purpose of this article was to characterize assessment and pain management strategies used by providers caring for hospitalized cognitively impaired patients with acute pain, and to assess for associations between amount of opioid received and specific adverse outcomes in this patient population. METHODS: Medical records of patients admitted to the Geriatrics Service or Orthopedic Service or evaluated by the Geriatrics Consult Service at an urban tertiary care hospital between September 01, 2006 and September 30, 2007 with cognitive impairment and an acute pain problem on admission were reviewed. RESULTS: Participants (N=100) had a mean age of 86 years (range=68-99), and were mostly female (83%) with fracture-related pain (62%). A numeric pain score was recorded in 67% of nursing assessments vs <5% of physician assessments. Opioids were prescribed for 100% of the surgical patients vs 43% of the medical patients. Only 15% of patients were placed on a standing analgesic regimen. Nonpharmacological management was employed for 75% of surgical patients vs 43% of medical patients. Delirium occurred in 27% of patients, and 33% experienced an interruption of physical therapy. Neither, however, was associated with level of opioid use. CONCLUSIONS: Current assessment and treatment practices in acute pain management for cognitively impaired patients vary widely (to include service and provider type). Implementation of evidence-based guidelines is needed to improve patient care. AD - Division of Geriatrics and Gerontology, Weill Cornell Medical College, New York, New York 10065, USA. som9015@med.cornell.edu AN - 21199304 AU - Mehta, S. S. AU - Siegler, E. L. AU - Henderson, C. R., Jr. AU - Reid, M. C. C2 - PMC3718012 C6 - NIHMS495610 DA - Oct DO - 10.1111/j.1526-4637.2010.00950.x DP - NLM ET - 20100907 IS - 10 KW - Aged Aged, 80 and over Analgesics/administration & dosage/adverse effects/therapeutic use Analgesics, Opioid/administration & dosage/adverse effects/therapeutic use Cognition Disorders/*complications Data Interpretation, Statistical Delirium/chemically induced/psychology Dose-Response Relationship, Drug Female Fractures, Bone/complications Health Personnel Hospitalization Humans Male Pain/complications/psychology *Pain Management Pain Measurement/methods Physicians Retrospective Studies Treatment Failure Treatment Outcome LA - eng N1 - 1526-4637 Mehta, Sonal S Siegler, Eugenia L Henderson, Charles R Jr Reid, M Carrington P30 AG022845/AG/NIA NIH HHS/United States P30 AG22845-02/AG/NIA NIH HHS/United States Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't England 2011/01/05 Pain Med. 2010 Oct;11(10):1516-24. doi: 10.1111/j.1526-4637.2010.00950.x. Epub 2010 Sep 7. PY - 2010 SN - 1526-2375 (Print) 1526-2375 SP - 1516-24 ST - Acute pain management in hospitalized patients with cognitive impairment: a study of provider practices and treatment outcomes T2 - Pain Med TI - Acute pain management in hospitalized patients with cognitive impairment: a study of provider practices and treatment outcomes VL - 11 ID - 86141 ER - TY - JOUR AB - A 17-nation survey was undertaken with the aim of studying the availability of acute pain services (APS) and the use of newer analgesic techniques, such as epidural and patient-controlled analgesia (PCA). A questionnaire was mailed to selected anaesthesiologists in 105 European hospitals from 17 countries. Depending on the population, between five and ten representative hospitals from each country were selected by a country coordinator. A total of 101 (96.2%) completed questionnaires were returned. A majority of respondents were dissatisfied with pain management on surgical wards. Pain management was better in post-anaesthesia care units (PACUs); however, 27% of participating hospitals did not have PACUs. There were no organized APS in 64% of hospitals, although anaesthesiologists from chronic pain centres were available for consultation. In the hospitals that had APS, the responsible person for the APS was either: (1) a junior anaesthesiologist (senior anaesthesiologist available for consultation); or (2) a specially trained nurse (supervised by consultant anaesthesiologists). Many anaesthesiologists were unable to introduce techniques such as PCA on wards because of the high equipment costs. Although 40% of hospitals used a visual analogue scale (VAS) or other methods for assessment of pain intensity, routine pain assessment and documenting on a vital sign chart was rarely practised. There was a great variation in routines for opioid prescription and documentation procedures. Nursing regulations regarding injection of drugs into epidural and intrathecal catheters also varied considerably between countries. This survey of 105 hospitals from 17 European countries showed that over 50% of anaesthesiologists were dissatisfied with post-operative pain management on surgical wards. Only 34% of hospitals had an organized APS, and very few hospitals used quality assurance measures such as frequent pain assessment and documentation. There is a need to establish organized APS in most hospitals and also a need for clearer definition of the role of anaesthesiologists in such APS. AD - Department of Anaesthesia and Intensive Care, Orebro Medical Centre Hospital, Sweden. AN - 9649998 AU - Rawal, N. AU - Allvin, R. DA - May DO - 10.1046/j.1365-2346.1998.00306.x DP - NLM IS - 3 KW - Analgesia/economics/instrumentation/statistics & numerical data Analgesia, Epidural/economics/instrumentation/nursing/statistics & numerical data Analgesia, Patient-Controlled/economics/instrumentation/statistics & numerical data Analgesics, Opioid/administration & dosage/therapeutic use Anesthesiology/statistics & numerical data Attitude of Health Personnel Equipment and Supplies, Hospital/economics Europe/epidemiology Health Services Accessibility/statistics & numerical data Hospital Costs Hospital Departments/statistics & numerical data Humans Injections, Spinal/nursing Medical Records Nurse Anesthetists/statistics & numerical data *Pain Clinics/economics/statistics & numerical data Pain Measurement/nursing Pain, Postoperative/prevention & control Personal Satisfaction Quality Assurance, Health Care Recovery Room/statistics & numerical data Referral and Consultation/statistics & numerical data Surgery Department, Hospital/statistics & numerical data Surveys and Questionnaires LA - eng N1 - Rawal, N Allvin, R Journal Article Research Support, Non-U.S. Gov't England 1998/07/03 Eur J Anaesthesiol. 1998 May;15(3):354-63. doi: 10.1046/j.1365-2346.1998.00306.x. PY - 1998 SN - 0265-0215 (Print) 0265-0215 SP - 354-63 ST - Acute pain services in Europe: a 17-nation survey of 105 hospitals. The EuroPain Acute Pain Working Party T2 - Eur J Anaesthesiol TI - Acute pain services in Europe: a 17-nation survey of 105 hospitals. The EuroPain Acute Pain Working Party VL - 15 ID - 86089 ER - TY - JOUR AB - This article examines acute pain management practices for patients 65 years of age and older who were hospitalized during 1999 for hip fracture. Data were collected from the medical records of patients (N = 709) admitted to 12 hospitals in the Midwest and from questionnaires on pain practices completed by nurses (N = 172) caring for these patients. The major variables examined were (1). pharmacological and nonpharmacological treatments for acute pain in hospitalized elders, (2). nurses' perceived stage of adoption for avoiding meperidine use and for administering analgesics around-the-clock, and (3). nurses' perceived barriers to optimal treatment of acute pain in elders. Acetaminophen was the most frequently administered analgesic, but administered doses were far less than the maximum daily recommended dose. More than one third (39%) of the nurses reported that they always avoided the use of meperidine, and over half reporting avoiding its use sometimes. However, the majority of patients (56.8%) received at least one dose of meperidine, even though evidence suggests that other analgesic agents are more appropriate for treatment of acute pain in elders. Only 27% of patients received patient-controlled analgesia, and only 22.3% of patients received around-the-clock administration during the first 24 hours after admission of analgesics that had been ordered on a prn basis. The majority of nurses were aware that around-the-clock administration of analgesics was preferable, but only 33.7% were persuaded (believed) that this method should be used. Intramuscular injection was used for 52.2% of patients, even though this route is not recommended for older adults. The most frequently used nonpharmacological intervention was repositioning, followed by use of pressure relief devices and cold application. Nurses reported difficulty contacting physicians and difficulty communicating with them about type and/or dose of analgesics as the greatest barriers to pain management. Findings from this multi-site study show that active and focused 'translation' interventions are needed to promote adoption of evidence-based acute pain management practices by health care providers. AD - Department of Nursing Services and Patient Care, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, T100 GH, Iowa City, IA 52242-1009; marita-titler@uiowa.edu AN - 106701159. Language: English. Entry Date: 20040213. Revision Date: 20150711. Publication Type: Journal Article AU - Titler, M. G. AU - Herr, K. AU - Schilling, M. L. AU - Marsh, J. L. AU - Xie, X. AU - Ardery, G. AU - Clarke, W. R. AU - Everett, L. Q. DB - cin20 DP - EBSCOhost IS - 4 KW - Analgesics -- Administration and Dosage -- In Old Age Hip Fractures -- In Old Age Pain -- Drug Therapy -- In Old Age Acetaminophen -- Administration and Dosage Adult Aged Aged, 80 and Over Analgesics, Nonnarcotic -- Administration and Dosage Analgesics, Opioid -- Administration and Dosage Coefficient Alpha Content Validity Data Analysis Software Dementia Descriptive Research Descriptive Statistics Female Funding Source Hospitals Injections, Intramuscular Inpatients Interrater Reliability Intraclass Correlation Coefficient Intrarater Reliability Kappa Statistic Male Medical Records Meperidine -- Administration and Dosage Midwestern United States Nurse Attitudes -- Evaluation Nursing Models, Theoretical Pain -- Therapy Patient-Controlled Analgesia Professional Practice, Evidence-Based Questionnaires Random Sample Record Review T-Tests Time Factors Human N1 - research; tables/charts. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Instrumentation: Medical Record Abstract Form; Perceived Stage of Adoption Instrument; Barriers to Optimal Pain Management Tool. Grant Information: Agency for Healthcare Research and Quality (R01 HS10482). NLM UID: 8901557. PMID: NLM14608555. PY - 2003 SN - 0897-1897 SP - 211-227 ST - Acute pain treatment for older adults hospitalized with hip fracture: current nursing practices and perceived barriers T2 - Applied Nursing Research TI - Acute pain treatment for older adults hospitalized with hip fracture: current nursing practices and perceived barriers UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=106701159&site=ehost-live&scope=site VL - 16 ID - 89619 ER - TY - JOUR AB - The increasing number of opioid users among chronic pain patients, and opioid abusers among the general population, makes perioperative pain management challenging for health care professionals. Evidence for the most appropriate assessment and management in opioid tolerant patients is very limited. Anesthesiologists, surgeons, and nurses should be familiar with phenomena typical of opioid users and abusers, such as tolerance, physical dependence, hyperalgesia, and addiction. The aim of preoperative evaluation is to identify comorbidities and risk factors and recognize signs and symptoms of opioid abuse and opioid withdrawal. Assessment and management of these patients should focus on effective analgesia, use of strategies that may attenuate tolerance or OIH, prevention of withdrawal symptoms, close cooperation with other health care professionals and appropriate discharge planning. Inadequate pain management is very common in these patients, due to common fears and wrong beliefs.The basis for successful pain management in opioid-tolerant patients is the utilisation of multimodal analgesia strategies, including pharmacotherapy and regional anesthetic techniques. Opioid-tolerant patients using PCA or epidural analgesia required approximately three times the dose compared with their opioid-naive patients. Opioidtolerant patients reported higher pain scores (both resting and dynamic) and remained under the care of an APS longer than other patients. Their postoperative pain also resolved more slowly than that in opioid naive patients. Opioid-tolerant patients also had significantly longer length of hospital stay and higher readmission rates. The incidence of opioid-induced nausea and vomiting may be lower in opioid-tolerant patients, although the risk of excessive sedation/respiratory depression may be higher. Withdrawal should be prevented by maintenance of normal preadmission opioid regimens where possible (including on the day of surgery) or appropriate substitutions with another opioid or the same opioid via another route. Opioid antagonists (naloxone, naltrexone) should be avoided as their use may induce acute withdrawal reactions, although ultra-low doses of antagonists may attenuate opioid tolerance and OIH. Alpha-2 agonists (clonidine), NMDA antagonists, pregabaline and gabapentine are effective in the management of opioid-withdrawal symptoms. Behavioral and cognitive techniques may minimize anxiety and reduce catastrophising, and physical techniques should also be considered in multimodal acute pain treatment. AD - M. Kocot-Kȩpska, Department of Pain Research and Treatment, Jagiellonian University, Krakow, Poland AU - Kocot-Kȩpska, M. AU - Dobrogowski, J. DB - Embase KW - clonidine gabapentin n methyl dextro aspartic acid receptor blocking agent naloxone naltrexone opiate adult adverse drug reaction agonist ambulatory surgery anxiety catastrophizing comorbidity conference abstract controlled study drug therapy drug withdrawal epidural analgesia hospital discharge hospital readmission hospitalization human incidence low drug dose nausea and vomiting opiate addiction postoperative pain preoperative evaluation prevention respiration depression risk factor sedation side effect substitution reaction withdrawal reflex withdrawal syndrome LA - English M3 - Conference Abstract N1 - L623782716 2018-09-11 PY - 2018 SN - 2531-4122 SP - 23-24 ST - Acute pain treatment in opioid tolerant patients T2 - Heroin Addiction and Related Clinical Problems TI - Acute pain treatment in opioid tolerant patients UR - https://www.embase.com/search/results?subaction=viewrecord&id=L623782716&from=export VL - 20 ID - 94840 ER - TY - JOUR AB - In the early aftermath of a sexual assault, survivors often experience symptoms of distress including reexperiencing, avoidance, and hyperarousal symptoms. However, less is known about associations between rape characteristics and the nature of early reactions. We designed the current study to examine the unique and combined associations between use of force and substances during rape on acute stress symptoms. Participants were 56 women (ages 18–58) who completed a sexual assault medical forensic exam in the emergency department within 120 hours of the rape and then completed a follow-up clinical phone screening within 30 days of the forensic exam. Follow-up assessments included characteristics of the recent rape (force, substances), history of prior sexual assault, demographics, and symptoms of acute stress. Multivariate regression analyses revealed that, after controlling for prior sexual assault, sexual orientation, and race/ethnicity, there were no significant differences on any symptom cluster by rape type. However, this study involved a small, difficult-to-reach sample and, therefore, was only powered to detect large effect sizes. We encourage more research examining potentially unique, early symptom presentations for substance-involved rapes. AD - Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA College of Nursing, Medical University of South Carolina, Charleston, SC, USA AN - 140065294. Language: English. Entry Date: 20191206. Revision Date: 20201130. Publication Type: Article AU - Jaffe, Anna E. AU - Hahn, Christine K. AU - Gilmore, Amanda K. DB - cin20 DO - 10.1177/0361684319845099 DP - EBSCOhost IS - 4 KW - Rape -- Complications Substance Abuse -- Complications Stress, Psychological -- Risk Factors Battered Women -- Psychosocial Factors Risk Assessment Human Female Adolescence Young Adult Adult Middle Age Forensic Medicine Emergency Service After Care Cellular Phone Multiple Regression Sexuality Race Factors Ethnic Groups Effect Size Sexual Assault Nurse Examiners Acute Disease -- Risk Factors Alcohol Abuse Crime Victims N1 - research; tables/charts. Journal Subset: Biomedical; Europe; Peer Reviewed; UK & Ireland. NLM UID: 7613934. PY - 2019 SN - 0361-6843 SP - 485-493 ST - Acute Stress Symptoms After Forcible and Substance-Involved Rapes T2 - Psychology of Women Quarterly TI - Acute Stress Symptoms After Forcible and Substance-Involved Rapes UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=140065294&site=ehost-live&scope=site VL - 43 ID - 87378 ER - TY - JOUR AD - Vice President, MC/RS, Ankeny, Iowa; lewvier@aol.com AN - 106533953. Language: English. Entry Date: 20051104. Revision Date: 20200624. Publication Type: Journal Article AU - Vierling, L. E. DB - cin20 DO - 10.1016/j.casemgr.2005.05.004 DP - EBSCOhost IS - 4 KW - Americans with Disabilities Act -- Legislation and Jurisprudence -- United States Employer-Employee Relations -- Legislation and Jurisprudence -- United States Employment of Persons with Disabilities -- Legislation and Jurisprudence -- United States Alcoholism -- Legislation and Jurisprudence -- United States Attitude to Disability Case Managers -- Legislation and Jurisprudence -- United States Damages, Legal Employment Termination -- Legislation and Jurisprudence -- United States Job Accommodation Oregon Seizures -- Legislation and Jurisprudence -- United States Suicide, Assisted -- Legislation and Jurisprudence -- Oregon United States N1 - legal case. Journal Subset: Nursing; USA. Legal Case: Moorer v. Baptist Memorial Healthcare System; Taylor v. USF-Redstar Express, Inc.. NLM UID: 9305123. PMID: NLM16061156. PY - 2005 SN - 1061-9259 SP - 29-33 ST - ADA update. 'Regarded as' disabled T2 - Case Manager TI - ADA update. 'Regarded as' disabled UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=106533953&site=ehost-live&scope=site VL - 16 ID - 89476 ER - TY - JOUR AB - Aim To explore the coping strategies used by affected family members of a relative with substance misuse. Background Families play an important role in supporting a relative with substance misuse. However, the experience often has an adverse effect on their general well-being, the extent of which depends largely on their coping strategies. Design An interpretative phenomenological analysis study. Data were collected between January - December 2015. Method Semistructured, audio-recorded qualitative interviews were conducted with 31 affected family members. Results Three main themes and related subthemes were abstracted from the data illustrating how participants coped with their relative's substance misuse: (1) Seeking timely access to evidence-based information; (2) Enhancing personal coping strategies and (3) Accessing informal and formal support. Conclusion Greater investment is needed in support services for affected family members, particularly in regional and rural areas. A wide range of accessible evidence-based information and informal and formal support, including telephone and online support, is needed to assist them to cope in this crucial support-giving role. Affected family members need to adopt a flexible set of coping strategies while supporting a relative with substance misuse. Family and friends, alcohol and other drug services, mental health nurses and other clinicians have a critical role providing emotional, instrumental and educational support to affected family members to enhance their adaptive coping strategies. AD - Program of Nursing and Midwifery, College of Health and Biomedicine, Victoria University Turning Point, Eastern Health Clinical School, Monash University AN - 126849624. Language: English. Entry Date: 20171220. Revision Date: 20190412. Publication Type: Article AU - McCann, Terence V. AU - Lubman, Dan I. DB - cin20 DO - 10.1111/jan.13405 DP - EBSCOhost IS - 1 KW - Family Coping -- Evaluation Substance Abuse Family Coping -- Classification Human Phenomenological Research Victoria Semi-Structured Interview Audiorecording Thematic Analysis Male Female Adult Middle Age Aged Research Subject Recruitment Family Attitudes -- Evaluation Information Needs Psychological Well-Being Support, Psychosocial Human Needs (Psychology) N1 - research. PY - 2018 SN - 0309-2402 SP - 100-109 ST - Adaptive coping strategies of affected family members of a relative with substance misuse: A qualitative study T2 - Journal of Advanced Nursing (John Wiley & Sons, Inc.) TI - Adaptive coping strategies of affected family members of a relative with substance misuse: A qualitative study UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=126849624&site=ehost-live&scope=site VL - 74 ID - 87760 ER - TY - JOUR AB - Through in-depth interviews, 55 formerly addicted health professionals (18 physicians, 12 dentists, 13 pharmacists and 12 nurses currently practising in the USA and Canada) provide information about their chemical dependence. The psychosocial factors that contributed to their addictive lifestyles are reviewed. Transcribed interviews indicate that contributing factors include professional pride which makes them feel immune, ignorance of addiction's developmental dynamics, a pervasive optimism about the benefits of drugs as a cure for patients' (and their own) ills, an attempt to manage stressful career demands with chemicals, and easy access to potent psychoactive chemicals. Professionals raised by emotionally impaired parents are especially at risk. AD - Biobehavioral Sciences, University of California, Los Angeles School of Medicine, 760 Westwood Plaza, Los Angeles, CA 90024-1759 AN - 107314391. Language: English. Entry Date: 19970301. Revision Date: 20150820. Publication Type: Journal Article. Journal Subset: Europe AU - Coombs, R. H. DB - cin20 DP - EBSCOhost IS - 4 KW - Impairment, Health Professional Substance Dependence Attitude of Health Personnel -- Evaluation Stress, Occupational Risk Factors N1 - Nursing; Peer Reviewed; UK & Ireland. NLM UID: 9604389. PY - 1996 SN - 1357-5007 SP - 187-194 ST - Addicted health professionals T2 - Journal of Substance Misuse: For Nursing, Health & Social Care TI - Addicted health professionals UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=107314391&site=ehost-live&scope=site VL - 1 ID - 90054 ER - TY - JOUR AB - The article offers information on treating addiction as a disease, dealing with the family members of the people with addiction. It states that family members of addicted individuals are at risk for their own set of psychological and physical stressors as a result of the behaviors associated with addiction. It mentions that family members who think of addiction as a disease might also increase their own treatment-seeking behaviors. It highlights that research indicates addiction treatment providers, which could include such professionals as certified addiction therapists, psychiatrists, psychologists, social workers, and nurses, vary in their approaches to treatment. AD - Florida Institute of Technology American Board of Internal Medicine AN - 89072977. Language: English. Entry Date: 20130723. Revision Date: 20130730. Publication Type: Article AU - Fala, Natalie C. AU - Ross, Kathryn M. DB - cin20 DO - 10.1080/21507740.2013.808284 DP - EBSCOhost IS - 3 KW - Substance Dependence -- Physiopathology Disease Patient Attitudes Physician Attitudes Health Beliefs Stigma N1 - commentary. Original Study: Hammer Rachel, Dingel Molly, Ostergren Jenny, Partridge Brad, McCormick Jennifer, Koenig Barbara A. Addiction: Current Criticism of the Brain Disease Paradigm. (AJOB NEUROSCI) Jul2013; 4 (3): 27-32. Journal Subset: Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; USA. Special Interest: Psychiatry/Psychology. NLM UID: 101518076. PY - 2013 SN - 2150-7740 SP - 45-46 ST - Addiction as a Disease: The Call for Perspectives From Addicted Individuals’ Family Members and Treatment Providers T2 - AJOB Neuroscience TI - Addiction as a Disease: The Call for Perspectives From Addicted Individuals’ Family Members and Treatment Providers UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=89072977&site=ehost-live&scope=site VL - 4 ID - 88424 ER - TY - GEN AU - McCaffery, M. AU - Ferrell, B. F. CY - New York, New York DB - cin20 DP - EBSCOhost J2 - Journal of Pain & Symptom Management KW - Nurse Attitudes Nurses -- Psychosocial Factors Pain -- Drug Therapy Narcotics -- Therapeutic Use Substance Dependence Fear N1 - Accession Number: 107488367. Language: English. Entry Date: 19920801. Revision Date: 20190915. Publication Type: letter; letter. Journal Subset: Biomedical; Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 8605836. PMID: NLM1880436. PB - Elsevier B.V. PY - 1991 SN - 0885-3924 SP - 350-351 ST - Addiction fear increasing among nurses TI - Addiction fear increasing among nurses UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=107488367&site=ehost-live&scope=site VL - 6 ID - 90269 ER - TY - JOUR AB - BACKGROUND: Infections related to intravenous drug use and opioid use disorders (OUDs) are increasing nationwide. Endocarditis is a recognized complication of intravenous drug use, and inpatient treatment typically focuses on infection management without attention to underlying addiction. OBJECTIVE: A comprehensive intervention for inpatients with infective endocarditis and intravenous drug use was implemented by a multidisciplinary team at a large midwestern hospital. The team included behavioral health/addiction medicine, infectious disease, pain medicine, cardiothoracic surgery, pharmacy, and nursing to address the OUD while managing the infection. The intervention was assessed by measuring the initiation of medication-assisted treatment and endocarditis-related readmissions. METHODS: Patients were identified from the medical records using discharge diagnosis codes for OUDs and infective endocarditis. In addition to medical management of infective endocarditis, the multidisciplinary intervention included early involvement of addiction medicine and the pain management at the time of admission. Patient interventions included education, motivational interviewing, behavioral health engagement, collaborative pain management, individual/family therapy, medication evaluation, and initiation of medication-assisted treatment. Caregivers were also educated on OUDs and ways to support patients undergoing interventions. RESULTS: Both the historical control group (N = 37) and the intervention group (N = 33) were comparable in age, gender, race, marital status, psychiatric history, and smoking but differed by employment status, religious affiliation, and use of psychiatric medications. At discharge, 18.9% of the control group and 54.5% in the intervention group were initiated on medication-assisted treatment for OUDs. No differences in readmission rates were found. CONCLUSION: Multidisciplinary teams for treating inpatients with intravenous drug use and infective endocarditis are feasible and can increase the uptake of OUD-specific treatment. AD - Aurora Behavioral Health Services, Advocate Aurora Health, Wauwatosa, WI. Electronic address: publishing675@aurora.org. Aurora Behavioral Health Services, Advocate Aurora Health, Wauwatosa, WI; Aurora Research Institute, Advocate Aurora Health, Wauwatosa, WI. Department of Pharmacy Services, Aurora St. Luke's Medical Center, Advocate Aurora Health, Milwaukee, WI. Department of Quality Management, Aurora St. Luke's Medical Center, Advocate Aurora Health, Milwaukee, WI. Department of Nursing, Aurora St. Luke's Medical Center, Advocate Aurora Health, Milwaukee, WI. Cardiovascular and Thoracic Services, Aurora St. Luke's Medical Center, Advocate Aurora Health, Milwaukee, WI. AN - 32778422 AU - Ray, V. AU - Waite, M. R. AU - Spexarth, F. C. AU - Korman, S. AU - Berget, S. AU - Kodali, S. AU - Kress, D. AU - Guenther, N. AU - Murthy, V. S. DA - Nov-Dec DO - 10.1016/j.psym.2020.06.019 DP - NLM ET - 20200702 IS - 6 KW - *Endocarditis/drug therapy Humans Inpatients *Opioid-Related Disorders/drug therapy *Pharmaceutical Preparations *Substance Abuse, Intravenous/complications addiction cardiovascular surgery inpatient medication-assisted treatment multidisciplinary team opioid use disorders LA - eng N1 - 1545-7206 Ray, Vani Waite, Mindy R Spexarth, Frank C Korman, Sandra Berget, Susan Kodali, Soumya Kress, David Guenther, Neil Murthy, Vishnubhakta S Journal Article England 2020/08/12 Psychosomatics. 2020 Nov-Dec;61(6):678-687. doi: 10.1016/j.psym.2020.06.019. Epub 2020 Jul 2. PY - 2020 SN - 0033-3182 SP - 678-687 ST - Addiction Management in Hospitalized Patients With Intravenous Drug Use-Associated Infective Endocarditis T2 - Psychosomatics TI - Addiction Management in Hospitalized Patients With Intravenous Drug Use-Associated Infective Endocarditis VL - 61 ID - 85795 ER - TY - JOUR AB - Introduction: Every year, nearly 20 million adults need treatment for a substance use disorder (SUD); however, only 1 in 10 patients receive treatment. On July 22, 2016, the Comprehensive Addiction and Recovery Act (CARA) expanded eligibility for qualified advanced practice nurses (APRNs) and physician assistants to prescribe buprenorphine for the treatment of opioid use disorder. This law pioneers new territory for APRN practice and targets the treatment gap in addiction medicine. Aims: To identify APRN students' attitudes and preparedness to treat patients with SUDs. To evaluate APRN students' attitudes and preparedness to provide pharmacotherapy for patients with SUDs. Methods: A survey instrument was designed to identify APRN students' attitudes and preparedness to treat patients with SUDs. Furthermore, the survey examined APRN students' current attitudes towards providing pharmacotherapy to treat SUD. The survey received exemption status from Yale University's Institutional Review Board. Survey results were based on a five-point Likert scale, distributed via email to APRN students at Yale University, and descriptive statistics were used to analyze data. Results: (N= 120, response rate 67%) 83% of students "strongly agreed" that it is important to know how to treat patients with SUDs. However, 82% of students reported that they have not received adequate training to care for patients with SUDs. Only 14% of students felt prepared to manage patients with chronic pain, and 38% of students felt prepared to screen patients for opioid use disorder. Only 5% of students felt there was enough time devoted to SUDs in their curricula. 87% of students reported interest in becoming trained in opioid agonist therapy, specifically buprenorphine, while only 9% of students were familiar with the licensure requirements to provide opioid agonist therapy as an APRN. Conclusions and Recommendations: Our data indicate that APRN students have interest in caring for patients with SUDs, yet desire more opportunities to learn about addiction medicine and opioid agonist therapy. Because the CARA provision has a 5-year sunset, it is imperative to understand the barriers to training and increase APRN engagement in addiction medicine. Our data suggest that nursing schools should consider the integration of more curriculum content to increase students knowledge, attitudes and skills in addiction medicine. Competency Addressed: System-Based Practice, as manifested by actions that demonstrate an awareness of and responsiveness to the larger context and system for health care and the ability to effectively call on system resources to provide care that is of optimal value. AD - H. Le AU - Le, H. AU - Edwards, J. A. AU - Butner, J. AU - Tetrault, J. M. DB - Embase DO - 10.1097/ADM.0000000000000417 IS - 3 KW - buprenorphine opiate addiction medicine adult advanced practice nurse awareness chronic pain conference abstract controlled study curriculum drug dependence drug therapy e-mail female human institutional review licensing Likert scale major clinical study male nursing education physician assistant remission skill statistics student LA - English M3 - Conference Abstract N1 - L627851787 2019-05-31 PY - 2018 SN - 1935-3227 SP - E1 ST - Addiction medicine & opioid-agonist treatment curricula in high demand by APRN students T2 - Journal of Addiction Medicine TI - Addiction medicine & opioid-agonist treatment curricula in high demand by APRN students UR - https://www.embase.com/search/results?subaction=viewrecord&id=L627851787&from=export http://dx.doi.org/10.1097/ADM.0000000000000417 VL - 12 ID - 94846 ER - TY - JOUR AB - SETTING AND PARTICIPANTS: Montefiore Health System is the largest health care provider in Bronx, New York, a community that is disproportionately impacted by substance use disorders (SUDs). To better prepare resident physicians to care for patients with SUDs, we developed a novel addiction medicine rotation required for internal medicine residents. DESCRIPTION: The 2-week rotation includes inpatient and outpatient clinical experiences. During the inpatient week, residents rotate on the Addiction Consult Service, staffed by an addiction medicine attending, a fellow, and a peer navigator. Residents attend a weekly interdisciplinary meeting with the Psychiatry Consult Service to discuss cases. During the outpatient week, residents rotate through an opioid treatment program, an intensive outpatient substance use treatment program, and an addiction medicine “Bridge” clinic, which links patients with SUDs to primary care post- hospitalization. Residents also complete a self-study curriculum that includes addiction-focused readings and podcasts as well as the 8-hour online buprenorphine waiver training. All residents participate in Addiction Medicine Rounds, a weekly case conference and journal club led by addiction medicine faculty and trainees. EVALUATION: Between July and November 2021, 22 internal medicine residents participated in the rotation and 12 (55%) completed formal evaluations. All residents rated the overall rotation to be valuable for their education, with 33% in strong agreement based on a 4-point scale from strongly disagree to strongly agree. All residents also agreed (with 42% strongly agreed) that the rotation increased their knowledge and skills in diagnosing SUDs, and managing medication treatment for SUDs. One resident summarized: “This rotation is one of the best rotations I have experienced during my time as a resident. After completing this rotation, I felt very confident in my ability to diagnose, navigate, and manage the complexities of addiction related illness.” DISCUSSION / REFLECTION / LESSONS LEARNED: The Addiction Medicine Rotation was well-received in its first months of implementation. The experience on the Addiction Consult Service stood out as high-yield training, building on residents' familiarity with hospital-based care and leveraging multidisciplinary partnerships with psychiatry, pharmacy, and nursing departments. Providing rigorous inpatient training in addiction medicine is a unique feature of this rotation, as addiction consult services are not the mainstay in most hospitals. The “Bridge” clinic has also been valuable in training residents to provide medication treatment for SUDs within primary care. However, the outpatient experience in specialty care settings faced many scheduling challenges related to the COVID-19 pandemic, with reduced availability of preceptors, decreased number of in-person visits, and suspended group treatment. Optimizing outpatient addiction medicine training will be an ongoing goal in future rotation iterations. ONLINE RESOURCE URL: Rotation document: https://tinyurl.com/ MontefioreAddMedRotation. AD - T. Lu, General Internal Medicine, Montefiore Medical Center, Bronx, NY, United States AU - Lu, T. AU - Torres-Lockhart, K. AU - Stein, M. DB - Embase DO - 10.1007/s11606-022-07653-8 KW - buprenorphine opiate addiction medicine adult case report clinical article conference abstract coronavirus disease 2019 curriculum drug dependence drug therapy education female group therapy hospital patient hospitalization human internal medicine male nursing outpatient pandemic podcast primary medical care psychiatry resident rotation skill substance use LA - English M3 - Conference Abstract N1 - L638737393 2022-08-22 PY - 2022 SN - 1525-1497 SP - S604 ST - ADDICTION MEDICINE IS MEDICINE: A REQUIRED TWO-WEEK CLINICAL ROTATION FOCUSED ON SUBSTANCE USE FOR INTERNAL MEDICINE RESIDENTS T2 - Journal of General Internal Medicine TI - ADDICTION MEDICINE IS MEDICINE: A REQUIRED TWO-WEEK CLINICAL ROTATION FOCUSED ON SUBSTANCE USE FOR INTERNAL MEDICINE RESIDENTS UR - https://www.embase.com/search/results?subaction=viewrecord&id=L638737393&from=export http://dx.doi.org/10.1007/s11606-022-07653-8 VL - 37 ID - 94195 ER - TY - JOUR AB - Objectives: • Explore approaches to collaborate with an addiction medicine specialist to care for patients at risk for, or diagnosed with an SUD who require controlled substances for symptom control in the setting of a serious illness. • Identify strategies to care for patients who develop aberrant opioid- related behaviors while under the care of a palliative care team. • Create a care plan for a survivor of a serious illness who remains on a high dose opioid regimen after treatment completion. It is estimated that approximately 10% of Americans are diagnosed with a past or active substance use disorder (SUD), placing them at risk for related mortality and morbidity. However, when patients face the diagnosis of a serious illness, this new stress places them at even higher risk of substance use disorder relapse. Palliative care teams are frequently consulted to provide care to this complex and vulnerable population, however many lack the training and knowledge to safely provide this care. Collaborating closely with an addiction medicine (ADM) specialist is crucial to address the complicated care needs of patients at risk for, or with an active SUD. In this interactive, case-based session, experts in ADM will discuss cases with experts in palliative care. This discussion will focus on three areas: 1) Care of patients with a known diagnosis of SUD who are subsequently diagnosed with a serious illness and require controlled substances for symptom control; 2) Care of patients who develop aberrant opioid-related behaviors while under the care of a palliative care team; and 3) Care of patients who are survivors of their disease post treatment, such as cancer survivors, who remain dependent on high dose opioid regimens despite having no clear source of physical pain. Presenters will highlight the use of effective, respectful, and compassionate language that aims to build trusting and therapeutic relationships with patients. Strategies for engaging patients using brief cognitive behavioral techniques, goal setting, and motivational interviewing will be described. The key role of the full involvement of the intra-professional team including medicine, nursing, chaplaincy, mental health professionals, and social work will be stressed. Finally, a model to build a close collaboration with ADM specialists by embedding them within a palliative care clinic will be explored. AU - Kapo, J. AU - Blatt, L. AU - Tetrault, J. AU - Weimer, M. B. DB - Embase DO - 10.1016/j.jpainsymman.2019.12.143 IS - 2 KW - controlled substance opiate addiction medicine adult American cancer survivor conference abstract controlled study drug dependence drug megadose embedding human language mental health care personnel morbidity mortality motivational interviewing pain palliative therapy relapse respect risk assessment social work physiological stress vulnerable population LA - English M3 - Conference Abstract N1 - L2004708431 2020-01-31 PY - 2020 SN - 1873-6513 0885-3924 SP - 463-464 ST - Addiction Medicine Specialists in Your Back Pocket: Building an Essential Collaboration (FR434) T2 - Journal of Pain and Symptom Management TI - Addiction Medicine Specialists in Your Back Pocket: Building an Essential Collaboration (FR434) UR - https://www.embase.com/search/results?subaction=viewrecord&id=L2004708431&from=export http://dx.doi.org/10.1016/j.jpainsymman.2019.12.143 VL - 59 ID - 94579 ER - TY - JOUR AB - Background: Medications for the treatment of opioid use disorders (OUD) are first line treatments and provision of them is standard of care. Despite this, the number of healthcare providers that prescribe medications for OUD is being outstripped by demand. Public health initiatives are advocating for expanded OUD treatment to primary care and general mental health settings, using familiar principles of chronic disease management. Such management requires interprofessional teams including nursing, medicine, pharmacy, social work, etc. It also requires a baseline knowledge of and framework for the treatment of SUD as a chronic condition. Here, we describe an interprofessional workshop designed to improve interprofessional staff knowledge and confidence in identifying and treating OUD. Methods: A 2-day workshop, titled “Addiction Mini- Residency” was developed by an interprofessional substance use disorder-specialty team with a goal to “increase agency and optimism in treatment substance use disorders.” Varied educational strategies were used including pre-work audio clips, in-class lectures, videos, facilitated discussions, patient panels, and simulations. Three simulations led interprofessional teams through the diagnosis, medication consent and initiation, and follow-up treatment plans for a patient with OUD. Pretest and posttest surveys assessing participant attitudes and self-rated performance measures were collected over three workshops. Results: We conducted five, 2-day mini-residencies. Eightyone participants attended one of the five trainings with over 90% (n = 73) completing both days. For the first miniresidency, participants reported increased self-efficacy in: assessing, screening, intervening and in using motivational interviewing skills with patients with SUD. Across the next four trainings prescribers (physicians, physician assistants, and nurse practitioners) and non-prescribers (psychologists, pharmacists, RNs, social workers, health technicians, and trainees) reported significant increases in: perceived effectiveness in helping patients with both alcohol use disorder (AUD) and OUD (P's < .001), self-efficacy of screening OUD (P < .001), self-efficacy diagnosing AUD (P = .001), and OUD (P < .001), self-efficacy discussing treatment options and treating AUD (P < .001) and OUD (P < .001) and providing or assisting with the provision of buprenorphine for OUD (P = .003). 39% of providers completed buprenorphine-waiver training prior to enrollment and over 70% of those without training reported an interest in completing waiver training post-workshop. Feedback from participants was collected and will be presented in the poster. Conclusions: This 2-day interprofessional workshop on SUD treatment had a positive impact on staff understanding of SUDs and the specific rolls and teamwork required to prescribe medications for OUD in primary care and general MH settings. This kind of experience will foster staff preparedness and willingness to conceptualize OUD as a chronic condition amenable to treatment in primary care and general MH settings. Summary: We proposed to develop, implement and evaluate a hospital wide, interprofessional workshop designed to improve healthcare staff knowledge and confidence in identifying and treating OUD. The 2-day workshop had a positive impact on staff understanding of OUD and highlighted the benefits of working as a team in order to effectively manage this patient population.This type of educational experience may foster staff preparedness and willingness to conceptualize OUD as a chronic condition amenable to treatment in primary care and general MH settings. Our long term goal is to disseminate the 2-day workshop to other healthcare institutions in efforts to address the growing need for addiction treatment. AD - G.G. Vassallo, Yale University AU - Vassallo, G. G. AU - Moore, B. AU - Lozano, C. AU - Sorenson, S. AU - Jane, S. AU - Fries, H. AU - Grau, L. AU - Mutalik, P. AU - Edens, E. DB - Embase DO - 10.1111/ajad.13032 IS - 3 KW - buprenorphine opiate adult alcoholism conference abstract controlled study drug therapy female follow up human major clinical study male motivational interviewing nurse practitioner nursing optimism personnel management pharmacist physician assistant pretest posttest design primary medical care psychologist self concept simulation skill social work teamwork videorecording LA - English M3 - Conference Abstract N1 - L633285080 2020-11-06 PY - 2020 SN - 1521-0391 SP - 221-222 ST - The addiction mini-residency: an interprofessional staff development workshop T2 - American Journal on Addictions TI - The addiction mini-residency: an interprofessional staff development workshop UR - https://www.embase.com/search/results?subaction=viewrecord&id=L633285080&from=export http://dx.doi.org/10.1111/ajad.13032 VL - 29 ID - 94551 ER - TY - JOUR AB - With the increased role of nurses in caring for patients with substance addiction, there was a clear need to develop the Addiction Nursing Competencies to guide and support the nursing workforce. A literature search revealed a lack of formal instruments to assess and guide nurses in caring for persons with substance use disorders. The Addiction Nursing Competencies were created using existing nursing education frameworks and addiction nurse care manager clinical guidelines. AU - Wason, K. AU - Potter, A. AU - Alves, J. AU - Loukas, V. L. AU - Lastimoso, C. AU - Sodder, S. AU - Caputo, A. AU - LaBelle, C. T. DB - Medline DO - 10.1097/NNA.0000000000001041 IS - 9 KW - accreditation clinical competence drug dependence human nurse attitude nursing nursing staff LA - English M3 - Article N1 - L635955007 2021-09-15 2021-10-08 PY - 2021 SN - 1539-0721 SP - 424-429 ST - Addiction Nursing Competencies: A Comprehensive Toolkit for the Addictions Nurse T2 - The Journal of nursing administration TI - Addiction Nursing Competencies: A Comprehensive Toolkit for the Addictions Nurse UR - https://www.embase.com/search/results?subaction=viewrecord&id=L635955007&from=export http://dx.doi.org/10.1097/NNA.0000000000001041 VL - 51 ID - 94333 ER - TY - JOUR AB - Objectives: The stigma toward substance use disorders is different from other health conditions, it complicates efforts for social acceptance of patients. Health care providers may hold negative beliefs about addiction patients, that is, that they overuse system resources, fail to adhere to recommended care, abuse the system through drug-seeking and diversion. Therefore, this study was set to compare addiction stigma among psychiatrists, psychiatric nurses, and medical students, and to test whether stigma varies according to the abused substance (alcohol, cannabinoids, heroin, and tramadol). Materials and Methods: A cross-sectional study was conducted on 467 subjects (351 graduating medical students, 65 psychiatric nurses, and 51 psychiatrists). Mental health professionals worked in the Department of Neuro-psychiatry in the University Hospital, or Ministry of Health Hospital, or Mental Health and Addiction Treatment Centre. All consenting participants were subjected to questionnaires to assess stigma: Level of Familiarity, Perceived Dangerousness, Fear, and Social Distance with substance use disorder patients. Results: It was found that stigma was significantly lower (P<0.05) toward cannabinoids, whereas it was significandy higher toward heroin (P<0.01). Stigma was significantly higher (P<0.01) among medical students, whereas it was significantly lower (PC0.01) among psychiatrists and nurses working in Mental Health and Addiction Treatment Center and significantly (P<0.01) decreased with more years of experience. Conclusions: Interventions aimed at reducing stigma related to substance use disorders should be started from medical school. Contact-based training and education programs targeting medical students, psychiatrists, and other members of the treatment team including nurses, psychologists, and rehabilitation specialists are imperative. AD - Institute of Psychiatry, Ain Shams University, Cairo Ministry of Health, Monufia, Egypt AN - 120086652. Language: English. Entry Date: 20170422. Revision Date: 20170422. Publication Type: Article AU - El Rasheed, Amany Haroun AU - El Sheikh, Mona M. AU - El Missiry, Marwa A. AU - Hatata, Hisharn A. AU - Ahmed, Nihal DB - cin20 DO - 10.1097/ADT.0000000000000090 DP - EBSCOhost IS - 4 KW - Substance Use Disorders Attitude of Health Personnel -- Egypt Stigma Human Students, Medical Psychiatrists Psychiatric Nursing Cross Sectional Studies Questionnaires Cannabis Heroin Egypt N1 - research; tables/charts. Journal Subset: Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. NLM UID: 101148822. PY - 2016 SN - 1531-5754 SP - 165-174 ST - Addiction Stigma Among Mental Health Professionals and Medical Students in Egypt T2 - Addictive Disorders & Their Treatment TI - Addiction Stigma Among Mental Health Professionals and Medical Students in Egypt UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=120086652&site=ehost-live&scope=site VL - 15 ID - 87936 ER - TY - JOUR AB - Background: Parenting approach and early childhood experiences are thought to be two important factors in the initiation of substance use. Aims: We aimed to explore the nurse's role in the prevention of childhood addiction. Methods: In this qualitative study we conducted in-depth interviews with young men and women who were either in treatment for their addiction or were active drug users as well as with family members and nurses. The data analysis followed Strauss and Corbin's constant comparison method. Results: The data analysis revealed six categories: traumatic events during childhood, inappropriate parenting approach, Lack of knowledge and a tolerant attitude toward drug use, turning a blind eye on the threat of drug use, nurses' poor experience of drug use prevention, and the lack of a clear definition of the nurse's role in prevention of drug use. Conclusions: Nurses who work with young people and their families have a special opportunity for prevention, early detection and timely intervention for drug dependency. Contexte : On pense que l'approche parentale et les expériences vécues dans la petite enfance sont deux facteurs majeurs quant à l'initiation de la consommation de drogues. Objectifs : La présente étude visait à examiner le rôle du personnel infirmier dans la prévention de l'addiction chez l'enfant. Méthodes : Dans le cadre de cette étude qualitative, nous avons mené des entretiens approfondis avec de jeunes hommes et femmes qui suivaient un traitement pour leur addiction ou qui étaient des consommateurs de drogues actifs, ainsi qu'avec des membres de leurs familles et des infirmiers. La méthode comparative continue de Strauss et Corbin a été suivie pour l'analyse des données obtenues. Résultats : L'analyse des données a mis en évidence six catégories : les événements traumatiques vécus durant l'enfance, une approche parentale inadaptée, la méconnaissance et une certaine tolérance vis-à-vis de la consommation de drogues, le fait d'ignorer la menace que représente la consommation de drogues, le manque d'expérience du personnel infirmier en matière de prévention de la consommation de drogues et l'absence de définition claire quant au rôle des infirmiers dans la prévention de la consommation de drogues. Conclusions : Les personnels infirmiers qui travaillent auprès des jeunes et de leurs familles ont un potentiel particulier en matière de prévention, de détection précoce et d'intervention rapide pour lutter contre la dépendance aux drogues. AD - School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran Postdoctoral fellow, Women's Health Research Institute, Department of OBGYN, University of British Columbia, Canada Department of Oral and Maxillofacial Pathology, Faculty of Dentistry, Islamic Azad University Tehran Medical Sciences, Tehran, Islamic Republic of Iran AN - 141940117. Language: English. Entry Date: 20200229. Revision Date: 20200303. Publication Type: Article AU - Mirlashari, Jila AU - Jahanbani, Jahanfar AU - Begjani, Jamalodin DB - cin20 DO - 10.26719/2020.26.2.212 DP - EBSCOhost IS - 2 KW - Substance Dependence -- Prevention and Control Nursing Role Iran Human Female Male Adolescence Young Adult Adult Middle Age Extended Family Nurses Qualitative Studies Interviews Adverse Childhood Experiences Parenting Health Knowledge Substance Abuse -- Psychosocial Factors N1 - research; tables/charts. Journal Subset: Biomedical; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Middle East; Peer Reviewed; Public Health. NLM UID: 9608387. PY - 2020 SN - 1020-3397 SP - 212-218 ST - Addiction, childhood experiences and nurse's role in prevention: a qualitative study T2 - Eastern Mediterranean Health Journal TI - Addiction, childhood experiences and nurse's role in prevention: a qualitative study UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=141940117&site=ehost-live&scope=site VL - 26 ID - 87310 ER - TY - JOUR AB - With expanded technologic and communication resources there is growing awareness worldwide of the public health problems caused by alcohol, tobacco, and other drug use, misuse, abuse and addiction. Trends vary by culture and region but use of tobacco and alcohol is almost universal and is associated with high rates of mortality and morbidity. While nurses have not universally embraced the prevention and treatment of substance-related disorders as their province, this is changing as a function of organisations, World Health Organization (WHO) and national initiatives, and the strengthening of nurse education. Actions to promote consensus, identify and review competencies for nurses must consider national and cultural variations, traditions of social change and the need for evidence-based practice. Collective action by nurses in newly formed and existing organisations, which focus on addictions prevention and treatment, have resulted in initial professional steps. Such progress can be facilitated if achieved in the context of larger international policies and initiatives and in collaboration with members of other professional disciplines. AD - Associate Professor, Division of Nursing, New York University, 246 Greene St, New York, NY; man1@nyu.edu AN - 106719984. Language: English. Entry Date: 20040402. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Biomedical AU - Naegle, M. A. DB - cin20 DP - EBSCOhost IS - 3 KW - Substance Abuse Substance Dependence World Health Addictions Nursing Addictions Nursing -- Organizations Alcohol Abuse Collaboration Culture Education, Nursing Health Care Delivery Health Policy Nursing Practice Street Drugs N1 - Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Health Promotion/Education; Peer Reviewed; UK & Ireland. PY - 2002 SN - 1475-0384 SP - 11-22 ST - Addiction: a global public health challenge for nurses T2 - Drug & Alcohol Professional TI - Addiction: a global public health challenge for nurses UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=106719984&site=ehost-live&scope=site VL - 2 ID - 89721 ER - TY - JOUR AD - Midwest Hospital, USA. AN - 17695670 AU - Hastings, J. AU - Burn, J. DA - Aug DO - 10.1097/01.naj.0000282301.11065.8e DP - NLM IS - 8 KW - Adaptation, Psychological Analgesics, Opioid/adverse effects *Attitude of Health Personnel Buprenorphine/therapeutic use Buprenorphine, Naloxone Drug Combination Drug and Narcotic Control Humans Male Naloxone/therapeutic use Nursing Staff, Hospital/*psychology Occupational Health *Opioid-Related Disorders/psychology/rehabilitation Professional Impairment/*psychology Self-Help Groups Shame Substance Abuse Treatment Centers Substance Withdrawal Syndrome/etiology/prevention & control/psychology Theft LA - eng N1 - Hastings, James Burn, Jeri Journal Article United States 2007/08/19 Am J Nurs. 2007 Aug;107(8):75-7, 79. doi: 10.1097/01.naj.0000282301.11065.8e. PY - 2007 SN - 0002-936X (Print) 0002-936x SP - 75-7, 79 ST - Addiction: a nurse's story. Opioids became an obsession--until he was caught T2 - Am J Nurs TI - Addiction: a nurse's story. Opioids became an obsession--until he was caught VL - 107 ID - 86101 ER - TY - JOUR AN - 107398975. Language: English. Entry Date: 19950201. Revision Date: 20150818. Publication Type: Journal Article AU - Glover, L. V. DA - 1994 Spring DB - cin20 DP - EBSCOhost IS - 1 KW - Registered Nursing Practice Nurse Liaison Medical-Surgical Nursing Alcoholism -- Nursing Substance Dependence -- Complications Family Relations Nurse Attitudes Middle Age Inpatients Female N1 - care plan; case study; nursing interventions; tables/charts; nursing diagnoses. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 9435671. PY - 1994 SN - 1073-886X SP - 13-18 ST - The addictions liaison nurse and substance abuse issues in medical-surgical nursing T2 - Addictions Nursing TI - The addictions liaison nurse and substance abuse issues in medical-surgical nursing UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=107398975&site=ehost-live&scope=site VL - 6 ID - 90177 ER - TY - JOUR AB - Physicians and other health care providers have multiple opportunities in the course of a typical practice year to identify and treat individuals who abuse alcohol and other drugs. Although substance abuse is very common in clinical practice, providers routinely fail to intervene in a timely fashion due to negative attitudes, incomplete knowledge, and poorly developed practice skills. Over the past ten years, addictions training of licensed health care providers nationally and in Maryland has improved significantly. This article describes recent national training trends and current educational programs statewide for medical students, physicians in residency and fellowship programs, and licensed providers in dentistry, nursing, pharmacy, psychology, and social work. Several strategies for improving professional training in addictions in the future are discussed and the importance of shifting to an interprofessional training model is emphasized. AD - D.R. McDuff, Division of alcohol and drug abuse, University of Maryland School of Medicine, USA. AU - McDuff, D. R. AU - Tommasello, A. C. AU - Hoffman, K. J. AU - Johnson, J. L. DB - Medline IS - 6 KW - addiction alcoholism article education human medical education medical profession United States LA - English M3 - Article N1 - L125083851 1995-07-27 PY - 1995 SN - 0886-0572 SP - 453-459 ST - Addictions training for physicians and other licensed health care professionals in Maryland T2 - Maryland medical journal (Baltimore, Md. : 1985) TI - Addictions training for physicians and other licensed health care professionals in Maryland UR - https://www.embase.com/search/results?subaction=viewrecord&id=L125083851&from=export VL - 44 ID - 96024 ER - TY - JOUR AN - 107567092. Language: English. Entry Date: 19860301. Revision Date: 20150712. Publication Type: Journal Article. Supplement Title: 1985 Nov 27-Dec 3. Journal Subset: Core Nursing AU - Blank, M. DB - cin20 DP - EBSCOhost IS - 48 KW - Attitude of Health Personnel Nurses Substance Dependence -- Psychosocial Factors N1 - Double Blind Peer Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 0423236. PMID: NLM3853167. PY - 1985 SN - 0954-7762 SP - 64-64 ST - Addictive attitudes... mythology which surrounds the drug problem T2 - Nursing Times TI - Addictive attitudes... mythology which surrounds the drug problem UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=107567092&site=ehost-live&scope=site VL - 81 ID - 90396 ER - TY - JOUR AB - Background : Addictive behaviors are common among young people and especially among students. Entry to university leads to a new way of life propelling students to meet different toxic products such as tobacco, alcohol and cannabis. Objectives: To determine the prevalence and dependence of psychoactive substance use among a group of nursing students and to deduce the factors associated with these behaviors. Methods : This is a cross-sectional study of a random sample of 500 students in a private nursing institute in the Tunisian center. This survey was based on an anonymous questionnaire containing sociodemographic characteristics, the Fagerström test to evaluate smoking dependence, the FACE test (Alcohol Attitude Formula by Interview) to detect alcoholic risk behavior and Cannabis Abuse Screening Test (CAST) to identify cannabis dependence. Results: A total of 455 students participated, representing a participation rate of 91 %. The mean age was 22.8 ± 2.6 years with a sex ratio of 1.05. Consumption of at least one psychoactive substance was reported in 60 % of participants dominated by tobacco (53.8 %). Consumption of the three psychoactive substances was reported in 16.4 % of respondents. Heavy dependence on tobacco, alcohol and cannabis was reported in 48.7 %, 60 % and 95.7 % of students respectively. After univariate analysis, risk and dependence smoking behaviors were significantly associated with the male gender (p<0,001), repetition (p=0.026), and third year school year (p<0,001). Male gender (p<0,001), single (p=0.001), having repetition during their higher education (p<0,001), enrolled in the 3rd school year (p=0, 04) and living away from their families (p=0.003) had more risky drinking behaviors and addictions. The risk of cannabis dependence was significantly associated with male gender (p=0.001) and the living away from the family (p<0,001). After multiple binary logistic regression including variables of interest, only male gender was associated with alcohol dependence (p=0.003) with an odds ratio of 2.64 (95 % CI 1.38-5.04). Conclusion: The fight against addictive behavior among students must go through appropriate prevention programs to better education on the harmful risks of psychoactive substances. AD - M. Kahloul, Faculté de Médecine Ibn Jazzar de Sousse, Sousse, Tunisia AU - Jebali, C. AU - Kahloul, M. AU - Ibn Hassine, N. AU - Kacem, I. AU - Hafsia, M. AU - Jaouadi, M. A. AU - Cheriaa, M. AU - Naija, W. AU - Chebil, N. AU - Mrizak, N. DB - Embase DO - 10.30637/2019.18-083 IS - 3 KW - psychotropic agent adult alcoholism article cannabis addiction cross-sectional study drug dependence female human major clinical study male nursing student prevalence sex difference smoking tobacco consumption Tunisian young adult LA - French M3 - Article N1 - L2004969557 2020-02-24 2020-02-28 PY - 2019 SN - 0035-3639 SP - 133-139 ST - Addictive behaviors in nursing students in a private tunisian institute T2 - Revue Medicale de Bruxelles TI - Addictive behaviors in nursing students in a private tunisian institute UR - https://www.embase.com/search/results?subaction=viewrecord&id=L2004969557&from=export http://dx.doi.org/10.30637/2019.18-083 VL - 40 ID - 94742 ER - TY - JOUR AB - Infants with neonatal abstinence syndrome (NAS) are a growing population in the NICU setting, and nurses report that caring for families can be challenging. Women who are pregnant and newly parenting who use drugs and alcohol typically face significant negative attitudes, judgment, and stigma within their communities and from providers when they access health care. When nurses witness biased behavior or communication front their peers, they may feel distressed and unprepared to address the situation. Using script guides or structured communication frameworks (e.g., SBAR) is one helpful strategy for rehearsing actions and responses. The ACTS script was developed specifically to address peer attitudes and stigma in relation to substance use during pregnancy. AD - Associate professor, School of Nursing, University of Victoria Instructor, School of Nursing, University of Victoria AN - 117941209. Language: English. Entry Date: 20170606. Revision Date: 20220407. Publication Type: Article AU - Marcellus, Lenora AU - Poag, Elizabeth DB - cin20 DO - 10.1891/0730-0832.35.5.327 DP - EBSCOhost IS - 5 KW - Neonatal Abstinence Syndrome -- Nursing Neonatal Intensive Care Nursing Nursing Practice Professional-Family Relations Mothers Stigma Communication Skills Female Pregnancy Substance Abusers Infant, Newborn Inpatients Intensive Care Units, Neonatal Vignettes Ethics, Nursing Organizational Culture Teamwork Models, Theoretical N1 - tables/charts. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 8503921. PY - 2016 SN - 0730-0832 SP - 327-332 ST - Adding to Our Practice Toolkit: Using the ACTS Script to Address Stigmatising Peer Behaviors in the Context of Maternal Substance Use T2 - Neonatal Network TI - Adding to Our Practice Toolkit: Using the ACTS Script to Address Stigmatising Peer Behaviors in the Context of Maternal Substance Use UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=117941209&site=ehost-live&scope=site VL - 35 ID - 87987 ER - TY - JOUR AB - Aims: Home detoxification is a recognized method of treating problem drinkers within their own home environment. The aim of this research is to determine whether a relatively brief psychological intervention adds to its effectiveness. Methods: A pragmatic trial with 91 participants randomly assigned to either the psychological intervention or treatment as usual. Community Psychiatric Nurses were trained to administer the brief psychological intervention involving motivational interviewing, coping skills training and social support. A manual was developed in order to standardize the training and implementation. Results: At the 3 month and 12 month follow-up the psychological intervention resulted in significant positive changes in alcohol consumption, abstinent days, social satisfaction, self-esteem and alcohol-related problems. Further, a cost analysis confirmed that the psychological intervention was a ninth of the cost of inpatient treatment. Conclusions: Adding a psychological intervention to a home detoxification programme was successful and cost-effective. © Medical Council on Alcohol 2004; all rights reserved. AD - T. Alwyn, Centre for Psychology, University of Wales, Institute Cardiff, Llandaf Campus, Western Avenue, Cardiff, United Kingdom AU - Alwyn, T. AU - John, B. AU - Hodgson, R. J. AU - Phillips, C. J. DB - Embase Medline DO - 10.1093/alcalc/agh092 IS - 6 KW - alcohol drugs used in the treatment of addiction adult alcohol abstinence alcohol consumption alcoholism article clinical trial controlled clinical trial controlled study coping behavior cost benefit analysis cost effectiveness analysis detoxification feasibility study female follow up home care hospital care hospital patient human intermethod comparison major clinical study male motivation nurse training patient satisfaction priority journal psychotherapy randomized controlled trial self esteem social interaction social support LA - English M3 - Article N1 - L39534538 2004-12-03 PY - 2004 SN - 0735-0414 SP - 536-541 ST - The addition of a psychological intervention to a home detoxification programme T2 - Alcohol and Alcoholism TI - The addition of a psychological intervention to a home detoxification programme UR - https://www.embase.com/search/results?subaction=viewrecord&id=L39534538&from=export http://dx.doi.org/10.1093/alcalc/agh092 VL - 39 ID - 95800 ER - TY - JOUR AB - Background: Alcohol misuse (AM) among young adults remains a public health issue that is underaddressed in primary care. Despite well-supported recommendations to screen and offer brief interventions for AM, most primary care providers do not address the issue. Local problem: Increasing rates of alcohol-related incidents and lack of a standardized alcohol Screening and Brief Intervention (SBI) program were identified in a private university health center. Methods: Nurse practitioners, staff nurses, and physicians received education on alcohol SBI. Young adult students visiting a college health center were administered the Alcohol Use Disorders Identification Test-Consumption electronically followed by a brief motivational intervention if they screened positive using embedded Electronic Health Record templates. Preimplementation/postimplementation chart audit and surveys were used to evaluate effectiveness. Interventions: Following staff education, a standardized alcohol SBI program was implemented in a private university health center. Results: Increased alcohol screening and intervention rates, as well as increased knowledge about AM, and reduced alcohol use among participants were identified. Conclusions: Through staff education and by embedding standard alcohol SBI templates, more at-risk young adults were identified and rendered alcohol interventions during routine visits. This replicable program can improve outcomes related to AM in the primary care setting. AD - Clinical Instructor, College of Nursing, Seton Hall University, Nutley, New Jersey AN - 146097690. Language: English. Entry Date: 20201009. Revision Date: 20210802. Publication Type: Article AU - Conklin, Teresa M. DB - cin20 DO - 10.1097/JXX.0000000000000259 DP - EBSCOhost IS - 8 KW - Alcohol Abuse -- Diagnosis Alcohol Abuse -- Therapy Alcohol Drinking in College -- Prevention and Control Health Screening Motivational Interviewing Primary Health Care Student Health Services Quality Improvement Program Development Human Students, College Nurse Practitioners Physicians Staff Nurses Male Female Young Adult Adult Clinical Assessment Tools Pretest-Posttest Design Health Knowledge Alcohol Abuse Risk Assessment Retrospective Design Record Review Descriptive Statistics N1 - research; tables/charts. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. Instrumentation: Alcohol Use Disorders Identification Test-Consumption (AUDIT-C). NLM UID: 101600770. PY - 2020 SN - 2327-6886 SP - 583-588 ST - Addressing alcohol misuse in primary care T2 - Journal of the American Association of Nurse Practitioners TI - Addressing alcohol misuse in primary care UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=146097690&site=ehost-live&scope=site VL - 32 ID - 87221 ER - TY - JOUR AB - BACKGROUND: Despite an increase in access to medications for opioid use disorder, less than 20% of individuals with opioid use disorder (OUD) receive treatment. Stigmatizing language has been identified as a potential trigger for explicit and implicit biases that may adversely affect treatment enrollment and quality of care for persons with OUD. AIMS: To conduct a narrative review of the literature on stigmatizing language and OUD, examine how treatment outcomes are affected, and present strategies to reduce bias and promote OUD treatment. METHOD: A narrative review of the literature between 2010 and 2019 was conducted using CINAHL, PubMed, and PsycINFO. Key search terms were opioid use disorder (or substance use disorder), stigma, and language. Fifty-two articles were screened for inclusion, and 17 articles were included in this review. RESULTS: The articles reviewed provide consensus that stigmatizing language toward persons with OUD fosters explicit and implicit bias and impedes engagement in treatment. Four themes emerged: (1) stigma and language, (2) stigma and language used by health care professionals, (3) stigma and language used by the general public, and (4) stigma and language used by people with OUD. CONCLUSIONS: Stigmatizing language is dehumanizing and plays a pivotal role in bias and discrimination that may contribute to unsatisfactory treatment outcomes among persons with OUD. Health care professionals, nursing in particular, must assume an intentional stance against stigma perpetuated toward persons with OUD through advocacy in education, practice, policy, and the media. AD - Karen Werder, PhD, MSN, PMHNP-BC, Sonoma State University, Rohnert Park, CA, USA. Alexa Curtis, PhD, MPH, PMHNP-BC, FNP-BC, University of San Francisco, San Francisco, CA, USA. Stephanie Reynolds, MPH, University of California, San Francisco, San Francisco, CA, USA. Jason Satterfield, PhD, University of California, San Francisco, San Francisco, CA, USA. AN - 34791954 AU - Werder, K. AU - Curtis, A. AU - Reynolds, S. AU - Satterfield, J. DA - Jan-Feb DO - 10.1177/10783903211050121 DP - NLM ET - 20211118 IS - 1 KW - Bias Health Personnel Humans *Language *Opioid-Related Disorders/drug therapy Social Stigma opioid agonist treatment opioid use disorder person-first language stigma LA - eng N1 - 1532-5725 Werder, Karen Orcid: 0000-0001-5241-887x Curtis, Alexa Reynolds, Stephanie Satterfield, Jason Journal Article Research Support, U.S. Gov't, P.H.S. Review United States 2021/11/19 J Am Psychiatr Nurses Assoc. 2022 Jan-Feb;28(1):9-22. doi: 10.1177/10783903211050121. Epub 2021 Nov 18. PY - 2022 SN - 1078-3903 SP - 9-22 ST - Addressing Bias and Stigma in the Language We Use With Persons With Opioid Use Disorder: A Narrative Review T2 - J Am Psychiatr Nurses Assoc TI - Addressing Bias and Stigma in the Language We Use With Persons With Opioid Use Disorder: A Narrative Review VL - 28 ID - 85653 ER - TY - JOUR AB - A study surveyed RNs and LPNs who had been involved in the Board of Nursing's discipline process for chemical dependency. The association between the type of disciplinary action taken and the perceived benefits to recovery are rated. AD - University of Alabama at Birmingham School of Nursing, Birmingham, Alabama AN - 107418653. Language: English. Entry Date: 19950901. Revision Date: 20150820. Publication Type: Journal Article AU - Ellis, P. DB - cin20 DP - EBSCOhost IS - 8 KW - Recovery Substance Dependence Employee Discipline -- Evaluation Nurse Attitudes State Boards of Nursing Test-Retest Reliability Chi Square Test Regression Descriptive Statistics Employee Discipline -- Methods Questionnaires Surveys Human N1 - research; tables/charts. Journal Subset: Blind Peer Reviewed; Core Nursing; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 8219243. PMID: NLM7630601. PY - 1995 SN - 0744-6314 SP - 56-58 ST - Addressing chemical dependency: a need for consistent measures T2 - Nursing Management TI - Addressing chemical dependency: a need for consistent measures UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=107418653&site=ehost-live&scope=site VL - 26 ID - 90118 ER - TY - JOUR AB - Context: Cancer-related pain is associated with significant suffering and is one of the most challenging symptoms to manage. Studies indicate that front-line clinicians often lack the knowledge on best practices in cancer pain management. Objectives: The current project, a quality improvement (QI) initiative, evaluated the outcome of an online educational intervention for nurses on complex cancer pain management. Methods: An online 7-module educational intervention, Advanced Pain Assessment and Management, was offered from 2012 to 2017. Pre–post course evaluations included self-reported knowledge and confidence across cancer pain management domains. In-course competency assessments included knowledge examination, online discussion forum participation, opioid dosage calculation assignment, and small-group-based case study. A mixed-model statistical analysis was used to assess pre–post course change in pain management confidence level. Results: In all, 306 nurses from 89 hospitals in Ontario, Canada, were enrolled in the course; 81.4% returned the precourse survey and 71.9% successfully completed the course. The average confidence level on pain management was low at baseline (57.5%) but improved significantly post-course. In-course competency assessments ranged from 81% to 89%. Mixed-model results showed post-course improvements in confidence levels, independent of sociodemographic background, clinical role, and professional educational level. Nurses with longer years of practice and more cancer cases reported greater confidence. Conclusion: A facilitator-led online educational intervention focusing on complex cancer pain management can significantly improve nurses' knowledge, confidence, and skills. Low baseline knowledge among nurses highlights the pressing need for health-care organizations to implement cancer pain management training as an integral part of health-care QI initiative. AD - de Souza Institute, University Health Network, Toronto, Ontario, Canada Department of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada Department of Supportive Care, Princess Margaret Cancer Centre, Toronto, Ontario, Canada AN - 136820949. Language: English. Entry Date: 20190611. Revision Date: 20190611. Publication Type: Article AU - Leung, Yvonne W. AU - Wong, Jiahui AU - Kiteley, Cathy AU - Ellis, Jerusha AU - Esplen, Mary Jane DB - cin20 DO - 10.1177/1049909119832819 DP - EBSCOhost IS - 7 KW - Education, Non-Traditional -- Evaluation Oncology Nursing -- Education Pain Management -- Education Pain Measurement -- Education Cancer Pain Cancer Patients Outcomes of Education Quality Improvement Human Pretest-Posttest Design Clinical Trials Male Female Adult Middle Age Course Evaluation Self Report Nursing Knowledge Confidence Hospitals Ontario Questionnaires Models, Statistical Job Experience Nursing Skills Scales Summated Rating Scaling Open-Ended Questionnaires Narcotics Descriptive Statistics Repeated Measures Content Analysis Data Analysis Software Logistic Regression N1 - clinical trial; research; tables/charts. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 9008229. PY - 2019 SN - 1049-9091 SP - 587-597 ST - Addressing Educational Needs in Managing Complex Pain in Cancer Populations: Evaluation of APAM: An Online Educational Intervention for Nurses T2 - American Journal of Hospice & Palliative Medicine TI - Addressing Educational Needs in Managing Complex Pain in Cancer Populations: Evaluation of APAM: An Online Educational Intervention for Nurses UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=136820949&site=ehost-live&scope=site VL - 36 ID - 87447 ER - TY - JOUR AB - Advances in screening and aggressive care have greatly impacted the survival rate and prognosis for individuals living with cystic fibrosis (CF) today. This means coping with the burden of this disease and its associated complications for much longer. This increasing longevity is accompanied by a rising prevalence of secondary disease complications including pain (1). Several studies have demonstrated that pain is a commonly reported symptom throughout different age groups in the CF population. A review of multiple studies shows that at least half, and as much as 90%, of adult CF patients surveyed reported pain within the last 30 days (1-5). The most commonly reported locations of pain in CF were head, sinuses, back, chest and abdomen (1-3). Pain has also been linked to decreased quality of life, poor treatment adherence, poor clinical outcomes, depression and anxiety (1,3,6-8). There are several documented reasons that individuals with CF may experience acute or chronic pain related to their disease and given the serious implications of this symptom it is an important part of the patient assessment in CF clinic. Determining the cause of pain and how to manage it can be challenging and complex especially in patients who have a history of substance abuse or who are high risk to develop issues with addiction or drug-seeking behaviors. This discussion will examine the ways in which one adult CF care center has tried to minimize the use of nar-cotics on an inpatient basis while still addressing pain, how we have addressed this in an outpatient setting, barriers to both, and the overall experience with pain management and/or drug-seeking behaviors in our center and ways we might improve this aspect of care. Addressing pain management and drug-seeking behaviors inpatient In our adult CF center we currently see patients outpatient at Phoenix Children's Hospital; however, adult admissions are admitted to the Pulmonary/Medical/Surgical floor at Banner University Medical Center to an internal medicine team and then followed by our pulmonary doctors. In the past this has meant a major disconnect between the inpatient and outpatient settings in overall coordination of care and information. Roughly 4 years ago we attempted to bridge this gap and cooperatively came up with several interventions which have greatly improved coordination and communication between the two care settings and promoted investment by the inpatient staff to address CF care issues. These included identifying outpatient staff resources that the inpatient team could reach out to (such as CF Nurse Coordinator), a more streamlined admission protocol for CF patients including admitting to only one internal medicine physician group, development of a computerized CF admit orderset, behavioral contracts for patients with adherence issues or drug seeking behaviors which results in discharge from the hospital if not participating in ordered therapies (as long as they are medically stable), encouraging use of non-opioid analgesics and non-pharmacological interventions for managing pain, and a stronger stance on avoiding narcotic pain medications and other controlled substances when possible. We also initiated a weekly care team meeting involving both inpatient and outpatient staff. Currently the Adult CF Nurse Coordinator goes to the adult hospital for this meeting and the meeting consists of the following participants: Adult CF Nurse Coordinator, CF Pulmonologist (when available), Internal Medicine Attending Physicians, Nutrition, Clinical Nurse Managers, Case Management, Pain Management Clinical Nurse Specialist, and the Respiratory Therapy Supervisor/CF champion. This forum serves as venue to discuss behavioral issues, behavior contracts, pain management issues, compliance with therapies and overall plan of care. It has been invaluable in helping to keep everyone on the same page so that a clear message is given to the patient and so that the entire care team is aware of inpatient care issues. This meeting has also served as a venue to address general inpatient pr cess improvement issues in which both inpatient and outpatient team members should be involved (ie, infection control policy changes, transition, etc). Addressing pain management and drug-seeking behaviors on an outpatient basis Addressing these issues in the outpatient clinic consists of assessing for pain at each visit, evaluating for causes of pain, working with pharmacy to review AZ Controlled Substances Prescription Monitoring Program reports when appropriate to verify that patients are not obtaining controlled substances from more than one place, social work evaluation at each visit, and referral to mental health resources. We work hard to foster an open and honest clinic environment so that patients feel comfortable discussing addiction issues without fear of judgment; however we also discuss the implications these issues can have on their care such as excluding them from transplant. For a number of reasons many of our adult patients do not have a primary care provider. This means that many referrals to subspecialties are done by our clinic, including referrals to pain management. While time consuming, this does allow for a clear communication to the specialist about what the patient's pain issues are and the intervention expectations as well as any considerations of abuse history. Barriers to addressing pain management and drug-seeking behaviors in CF Our center has found very limited resources for inpatient drug rehab or detox, especially for patients with medical needs (such as a CF medication regimen). We have also found somewhat limited mental health resources in our area. Even resources that are often listed as “contracted” with insurance plans can have limited openings for new patients or appointment availability is quite limited. Additionally, finding resources for pain management has been difficult as many offices are not willing to work with patients that have a history of drug abuse. Locating these resources and obtaining authorization for patients to be seen can be quite time intensive and many CF centers lack the support staff to consistently be able to facilitate this. Having to see multiple care providers (CF docs, pain specialist, psychiatrist, etc) is also a struggle for many patients as managing so many appointments can interfere with work/school. Conclusion Pain is a very common and real symptom experienced by many individuals with CF that can have significant implications on quality of life and clinical outcomes. Like many centers we struggle with how to address addiction, pain management and drug-seeking behaviors in our patients both inpatient and outpatient. We also struggle to get our patients to appropriate resources due to barriers within our health systems. Social work involvement at each outpatient visit helps us to identify care issues along the way and managing many of our own specialty referrals allows for improved communication of patient needs and referring provider expectations. Our center has found that good communication/coordination between care settings, a clear consistent message to patients and staff about limiting the use of narcotics when possible, and clear inpatient behavioral expectations has decreased the amount of narcotics used inpatient and subsequently outpatient and has also improved compliance and accountability to inpatient therapy regi-mens. Future plans to improve this aspect of care would focus on identifying mental health and pain management resources in our area to collaborate with our CF center to provide more coordinated care as well as a more formalized way to screen for and address pain, depression, and anxiety in the outpatient setting. AD - K. Whitley, Adult Cystic Fibrosis, Phoenix Children's Hospital, Phoenix, AZ, United States AU - Whitley, K. DB - Embase DO - 10.1002/ppul.23296 KW - controlled substance narcotic agent lapretolimod narcotic analgesic agent cystic fibrosis North American analgesia human patient pain hospital patient outpatient adult drug seeking behavior hospital addiction nurse therapy interpersonal communication mental health medical specialist quality of life health care planning social work anxiety internal medicine drug therapy physician patient compliance internist longevity abdomen investment thorax coping behavior prognosis university hospital screening abuse drug abuse health care psychiatrist primary medical care transplantation fear environment population risk prescription substance abuse outpatient department infection control patient assessment groups by age survival rate artificial ventilation policy clinical nurse specialist pharmacy (shop) monitoring prevalence case management nurse manager chronic pain decision making nutrition pulmonologist standing insurance pediatric hospital LA - English M3 - Conference Abstract N1 - L72081253 2015-11-27 PY - 2015 SN - 8755-6863 SP - 156-158 ST - Addressing issues surrounding pain management and drugseeking behaviors in cystic fibrosis T2 - Pediatric Pulmonology TI - Addressing issues surrounding pain management and drugseeking behaviors in cystic fibrosis UR - https://www.embase.com/search/results?subaction=viewrecord&id=L72081253&from=export http://dx.doi.org/10.1002/ppul.23296 VL - 50 ID - 95159 ER - TY - JOUR AB - Substance use tends to be overlooked in nursing training. As a possible consequence, many nurses harbour ill-informed or even negative attitudes towards drug and alcohol users. The upshot can be poor care. In a bid to tackle this problem, a group of students developed a peer-led workshop by encouraging open debate on issues associated with illicit drug use and access to healthcare for those with substance misuse problems. What ensued was an open and frank debate that increased awareness and the thirst for more knowledge. AD - Faculty of Medicine and Health Sciences, The University of Nottingham and Kings Mill Hospital, Sutton in Ashfield; martyn.harling@nottingham.ac.uk AN - 106210862. Language: English. Entry Date: 20070112. Revision Date: 20200708. Publication Type: Journal Article AU - Harling, M. AU - Overy, C. AU - Beckham, G. AU - Denby, R. AU - Goddard, S. AU - O'Connor, C. AU - Piotrowski, E. AU - Prout, T. AU - Tully, D. DB - cin20 DO - 10.1108/17459265200600033 DP - EBSCOhost IS - 2 KW - Education, Nursing, Diploma Programs -- United Kingdom Substance Abuse -- Education -- United Kingdom Nurse Attitudes Seminars and Workshops Street Drugs United Kingdom N1 - pictorial. Journal Subset: Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Health Promotion/Education; Peer Reviewed; UK & Ireland. PY - 2006 SN - 1745-9265 SP - 38-41 ST - Addressing negative attitudes toward substance use in nursing: a peer-led approach in nurse education T2 - Drugs & Alcohol Today TI - Addressing negative attitudes toward substance use in nursing: a peer-led approach in nurse education UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=106210862&site=ehost-live&scope=site VL - 6 ID - 89384 ER - TY - JOUR AB - Fear of engendering addiction is frequently reported as both a provider and a patient barrier to effective pain management. In this study, a clinical scenario ascertained nursing staff members' usual practice in addressing addiction fears for patients with concerns about the addictive potential of pain medication. One hundred forty-five Veterans Health Administration nursing staff members from eight ambulatory care sites were queried to identify variables associated with proclivity to address patient fears about addiction risks in a population where pain is prevalent and the risk for substance abuse is high. Regarding addressing addiction concerns, 66% of nursing staff were very likely, 16% somewhat likely, 9% unsure, 6% somewhat unlikely, and 2% very unlikely to take action. Health technicians were less likely to address addiction concerns than registered or licensed vocational nurses (odds ratio [OR] 0.116; p=.004). Nursing staff with more years' experience (OR 1.070; p=.005) and higher levels of self-efficacy/confidence (OR 1.380; p=.001) were more likely to engage in discussions related to addiction risks. Targeted efforts to improve pain management activities should focus on retaining experienced nursing staff in initial assessment positions and improving the skills and confidence of less experienced and less skilled staff. © 2010 by the American Society for Pain Management Nursing. AD - Department of Nursing, California State University, Long Beach, California 90840-0201, USA. jgoebel@csulb.edu AN - 105027542. Language: English. Entry Date: 20100806. Revision Date: 20150820. Publication Type: Journal Article AU - Goebel, J. R. AU - Sherbourne, C. D. AU - Asch, S. M. AU - Meredith, L. AU - Cohen, A. B. AU - Hagenmaier, E. AU - Lanto, A. B. AU - Simon, B. AU - Rubenstein, L. V. AU - Shugarman, L. R. AU - Lorenz, K. A. DB - cin20 DO - 10.1016/j.pmn.2009.03.009 DP - EBSCOhost IS - 2 KW - Nurse Attitudes Pain -- Drug Therapy Substance Dependence Adult Aged Ambulatory Care Facilities California Coefficient Alpha Confidence Intervals Convenience Sample Cross Sectional Studies Descriptive Research Descriptive Statistics Health Personnel, Unlicensed Human Job Experience Middle Age Multiple Logistic Regression Nurse Attitudes -- Evaluation Odds Ratio Practical Nurses Professional-Patient Relations Questionnaires Registered Nurses Scales Self-Efficacy Summated Rating Scaling Veterans Vignettes N1 - research; tables/charts. Journal Subset: Blind Peer Reviewed; Core Nursing; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Instrumentation: Confidence in Pain Management Scale; Negative Pain Belief Scale; Pain and Palliative Care Education Scale. NLM UID: 100890606. PMID: NLM20510839. PY - 2010 SN - 1524-9042 SP - 92-98 ST - Addressing patients' concerns about pain management and addiction risks T2 - Pain Management Nursing TI - Addressing patients' concerns about pain management and addiction risks UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=105027542&site=ehost-live&scope=site VL - 11 ID - 88907 ER - TY - JOUR AB - OBJECTIVE: The aims of the project are to increase knowledge related to opioids and improve adherence to evidence-based interventions for sedation monitoring and assessment in adult inpatients receiving opioids for pain through delivery of an interprofessional online program. BACKGROUND: Preventable opioid-induced respiratory depression is a patient safety risk in hospitals. Sedation and respiratory assessment and monitoring guidelines and tools are available to improve practice. METHODS: An interprofessional team identified organization-specific drivers of opioid-induced sedation and respiratory depression using process improvement methodology, developed interventions, and evaluated clinician opioid knowledge and documentation practice. RESULTS: Opioid knowledge survey responses improved after the interventions. Audits showing improved appropriate documentation by RNs of the correct sedation scale were performed over 2 separate 3-month periods. CONCLUSIONS: Clinicians demonstrated increased knowledge about newly adopted sedation and monitoring practices targeted to prevent opioid-induced respiratory depression. AD - Clinical Assistant Professor, University of Illinois at Chicago College of Nursing Nurse Practitioner, Critical Care Services, NorthShore University HealthSystem, Evanston Medication Safety Officer, Rush University Cancer Center Associate Professor/Adult Nurse Practitioner, Adult and Gero Nursing, Rush University Medical Center Associate Vice President Professional Nursing Practice and Acting Administrator, Rush University Cancer Center Assistant Unit Director 9North Atrium, Rush University Medical Center Assistant Professor of Medicine, Rush University Medical School, Chicago, Illinois Associate Professor, Rush University College of Nursing AN - 126140108. Language: English. Entry Date: 20171121. Revision Date: 20171121. Publication Type: Article AU - Durham, Marianne L. AU - Egan, AnnMarie AU - Jankiewicz, Ann AU - Murphy, Marcia P. AU - Nedved, Patricia AU - Luvich, Renee AU - Goh, Ann AU - Fogg, Louis DB - cin20 DO - 10.1097/NNA.0000000000000540 DP - EBSCOhost IS - 11 KW - Narcotics -- Administration and Dosage Monitoring, Physiologic Sedation Multidisciplinary Care Team Guideline Adherence Respiration Disorders -- Prevention and Control Staff Development Education, Interdisciplinary Human Professional Knowledge Documentation Audit Registered Nurses Adverse Drug Event -- Prevention and Control Questionnaires Nursing Role Patient Safety Scales N1 - questionnaire/scale; research; tables/charts. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Instrumentation: Pasero Opioid Induced Sedation Scale. NLM UID: 1263116. PY - 2017 SN - 0002-0443 SP - 537-544 ST - Addressing Safe Opioid Monitoring Practices Using an Interprofessional Approach T2 - JONA: The Journal of Nursing Administration TI - Addressing Safe Opioid Monitoring Practices Using an Interprofessional Approach UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=126140108&site=ehost-live&scope=site VL - 47 ID - 87790 ER - TY - JOUR AB - Contending with the academic progression of baccalaureate nursing students who are encountering mental health problems is not an easy task for educators. The authors have delineated a protocol of action for dealing with such problems and have applied the protocol to a hypothetical case study. Examples of related correspondence with the student are included. AD - Med Coll Georgia School Nurs, Augusta GA AN - 107396326. Language: English. Entry Date: 19950101. Revision Date: 20150819. Publication Type: Journal Article AU - Lambert, V. A. AU - Nugent, K. E. DB - cin20 DP - EBSCOhost IS - 5 KW - Students, Nursing, Baccalaureate -- Psychosocial Factors Affective Disorders, Psychotic Faculty-Student Relations Academic Failure Student Discipline Alcoholism Behavior Contracting Adult N1 - case study; forms; protocol; tables/charts. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 7701902. PMID: NLM7862313. PY - 1994 SN - 0363-3624 SP - 33-39 ST - Addressing the academic progression of students encountering mental health problems T2 - Nurse Educator TI - Addressing the academic progression of students encountering mental health problems UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=107396326&site=ehost-live&scope=site VL - 19 ID - 90154 ER - TY - JOUR AB - Background: At the points where an infectious disease and risk factors for poor health intersect, while health problems may be compounded, there is also an opportunity to provide health services. Where human immunodeficiency virus (HIV) infection and alcohol consumption intersect include infection with HIV, onward transmission of HIV, impact on HIV and acquired immunodeficiency syndrome (AIDS) disease progression, and premature death. The levels of knowledge and attitudes relating to the health and treatment outcomes of HIV and AIDS and the concurrent consumption of alcohol need to be determined. This study aimed to ascertain the knowledge, attitudes and practices of primary healthcare workers concerning the concurrent consumption of alcohol of clinic attendees who are prescribed antiretroviral drugs. An assessment of the exchange of information on the subject between clinic attendees and primary healthcare providers forms an important aspect of the research. A further objective of this study is an assessment of the level of alcohol consumption of people living with HIV and AIDS attending public health facilities in the Western Cape Province in South Africa, to which end, the study reviewed health workers' perceptions of the problem's extent. A final objective is to contribute to the development of evidence-based guidelines for AIDS patients who consume alcohol when on ARVs. The overall study purpose is to optimise antiretroviral health outcomes for all people living with HIV and AIDS, but with specific reference to the clinic attendees studied in this research. Methods: Overall the research study utilised mixed methods. Three group-specific questionnaires were administered between September 2013 and May 2014. The resulting qualitative data presented here supplements the results of the quantitative data questionnaires for HIV and AIDS clinic attendees, which have been analysed and written up separately. This arm of the research study comprised two, separate, semi-structured sets of interviews: one face-to-face with healthcare workers at the same primary healthcare clinics from which the clinic attendees were sampled, and the other with administrators from the local government health service via email. The qualitative analysis from the primary healthcare worker interviews has been analysed using thematic content analysis. Results: The key capacity gaps for nurses include the definition of different patterns and volumes of alcohol consumption, resultant health outcomes and how to answer patient questions on alcohol consumption while on antiretroviral treatment. Not only did the counsellors lack knowledge regarding alcohol abuse and its treatment, but they were also they were unclear on their role and rights in relation to their patients. Doctors highlighted the need for additional training for clinicians in diagnosing alcohol use disorders and information on the pharmacological interventions to treat alcoholism. Conclusion: Pertinent knowledge regarding patient alcohol consumption while taking ARVs needs to be disseminated to primary healthcare workers. AD - M. Schneider, Alcohol, Tobacco and Other Drug Research Unit (ATODRU), Medical Research Council, Tygerberg 7505, P O Box 19070, Cape Town, South Africa AU - Schneider, M. AU - Chersich, M. AU - Temmerman, M. AU - Parry, C. D. DB - Embase Medline DO - 10.1186/s12992-016-0201-9 IS - 1 KW - antiretrovirus agent AIDS patient alcohol abuse alcohol consumption alcoholism article attitude to health doctor patient relationship evidence based practice health care facility health care personnel health care practice health personnel attitude health service human Human immunodeficiency virus infected patient information dissemination medical education nurse patient relationship perception practice guideline primary health care priority journal qualitative analysis South Africa LA - English M3 - Article N1 - L612903210 2016-11-02 2016-11-15 PY - 2016 SN - 1744-8603 ST - Addressing the intersection between alcohol consumption and antiretroviral treatment: Needs assessment and design of interventions for primary healthcare workers, the Western Cape, South Africa T2 - Globalization and Health TI - Addressing the intersection between alcohol consumption and antiretroviral treatment: Needs assessment and design of interventions for primary healthcare workers, the Western Cape, South Africa UR - https://www.embase.com/search/results?subaction=viewrecord&id=L612903210&from=export http://dx.doi.org/10.1186/s12992-016-0201-9 VL - 12 ID - 95053 ER - TY - JOUR AB - Case managers who work with patients managing substance use disorders have a unique story to tell and wisdom to share. Facilitating difficult situations day after day can be described as a journey with much to learn along the way. AN - 157183978. Language: English. Entry Date: 20220610. Revision Date: 20220610. Publication Type: Article. Journal Subset: Nursing DB - cin20 DP - EBSCOhost IS - 7 KW - Patient Attitudes Needs Assessment Substance Use Disorders Case Managers Professional-Patient Relations Social Workers Quality of Health Care Case Management Support Groups Motivation Counseling Spiritual Healing Financial Management N1 - USA. NLM UID: 9603097. PY - 2022 SN - 1087-0652 SP - 1-3 ST - Addressing the Needs of Patients with Substance Use Disorder T2 - Hospital Case Management TI - Addressing the Needs of Patients with Substance Use Disorder UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=157183978&site=ehost-live&scope=site VL - 30 ID - 86841 ER - TY - JOUR AB - Introduction: Safety care is crucial in health care during economic constrain and rationalization of resources. Interventions to identify gaps between evidence based nursing/medicine and clinical practice are necessary. Multidrug resistant microorganisms, requires strategies for infection control (IC). Hand hygiene (HH) is one of the best practice to control germs or bacteria spread. Objectives: The aim of this study is to evaluate adherence and knowledge of healthcare professionals (HCPs) in an acute care hospital in order to correct bad practices. Methods: The sample of the study is represented by HCPs of six acute care hospitals in southern Italy. The framework is supported by the social cognitive theory. A validated questionnaire was used to investigate HH beliefs, practices and knowledge. Ethical issues were considered for the study. Data were processed in SPSS. Results: Out of the 716 HCPs respondents to the questionnaire, 86% considered HH an important measure for hospital acquired infection control. Some critical issues emerged: only 39% (P < 0,0001) of HCWs consider themselves at risk of contracting an infection, 55% they claim to wash their hands before preparing infusion therapy and only 42% always wash their hands before contact with the patient. Our sample has demonstrated a poor knowledge how correctly use alcohol based solutions, only 20% HCPs it does not use the alcohol solution if your hands are visibly dirty. Low adherence emerged mainly linked to overcrowding and excessive workloads. Conclusion: The results of this study show a lack of knowledge regarding the use of alcoholic solution by HCPs making it essential in the short term the implementation training events. Current and future implications should concern changing practice environments that will take into consideration not only multimodal interventions for HCPs but also organization and structure in order to increase adherence and impact on patient safety. Limitations of this study are self-assessment with a possible overestimation of the data and sample isolation since the case of hospitals owned by a single health institution. AD - M. Sorrentino, Sapienza Universita' Di Roma, Roma, Italy AU - Sorrentino, M. AU - Liotta, G. AU - Marucci, A. R. AU - Ferrara, C. AU - Galeoto, G. AU - Moretta, S. AU - Sansoni, J. DB - Embase DO - 10.1186/s13756-017-0201-4 KW - alcohol adult alcoholism crowding (area) data analysis software emergency care female hospital infection human hygiene infection control infusion therapy Italy major clinical study male patient safety questionnaire self evaluation Social Cognitive Theory workload LA - English M3 - Conference Abstract N1 - L619545078 2017-12-11 PY - 2017 SN - 2047-2994 ST - Adherence and knowledge of hand hygiene in six acute care hospitals T2 - Antimicrobial Resistance and Infection Control TI - Adherence and knowledge of hand hygiene in six acute care hospitals UR - https://www.embase.com/search/results?subaction=viewrecord&id=L619545078&from=export http://dx.doi.org/10.1186/s13756-017-0201-4 VL - 6 ID - 94980 ER - TY - JOUR AB - Adherence to treatment can be challenging, especially in chronic diseases. In inflammatory bowel disease (IBD), maintenance therapy is common to prevent a disease relapse, and adherence becomes even more of a challenge during remission. Furthermore, practical problems with taking topical treatment can increase the likelihood of non-adherence. In IBD, the definition adherence can be expanded beyond taking medication to factors like leaving blood or stool samples, keeping appointments or adjusting behaviour regarding smoking or diet. This review provides a taxonomy of different types of non-adherence and indicates how these types call for different interventions. Furthermore, the article describes how IBD nurses can open up conversations with patients that will hopefully lead to improvements in their adherence. AD - Clinical Nurse Specialist and Associate Professor, Aarhus University Hospital, Denmark Karolinska Institutet Danderyd Hospital, GHP Stockholm Gastro Center, Sweden AN - 138734730. Language: English. Entry Date: 20190924. Revision Date: 20190927. Publication Type: Article AU - Bager, Palle AU - Jäghult, Susanna DB - cin20 DO - 10.12968/gasn.2019.17.6.24 DP - EBSCOhost IS - 6 KW - Patient Compliance -- Evaluation Inflammatory Bowel Diseases Nursing Role Gastroenterology Nursing Patient Care Classification Communication Nurse-Patient Relations Medication Compliance Life Style Changes Anxiety Depression Smoking N1 - review; tables/charts. Journal Subset: Double Blind Peer Reviewed; Europe; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 101183547. PY - 2019 SN - 1479-5248 SP - 24-27 ST - Adherence in inflammatory bowel disease (IBD): a clinical review T2 - Gastrointestinal Nursing TI - Adherence in inflammatory bowel disease (IBD): a clinical review UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=138734730&site=ehost-live&scope=site VL - 17 ID - 87451 ER - TY - JOUR AB - Opioids represent a mainstay in the pharmacologic management of persistent pain. Although these drugs are intended to support improved comfort and function, the inherent risk of abuse or addiction must be considered in the delivery of care. The experience of living with persistent pain often includes depression, fear, loss, and anxiety, leading to feelings of hopelessness, helplessness, and spiritual crisis. Collectively, these factors represent an increased risk for all patients, particularly those with a history of substance abuse or addiction. This companion article to the American Society for Pain Management Nursing "Position Statement on Pain Management in Patients with Substance Use Disorders" (2012) focuses on the intersection of persistent pain, substance use disorder (SUD), and chronic opioid therapy and the clinical implications of monitoring adherence with safe use of opioids for those with persistent pain. This paper presents an approach to the comprehensive assessment of persons with persistent pain when receiving opioid therapy by presenting an expansion of the biopsychosocial model to include spiritual factors associated with pain and SUD, thus formulating a biopsychosocial-spiritual approach to mitigate risk. Key principles are provided for adherence monitoring using the biopsychosocial-spiritual assessment model developed by the authors as a means of promoting sensitive and respectful care. AD - School of Nursing, State University of New York, Buffalo, New York; Pain Management and Rehabilitation Center, Buffalo, New York. Electronic address: debmatt2@gmail.com. College of Nursing, University of Iowa, Iowa City, Iowa; Fairview Ridges Hospital, Burnsville, MN. Swedish Covenant Hospital, Chicago, Illinois. Hospice Care of the Low Country, Coastal Pain and Spine Center, Bluffton, South Carolina. AN - 24602442 AU - Matteliano, D. AU - St Marie, B. J. AU - Oliver, J. AU - Coggins, C. C1 - The authors report no conflict of interest C2 - PMC3950820 C6 - NIHMS485565 DA - Mar DO - 10.1016/j.pmn.2012.08.008 DP - NLM ET - 20121023 IS - 1 KW - Analgesics, Opioid/*administration & dosage Chronic Pain/*drug therapy/*psychology Humans Medication Adherence/*psychology Pain Management/*psychology *Spirituality Substance-Related Disorders/prevention & control/psychology LA - eng N1 - 1532-8635 Matteliano, Deborah St Marie, Barbara J Oliver, June Coggins, Candace T32 NR011147/NR/NINR NIH HHS/United States Journal Article Research Support, Non-U.S. Gov't Review United States 2014/03/08 Pain Manag Nurs. 2014 Mar;15(1):391-405. doi: 10.1016/j.pmn.2012.08.008. Epub 2012 Oct 23. PY - 2014 SN - 1524-9042 (Print) 1524-9042 SP - 391-405 ST - Adherence monitoring with chronic opioid therapy for persistent pain: a biopsychosocial-spiritual approach to mitigate risk T2 - Pain Manag Nurs TI - Adherence monitoring with chronic opioid therapy for persistent pain: a biopsychosocial-spiritual approach to mitigate risk VL - 15 ID - 86296 ER - TY - JOUR AB - Abstract: Background: Patient non-compliance with prescribed treatment is an important factor in the lack of success in cardiovascular prevention. Another important cause is non-adherence of caregivers to the guidelines. It is not known how doctors and nurses differ in the application of guidelines. Patient compliance to treatment may vary according to the type of caregiver. Objective: To compare adherence to cardiovascular prevention delivered by practice nurses and by general practitioners. Setting: Six primary health care centres in the Netherlands (25 general practitioners, six practice nurses). Methods: 701 high risk patients were included in a randomised trial. Half of the patients received nurse-delivered care and half received care by general practitioners. For 91% of the patients treatment concerned secondary prevention. The Dutch guideline on cardiovascular prevention was used as protocol. A structured self-administered questionnaire was sent by post to patients. Data were extracted from the practice database and the questionnaire. Results: Intervention was received by 77% of respondents who visited the practice nurse compared to 57% from the general practitioner group (OR=2.56, p <0.01). More lifestyle intervention was given by the practice nurse; 46% of patients received at least one lifestyle intervention (weight, diet, exercise, and smoking) compared to 13% in general practitioner group (OR=3.24, p <0.001). In addition, after one year more patients from the practice nurse group used cardiovascular drugs (OR=1.9, p =0.03). Nurses inquired more frequently about patient compliance to medical treatment (OR=2.1, p <0.01). Regarding patient compliance, no statistical difference between study groups in this trial was found. Conclusion: Practice nurses adhered better to the Dutch guideline on cardiovascular prevention than general practitioners did. Lifestyle intervention advice was more frequently given by practice nurses. Improvement of cardiovascular prevention is still necessary. Both caregivers should inquire about patient adherence on a regular basis. AD - Department of Integrated Care, School for Public Health and Primary Care (CAPHRI), Maastricht University Medical Centre, The Netherlands Department of General Practice, School for Public Health and Primary Care (CAPHRI), Maastricht University, The Netherlands; Care and Public Health Research Institute, Maastricht University, The Netherlands Department of Cardiology, School for Public Health and Primary Care (CAPHRI), Maastricht University Medical Centre, The Netherlands Department of Integrated Care, School for Public Health and Primary Care (CAPHRI), Maastricht University Medical Centre, The Netherlands; Department of General Practice, School for Public Health and Primary Care (CAPHRI), Maastricht University, The Netherlands AN - 104676605. Language: English. Entry Date: 20110818. Revision Date: 20200708. Publication Type: Journal Article AU - Voogdt-Pruis, Helene R. AU - Van Ree, Jan W. AU - Gorgels, Anton P. M. AU - Beusmans, George H. M. I. DB - cin20 DO - 10.1016/j.ijnurstu.2010.11.008 DP - EBSCOhost IS - 7 KW - Cardiovascular Diseases -- Prevention and Control Office Nursing Physicians, Family Professional Compliance Practice Guidelines -- Utilization Preventive Health Care Human Adult Comparative Studies Descriptive Research Netherlands Middle Age Aged Prospective Studies Structured Questionnaires Descriptive Statistics Clinical Trials Medical Records Record Review Blood Pressure Determination Hyperlipidemia -- Diagnosis Two-Tailed Test Power Analysis Logistic Regression Confidence Intervals Odds Ratio Nursing Interventions Patient Compliance -- Evaluation Male Female Analysis of Variance Chi Square Test Univariate Statistics Alcohol Drinking Smoking Life Style Changes Professional Compliance -- Evaluation Funding Source N1 - clinical trial; research; tables/charts. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. Grant Information: University Hospital Maastricht, an unrestricted educational Pfizer grant, health care insurance companies (VGZ/CZ) and by Beyaert Robuust Limberg (E06EL17).. NLM UID: 0400675. PMID: NLM21176903. PY - 2011 SN - 0020-7489 SP - 798-807 ST - Adherence to a guideline on cardiovascular prevention: A comparison between general practitioners and practice nurses T2 - International Journal of Nursing Studies TI - Adherence to a guideline on cardiovascular prevention: A comparison between general practitioners and practice nurses UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=104676605&site=ehost-live&scope=site VL - 48 ID - 88750 ER - TY - JOUR AB - Context: Sudden cardiac death (SCD) accounts for more than half of all cardiac deaths; the majority of SCD events occur as the first manifestation of heart disease, especially among women. Primary preventive strategies are needed to reduce SCD incidence.Objective: To estimate the degree to which adherence to a healthy lifestyle may lower the risk of SCD among women.Design, Setting, and Participants: A prospective cohort study of 81,722 US women in the Nurses' Health Study from June 1984 to June 2010. Lifestyle factors were assessed via questionnaires every 2 to 4 years. A low-risk lifestyle was defined as not smoking, body mass index of less than 25, exercise duration of 30 minutes/day or longer, and top 40% of the alternate Mediterranean diet score, which emphasizes high intake of vegetables, fruits, nuts, legumes, whole grains, and fish and moderate intake of alcohol.Main Outcome Measure: Sudden cardiac death (defined as death occurring within 1 hour after symptom onset without evidence of circulatory collapse).Results: There were 321 cases of SCD during 26 years of follow-up. Women were a mean age of 72 years at the time of the SCD event. All 4 low-risk lifestyle factors were significantly and independently associated with a lower risk of SCD. The absolute risks of SCD were 22 cases/100,000 person-years among women with 0 low-risk factors, 17 cases/100,000 person-years with 1 low-risk factor, 18 cases/100,000 person-years with 2 low-risk factors, 13 cases/100,000 person-years with 3 low-risk factors, and 16 cases/100,000 person-years with 4 low-risk factors. Compared with women with 0 low-risk factors, the multivariable relative risk of SCD was 0.54 (95% confidence interval [CI], 0.34-0.86) for women with 1 low-risk factor, 0.41 (95% CI, 0.25-0.65) for 2 low-risk factors, 0.33 (95% CI, 0.20-0.54) for 3 low-risk factors, and 0.08 (95% CI, 0.03-0.23) for 4 low-risk factors. The proportion of SCD attributable to smoking, inactivity, overweight, and poor diet was 81% (95% CI, 52%-93%). Among women without clinically diagnosed coronary heart disease, the percentage of population attributable risk was 79% (95% CI, 40%-93%).Conclusion: Adherence to a low-risk lifestyle is associated with a low risk of SCD. AD - Center for Arrhythmia Prevention, Division of Preventive Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA Center for Arrhythmia Prevention, Division of Preventive Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA. schiuve@hsph.harvard.edu AN - 108239970. Language: English. Entry Date: 20110722. Revision Date: 20211028. Publication Type: journal article AU - Chiuve, S. E. AU - Fung, T. T. AU - Rexrode, K. M. AU - Spiegelman, D. AU - Manson, J. E. AU - Stampfer, M. J. AU - Albert, C. M. AU - Chiuve, Stephanie E. AU - Fung, Teresa T. AU - Rexrode, Kathryn M. AU - Spiegelman, Donna AU - Manson, JoAnn E. AU - Stampfer, Meir J. AU - Albert, Christine M. DB - cin20 DO - 10.1001/jama.2011.907 DP - EBSCOhost IS - 1 KW - Death, Sudden, Cardiac -- Epidemiology Death, Sudden, Cardiac -- Prevention and Control Health Behavior Life Style Patient Compliance Relative Risk Adult Aged Body Mass Index Diet Exercise Female Human Middle Age Prospective Studies Smoking United States N1 - research. Commentary: DiMarco John P. Relationship of Lifestyle Risk Factors to Sudden Death. (CLIN CARDIOL ALERT) Aug2011; 30 (8): 63-64. Journal Subset: Biomedical; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. Grant Information: K99 HL097068-02/HL/NHLBI NIH HHS/United States. NLM UID: 7501160. PMID: NLM21730242. PY - 2011 SN - 0098-7484 SP - 62-69 ST - Adherence to a low-risk, healthy lifestyle and risk of sudden cardiac death among women T2 - JAMA: Journal of the American Medical Association TI - Adherence to a low-risk, healthy lifestyle and risk of sudden cardiac death among women UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=108239970&site=ehost-live&scope=site VL - 306 ID - 88746 ER - TY - JOUR AB - Occupational therapists as well as nurses and physiotherapists are experiencing a growing emphasis on patient education. It is a challenge for health science educational institutions to prepare students for a role as health educators as well as motivate them towards healthy lifestyles of their own. In the present study first-term occupational students with nursing and physiotherapy students were compared on a number of lifestyle and health indicators as well as musculoskeletal problems. A questionnaire was answered by female occupational therapy (n =61), nursing (n =97) and physiotherapy students (n =67) at three different universities in Sweden. The results showed that occupational therapy students were more physically active and smoked less compared with nursing students, although the differences were not significant. Occupational therapy students were significantly less active than physiotherapy students. All three groups reported a prevalence of high back pain. In addition, a significantly higher frequency of neck pain within the last year was noted for occupational therapy students than for nursing and physiotherapy students. In order to help students to adhere to healthy lifestyles and strengthen their efficacy as health educators, educational institutions need to pay attention to students' lifestyles. AD - Department of Caring Sciences, Örebro University, SE-701 82 Örebro, Sweden. E-mail: kitty.kamwendo@ivo.oru.se AN - 107069988. Language: English. Entry Date: 20050507. Revision Date: 20200708. Publication Type: Journal Article AU - Kamwendo, K. DB - cin20 DO - 10.1080/110381200300008698 DP - EBSCOhost IS - 4 KW - Students, Occupational Therapy Students, Physical Therapy Students, Nursing Health Status Health Behavior Occupational Therapy Health Promotion Cross Sectional Studies Interviews Questionnaires Research Instruments Physical Activity Physical Fitness Smoking Diet Sleep Disorders Pain Test-Retest Reliability Criterion-Related Validity Kappa Statistic Chi Square Test P-Value Descriptive Statistics Female Adult Colleges and Universities Sweden Human N1 - research; tables/charts. Journal Subset: Allied Health; Continental Europe; Double Blind Peer Reviewed; Europe; Peer Reviewed. NLM UID: 9502210. PY - 2000 SN - 1103-8128 SP - 156-164 ST - Adherence to healthy lifestyles: a comparison of occupational therapy students with nursing and physiotherapy students T2 - Scandinavian Journal of Occupational Therapy TI - Adherence to healthy lifestyles: a comparison of occupational therapy students with nursing and physiotherapy students UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=107069988&site=ehost-live&scope=site VL - 7 ID - 89819 ER - TY - JOUR AB - Nicotine Replacement Therapy (NRT) is the most frequently used pharmacological intervention for smoking cessation. Research on the effect of NRT showed serious nonadherence among users. We investigated adherence to NRT in cardiovascular patients. A number of 174 outpatients (N = 174), who smoked > 5 cigarettes a day, received free patches and intensive instructions from nurses. Questionnaires were sent to patients assessing patient characteristics, adherence to a 7-8 weeks time frame and appliance instructions, side effects/withdrawal symptoms, and reasons for nonadherence. Only 38% of the patients was adherent to the time frame. Appliance instructions were followed in 76-96% of the cases, except for smoking; 50% continued to smoke during NRT. In conclusion, despite considerable attention to appliance instructions, access to free patches and additional behavioral support, adherence to NRT in these patients is rather low. AD - Department of Medical Psychology and Department of Surgery, Academic Medical Center, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands AN - 106447167. Language: English. Entry Date: 20060526. Revision Date: 20200624. Publication Type: Journal Article AU - Wiggers, L. C. W. AU - Smets, E. M. A. AU - Oort, F. J. AU - Storm-Versloot, M. N. AU - Vermeulen, H. AU - van Loenen, L. B. M. AU - Peters, R. J. G. AU - de Haes, H. C. J. AU - Legemate, D. A. DB - cin20 DO - 10.1207/s15327558ijbm1301_10 DP - EBSCOhost IS - 1 KW - Cardiovascular Diseases -- Therapy Nicotine -- Administration and Dosage Smoking -- Therapy Substance Use Disorders -- Rehabilitation Administration, Topical Cardiovascular Diseases -- Prevention and Control Chi Square Test Clinical Trials Confidence Intervals Descriptive Statistics Female Fisher's Exact Test Funding Source Male Middle Age Netherlands Nicotine Patch -- Therapeutic Use Odds Ratio P-Value Patient Compliance Pretest-Posttest Design Probability Questionnaires Scales Smoking Cessation Smoking -- Prevention and Control Symptoms Human N1 - clinical trial; questionnaire/scale; research; tables/charts. Journal Subset: Biomedical; Peer Reviewed; USA. Instrumentation: Fagerström Test for Nicotine Dependence (FTND) (Heatherton et al); Minnesota Nicotine Withdrawal Scale (Piasecki et al); Abstinence Effect Rating Scale (Ward et al). Grant Information: Grant (2000/B216) from The Netherlands Heart Foundation. NLM UID: 9421097. PMID: NLM16503844. PY - 2006 SN - 1070-5503 SP - 79-88 ST - Adherence to nicotine replacement patch therapy in cardiovascular patients T2 - International Journal of Behavioral Medicine TI - Adherence to nicotine replacement patch therapy in cardiovascular patients UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=106447167&site=ehost-live&scope=site VL - 13 ID - 89418 ER - TY - THES AB - Despite widely promulgated guidelines recommending their adoption, many routine examinations, screenings, and immunizations are underutilized by adults. Family caregivers encountered by nurses in home health care constitute an accessible population that may face additional obstacles to adherence, due to time constraints, social isolation, depression, and financial burden frequently associated with the role. Yet the extent to which nonadherent family caregivers might be persuaded to alter their behavior is unknown. This two-phase investigation was conducted with family caregivers age 50 and older. The first phase involved a descriptive telephone survey (N = 356) designed to examine, by gender, selected predictors (prior preventive health practices, wellness orientation, smoking status, caregiving burden, the caregiver's need for assistance and responsibility for additional others, and community resource use) of current adherence to an array of age- and gender-appropriate preventive health practices. The second phase entailed a pilot feasibility intervention study designed to evaluate the responsiveness of nonadherent caregiving women (n = 27) to varying intensities (printed materials vs. face-to-face contact) of a nurse-delivered, persuasive communication aimed at improving mammography screening adherence and to assess the relationship between post-intervention intention and mammography behavior. Family caregivers were found to be as vigilant about these preventive practices as the general population. In women (n=279), prior preventive health practices, wellness orientation, the caregiver's need for instrumental assistance, and community resource use explained 48% of the variability in current overall adherence, with the interaction between prior practices and each of the other three variables explaining an additional 3% of the variance (Multiple R=.713,\ R\sp2=.509,\ F=35.366,\ p=.000). Among men (n=77), prior preventive practices, the need for personal and instrumental assistance, smoking, and the positive aspects of caregiving accounted for 46% of the variability in current overall adherence, only 2% of which was attributed to the interaction between prior practices and the need for personal assistance (R=.679,\ R\sp2=.461,\ F=8.551,\ p=.000). Though no relationship was found between post-intervention intention and behavior (Fisher's Exact, p=.36), trends in the expected direction were found for group differences in both mammography intention and behavior (p<.30), with the greatest improvement in adherence found beyond six months among women who received the face-to-face intervention (p=.260). AU - Matthews, J. T. DB - cin20 DP - EBSCOhost KW - Caregivers Family Preventive Health Care -- Utilization Age Factors Aged Caregiver Burden Descriptive Research Descriptive Statistics Fisher's Exact Test Health Promotion Health Resource Utilization Mammography -- Utilization Middle Age Multiple Regression Nurse-Patient Relations Patient Compliance Pilot Studies Sex Factors Smoking Surveys Telephone Human M1 - Ph.D. N1 - Accession Number: 109877751. Language: English. Entry Date: 20040723. Revision Date: 20150923. Publication Type: Doctoral Dissertation; research. UMI Order AAI9837562 PB - University of Pittsburgh PY - 1998 SN - 9780591911442 SP - 595 p-595 p ST - Adherence to preventive health practices among family caregivers of persons receiving home health services TI - Adherence to preventive health practices among family caregivers of persons receiving home health services UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=109877751&site=ehost-live&scope=site ID - 89992 ER - TY - JOUR AB - A convenience sample (n = 60) of two comparable groups of cardiac bypass patients was studied to assess the effectiveness of a structured teaching guide used by nurses in educating patients and families about normal postoperative recovery and risk-factor modification. One group was educated by an unstructured method, and the other group received structured teaching with the use of a written guide developed by nurses experienced in open-heart recovery. Both groups had higher total knowledge scores postoperatively than preoperatively. To assess whether the type of teaching had affected changes in behavior, a six-week postoperative health interview was conducted, and a follow-up questionnaire was mailed at one year. AN - 107533369. Language: English. Entry Date: 19890701. Revision Date: 20150712. Publication Type: Journal Article AU - Penckofer, S. AU - Llewellyn, J. DB - cin20 DP - EBSCOhost IS - 3 KW - Risk Factors -- Education Patient Compliance Coronary Artery Bypass -- Rehabilitation Patient Education -- Evaluation Outcomes (Health Care) Patient Education -- Methods Angina Pectoris Quasi-Experimental Studies Research Instruments Research Methodology Smoking Weight Loss Therapeutic Exercise Employment Aged Middle Age Male Female Human N1 - research; review. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 8703516. PMID: NLM2784831. PY - 1989 SN - 0889-4655 SP - 10-24 ST - Adherence to risk-factor instructions one year following coronary artery bypass surgery T2 - Journal of Cardiovascular Nursing TI - Adherence to risk-factor instructions one year following coronary artery bypass surgery UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=107533369&site=ehost-live&scope=site VL - 3 ID - 90336 ER - TY - JOUR AB - AIM: The aim of the study was to explore the adherence to self-management of patients with multimorbidity, identify associated factors, and determine explanatory factors of their adherence to self-management in terms of the Theory of Adherence of People with Chronic Disease. BACKGROUND: Adherence to self-management is essential for successful care of multimorbid patients, but multimorbidity poses challenges for both patients and practitioners due to its care complexity and broad impact on patients' lives. DESIGN: A cross-sectional, descriptive exploratory design with the STROBE reporting checklist was applied. METHODS: Adult multimorbid patients who attended primary healthcare consultations in Finland were surveyed using self-administered questionnaires with several instruments including the Adherence of People with Chronic Disease Instrument, Kasari's FIT Index, and Alcohol Use Disorders Identification test. Responses of 124 patients were analysed using descriptive statistics, Spearman correlations, binary logistic regression analysis, and Chi-squared, or corresponding, tests. RESULTS: Most patients' responses indicated good or adequate adherence to care regimens and medications. However, adherence to self-management for a healthy lifestyle was more frequently inadequate. Adherence was significantly associated with several patient-related factors, including demographic and health-related factors, perceived adequacy of loved ones, and patient activation. Significant explanatory factors for adherence included energy and willpower, motivation, results of care, sense of normality, fear of complications and additional diseases, and support from nurses, from physicians, and from family and friends. Various factors were relevant for specific aspects of self-management. CONCLUSIONS: Multimorbid patients' adherence to self-management is not an 'all or none phenomenon, but a multifaceted process with numerous associated and explanatory factors. RELEVANCE TO CLINICAL PRACTICE: The findings highlight needs for an individualised whole-person approach in multimorbid patients' care to provide the required support for good adherence to self-management. Healthcare professionals, especially nurses working in primary health care, are well-positioned to meet this need. AU - Paukkonen, L. AU - Oikarinen, A. AU - Kähkönen, O. AU - Kyngäs, H. DB - Medline DO - 10.1111/jocn.16099 IS - 19-20 KW - adult alcoholism chronic disease cross-sectional study human multiple chronic conditions primary health care self care LA - English M3 - Article N1 - L636628935 2021-12-16 2022-09-14 PY - 2022 SN - 1365-2702 SP - 2805-2820 ST - Adherence to self-management in patients with multimorbidity and associated factors: A cross-sectional study in primary health care T2 - Journal of clinical nursing TI - Adherence to self-management in patients with multimorbidity and associated factors: A cross-sectional study in primary health care UR - https://www.embase.com/search/results?subaction=viewrecord&id=L636628935&from=export http://dx.doi.org/10.1111/jocn.16099 VL - 31 ID - 94125 ER - TY - JOUR AB - BACKGROUND: Little is known about the overall health effects of adherence to the Dietary Guidelines for Americans. The healthy eating index (HEI), developed at the US Department of Agriculture, measures how well Americans' diets conform to these guidelines. OBJECTIVE: We tested whether the HEI (scores range from 0 to 100; 100 is best) calculated from food-frequency questionnaires (HEI-f) would predict risk of major chronic disease in women. DESIGN: A total of 67272 US female nurses who were free of major disease completed detailed questionnaires on diet and chronic disease risk factors in 1984 and repeatedly over 12 y. Major chronic disease was defined as fatal or nonfatal cardiovascular disease (myocardial infarction or stroke, n = 1365), fatal or nonfatal cancer (n = 5216), or other nontraumatic deaths (n = 496), whichever came first. We also examined cardiovascular disease and cancer as separate outcomes. RESULTS: After adjustment for smoking and other risk factors, the HEI-f score was not associated with risk of overall major chronic disease in women [relative risk (RR) = 0.97; 95% CI: 0.89, 1.06 comparing the highest with the lowest quintile of HEI-f score]. Being in the highest HEI-f quintile was associated with a 14% reduction in cardiovascular disease risk (RR = 0.86; 95% CI: 0.72, 1. 03) and was not associated with lower cancer risk (RR = 1.02; 95% CI: 0.93, 1.12). CONCLUSION: These data suggest that adherence to the 1995 Dietary Guidelines for Americans, as measured by the HEI-f, will have limited benefit in preventing major chronic disease in women. Copyright © 2000 American Society for Clinical Nutrition AD - Departments of Nutrition, Epidemiology, and Biostatistics, Harvard School of Public Health, Boston AN - 107007399. Language: English. Entry Date: 20010316. Revision Date: 20200708. Publication Type: Journal Article AU - McCullough, M. L. AU - Feskanich, D. AU - Stampfer, M. J. AU - Rosner, B. A. AU - Hu, F. B. AU - Hunter, D. J. AU - Variyam, J. N. AU - Colditz, G. A. AU - Willett, W. C. DB - cin20 DO - 10.1093/ajcn/72.5.1214 DP - EBSCOhost IS - 5 KW - Dietary Reference Intakes -- United States Women -- United States Diet -- United States Chronic Disease -- United States Forecasting -- United States United States Attitude to Health Female Questionnaires Nurses Prospective Studies Cardiovascular Diseases Neoplasms Smoking -- Evaluation Relative Risk Confidence Intervals Nutritional Assessment -- Methods Adult Middle Age Descriptive Statistics United States Department of Agriculture Pearson's Correlation Coefficient Comparative Studies Mortality Myocardial Infarction Stroke Aged Mantel-Haenszel Test Logistic Regression Age Factors Menopause Chronic Disease -- Familial and Genetic Odds Ratio Body Mass Index -- Evaluation Dietary Supplementation Smoking Leisure Activities Alcohol Drinking Two-Tailed Test Step-Wise Multiple Regression Funding Source Human N1 - research; tables/charts. Journal Subset: Allied Health; Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. Grant Information: Supported by research grants CA40356 and HL60712 from the National Institutes of Health and by cooperative agreement 43-3AEM-8-80062 with the Economic Research Service of the US Department of Agriculture. NLM UID: 0376027. PMID: NLM11063452. PY - 2000 SN - 0002-9165 SP - 1214-1222 ST - Adherence to the Dietary Guidelines for Americans and risk of major chronic disease in women T2 - American Journal of Clinical Nutrition TI - Adherence to the Dietary Guidelines for Americans and risk of major chronic disease in women UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=107007399&site=ehost-live&scope=site VL - 72 ID - 89823 ER - TY - JOUR AB - OBJECTIVES: Our objective was to describe the prevalence of adjuvants to opioid therapy and changes in these agents for pharmacologic management in nursing home residents with cancer. METHODS: We included Medicare beneficiaries with cancer and documented opioid use at nursing home admission in 2011-2013 (N = 3268). The Minimum Data Set 3.0 provided information on sociodemographic and clinical characteristics. Part D claims provided information on opioid and adjuvant use during the 7 days after admission and 90 days later. Proportions of changes in these agents were estimated. Separate logistic models estimated associations between resident characteristics and (1) use of adjuvants at admission and (2) intensification of pharmacologic management at 90 days. RESULTS: Nearly 20% of patients received adjuvants to opioids at admission, with gabapentin the most common adjuvant (34.4%). After 90 days, approximately 25% had maintained or intensified pharmacologic management. While advanced age (≥ 85 vs. 65-74 years, adjusted odds ratio [aOR] 0.80; 95% confidence interval [CI] 0.63-1.02) and comorbidities, including dementia (aOR 0.65; 95% CI 0.53-0.82) and depression (aOR 1.55; 95% CI 1.29-1.87), were associated with adjuvant use at admission, worse cognitive impairment (severe vs. no/mild, aOR 0.80; 95% CI 0.64-0.99) and presence of more severe pain (moderate/severe vs. no pain, aOR 1.60; 95% CI 1.26-2.03) were associated with intensification of drug regimen. CONCLUSION: Given aging-related changes and the presence of comorbid conditions in older adults, safety studies of these practices are warranted. AD - Division of Epidemiology of Chronic Diseases and Vulnerable Populations, Department of Quantitative Health Sciences, University of Massachusetts Medical School, 368 Plantation Street, Worcester, MA, 01605, USA. shaohsien.liu@umassmed.edu. Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA. Division of Epidemiology of Chronic Diseases and Vulnerable Populations, Department of Quantitative Health Sciences, University of Massachusetts Medical School, 368 Plantation Street, Worcester, MA, 01605, USA. Department of Family Medicine, Alpert Medical School, Brown University, Memorial Hospital of Rhode Island, Providence, RI, USA. Department of Pharmacy Practice, College of Pharmacy, University of Rhode Island, Kingston, RI, USA. AN - 30924097 AU - Liu, S. H. AU - Hunnicutt, J. N. AU - Ulbricht, C. M. AU - Dubé, C. E. AU - Hume, A. L. AU - Lapane, K. L. C1 - Conflict of interests: All authors declare that they have no conflicts of interest directly relevant to the content of this study. C2 - PMC7268915 C6 - NIHMS1591335 DA - Jun DO - 10.1007/s40266-019-00650-3 DP - NLM IS - 6 KW - Adjuvants, Pharmaceutic/*administration & dosage/therapeutic use Aged Aged, 80 and over Analgesics, Opioid/*administration & dosage/adverse effects/therapeutic use Cancer Pain/*drug therapy/epidemiology Comorbidity Drug Utilization Female Humans Male Medicare Part D *Nursing Homes/statistics & numerical data Pain Management/*methods Prevalence United States LA - eng N1 - 1179-1969 Liu, Shao-Hsien Orcid: 0000-0003-4317-4986 Hunnicutt, Jacob N Ulbricht, Christine M Dubé, Catherine E Hume, Anne L Lapane, Kate L R21 CA198172/CA/NCI NIH HHS/United States Journal Article Research Support, N.I.H., Extramural New Zealand 2019/03/30 Drugs Aging. 2019 Jun;36(6):549-557. doi: 10.1007/s40266-019-00650-3. PY - 2019 SN - 1170-229X (Print) 1170-229x SP - 549-557 ST - Adjuvant Use and the Intensification of Pharmacologic Management for Pain in Nursing Home Residents with Cancer: Data from a US National Database T2 - Drugs Aging TI - Adjuvant Use and the Intensification of Pharmacologic Management for Pain in Nursing Home Residents with Cancer: Data from a US National Database VL - 36 ID - 85786 ER - TY - JOUR AB - Prevention of the development of dependence on drugs and tranquillizers in hospital is a task which requires constant vigilance on the part of the hospital authorities as well as the right attitude on the part of prescribing doctors, administering nurses and receiving public. AD - Transvaal Dept. Hosp. Serv., Pretoria AU - Grove, H. A. DB - Embase Medline IS - 21 KW - tranquilizer adverse drug reaction attitude drug dependence drug distribution hospital nurse physician prescription prevention preventive medicine LA - English M3 - Article N1 - L6071044 1976-01-01 PY - 1975 SN - 0038-2469 SP - 853-855 ST - The administration of drugs and tranquillisers where it can lead to dependence on the part of the patient in hospital T2 - South African Medical Journal TI - The administration of drugs and tranquillisers where it can lead to dependence on the part of the patient in hospital UR - https://www.embase.com/search/results?subaction=viewrecord&id=L6071044&from=export VL - 49 ID - 96158 ER - TY - JOUR AB - In the past decade, adolescent alcohol and substance abuse has grown significantly as a problem for rural areas. Deficits in adolescent alcohol and substance abuse treatment have predictably contributed to this phenomenon. As a solution to these deficits, videoteleconferencing (VTC) creates an opportunity for rural communities to increase the accessibility and quality of alcohol and substance abuse treatment. Important issues related to the development and use of this technology exist. Advanced practice nurses can shape nursing's contribution to VTC services as these services expand. AD - University of Maryland, School of Nursing, Baltimore, MD; amill007@umaryland.edu AN - 106396170. Language: English. Entry Date: 20060217. Revision Date: 20200624. Publication Type: Journal Article AU - Miller, A. S. DB - cin20 DO - 10.1080/10884600500196701 DP - EBSCOhost IS - 3 KW - Health Services Accessibility Mental Health Services -- In Adolescence Rural Health Services -- Administration Rural Health Services -- Methods Substance Use Disorders -- In Adolescence Telehealth -- Administration Telehealth -- Methods Adolescence Adult Education, Continuing (Credit) Nursing Role Rural Health Human N1 - CEU; exam questions; research. Journal Subset: Core Nursing; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 9616159. PY - 2005 SN - 1088-4602 SP - 107-5] ST - Adolescent alcohol and substance abuse in rural areas: how telehealth can provide treatment solutions T2 - Journal of Addictions Nursing TI - Adolescent alcohol and substance abuse in rural areas: how telehealth can provide treatment solutions UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=106396170&site=ehost-live&scope=site VL - 16 ID - 89462 ER - TY - JOUR AB - Background: Most adolescents who misuse controlled prescription medications acquire them from home settings. However, little is known regarding household management (storage, administration, and disposal) of these medications. Objective: To describe household management of controlled medications. Methods: This was a cross-sectional study with paired data using brief, online, confidential surveys of adolescents and parents via an adolescent medicine clinic associated with a large academic center. Eligible adolescents were 12–18 years with at least one controlled prescription medication in the home. Six core safe management strategies for controlled medications were identified based on current recommendations. Data were collected and analyzed in 2017. Results: Of the 243 adolescent-parent dyads, 78.2% (n = 190) dyads store medication out of sight, 68.7% (n = 167) lock up medications, 78.2% (n = 190) do not store pills besides a school nurse's office or a parent's place of work, 43.6% (n = 106) provide periodic parental monitoring, 64.6% (n = 157) frequently dispose of unused controlled medications (at least every 3–4 months), and 80.2% (n = 195) dispose of controlled medications in a prescription drug take-back program or by flushing. Families with an adolescent prescription for a controlled medication were more likely to use several core management strategies (periodic parental monitoring, frequent disposal, and appropriate disposal location). Families with a household pain reliever were 8.7 times (95% CI 3.3, 23.3) as likely to not keep spare pills in inappropriate locations. Conclusions/Importance: Most families do not practice all recommended safe management strategies for controlled medications. Healthcare professionals should promote safe management to reduce controlled prescription medication misuse. AD - Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA Clinical and Translational Science Institute, University of Pittsburgh, Pittsburgh, PA, USA Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA Department of Psychology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA AN - 139920897. Language: English. Entry Date: 20191203. Revision Date: 20210727. Publication Type: Article AU - Engster, Stacey A. AU - Bogen, Debra L. AU - Molina, Brooke S. G. DB - cin20 DO - 10.1080/10826084.2019.1645176 DP - EBSCOhost IS - 14 KW - Substance Abuse -- Risk Factors Drugs, Non-Prescription Drugs, Prescription Parent-Child Relations Parental Attitudes Adolescent Health Risk Assessment Human Cross Sectional Studies Internet Surveys Adolescent Health Services Academic Medical Centers Adolescence Drug Storage Medical Waste Disposal Family Attitudes Pain Management Confidence Intervals N1 - research; tables/charts. Journal Subset: Biomedical; Peer Reviewed; USA. NLM UID: 9602153. PY - 2019 SN - 1082-6084 SP - 2264-2274 ST - Adolescent and Parent Management of Controlled Prescription Medications T2 - Substance Use & Misuse TI - Adolescent and Parent Management of Controlled Prescription Medications UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=139920897&site=ehost-live&scope=site VL - 54 ID - 87382 ER - TY - JOUR AB - Drug use and abuse carries risk in people of all ages. However, adolescents are particularly vulnerable to substance misuse. Adolescent drug use continues to be an area of concern with a number of adolescents developing problems associated with the use of various drugs. Negative sequelae associated with adolescent drug use include areas such as schooling, health, and family relationships. Difficulties with the legal system, schooling, or within the family are commonly the triggers for recognition of substance misuse problems in a young person. However, problems are usually well-established before they are recognized. The challenge of dealing with these problems will fall on families, particularly parents. This is a crisis for families, and ongoing support is needed if they are to overcome the challenges. Health workers (including nurses) are well-positioned to support families who are dealing with adolescent drug problems. In this paper we propose the adoption of a strengths approach as a strategy for developing resilience in families. AD - School of Nursing Sciences, James Cook University, Townsville, Queensland 4811, Australia; kim.usher@jcu.edu.au AN - 106376762. Language: English. Entry Date: 20060113. Revision Date: 20150820. Publication Type: Journal Article. Journal Subset: Australia & New Zealand AU - Usher, K. AU - Jackson, D. AU - O'Brien, L. DB - cin20 DP - EBSCOhost IS - 3 KW - Adaptation, Psychological Cooperative Behavior Family -- Psychosocial Factors Nursing Role Substance Use Disorders -- Prevention and Control Adolescence Adolescent Behavior Adolescent Psychology Adult Attitude to Health Australia Communication Community Health Nursing -- Administration Crisis Intervention Family Health Family Nursing -- Administration Female Health Services Needs and Demand Male Outcome Assessment Psychiatric Nursing -- Administration Substance Use Disorders -- Psychosocial Factors Support, Psychosocial N1 - Core Nursing; Double Blind Peer Reviewed; Nursing; Peer Reviewed. NLM UID: 101140527. PMID: NLM16181159. PY - 2005 SN - 1445-8330 SP - 209-214 ST - Adolescent drug abuse: helping families survive T2 - International Journal of Mental Health Nursing TI - Adolescent drug abuse: helping families survive UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=106376762&site=ehost-live&scope=site VL - 14 ID - 89461 ER - TY - JOUR AB - The purpose of this secondary analysis of qualitative data was to understand the multifactorial influences that impact the health and health behaviors of Hispanic adolescent fathers Qualitative description was the method used for this secondary analysis. The theoretical domains of the Vulnerable Populations Conceptual Framework were used to guide this study. The semi-structured interviews of 17 participants were analyzed using qualitative content analysis. Participants were Hispanic adolescent fathers, between the ages of 16 and 23 years, who were attending a fatherhood program. Most participants came from socioeconomically disadvantaged backgrounds and unstable families. Additionally, their exposure to widespread neighborhood and domestic violence resulted in gang involvement and illegal activities. The cumulative impact of adverse childhood events resulted in substance use and psychological distress. However, becoming a father was transformative, motivating adolescents to stop engaging in destructive, unhealthy behaviors. Adolescent fathers' well-being is an important component of perinatal health because it affects family functioning and health outcomes in their children. The perinatal period presents a "golden" opportunity to promote health and should be leveraged by nurses to allow adolescent fathers to become involved during the perinatal period. A family-centered approach is critical in addressing the complex needs of this population. An assessment of their psychosocial environment, including childhood trauma, is necessary to help nurses identify at-risk fathers. Additionally, trauma informed care is a valuable tool that nurses can utilize to foster trust in Hispanic adolescent fathers. • Hispanic adolescent fathers are an understudied and underserved population. •.Nurses can become involved in delivering father-inclusive programs that focus on coparenting and conflict resolution with significant others • Programs should offer services that aid young fathers in mental health, substance use, gang desistance, employment, and educational attainment • Training in trauma informed care is indicated to facilitate trust among Hispanic adolescent fathers with histories of childhood trauma. AD - The University of Texas at Health Science Center at San Antonio, TX, United States of America AN - 150615531. Language: English. Entry Date: 20210612. Revision Date: 20210612. Publication Type: Article AU - Recto, Pamela AU - Lesser, Janna DB - cin20 DO - 10.1016/j.pedn.2020.12.010 DP - EBSCOhost KW - Fatherhood -- In Adolescence Health Status Health Behavior Adolescent Fathers -- Psychosocial Factors Hispanic Americans -- Psychosocial Factors -- In Adolescence Life Experiences -- Evaluation Paternal Attitudes -- Evaluation Human Secondary Analysis Qualitative Studies Adolescence Special Populations Conceptual Framework Semi-Structured Interview Content Analysis Young Adult Socioeconomic Factors Residence Characteristics Gangs Disruptive Behavior Adverse Childhood Experiences Substance Abuse Psychological Distress Psychological Well-Being Perinatal Care Family Functioning Mental Health Health Promotion Family Centered Care Professional-Family Relations Nursing Role N1 - research. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 8607529. PY - 2021 SN - 0882-5963 SP - 82-87 ST - Adolescent Fathers' Perceptions and Experiences of Fatherhood: A Qualitative Exploration with Hispanic Adolescent Fathers T2 - Journal of Pediatric Nursing TI - Adolescent Fathers' Perceptions and Experiences of Fatherhood: A Qualitative Exploration with Hispanic Adolescent Fathers UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=150615531&site=ehost-live&scope=site VL - 58 ID - 87079 ER - TY - JOUR AB - The aim of this study was to investigate the relationship between adolescent identity status and its structural dimensions as related to the use and non-use of culturally defined drugs. Consequently, to gain an understanding of adolescents' perception and the perception of others in relation to the use or non-use of drugs. In this thesis, drugs have been identified as alcohol, cigarettes and marijuana. The research explored the relationship between identity formation and the use of psychoactive substances among adolescents aged 13 to 18 years comprising the school population in Dar-es-salaam urban areas, Tanzania. In this study, identity is defined broadly as one's personally expressive, self-definition pertaining to values, beliefs and goals in life. Two elements are identified as 'structure' and 'process' which inform both theory and research design. The thesis reviews the current literature not only on identity and drug use, but also on adolescence in Tanzania as a basis for inquiry. A conceptual-framework is proposed, based on socialization and the interaction process. An empirical study was conducted which explored the role of identity development in the use of psychoactive substances by comparison of boys and girls attending primary and secondary schools. Questionnaires were completed by 300 students age 13 to 18 in two levels of schools. Individual interviews were conducted with nine students (four users and five non-users) from the main sample. The questionnaire explored the identity stage at which an individual was currently engaged utilizing Erikson's (1956; 1968) theory of identity and Marcia's (1966) identity-status paradigm. The interviews explored identity-structure over a range of individual self-evaluation and evaluation of others in terms of relationship and interaction (structure of personal construct system described by Kelly, 1955). Results indicate that relationships exist between an individual's identity-developmental stage and one's cognitive structure, and between identity-stage and the use or non-use of psychoactive substances. Implications for mental health services for adolescents and health education are discussed. Scholastica Ndonde graduated from Dar-es-salaam School of Nursing in 1979. She was registered as Nurse "A" and Psychiatric Nurse "A" in Tanzania. She worked with Mental Health Services for some years until 1986, when she joined the School of Nurse Teachers to take Advanced- Diploma Course in Nursing Education. After graduation she taught Mental Health and Community Mental Health at the School of Nursing until 1992, when she joined the School of Nurse Teachers. She graduated as Master in Education (Primary Health Care) at Manchester University in 1993. AN - 129423703. Language: English. Entry Date: 20180510. Revision Date: 20180510. Publication Type: Article AU - Ndonde, Scholastica Machundo N. DB - cin20 DP - EBSCOhost KW - Substance Abuse -- In Adolescence Attitude -- In Adolescence Psychotropic Drugs Human Tanzania Adolescence Conceptual Framework Male Female Questionnaires Interviews Mental Health Services N1 - research; doctoral dissertation. PY - 1996 SN - 9780355475036 SP - 1-1 ST - Adolescent identity and the use of drugs: A case study from Tanzania T2 - Adolescent identity & the Use of Drugs: A Case Study from Tanzania TI - Adolescent identity and the use of drugs: A case study from Tanzania UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=129423703&site=ehost-live&scope=site ID - 90088 ER - TY - JOUR AB - Background: Recent attention has focused on the potential for school-based health centers (SBHCs) to provide access points for adolescent substance use care. In 2015, the University of New Mexico began screening, brief intervention, and referral to treatment (SBIRT) training for providers at New Mexico Department of Health (NMDOH)-funded SBHCs across the state. This study assesses baseline knowledge, attitudes, and practices of the New Mexico SBHC provider workforce regarding adolescent substance use and provision of services. Methods: In early 2015, the NMDOH administered an SBHC provider workforce survey (N = 118) and achieved a 44.9% response rate. This descriptive analysis includes all survey respondents who self-identified as a primary care or behavioral health provider in an SBHC serving middle or high school students (n = 52). Results: Among respondents, the majority (57.7%) were primary care providers, including nurse practitioners, physicians, and physician assistants. The remaining 42.3% of respondents were master's-level behavioral health providers. Only 44.2% of providers reported practicing the full SBIRT model at their SBHC, and 21.2% reported having received continuing education on SBIRT within the previous 3 years. Most respondents, 84.6%, agreed that it is the responsibility of SBHC providers to screen students for substance use using a standardized tool, and 96.2% agreed that it is the responsibility of the SBHC provider to assess for students' readiness to change. A majority reported self-efficacy in helping students achieve change in their alcohol use, illicit drug use, and prescription drug misuse: 73.1%, 65.4%, and 63.5%, respectively. Conclusions: These results suggest that SBIRT training for New Mexico SBHC providers is timely. The authors identified gaps between recommended SBIRT practices and SBIRT delivery as well as discrepancies between reported provider self-efficacy and actual implementation of the SBIRT model. Further study will determine the effectiveness of efforts to address substance use and implement SBIRT in SBHCs. AD - Department of Pediatrics, University of New Mexico School of Medicine, Albuquerque, New Mexico, USA Envision New Mexico, Albuquerque, New Mexico, USA University of New Mexico School of Medicine, Albuquerque, New Mexico, USA Office of School and Adolescent Health, Albuquerque, New Mexico, USA Center on Alcoholism, Substance Abuse and Addictions, University of New Mexico, Albuquerque, New Mexico, USA AN - 122979975. Language: English. Entry Date: 20170523. Revision Date: 20190314. Publication Type: Article AU - Ramos, Mary M. AU - Sebastian, Rachel A. AU - Murphy, Mary AU - Oreskovich, Kristin AU - Condon, Timothy P. DB - cin20 DO - 10.1080/08897077.2017.1287149 DP - EBSCOhost IS - 2 KW - Substance Abuse -- In Adolescence School Health Human Adolescence N1 - research; tables/charts. Journal Subset: Biomedical; Peer Reviewed; USA. NLM UID: 8808537. PY - 2017 SN - 0889-7077 SP - 230-236 ST - Adolescent substance use: Assessing the knowledge, attitudes, and practices of a school-based health center workforce T2 - Substance Abuse TI - Adolescent substance use: Assessing the knowledge, attitudes, and practices of a school-based health center workforce UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=122979975&site=ehost-live&scope=site VL - 38 ID - 87884 ER - TY - JOUR AB - The aim of the study was to describe how adolescents evaluate their discussion with the school health nurse about substance abuse. The data were collected by using semistructured questionnaires. First, the 14-to 18-year-old informants (n = 326, response percentage 79) filled in a questionnaire, which included items evaluating the school nurse's actions and the Adolescents' Substance Use Measurement (ADSUME) scale. Based on informed consent, a copy of each informant's responses to ADSUME was forwarded to the nurse to be used for a health discussion, which was evaluated by the adolescents immediately afterwards (n = 262) and a couple of months later (n = 251). The data were analysed with the SPSS software using the chi2-test or Fisher's exact test.The adolescents, especially boys aged 14--15 years, considered the school nurse a reliable expert. In the immediate evaluation, the informants who abused a lot of substances assessed the confidentiality of the discussion and the importance of the smoking issue as less significant than those who abused less substances. There were no differences of opinion in the final evaluation. Half of the adolescents did not remember having received any special instructions about substances. Nearly one fourth of the adolescents wanted to cut down their substance abuse and smoking, but the nurse's support was not significant.To prevent substance abuse, there is a need to develop the contents of health discussion and to obtain relevant feedback concerning substance abuse, in order to ensure early intervention and the availability of support discussions. This abstract was translated into English by the publisher or author. AN - 106470420. Language: Finnish. Entry Date: 20060714. Revision Date: 20150820. Publication Type: Journal Article AU - Pirskanen, M. AU - Laukkanen, E. AU - Pietilä, A. DB - cin20 DP - EBSCOhost IS - 2 KW - Early Intervention Nurse-Patient Relations School Health Services Substance Abuse -- Education Substance Abuse -- Prevention and Control Adolescence Chi Square Test Data Analysis Software Descriptive Research Fisher's Exact Test Privacy and Confidentiality Questionnaires Scales Student Attitudes Human N1 - research. Journal Subset: Continental Europe; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Nursing; Peer Reviewed. Instrumentation: Adolescents Substance Use Measurement (ADSUME) scale. NLM UID: 9104138. PY - 2006 SN - 0786-5686 SP - 58-68 ST - Adolescents and health discussion about substance abuse -- development of early intervention methods for school and college health services T2 - Hoitotiede TI - Adolescents and health discussion about substance abuse -- development of early intervention methods for school and college health services UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=106470420&site=ehost-live&scope=site VL - 18 ID - 89417 ER - TY - JOUR AB - Background Adolescents need effective lifestyle counselling precisely because health problems are so common. Good-quality lifestyle counselling can prevent the problems from becoming worse and decrease the costs of health care. Nurse practitioners in schools are well positioned to promote adolescent health. Aim This study describes adolescents' evaluations of the quality of lifestyle counselling and factors related to it in school-based health care. Methods The data were collected from seventh- to ninth-grade adolescents (n = 846) using the Counselling Quality Instrument, from two junior high schools in northern Finland. The study employed a web-based survey. Response rate was 67% (n = 563). The data were analysed via descriptive statistics. Results Most adolescents (84%) reported that the counselling resources related to school-based health care are quite good. Most of them reported that nutrition (70%) and physical activity (63%) related to lifestyle counselling are sufficient. Approximately half of adolescents (51%) considered the counselling related to substance abuse as being sufficient. Most (80%) felt that the level of interaction during counselling is good. Overall, the majority of adolescents reported that goal-oriented lifestyle counselling (67%) and adolescent-centred counselling (69%) are good. Finally, most adolescents (72%) reported that they have benefitted from lifestyle counselling. Gender and health status were significantly related to resources, interaction and benefits of lifestyle counselling. Girls evaluated that counselling were more adolescent-centred than boys. Adolescents with very good health status evaluated content of lifestyle counselling better than adolescents with poorer health status. Conclusion The adolescents evaluated the quality of lifestyle counselling in school-based health care as mainly being good. School nurses should pay particular attention when providing counselling to boys and those who are in poorer health. AD - Research Unit of Nursing Science and Health Management, University of Oulu, Oulu Finland Medical Research Center Oulu, Oulu Finland University Hospital of Oulu, Oulu Finland AN - 126461981. Language: English. Entry Date: 20171205. Revision Date: 20181203. Publication Type: Article AU - Myllymäki, Laura AU - Ruotsalainen, Heidi AU - Kääriäinen, Maria DB - cin20 DO - 10.1111/scs.12420 DP - EBSCOhost IS - 4 KW - Quality of Life -- In Adolescence Life Style -- In Adolescence School Health Education School Nursing Counseling Student Attitudes Students, Middle School Schools, Middle Finland Surveys Nutrition Physical Activity Substance Abuse Cross Sectional Studies Prospective Studies Questionnaires Human Construct Validity Male Female Adolescence Health Status Weight Loss Descriptive Statistics Summated Rating Scaling Scales Data Analysis Software Coefficient Alpha Internal Consistency Mann-Whitney U Test Kruskal-Wallis Test N1 - research; tables/charts. Journal Subset: Continental Europe; Core Nursing; Europe; Nursing; Peer Reviewed. Special Interest: Pediatric Care. Instrumentation: Counselling Quality Instrument (CQI) (Kaariainen). NLM UID: 8804206. PY - 2017 SN - 0283-9318 SP - 965-973 ST - Adolescents' evaluations of the quality of lifestyle counselling in school-based health care T2 - Scandinavian Journal of Caring Sciences TI - Adolescents' evaluations of the quality of lifestyle counselling in school-based health care UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=126461981&site=ehost-live&scope=site VL - 31 ID - 87784 ER - TY - JOUR AB - Background: Korean adolescents' smoking is currently being considered as a crucial factor determining the health status of adolescents and an important public health and social issue. Objectives: The purpose of the study was to test the applicability of the Transtheoretical model to gain an understanding of smoking behavior change. Methods: A total of 706 adolescents who participated in the smoking cessation programs administered by the Korea Quit Smoking Association or Korean Association of Smoking & Health in 2003 were recruited. Four Korean-version questionnaires were used to identify the stages of smoking behavior and psychological attributes: Stage of Smoking Behavior Change Scale, Processes of Change Scale for Smoking, Decision Balance Scale for Smoking, and Self-efficacy Scale to avoid smoking. Results: Korean adolescents' smoking behavior was differed according to gender. In addition, the findings revealed that behavioral and cognitive processes of change, self-efficacy, and positives differed across the stages of smoking behavior, and that psychological constructs of the transtheoretical model had a statistically significant impact on smoking behavior change. Conclusions: This research could spawn the development of theory-based and empirically supported smoking cessation intervention strategies and programs directed toward adolescents in the health care and nursing areas. AD - Department of Sport and Leisure Studies, Seoul National University of Technology, 172 GongNeung-dong, Nowon-gu, Seoul 139-743, Korea. AN - 106472092. Language: English. Entry Date: 20060714. Revision Date: 20200624. Publication Type: Journal Article AU - Kim, Y. DB - cin20 DO - 10.1016/j.ijnurstu.2005.06.008 DP - EBSCOhost IS - 4 KW - Behavioral Changes -- In Adolescence Smoking Cessation -- In Adolescence Smoking -- In Adolescence Adolescence Change Theory Chi Square Test Convenience Sample Cross Sectional Studies Data Analysis Software Decision Making Descriptive Statistics Female Korea Mail Male Models, Theoretical Post Hoc Analysis Questionnaires Self-Efficacy -- Evaluation Sex Factors Smoking Cessation Programs Students, High School Students, Middle School Summated Rating Scaling Translations Human N1 - research; tables/charts. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. Instrumentation: Stage of Smoking Behavior Change Questionnaire (Fava et al); Decision Balance Scale for Smoking (Velicer et al); Processes of Change Questionnaire (Prochaska et al); Self-efficacy Scale (Ding et al) [revised]. NLM UID: 0400675. PMID: NLM16150450. PY - 2006 SN - 0020-7489 SP - 439-446 ST - Adolescents' smoking behavior and its relationships with psychological constructs based on transtheoretical model: a cross-sectional survey T2 - International Journal of Nursing Studies TI - Adolescents' smoking behavior and its relationships with psychological constructs based on transtheoretical model: a cross-sectional survey UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=106472092&site=ehost-live&scope=site VL - 43 ID - 89400 ER - TY - JOUR AB - In our research, we described the interrelatedness of substance abuse and resource strengthening among 14- to 15-year-old adolescents and the early intervention (EI) measures implemented by public health nurses (PHN). The evaluated EI measures included resources oriented health discussions based on individual needs, identified by applying Adolescents' Substance Use Measurement (ADSUME). The data was collected from adolescents (n= 198, response rate 37) by using questionnaires before EI and one year later (n = 160, response rate 81) and from the PHNs (n = 5) after the EI. The data was analysed by applying statistical methods. Adolescents' abstinence was connected to adequate support from parents and friends, in turn substance abuse was connected to substance using friends, a negative self-esteem and health status. The weakest area observed in this study was the PHNs' concern over the adolescents' self-esteem or social skills with respect to ADSUME results, which was found to be poor. The intervention carried out by the PHNs incorporated resource strengthening and brief preventive advices. There was also some collaboration with parents and health care professionals. Further, it was observed that PHNs' EI proved to be ineffective: substance use increased during the follow-up period and hazardous substance abuse was more common among girls (32 %) than boys (25 %). In future, it is important to focus on strengthening by training PHNs' abilities to identify adolescents' resources and individual needs for support to prevent substance abuse. It is also important to develop and evaluate the effectiveness of health-related group discussions with adolescents' friends and parents. Tutkimuksessa kuvattiin 14-15-vuotiaiden nuorten päihteiden käyttöä ja sen yhteyttä voimavaroihin. Lisäksi arvioitiin kouluterveydenhoitajien toteuttamaa varhaisen tuen interventiota, joka sisälsi yksilöllisen, voimavaralähtöisen terveyskeskustelun nuoren kanssa Nuorten päihdemittarilla (Adolescents' Substance Use Measurement, ADSUME) tunnistetun huolen mukaisesti. Aineisto koottiin kyselyillä nuorilta (n= 198, vastausprosentti 37) ennen interventiota ja vuotta myöhemmin (n=160, vastausprosentti 81) sekä terveydenhoitajilta (n = 5) heidän toteuttamansa intervention jälkeen. Aineisto analysoitiin tilastollisin menetelmin. Nuorten päihteettömyys oli yhteydessä ystävien ja vanhempien kannustavaan tukeen. Päihteiden käyttö oli puolestaan yhteydessä ystävien päihteiden käyttöön sekä negatiiviseen itsetuntoon ja terveyteen. Terveydenhoitajista huomattava osa ei osannut arvioida nuoren itsetuntoa tai sosiaalisia taitoja suhteessa nuorten voimavaroihin ja ADSUME-mittarilla saatuihin tuloksiin. Terveydenhoitajat vahvistivat nuorten voi mavaroja ja toteuttivat preventiivistä ohjausta. Yhteistyö vanhempien ja yhteistyökumppanien kanssa oli vähäistä. Terveydenhoitajien interventiolla ei näyttänyt olevan vaikutusta: nuorten päihteiden käyttö lisääntyi seurantaaikana, jolloin tyttöjen päihteiden vaarallinen suurkulutus (32 %) oli yleisempää kuin poikien (25 %). Jatkossa on tarpeellista vahvistaa koulutuksen avulla terveydenhoitajien valmiuksia tunnistaa ja tukea nuorten voimavaroja päihteiden käytön ehkäisemiseksi. Lisäksi tarvitaan nuorten ja vanhempien ryhmämuotoisten interventioiden kehittämistä ja arviointitutkimusta. AD - Tutkija, Kuopion perusturvan ja terveydenhuollon palvelualueet, Tulliportinkatu 17 B, 70100 Kuopio Nuorisopsykiatrian professori, Kuopion yliopistollinen sairaala, nuorisopsykiatrian yksikkö, PL 1777, 70211 Kuopio, Itä-Suomen Yliopisto, terveystieteen laitos, PL 1627, 70211 Kuopio, Tutkija, Kuopion Professori, Itä-Suomen yliopisto, hoitotieteen laitos, PL 1627, 70211 Kuopio AN - 88042378. Language: Finnish. Entry Date: 20130611. Revision Date: 20130926. Publication Type: Article AU - Pirskanen, Marjatta AU - Lahtela, Miia AU - Laukkanen, Eila AU - PietilÄ, Anna-Maija AU - Varjoranta, Pirjo DB - cin20 DP - EBSCOhost IS - 2 KW - Substance Abuse -- Prevention and Control -- In Adolescence School Nursing -- In Adolescence Early Intervention -- Evaluation -- In Adolescence Human Finland Adolescence Male Female Questionnaires Self Concept Social Skills Sex Factors N1 - research; tables/charts. Journal Subset: Continental Europe; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Nursing; Peer Reviewed. Special Interest: Advanced Nursing Practice; Pediatric Care. Instrumentation: Adolescents' Substance Use Measurement (ADSUiME). NLM UID: 9104138. PY - 2013 SN - 0786-5686 SP - 118-129 ST - Adolescents' substance use and recourses -- the assessment of the early intervention implemented by school health nurses T2 - Hoitotiede TI - Adolescents' substance use and recourses -- the assessment of the early intervention implemented by school health nurses UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=88042378&site=ehost-live&scope=site VL - 25 ID - 88489 ER - TY - JOUR AB - Aims: Research has reported a lack of practice of early intervention for substance use disorders among primary healthcare professionals, and only a fraction of patients were asked about their substance use when visiting a primary healthcare office. This study examines conditions that may influence the adoption of early intervention [i.e., screening, brief intervention and referral to treatment (SBIRT)] among primary healthcare professionals. Methods: A pilot survey was emailed to primary care physicians, nurse practitioners, and physician assistants in New York State, and 248 recipients responded to the survey. Findings: Three areas appear to be associated with the adoption of SBIRT: percentage of respondents' patients using marijuana (β = 0.14; p < 0.05); perceived ability to perform intervention (β = 0.32; p < 0.05); and perception of early intervention as a responsibility of primary care professionals (β = 0.29; p < 0.05). Conclusions: Training and education to promote SBIRT for primary care workers should focus on increasing their favourable attitudes towards the intervention as a strategy of preventive medicine and include the knowledge of the infrastructure of services for substance use disorders, especially for medical providers who see large numbers of patients at a high risk for alcohol and drug misuse. AD - School of Social Welfare School of Public Health, University at Albany, State University of New York, Albany, NY, USA AN - 133587394. Language: English. Entry Date: 20181220. Revision Date: 20210727. Publication Type: Article AU - Yu, Jiang AU - Harris, Brett AU - Shi, Junrong DB - cin20 DO - 10.1080/09687637.2017.1335286 DP - EBSCOhost IS - 6 KW - Early Intervention -- Psychosocial Factors Substance Use Disorders -- Therapy Primary Health Care -- New York Attitude of Health Personnel -- New York Substance Use Disorders -- Diagnosis Human New York Pilot Studies Surveys Nurse Practitioners Physician Assistants Cannabis Perception Preventive Health Care Professional Knowledge Substance Abuse -- Risk Factors Email Early Intervention -- Education Health Personnel -- Education N1 - research; tables/charts. Journal Subset: Biomedical; Peer Reviewed; USA. NLM UID: 9515845. PY - 2018 SN - 0968-7637 SP - 475-482 ST - Adopting early intervention for substance use disorders: a preliminary study of primary healthcare professionals in New York State T2 - Drugs: Education, Prevention & Policy TI - Adopting early intervention for substance use disorders: a preliminary study of primary healthcare professionals in New York State UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=133587394&site=ehost-live&scope=site VL - 25 ID - 87600 ER - TY - JOUR AB - Problematic use of alcohol, tobacco, and other drugs, including prescription medications, contributes to increased risk for injury, illness, suffering, and premature death across the lifespan. Nurse practitioners can positively impact the health of patients, their families, and communities by addressing substance use and related disorders in primary care settings. AD - Clinical Associate Professor, University of Michigan School of Nursing, Ann Arbor, MI AN - 107929908. Language: English. Entry Date: 20131005. Revision Date: 20200708. Publication Type: Journal Article AU - Strobbe, Stephen DB - cin20 DO - 10.1097/01.NPR.0000433078.14775.15 DP - EBSCOhost IS - 10 KW - Substance Use Disorders Primary Health Care Substance Use Disorders -- Epidemiology Substance Use Disorders -- Complications Models, Theoretical Information Resources World Wide Web Substance Use Disorders -- Diagnosis National Institute on Drug Abuse (U.S.) Substance Abuse Detection Health Screening Mental Health Services Referral and Consultation Nursing Process Nurse Practitioners Questionnaires Ambulatory Care Nursing Substance Use Disorders -- Therapy Substance Use Disorders -- Prevention and Control Recurrence -- Prevention and Control Support Groups Substance Use Disorders -- Drug Therapy Addictions Nursing N1 - pictorial; tables/charts. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Advanced Nursing Practice; Psychiatry/Psychology. NLM UID: 7603663. PMID: NLM24167840. PY - 2013 SN - 0361-1817 SP - 45-53 ST - Adressing substance use in primary care T2 - Nurse Practitioner TI - Adressing substance use in primary care UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=107929908&site=ehost-live&scope=site VL - 38 ID - 88395 ER - TY - JOUR AB - Background: Emergence delirium is one of the problems that occur when a child wakes from anesthesia. Research results indicate that psychological factors are associated with this phenomenon. The relationship between adult behavior before child surgery and pediatric emergence delirium has not been investigated before. Aims: The aim of this study was to explore the associations of parent, anesthesiologist, and nurse behaviors before child surgery with pediatric emergence delirium. Methods: The study included 99 pediatric patients (aged 2–17 years) undergoing surgery with general anesthesia, their accompanying parents, an anesthesiologist, and nurses. The study was conducted directly before surgery and after recovery from anesthesia. Before surgery, the behaviors of children, parents, and medical staff were videotaped and then scored using the Child-Adult Medical Procedure Interaction Scale-Revised. Emergence delirium was measured with the Pediatric Anesthesia Emergence Delirium Scale. Results: Parent reassuring comments ( = 0.22, B = 1.32, 95% CI 0.14-2.49, p =.028) and parent giving control to child ( = 0.21, B = 7.02, 95% CI 0.68–13.56, p =.031) were positive predictors of emergence delirium in the group of children aged 2–8 years. Parent behavior explained an additional 10% of the variance in pediatric emergence delirium. Conclusions: Our results suggest that parent reassuring comments and giving control to the child before surgery are related to the level of child emergence delirium in children aged 2 to 8 years. AD - M. Sobol, University of Warsaw, Warsaw, Poland AU - Sobol, M. AU - Sobol, M. K. AU - Kowal, M. DB - Embase Medline DO - 10.1111/pan.14297 IS - 1 KW - atropine dexamethasone fentanyl midazolam mivacurium nalbuphine propofol adolescent adult aged anesthesiologist article child child behavior cohort analysis distress syndrome emergence agitation female general anesthesia human length of stay major clinical study male nurse parent pediatric surgery postoperative pain prediction prospective study LA - English M3 - Article N1 - L2013764001 2021-09-28 2021-12-30 PY - 2022 SN - 1460-9592 1155-5645 SP - 43-48 ST - Adult behavior toward the child before surgery and pediatric emergence delirium T2 - Paediatric Anaesthesia TI - Adult behavior toward the child before surgery and pediatric emergence delirium UR - https://www.embase.com/search/results?subaction=viewrecord&id=L2013764001&from=export http://dx.doi.org/10.1111/pan.14297 VL - 32 ID - 94260 ER - TY - JOUR AB - Nurses have the potential to carry out health promotion activity related to alcohol use in a range of settings where older people receive care. The majority of the literature on alcohol use in later life has focused on abuse, especially on the more common risk of drug-alcohol interactions. In order to work effectively with older people in health prevention and education, nurses need to be knowledgeable about older people's patterns of drinking, the effects of alcohol on medication and the current evidence on the harm and benefits of alcohol to heath. In carrying out assessments, a skilful approach needs to be adopted in questioning older clients on what some might regard as a sensitive issue. Screening tools for the detection of alcohol abuse in the general adult population may not be valid for use with older clients. Tools specific to the detection of alcohol abuse by older people will be considered. AD - Research Fellow, Caledonian Nursing and Midwifery Research Centre, Glasgow Caledonian University AN - 106938882. Language: English. Entry Date: 20020712. Revision Date: 20150820. Publication Type: Journal Article. Journal Subset: Core Nursing AU - Schofield, I. AU - Tolson, D. DB - cin20 DP - EBSCOhost IS - 19 KW - Alcohol Drinking -- In Old Age Alcohol Abuse -- Diagnosis -- In Old Age Alcohol Abuse -- Epidemiology -- In Old Age Drug Toxicity -- In Old Age Questionnaires Clinical Assessment Tools Alcoholism -- Prevention and Control Aged N1 - Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. Instrumentation: Alcohol Use Disorders Identification Test (AUDIT); CAGE Four-Item Questionnaire (Ewing); Michigan Alcholism Screening Test (MAST-G) (Blow et al). NLM UID: 9212059. PMID: NLM11832839. PY - 2001 SN - 0966-0461 SP - 1260-1268 ST - Adult/elderly care nursing. The nurse's role in assessing alcohol use by older people T2 - British Journal of Nursing TI - Adult/elderly care nursing. The nurse's role in assessing alcohol use by older people UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=106938882&site=ehost-live&scope=site VL - 10 ID - 89781 ER - TY - THES AB - The United States experiences opioid addiction at epidemic levels. In 2012, the National Institute of Drug Abuse reported that 23.1 million Americans were in need of addiction treatment services, although only 2.5 million were enrolled in treatment. Following an amendment to the Drug Addiction Treatment Act of 2000 (Public Law 106-310), advanced practice nurses were qualified as providers who could bridge the healthcare gap in treatment access. The purpose of this project was to determine the interest of advanced practice nurses in (a) prescribing buprenorphine and (b) establishing guidelines that would allow them to do so. This quantitative project used a 10-question Internet-based survey with a convenience sample of 95 nurses (recruited online) who were currently practicing in advanced nursing roles. Social media platforms, including Facebook, were used to recruit participants. The survey included questions about expanding the scope of practice in addiction treatment and establishing guidelines that would allow nursing knowledge and expertise to be used in outpatient opiate addiction treatment. Critical social theory and Kingdon's theory of policy analysis were applied to support the project. The Survey Monkey data analysis tool was used to generate descriptive statistics, which demonstrated respondents' support for an expanded scope of practice. If the recommendations of this project are adopted by national legislation, increased accessibility to addiction treatment services will save millions of dollars in justice system, healthcare system, employment, and societal costs. Nursing policy advocates nationally can apply these results to support efforts to expand scope of practice to include prescribing buprenorphine. AU - Were, Dorothy L. DB - cin20 DP - EBSCOhost KW - Advanced Practice Registered Nurses Buprenorphine -- Therapeutic Use Nurse Attitudes Scope of Practice Substance Dependence -- Drug Therapy Convenience Sample Descriptive Statistics Human Models, Theoretical Narcotics -- Adverse Effects Prescriptive Authority -- Legislation and Jurisprudence Quantitative Studies Questionnaires Research Subject Recruitment -- Methods Scope of Practice -- Legislation and Jurisprudence Social Media -- Utilization Survey Research World Wide Web M1 - D.N.P. N1 - Accession Number: 109786539. Language: English. Entry Date: 20150522. Revision Date: 20150923. Publication Type: Doctoral Dissertation; research. Special Interest: Advanced Nursing Practice. UMI Order AAI3666787 PB - Walden University PY - 2014 SP - 72 p-72 p ST - Advanced Nurses' Perspectives on the Drug Addiction Treatment Act, 13 Years Later TI - Advanced Nurses' Perspectives on the Drug Addiction Treatment Act, 13 Years Later UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=109786539&site=ehost-live&scope=site ID - 88340 ER - TY - JOUR AB - Alcohol intoxication remains the number one risk factor for trauma-related injury in this country. In an effort to comply with the American College of Surgeons Committee on Trauma standards of care to screen trauma patients for at-risk behaviors for substance abuse, the trauma advanced practice nurses at The Children's Hospital of Philadelphia instituted a new Screening, Brief Intervention, and Referral to Treatment (SBIRT) process. This article summarizes the role of trauma advanced practice nurses in establishing an SBIRT program. AD - The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania 19104, USA. robinsonr@email.chop.edu AN - 105055727. Language: English. Entry Date: 20100910. Revision Date: 20200708. Publication Type: Journal Article AU - Robinson, R. L. DB - cin20 DO - 10.1097/JTN.0b013e3181e73717 DP - EBSCOhost IS - 2 KW - Advanced Practice Registered Nurses Hospitals, Pediatric -- Pennsylvania Nursing Role Substance Abuse -- Prevention and Control -- In Adolescence Trauma Nursing Adolescence Clinical Assessment Tools Human Pennsylvania Privacy and Confidentiality Staff Development Trauma -- Prevention and Control Trauma -- Risk Factors N1 - pictorial; research. Journal Subset: Blind Peer Reviewed; Core Nursing; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 9512997. PMID: NLM20559054. PY - 2010 SN - 1078-7496 SP - 74-79 ST - The advanced practice nurse role in instituting Screening, Brief Intervention, and Referral to Treatment program at The Children's Hospital of Philadelphia T2 - Journal of Trauma Nursing TI - The advanced practice nurse role in instituting Screening, Brief Intervention, and Referral to Treatment program at The Children's Hospital of Philadelphia UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=105055727&site=ehost-live&scope=site VL - 17 ID - 88927 ER - TY - JOUR AB - PURPOSE: Children undergoing spinal fusion surgery require sophisticated pain management. This study describes an integrated system of pain management primarily directed by an advanced practice nurse (APN), encompassing both the inpatient and outpatient settings. DESIGN AND METHODS: A retrospective chart review was conducted. Pain management and patient education began in the hospital. The APN provided telephone-based follow-up and management after discharge. RESULTS: An average of four phone calls over 9 days was required per patient. No complications were reported. PRACTICE IMPLICATIONS: Results of this study support the APN telephone management of postoperative pain once children are discharged following extensive surgery. AD - Jane B. Petit Pain and Palliative Care Center, Children's Hospital of Wisconsin, Milwaukee, Wisconsin, USA. mczarnecki@chw.org AN - 17594296 AU - Czarnecki, M. L. AU - Garwood, M. M. AU - Weisman, S. J. DA - Jul DO - 10.1111/j.1744-6155.2007.00109.x DP - NLM IS - 3 KW - Acute Disease Adolescent Aftercare/*organization & administration Analgesics, Opioid/therapeutic use Child Drug Monitoring/nursing Female Hospitals, Pediatric Humans Male Nurse Clinicians/organization & administration Nurse Practitioners/*organization & administration Nurse's Role Nursing Audit Nursing Evaluation Research Pain, Postoperative/etiology/*prevention & control Parents/education Pediatric Nursing/*organization & administration Retrospective Studies Severity of Illness Index Spinal Fusion/adverse effects Telemedicine/organization & administration Telephone/statistics & numerical data Wisconsin LA - eng N1 - Czarnecki, Michelle L Garwood, Molly Murphy Weisman, Steven J Evaluation Study Journal Article United States 2007/06/28 J Spec Pediatr Nurs. 2007 Jul;12(3):159-69. doi: 10.1111/j.1744-6155.2007.00109.x. PY - 2007 SN - 1539-0136 (Print) 1539-0136 SP - 159-69 ST - Advanced practice nurse-directed telephone management of acute pain following pediatric spinal fusion surgery T2 - J Spec Pediatr Nurs TI - Advanced practice nurse-directed telephone management of acute pain following pediatric spinal fusion surgery VL - 12 ID - 86027 ER - TY - JOUR AB - This editorial is an appeal for all advanced practice nurses with appropriate prescriptive privileges and DEA licenses to be allowed to join physicians in prescribing buprenorphine to increase access to opioid agonist treatment and to reduce the harms associated with the opioid epidemic. Constituting a large proportion of US health care providers, advanced practice nurses can help stop this epidemic. The pace of growth in the buprenorphine provider pool has slowed as the opioid epidemic has worsened. Advanced practice registered nurses (APRNs) with prescriptive privileges, such as nurse practitioners (NPs), clinical nurse specialists (CNS), and others, are well positioned to expand the buprenorphine provider pool. In summary, appropriately credentialed APRNs should be permitted to prescribe life-saving medications and deliver counseling and behavioral therapies for persons with opioid use disorders. By joining physician colleagues, APRNs can increase access to medication- assisted treatment and enhance their significant roles in improving the health of the nation. (PsycINFO Database Record (c) 2019 APA, all rights reserved) AD - Tierney, Matthew, University of California, San Francisco, 1380 Howard Street, 2nd Floor, San Francisco, CA, US, 94103 AN - 2015-53522-002 AU - Tierney, Matthew AU - Finnell, Deborah S. AU - Naegle, Madeline A. AU - LaBelle, Colleen AU - Gordon, Adam J. DB - psyh DO - 10.1080/08897077.2015.1101733 DP - EBSCOhost IS - 4 KW - advanced practice nurses buprenorphine opioid treatment clinical nurse specialists nurse practitioners Advanced Practice Nursing Analgesics, Opioid Drug Prescriptions Health Services Accessibility Humans Opioid-Related Disorders Workforce Drug Addiction Nurses Prescribing (Drugs) Substance Use Treatment Drug Therapy Health Care Services Opiates Professional Role N1 - Department of Psychiatry, University of California, San Francisco, CA, US. Other Publishers: Haworth Press; Plenum Publishing Corp.; Springer. Release Date: 20160317. Correction Date: 20190211. Publication Type: Journal (0100), Peer Reviewed Journal (0110). Format Covered: Electronic. Document Type: Editorial. Language: EnglishMajor Descriptor: Drug Addiction; Nurses; Prescribing (Drugs); Buprenorphine; Substance Use Treatment. Minor Descriptor: Drug Therapy; Health Care Services; Opiates; Professional Role. Classification: Drug & Alcohol Rehabilitation (3383). Population: Human (10). References Available: Y. Page Count: 4. Issue Publication Date: Oct, 2015. Copyright Statement: Taylor and Francis Group, LLC PY - 2015 SN - 0889-7077 1547-0164 SP - 389-392 ST - Advanced practice nurses: Increasing access to opioid treatment by expanding the pool of qualified buprenorphine prescribers T2 - Substance Abuse TI - Advanced practice nurses: Increasing access to opioid treatment by expanding the pool of qualified buprenorphine prescribers UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2015-53522-002&site=ehost-live&scope=site mtierney@ucsf.edu VL - 36 ID - 96283 ER - TY - JOUR AB - Abstract: The purpose of the current study was to evaluate advanced practice nurses'' perceptions of a prescription drug monitoring program (PDMP) related to their practice. Advanced practice nurses were asked how PDMP information affects patient care and drug diversion, if it inhibits care, and if they value the information. Overall, they felt the PDMP was an effective tool and played a positive role in their practice. AN - 104567614. Language: English. Entry Date: 20120605. Revision Date: 20200708. Publication Type: Journal Article AU - LeMire, Steven D. AU - Martner, Sarah G. AU - Rising, Cheryl DB - cin20 DO - 10.1016/j.nurpra.2012.02.016 DP - EBSCOhost IS - 5 KW - Drugs, Prescription Advanced Practice Registered Nurses Nurse Attitudes Substance Abuse -- Prevention and Control Drug Monitoring Human Descriptive Research Descriptive Statistics Nurse Attitudes -- Evaluation Convenience Sample Congresses and Conferences -- North Dakota North Dakota Questionnaires Summated Rating Scaling Adult Coefficient Alpha Nurse Practitioners N1 - research; tables/charts. Journal Subset: Blind Peer Reviewed; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 101264817. PY - 2012 SN - 1555-4155 SP - 383-405 ST - Advanced Practice Nurses' Use of Prescription Drug Monitoring Program Information T2 - Journal for Nurse Practitioners TI - Advanced Practice Nurses' Use of Prescription Drug Monitoring Program Information UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=104567614&site=ehost-live&scope=site VL - 8 ID - 88643 ER - TY - JOUR AB - This article describes 2 innovative models of advanced practice provider-led medication for opioid use disorder treatment programs offering comprehensive, interprofessional care for pregnant patients and provides implications for broader adaptation of practice. Increasing the number of midwives and nurse practitioners waivered to prescribe buprenorphine and able to connect pregnant patients with opioid use disorder to appropriate community-based resources, treatment, and self-help programs could address alarming substance use trends including overdose deaths and other sequelae associated with the opioid epidemic. AD - Ob/Gyn Specialists, Mountain Area Health Education Center (MAHEC), Asheville, North Carolina. Project CARA, Mountain Area Health Education Center (MAHEC), Asheville, North Carolina. UNC Horizons, Department of Obstetrics & Gynecology, University of North Carolina, Chapel Hill, North Carolina. AN - 35522126 AU - Pressley Byrd, D. AU - Galvin, S. AU - Ramage, M. AU - Johnson, E. DA - May DO - 10.1111/jmwh.13372 DP - NLM ET - 20220506 IS - 3 KW - Analgesics, Opioid/adverse effects *Buprenorphine/therapeutic use Female Humans Opiate Substitution Treatment *Opioid-Related Disorders/drug therapy Parenting Pregnancy US Substance Abuse and Mental Health Services buprenorphine harm reduction maternal health services midwives nurse practitioners opioid-related disorders pregnant women prenatal care LA - eng N1 - 1542-2011 Pressley Byrd, Dolly Orcid: 0000-0001-5971-2326 Galvin, Shelley Ramage, Melinda Johnson, Elisabeth Journal Article United States 2022/05/07 J Midwifery Womens Health. 2022 May;67(3):384-393. doi: 10.1111/jmwh.13372. Epub 2022 May 6. PY - 2022 SN - 1526-9523 SP - 384-393 ST - Advanced Practice Provider-Led Medication for Opioid Use Disorder Programs for Pregnant and Parenting Women T2 - J Midwifery Womens Health TI - Advanced Practice Provider-Led Medication for Opioid Use Disorder Programs for Pregnant and Parenting Women VL - 67 ID - 85658 ER - TY - THES A3 - Smith, Regan AB - The practice problem this doctoral project addressed was the misuse of opiates and the alarming number of intentional and unintentional overdose deaths that occur yearly as a result. The practice-focused question was the following: Providing education on the use of the medication-assisted treatment (MAT) protocol to advanced practice registered nurses (APRNs) in this practice setting will increase both knowledge and confidence in using the MAT protocol? The health belief model and The Johns Hopkins nursing evidence-based practice model were used as the framework for this project. The health belief model was used to explain and predict an individual’s behavior surrounding their health to change their perception of their disorder and embrace effective strategies to decrease the occurrence. The Johns Hopkins nursing evidence-based practice model was used to appraise the strength of evidence of the articles. Scholarly peer-reviewed journal articles published within the past 5 years were obtained from four databases to support this doctoral project. Pretest, posttest, and survey data were collected from three APRNs at the practice site. Findings indicated APRNs’ knowledge and confidence level increased after the conclusion of the education and training, as evidenced by each APRN scoring a 95% or better on the posttest. The average knowledge assessment pretest score was a 63%, and the average knowledge assessment posttest score was 96%, an increase of 33% after buprenorphine education and training. A recommendation is to include buprenorphine education and training to APRNs when they join this practice to decrease morbidity and mortality rates related to opioid use disorder. AN - 2669597233 AU - Mason, Toni Deniese CY - United States -- Minnesota DA - 2022 DB - ProQuest Dissertations & Theses Global KW - Buprenorphine Medication-assisted treatment protocol Opioid use disorder Registered nurses Nursing Medicine 0569:Nursing 0564:Medicine LA - English M1 - 29210963 M3 - D.N.P. N1 - Copyright - Database copyright ProQuest LLC; ProQuest does not claim copyright in the individual underlying works. Last updated - 2022-06-03 PB - Walden University PY - 2022 SN - 9798802703342 SP - 67 ST - Advanced Practice Registered Nurses Expanding Treatment for Opioid Use Disorder with Buprenorphine TI - Advanced Practice Registered Nurses Expanding Treatment for Opioid Use Disorder with Buprenorphine UR - http://libproxy.temple.edu/login?url=https://www.proquest.com/dissertations-theses/advanced-practice-registered-nurses-expanding/docview/2669597233/se-2?accountid=14270 https://temple-primo.hosted.exlibrisgroup.com/openurl/01TULI/TULI??url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&genre=dissertations&sid=ProQ:ProQuest+Dissertations+%26+Theses+Global&atitle=&title=Advanced+Practice+Registered+Nurses+Expanding+Treatment+for+Opioid+Use+Disorder+with+Buprenorphine&issn=&date=2022-01-01&volume=&issue=&spage=&au=Mason%2C+Toni+Deniese&isbn=9798802703342&jtitle=&btitle=&rft_id=info:eric/&rft_id=info:doi/ ID - 85593 ER - TY - CHAP A2 - Hughes, R. G. AB - Education about safe pain management will help prevent undertreatment of pain and the resulting harmful effects. Safety includes the use of appropriate tools for assessing pain in cognitively intact adults and cognitively impaired adults. Otherwise pain may be unrecognized or underestimated. Use of analgesics, particularly opioids, is the foundation of treatment for most types of pain. Safe use of analgesics is promoted by utilizing a multimodal approach, that is, using more than one type of analgesic to treat the individual’s pain. Opioid use is often avoided or inadequate for fear of causing life-threatening respiratory depression. Nurse monitoring of sedation levels when opioids are initiated is one way to assure safety. While nondrug techniques pose minimal safety issues, the current evidence does not support that these techniques produce consistent, predictable pain management outcomes. AD - Nancy Wells, D.N.Sc., R.N., F.A.A.N., director of nursing research, Vanderbilt Medical Center, and research professor, Vanderbilt University School of Nursing. E-mail: Nancy.wells@vanderbilt.edu Chris Pasero, R.N., pain management consultant. E-mail: cpasero@aol.com Margo McCaffery, R.N., F.A.A.N., pain management consultant. E-mail: margopain@aol.com AN - 21328759 AU - Wells, N. AU - Pasero, C. AU - McCaffery, M. CY - Rockville (MD) LA - eng N1 - Hughes, Ronda G Wells, Nancy Pasero, Chris McCaffery, Margo Review Book Chapter NBK2658 [bookaccession] PB - Agency for Healthcare Research and Quality (US) PY - 2008 ST - Advances in Patient Safety Improving the Quality of Care Through Pain Assessment and Management T2 - Patient Safety and Quality: An Evidence-Based Handbook for Nurses TI - Advances in Patient Safety Improving the Quality of Care Through Pain Assessment and Management ID - 86583 ER - TY - JOUR AB - Historically, pain in ill and injured pediatric patients has not been recognized or attended to, since children often suffer in silence and caretakers are often fearful to intervene aggressively to alleviate pain. Fortunately, methods are now readily available to relieve pain in the pediatric patient. The use of psychological preparation and premedication can alleviate fear and anxiety. Administration of inadequate doses of opioids at infrequent intervals or via a noxious route (IM) can be supplanted by far superior pain management modalities. Provision of nearly constant, therapeutic levels of opioid via a painless route is preferable, can now be readily provided, and is usually well tolerated even by very sick children. This goal can be achieved by the use of continuous IV infusions of opioids, by use of PCA devices, or by epidural administration of local anesthetics and/or opioids. Recognition of a pediatric patient's particular and individual pain management needs and flexibility are essential so that the appropriate agent or technique can be selected. Pain assessment has to be an important aspect of pain management. It will eventually become an integral part of patient care. Without proper pain assessment, the optimal method of pain treatment may not be provided. This could result in continued acute pain or the development of a chronic pain state. The psychological impact the patient and family feels can result in prolonged patient recovery and a reluctance to return for further care. Several pediatric pain centers have been established nationally. These centers have services usually composed of anesthesiologists, pediatricians, psychologists, and nursing personnel. These multidisciplinary teams may also use the services of pharmacists, surgeons, and physical therapists. The anesthesiologist can be of great assistance in pain management of the pediatric surgical patient by assessing his/her patient's postoperative pain needs and planning his/her anesthetic technique and recovery room course accordingly. Placement of an epidural or caudal catheter for both postoperative and intraoperative use, for example, in a patient with cystic fibrosis (CF) undergoing a thoracotomy, can obviate the need for administration of parenteral opioids. The respiratory depression, sedation, and cough suppression caused by parenteral narcotics may be poorly tolerated by the child with CF, since aggressive pulmonary toilet, maintenance of a satisfactory cough, and early mobilization are key to preventing postoperative pulmonary complications, such as pneumonia. When PCA has been selected for postoperative pain control, the anesthesiologist can make use of the residual analgesia 'on board' from the operating room and avoid any time when the patient experiences inadequate analgesia. Pain management for children continues to be a challenge, with new modalities certainly needed and welcome. Additional research is required to provide improved methods for assessing the intensity of the child's pain and the adequacy of it's relief. It is hoped that innovation in this field will continue at a brisk pace. Balanced analgesia for the pediatric patient can be achieved. AD - C.T.M. Anderson, Department of Anesthesiology, C.H.S., UCLA School of Medicine, 10833 LeConte Ave, Los Angeles, CA 90024-1778, United States AU - Anderson, C. T. M. AU - Brill, J. E. DB - Embase IS - 2 KW - barbituric acid derivative benzodiazepine derivative chloral hydrate clonidine fentanyl halogenated hydrocarbon ketamine methadone midazolam morphine naloxone opiate phencyclidine derivative analgesia child continuous infusion coping behavior drug bioavailability drug distribution drug elimination drug half life epidural anesthesia human inhalational drug administration intramuscular drug administration intrathecal drug administration intravenous drug administration oral drug administration pain pain assessment pediatric anesthesia pediatric surgery postoperative care premedication priority journal rectal drug administration regional anesthesia respiration depression review sustained release preparation transdermal drug administration LA - English M3 - Review N1 - L22222839 1992-08-02 PY - 1992 SN - 0277-0326 SP - 158-171 ST - Advances in pediatric pain management T2 - Seminars in Anesthesia TI - Advances in pediatric pain management UR - https://www.embase.com/search/results?subaction=viewrecord&id=L22222839&from=export VL - 11 ID - 96052 ER - TY - JOUR AB - Introduction: Pregnant and postpartum (perinatal) people with substance use disorders (SUD) are at increased risk of morbidity and mortality, thus access to perinatal care and substance use treatment is particularly important. Prior research has demonstrated this population is 40-60% less likely than their peers to receive recommended perinatal care and among patients who receive medication for opioid use disorder during pregnancy, more than half (56%) discontinue medication within six months after delivery. To-date research and interventions focused on perinatal people with SUD generally are not informed by people with lived experience. Research initiatives and interventions for this at-risk population need to be co-created with patient stakeholders to improve access and utilization of healthcare. Patient journey mapping is a strategic method used to identify experiences of individuals or groups when interacting with healthcare and other complex systems. Therefore, the EMPOWER project, a multistakeholder group including patients with lived experience of SUD during the perinatal period, clinicians, community partners, and researchers utilized journey mapping to provide an in-depth understanding of the experiences of this population to inform future research studies, interventions, and clinical care. Methods: Six patient stakeholders, defined as people with lived experience of SUD during the perinatal time period, participated in an individual journey mapping session hosted through a virtual video platform. Each session was attended by a visual artist, group facilitator, psychologist, and researcher. Patient stakeholders shared their experiences during pregnancy and postpartum related to seeking treatment from healthcare systems. In real-time, their experiences were illustrated by the artist. The six individual journey maps were then summarized by stakeholders to create a Collective Journey Map during additional group sessions. Results: Through the use of journey mapping methods, the EMPOWER project uncovered complex, persistent, and multi-system level barriers to healthcare during the perinatal time period. Patient stakeholders reported entering the healthcare system through primary care or the emergency room where providers with specific expertise in addiction were unavailable. This led to receiving inaccurate information, mistrust, and SUD treatment delays. Contradictory information from doctors, nurses, and child protective services exacerbated stress and created anxiety in seeking healthcare. Providers with training in addiction medicine/psychiatry were recognized as patient champions, and eventual access to these providers resulted inappropriate, albeit delayed, receipt of perinatal care and SUD treatment. Experiences of stigma within the patients' community and healthcare systems negatively impacted their healthcare journeys. Commonly identified barriers to care experienced by stakeholders included current and historical trauma, inadequate public transportation, lack of stable housing, food insecurity, and long wait times to access treatment services for perinatal people with SUD. During mapping sessions, patient stakeholders identified solutions, interventions, and changes the healthcare system could adopt to improve access and utilization of care during the perinatal time period. Conclusions: Journey mapping methods are a powerful tool in uncovering the stories and experiences of people with SUD. The Collective Journey Map led to a deeper understanding of individual, healthcare system, and community level barriers to care. The Collective Journey Map has improved understanding of patient experiences, identified new research questions, and positioned patient stakeholders as experts in initiatives aimed at improving outcomes for people with SUD. AD - N. Nidey AU - Nidey, N. AU - Wilder, C. AU - Weber, S. DB - Embase IS - 5 KW - addiction medicine anxiety child child protection clinical article conference abstract controlled study doctor nurse relation drug dependence emergency ward female food insecurity health care system historical trauma housing human perinatal care perinatal period personal experience physiological stress pregnancy primary medical care psychiatry psychologist stigma videorecording visual artist LA - English M3 - Conference Abstract N1 - L639291852 2022-10-25 PY - 2022 SN - 1935-3227 SP - e286-e287 ST - Advancing Patient-Centered Research and Care Through Journey Mapping: EMPOWER Project T2 - Journal of Addiction Medicine TI - Advancing Patient-Centered Research and Care Through Journey Mapping: EMPOWER Project UR - https://www.embase.com/search/results?subaction=viewrecord&id=L639291852&from=export VL - 16 ID - 94144 ER - TY - JOUR AB - INTRODUCTION: It is critical that we strengthen the ability of the behavioral health workforce to better manage the complex behavioral and physical health needs of people in medically underserved areas. Despite the knowledge that integrated care (IC) models improve patient outcomes and experience, provider satisfaction, and health care costs, educational and experiential training in IC is limited, limiting workforce capacity to deliver this care. METHOD: Through the Health Resources and Services Administration-funded Rutgers University Integrated Substance Use Disorder Training Program (RUISTP), we partner with community-based primary care clinics to implement an interprofessional fellowship program for psychologists, social workers, physician assistants, and advanced practice nurses. The RUISTP simultaneously provides training and implements IC within these community-based systems. Our multiple-methods evaluation design examines data-driven indicators of feasibility, uptake, and program success during implementation and sustainability phases and assesses changes in organizational beliefs and practices, provider competencies, and service utilization throughout the project period. RESULTS: This article describes the significance and innovation of (a) an IC training program, (b) an implementation plan for sustained change within systems of care, and (c) evaluative methodology to assess and improve IC and SUD service delivery and training. These data will be used to create a template for other academic and health care systems nationally. DISCUSSION: It is the mission of this program to use an innovative training, implementation, and evaluation design to enhance IC and SUD services, bolster the behavioral health workforce trained to provide high-quality IC, and inform replications of this model in other geographic and clinical settings, particularly those in medically underserved communities. (PsycInfo Database Record (c) 2022 APA, all rights reserved). AU - Lister, H. H. AU - Marcello, S. C. AU - Lister, J. J. AU - Toto, A. M. AU - Powell, K. G. AU - Peterson, N. A. DB - Medline DO - 10.1037/fsh0000739 IS - 4 KW - drug dependence health care planning human integrated health care system LA - English M3 - Article N1 - L639781179 2022-12-21 2022-12-22 PY - 2022 SN - 1939-0602 SP - 586-591 ST - Advancing the behavioral health workforce: An innovative integrated care and substance use disorder training model to improve outcomes for people in medically underserved communities T2 - Families, systems & health : the journal of collaborative family healthcare TI - Advancing the behavioral health workforce: An innovative integrated care and substance use disorder training model to improve outcomes for people in medically underserved communities UR - https://www.embase.com/search/results?subaction=viewrecord&id=L639781179&from=export http://dx.doi.org/10.1037/fsh0000739 VL - 40 ID - 94090 ER - TY - JOUR AB - Substance use disorder (SUD), more specifically opioid use disorder, is a national epidemic. Although there is an emphasis on treatment and increasing treatment locations, there continues to be a gap between the number of people with SUD and the number of treatment centers. To help narrow this gap, some primary care clinicians started providing medication-assisted treatment (MAT) on an outpatient basis in their offices. This option enables clinicians to provide treatment in their own communities, which increases access to treatment and decreases costs. It also enables the clinician and the person with SUD/opioid use disorder to build a relationship, which many clinicians believe is the foundation of successful treatment. The clinician, whether a doctor, a physician assistant, or an advanced practice nurse, has to obtain a Drug Addiction Treatment Act 2000 waiver to provide MAT beyond naltrexone, which has a required educational program and includes a limitation on the number of clients. Conversely, a possible drawback to this type of treatment is the potential for the disruption of continuity of care with regard to psychotherapy treatment. Federal law mandates that therapy is available and provided to people receiving MAT. The clinician may not be able to provide this service and would need to refer the person with SUD for psychotherapy treatment. It may be clinically significant for a type of follow-up communication to be implemented so that the clinician and the therapy provider can maximize SUD treatment success. AD - Tonja M. Padgett, RN, DNP, ACNS-BC, Indiana University School of Nursing, Indianapolis. AN - 31800513 AU - Padgett, T. M. DA - Oct/Dec DO - 10.1097/jan.0000000000000305 DP - NLM IS - 4 KW - *Health Services Accessibility Humans Naltrexone/*therapeutic use Narcotic Antagonists/*therapeutic use Opioid-Related Disorders/*drug therapy/nursing *Outpatients Patient Education as Topic Primary Health Care United States LA - eng N1 - 1548-7148 Padgett, Tonja M Journal Article United States 2019/12/05 J Addict Nurs. 2019 Oct/Dec;30(4):238-241. doi: 10.1097/JAN.0000000000000305. PY - 2019 SN - 1088-4602 SP - 238-241 ST - The Advantages and Disadvantages of Medication-Assisted Treatment in Primary Care Offices T2 - J Addict Nurs TI - The Advantages and Disadvantages of Medication-Assisted Treatment in Primary Care Offices VL - 30 ID - 85757 ER - TY - JOUR AD - S. Sarkar, Department of Psychiatry, NDDTC, AIIMS, New Delhi, India AU - Sarkar, S. AU - Addagadda, S. AU - Bhatia, G. AU - Chadda, R. DB - Embase DO - 10.4103/psychiatry.IndianJPsychiatry_94_20 IS - 2 KW - naltrexone abdominal distension acne addiction adult aggression alcoholism analysis anxiety disorder application site irritation attention disturbance backache burn casuality assessment clinical audit cold sensation common cold decreased appetite depression diarrhea dizziness dysgeusia dyspepsia dysphonia dysphoria epigastric discomfort erythema experience eye swelling fatigue gastritis gastrointestinal disease headache human lacrimation lacrimation disorder lethargy letter libido disorder male medical assessment medical examination nausea nervousness nose disease nurse opiate addiction orthostatic hypotension pain physician premature ejaculation pruritus rash rehabilitation center restlessness sedation skin defect sleep disorder somnolence sweat gland disease taste disorder vertigo vomiting wasting syndrome weakness xerostomia LA - English M3 - Letter N1 - L634829755 2021-04-27 2021-05-06 PY - 2021 SN - 1998-3794 0019-5545 SP - 206-207 ST - Adverse drug reactions with naltrexone: Experience from an addiction treatment center T2 - Indian Journal of Psychiatry TI - Adverse drug reactions with naltrexone: Experience from an addiction treatment center UR - https://www.embase.com/search/results?subaction=viewrecord&id=L634829755&from=export http://dx.doi.org/10.4103/psychiatry.IndianJPsychiatry_94_20 VL - 63 ID - 94403 ER - TY - JOUR AB - Paclitaxel is a taxane antineoplastic agent formulated in polyoxyethylated castor oil (CREMOPHOR EL) and dehydrated alcohol. This case report describes the development of central nervous system toxicity and threatened sobriety related to the alcohol content in a paclitaxel infusion. Nurses need to be aware of the alcohol contained in paclitaxel and other drugs used in oncology practice and document previous and current alcohol use prior to beginning therapy. Alternative chemotherapy regimens may need to be offered to patients with alcohol abuse histories. AN - 107091646. Language: English. Entry Date: 20050507. Revision Date: 20150820. Publication Type: Journal Article AU - Henderson-Martin, B. DB - cin20 DP - EBSCOhost IS - 1 KW - Paclitaxel -- Adverse Effects Alcohol Abuse Education, Continuing (Credit) Cancer Patients Oncology Nursing Middle Age Male N1 - case study; CEU; exam questions. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 9705336. PMID: NLM10865588. PY - 2000 SN - 1092-1095 SP - 11-33 ST - Adverse effects of paclitaxel in patients with alcohol abuse histories T2 - Clinical Journal of Oncology Nursing TI - Adverse effects of paclitaxel in patients with alcohol abuse histories UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=107091646&site=ehost-live&scope=site VL - 4 ID - 89879 ER - TY - JOUR AD - GRECC (182), Audie L. Murphy Veterans Memorial Hospital, 7400 Merton Minter Blvd, San Antonio, TX 78284 AN - 107393581. Language: English. Entry Date: 19961201. Revision Date: 20150711. Publication Type: Journal Article AU - Gerety, M. B. AU - Cornell, J. E. AU - Plichta, D. T. AU - Eimer, M. DB - cin20 DP - EBSCOhost KW - Drug Therapy -- Adverse Effects Nursing Home Patients Substance Withdrawal Syndrome -- Epidemiology Algorithms Nursing Homes Regression Retrospective Design Texas Record Review Middle Age Aged Aged, 80 and Over Male Female Funding Source Human N1 - research; tables/charts. Journal Subset: Biomedical; Peer Reviewed; USA. Grant Information: American Federation of Aging Research/Merck Foundation Geriatric Clinical Pharmacology Award. NLM UID: 7503062. PMID: NLM8227915. PY - 1993 SN - 0002-8614 SP - 1326-1332 ST - Adverse events related to drugs and drug withdrawal in nursing home residents T2 - Journal of the American Geriatrics Society TI - Adverse events related to drugs and drug withdrawal in nursing home residents UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=107393581&site=ehost-live&scope=site ID - 90191 ER - TY - JOUR AB - OBJECTIVE: Given the increasing indications for administration of magnesium sulfate to pregnant women, we sought to determine if such therapy was associated with adverse effects in the newborn infant. STUDY DESIGN: This is a retrospective cohort analysis of women who received magnesium sulfate for prevention of eclampsia. Magnesium sulfate was given intravenously beginning with a 6 gram loading dose followed by 2-3 gram/hour based on serum magnesium levels. Newborn hypotonia was diagnosed if at birth the infant exhibited less than normal tone/activity unresponsive to naloxone and persistent at admission to the nursery. Maternal serum magnesium levels were measured within four hours of delivery. Women undergoing general anesthesia were excluded. RESULTS: Between January 2000 and February 2009, 6827 women with preeclampsia were treated with magnesium sulfate as described and 388 (5.7%) infants were diagnosed to have hypotonia. There was a direct relationship between maternal magnesium levels and hypo-tonia and this persisted after correction for gestational age and umbilical artery pH (Figure 1). A similar adjusted analysis was also performed for intubation in the delivery room and magnesium concentration in maternal blood was significantly associated with intubation. [Figure presented] CONCLUSION: The concentration of magnesium in maternal blood is directly related to hypotonia in the newborn infant as well as the need for intubation of the infant at birth. AD - M. Abbassi-Ghanavati, University of Texas, Southwestern Medical Center, Dallas, TX, United States AU - Abbassi-Ghanavati, M. AU - Alexander, J. A. AU - McIntire, D. AU - Leveno, K. DB - Embase DO - 10.1016/j.ajog.2009.10.556 IS - 6 KW - magnesium sulfate magnesium naloxone society mother female newborn intubation infant muscle hypotonia maternal blood magnesium blood level preeclampsia gestational age umbilical artery arterial pH cohort analysis adverse drug reaction prevention eclampsia loading drug dose therapy pregnant woman nursery maternal serum general anesthesia delivery room LA - English M3 - Conference Abstract N1 - L70129099 2010-05-19 PY - 2009 SN - 0002-9378 SP - S201 ST - Adverse neonatal effects of magnesium sulfate given to the mother T2 - American Journal of Obstetrics and Gynecology TI - Adverse neonatal effects of magnesium sulfate given to the mother UR - https://www.embase.com/search/results?subaction=viewrecord&id=L70129099&from=export http://dx.doi.org/10.1016/j.ajog.2009.10.556 VL - 201 ID - 95563 ER - TY - JOUR AB - BACKGROUND: Acute low back pain (ALBP) is the top cause of global disability, demonstrating a significant impact on individuals and society and demanding the need for appropriate management. There is a trend towards an increasing number of opioid prescriptions for ALBP despite the lack of investigation for its various short- and long-term outcomes. The objective of this review is to examine adverse outcomes associated with opioid use for ALBP. METHODS/DESIGN: Using a search strategy, the search will be conducted using the following electronic databases: PubMed/MEDLINE, EMBASE, PsycINFO, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Web of Science, Cochrane Library, the National Institutes for Health Clinical Trials Registry and the World Health Organization International Clinical Trials Registry Platform (WHO ICTRP). We will include randomized clinical trials and observational studies investigating the impact of opioid use in ALBP in the adult population. All phases of screening, data extraction and assessment of methodological quality will be performed by two independent reviewers. We will perform quality and risk of bias assessment for the included articles and compare high and low risk of bias with a sensitivity analysis. We will conduct random- and fixed-effects meta-analyses with heterogeneity calculated using the I (2) statistic and evaluate publication bias. DISCUSSION: There are current guidelines published to alert clinicians in prescribing opioids for ALBP due to its likelihood of misuse, yet there is little change in prescribing patterns. To date, there is an absence of systematic information about the outcomes of prescription opioid in patients with ALBP. We will address this gap by providing evidence that will be useful for clinical practice. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42016033090. AD - Juravinski Hospital, Hamilton Health Sciences, 711 Concession Street, Hamilton, ON, L8V 1C1, Canada. Mood Disorders Research Unit, St. Joseph's Healthcare Hamilton, 100 West 5th Street, Hamilton, ON, L8N 3K7, Canada. MiNDS Neuroscience Graduate Program, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada. Peter Boris Centre for Addictions Research, St. Joseph's Healthcare Hamilton, 100 West 5th Street, Hamilton, ON, L8N 3K7, Canada. Population Genomics Program, Chanchlani Research Centre, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada. Health Research Methodology Graduate Program, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada. Department of Psychiatry and Behavioural Neurosciences, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada. St. George's University of London, Cranmer Terrace, London, SW17 0RE, UK. Health Science Library, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada. Department of Anaesthesia, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada. Department of Medicine, Hamilton General Hospital, 237 Barton St East, Hamilton, ON, L8L 2X2, Canada. Department of Health Research Methods, Evidence, and Impact, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada. Biostatistics Unit, Research Institute at St Joes, St. Joseph's Healthcare Hamilton, 50 Charlton Avenue E, Hamilton, ON, L8N 4A6, Canada. Mood Disorders Research Unit, St. Joseph's Healthcare Hamilton, 100 West 5th Street, Hamilton, ON, L8N 3K7, Canada. samaanz@mcmaster.ca. MiNDS Neuroscience Graduate Program, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada. samaanz@mcmaster.ca. Peter Boris Centre for Addictions Research, St. Joseph's Healthcare Hamilton, 100 West 5th Street, Hamilton, ON, L8N 3K7, Canada. samaanz@mcmaster.ca. Population Genomics Program, Chanchlani Research Centre, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada. samaanz@mcmaster.ca. Department of Psychiatry and Behavioural Neurosciences, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada. samaanz@mcmaster.ca. Department of Health Research Methods, Evidence, and Impact, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada. samaanz@mcmaster.ca. Mood Disorders Program, St. Joseph's Healthcare Hamilton, 100 West 5th St, Hamilton, ON, L8N 3K7, Canada. samaanz@mcmaster.ca. AN - 28807047 AU - Mouravska, N. AU - Zielinski, L. AU - Bhatt, M. AU - Sanger, N. AU - Bawor, M. AU - Dennis, B. AU - Banfield, L. AU - MacKillop, J. AU - Paul, J. AU - Worster, A. AU - Laplante, P. AU - Thabane, L. AU - Samaan, Z. C1 - ETHICS APPROVAL AND CONSENT TO PARTICIPATE: Not applicable. CONSENT FOR PUBLICATION: Not applicable. COMPETING INTERESTS: The authors declare they have no competing interests. PUBLISHER’S NOTE: Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. C2 - PMC5557568 DA - Aug 14 DO - 10.1186/s13643-017-0556-x DP - NLM ET - 20170814 IS - 1 KW - Analgesics, Opioid/*adverse effects/*therapeutic use Humans Low Back Pain/*drug therapy Opioid-Related Disorders Practice Patterns, Physicians' Prescription Drug Misuse Systematic Reviews as Topic Acute lower back pain Opioid use Prescription opioid Protocol Systematic review LA - eng N1 - 2046-4053 Mouravska, Natalia Zielinski, Laura Bhatt, Meha Sanger, Nitika Bawor, Monica Dennis, Brittany Banfield, Laura MacKillop, James Paul, James Worster, Andrew Laplante, Philip Thabane, Lehana Samaan, Zainab Orcid: 0000-0002-5974-9361 Journal Article England 2017/08/16 Syst Rev. 2017 Aug 14;6(1):163. doi: 10.1186/s13643-017-0556-x. PY - 2017 SN - 2046-4053 SP - 163 ST - Adverse outcomes associated with opioid prescription for acute low back pain: a systematic review protocol T2 - Syst Rev TI - Adverse outcomes associated with opioid prescription for acute low back pain: a systematic review protocol VL - 6 ID - 85976 ER - TY - JOUR AB - The aim of this study was to examine adverse reactions to the withdrawal of opioids and benzodiazepines among critically ill children. Although withdrawal reactions have been well documented in relation to substance abusers and their newborn infants, there has been little study of this phenomenon as an iatrogenic problem. We developed a graphical case study method for examining patterns over time, and applied this to five cases referred to us by the nursing staff of a 10-bed paediatric intensive care unit. A striking pattern of behavioural distress was clearly associated with the diminution of opioids and benzodiazepines. These adverse reactions were characterized by various combinations of inconsolable crying, tremors, jitteriness, irritability, gagging, vomiting, and feeding problems. These signs appeared as early as 1 h and as late as 24 h following a significant reduction in opioid and benzodiazepine infusion rates, sometimes following very short-term therapy. We elaborate an interpretation of this distress, in light of the multiple disruptions undergone by critically ill children, and conclude by outlining our recommendations for preventing/minimizing these adverse reactions. AD - PICU, Montreal Children's Hospital/McGill University, Quebec, Canada. AN - 9355422 AU - Carnevale, F. A. AU - Ducharme, C. DA - Aug DO - 10.1016/s0964-3397(97)80012-2 DP - NLM IS - 4 KW - Analgesics, Opioid/*adverse effects Anti-Anxiety Agents/*adverse effects Benzodiazepines Female Humans Infant *Infant Behavior/drug effects Infant, Newborn Intensive Care, Neonatal Male Neonatal Abstinence Syndrome/nursing/*physiopathology/*psychology Retrospective Studies Time Factors LA - eng N1 - Carnevale, F A Ducharme, C Case Reports Journal Article Netherlands 1997/08/01 Intensive Crit Care Nurs. 1997 Aug;13(4):181-8. doi: 10.1016/s0964-3397(97)80012-2. PY - 1997 SN - 0964-3397 (Print) 0964-3397 SP - 181-8 ST - Adverse reactions to the withdrawal of opioids and benzodiazepines in paediatric intensive care T2 - Intensive Crit Care Nurs TI - Adverse reactions to the withdrawal of opioids and benzodiazepines in paediatric intensive care VL - 13 ID - 86427 ER - TY - JOUR AB - The article reports the guideline published by the National Institute for Health and Clinical Excellence (NICE) on prescribing strong opioids to relieve pain in patients with advanced and progressive disease. NICE has observed that pain in palliative care is being undertreated owing to concerns regarding the use of strong drugs like opioids. Nurses have been urged to address patient concerns and gather appropriate information from them regarding addiction, tolerance and side effects. AN - 76614943. Language: English. Entry Date: 20120622. Revision Date: 20190102. Publication Type: Article AU - Berry, Lisa DB - cin20 DO - 10.7748/cnp2012.06.11.5.5.p8577 DP - EBSCOhost IS - 5 KW - Analgesics, Opioid Palliative Care N1 - brief item. Journal Subset: Europe; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 101153265. PY - 2012 SN - 1475-4266 SP - 5-5 ST - Advice urges allaying fears about opioids T2 - Cancer Nursing Practice TI - Advice urges allaying fears about opioids UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=76614943&site=ehost-live&scope=site VL - 11 ID - 88635 ER - TY - JOUR AB - Most young people avoid developing problematic substance use. For those less fortunate, Trudi Petersen argues that practice nurses are in a good position to help recognize and address the problems. AD - Director, Tepee Training Ttd, 8 Victoria Street Laugharne, Carmarthenshire SA33 4SE; trudi@tepeetraining.co.uk AN - 105772705. Language: English. Entry Date: 20080725. Revision Date: 20200708. Publication Type: Journal Article AU - Petersen, T. DB - cin20 DO - 10.12968/pnur.2008.19.6.30267 DP - EBSCOhost IS - 6 KW - Substance Abuse -- In Adolescence Adolescence Alcohol Abuse Child Female Health Screening Information Resources Male Motivation Office Nursing Referral and Consultation Self Care Social Identity Street Drugs Substance Abuse -- Prevention and Control World Wide Web N1 - tables/charts. Journal Subset: Blind Peer Reviewed; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. PY - 2008 SN - 0964-9271 SP - 287-291 ST - Advising young people about drugs and alcohol T2 - Practice Nursing TI - Advising young people about drugs and alcohol UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=105772705&site=ehost-live&scope=site VL - 19 ID - 89188 ER - TY - JOUR AB - The article discusses the organization Intervention Project for Nurses' (IPN) offer of monitoring and support for nurses whose practice is impaired by substance use disorders and/or psychological or psychiatric issues and countering stigma about mental health and substance abuse. AN - 113576053. Language: English. Entry Date: 20160321. Revision Date: 20191106. Publication Type: Article AU - Greene, Myrtle H. DB - cin20 DP - EBSCOhost IS - 1 KW - Stigma -- Prevention and Control Impairment, Health Professional Substance Use Disorders Mental Disorders N1 - brief item. Journal Subset: Nursing; USA. NLM UID: 16930510R. PY - 2016 SN - 0015-4199 SP - 12-12 ST - Advocacy to Reduce the Stigma: Intervention Project for Nurses T2 - Florida Nurse TI - Advocacy to Reduce the Stigma: Intervention Project for Nurses UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=113576053&site=ehost-live&scope=site VL - 64 ID - 88046 ER - TY - JOUR AB - The concept of using a harm-minimization approach to drug education in Australian schools has existed in both national and state government policy documents for over two decades. However, this approach appears to be ineffectively and inconsistently incorporated within the curriculum. Harm minimization emphasizes strategies that reduce the harms associated with drug use and prevent related health and social problems. Traditional drug education programs that promote abstinence as the only option may not be realistic and appear to have had limited success. School nurses in the state of Victoria have a significant role in improving both the understanding and adoption of this approach through advocacy, education, and their understanding of evidence-based practice. AD - Lecturer, School of Nursing and Midwifery, La Trobe University, Bendigo, Victoria, Australia AN - 106255248. Language: English. Entry Date: 20070323. Revision Date: 20150820. Publication Type: Journal Article AU - Guzys, D. AU - Kendall, S. DB - cin20 DO - 10.1177/10598405060220050301 DP - EBSCOhost IS - 5 KW - Harm Reduction School Health Education Substance Abuse -- Prevention and Control Adolescence Curriculum Health Policy Health Promotion Models, Theoretical Nursing Role School Nursing Schools, Secondary Students, High School Students, Middle School United States Victoria N1 - pictorial. Journal Subset: Nursing; Peer Reviewed; USA. NLM UID: 9206498. PMID: NLM17172197. PY - 2006 SN - 1059-8405 SP - 259-263 ST - Advocating for a harm-minimization approach to drug education in Australian schools T2 - Journal of School Nursing TI - Advocating for a harm-minimization approach to drug education in Australian schools UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=106255248&site=ehost-live&scope=site VL - 22 ID - 89365 ER - TY - JOUR AB - BACKGROUND: There is clear evidence of the detrimental impact of hazardous alcohol consumption on the physical and mental health of the population. Estimates suggest that hazardous alcohol consumption annually accounts for 150,000 hospital admissions and between 15,000 and 22,000 deaths in the UK. In the older population, hazardous alcohol consumption is associated with a wide range of physical, psychological and social problems. There is evidence of an association between increased alcohol consumption and increased risk of coronary heart disease, hypertension and haemorrhagic and ischaemic stroke, increased rates of alcohol-related liver disease and increased risk of a range of cancers. Alcohol is identified as one of the three main risk factors for falls. Excessive alcohol consumption in older age can also contribute to the onset of dementia and other age-related cognitive deficits and is implicated in one-third of all suicides in the older population. OBJECTIVE: To compare the clinical effectiveness and cost-effectiveness of a stepped care intervention against a minimal intervention in the treatment of older hazardous alcohol users in primary care. DESIGN: A multicentre, pragmatic, two-armed randomised controlled trial with an economic evaluation. SETTING: General practices in primary care in England and Scotland between April 2008 and October 2010. PARTICIPANTS: Adults aged >= 55 years scoring >= 8 on the Alcohol Use Disorders Identification Test (10-item) (AUDIT) were eligible. In total, 529 patients were randomised in the study. INTERVENTIONS: The minimal intervention group received a 5-minute brief advice intervention with the practice or research nurse involving feedback of the screening results and discussion regarding the health consequences of continued hazardous alcohol consumption. Those in the stepped care arm initially received a 20-minute session of behavioural change counselling, with referral to step 2 (motivational enhancement therapy) and step 3 (local specialist alcohol services) if indicated. Sessions were recorded and rated to ensure treatment fidelity. MAIN OUTCOME MEASURES: The primary outcome was average drinks per day (ADD) derived from extended AUDIT - Consumption (3-item) (AUDIT-C) at 12 months. Secondary outcomes were AUDIT-C score at 6 and 12 months; alcohol-related problems assessed using the Drinking Problems Index (DPI) at 6 and 12 months; health-related quality of life assessed using the Short Form Questionnaire-12 items (SF-12) at 6 and 12 months; ADD at 6 months; quality-adjusted life-years (QALYs) (for cost-utility analysis derived from European Quality of Life-5 Dimensions); and health and social care resource use associated with the two groups. RESULTS: Both groups reduced alcohol consumption between baseline and 12 months. The difference between groups in log-transformed ADD at 12 months was very small, at 0.025 [95% confidence interval (CI) -0.060 to 0.119], and not statistically significant. At month 6 the stepped care group had a lower ADD, but again the difference was not statistically significant. At months 6 and 12, the stepped care group had a lower DPI score, but this difference was not statistically significant at the 5% level. The stepped care group had a lower SF-12 mental component score and lower physical component score at month 6 and month 12, but these differences were not statistically significant at the 5% level. The overall average cost per patient, taking into account health and social care resource use, was £488 [standard deviation (SD) £826] in the stepped care group and £482 (SD £826) in the minimal intervention group at month 6. The mean QALY gains were slightly greater in the stepped care group than in the minimal intervention group, with a mean difference of 0.0058 (95% CI -0.0018 to 0.0133), generating an incremental cost-effectiveness ratio (ICER) of £1100 per QALY gained. At month 12, participants in the stepped care group incurred fewer costs, with a mean difference of -£194 (95% CI -£585 to £198), and had gained 0.0117 more QALYs (95% C -0.0084 to 0.0318) than the control group. Therefore, from an economic perspective the minimal intervention was dominated by stepped care but, as would be expected given the effectiveness results, the difference was small and not statistically significant. CONCLUSIONS: Stepped care does not confer an advantage over minimal intervention in terms of reduction in alcohol consumption at 12 months post intervention when compared with a 5-minute brief (minimal) intervention. TRIAL REGISTRATION: This trial is registered as ISRCTN52557360. FUNDING: This project was funded by the NIHR Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 17, No. 25. See the HTA programme website for further project information. AD - Department of Health Sciences, University of York, York, UK. AN - 107906432. Corporate Author: AESOPS trial team. Language: English. Entry Date: 20140418. Revision Date: 20150712. Publication Type: Journal Article AU - Watson, Jm AU - Crosby, H. AU - Dale, Vm AU - Tober, G. AU - Wu, Q. AU - Lang, J. AU - McGovern, R. AU - Newbury-Birch, D. AU - Parrott, S. AU - Bland, Jm AU - Drummond, C. AU - Godfrey, C. AU - Kaner, E. AU - Coulton, S. DB - cin20 DO - 10.3310/hta17250 DP - EBSCOhost IS - 32 KW - Alcoholism -- Diagnosis Aged Aged, 80 and Over Alcoholism -- Economics Alcoholism -- Therapy Cost Benefit Analysis Female Great Britain Health Care Costs -- Statistics and Numerical Data Health Screening -- Methods Human Male Middle Age Primary Health Care -- Economics Primary Health Care -- Methods Psychological Tests Risk Factors Treatment Outcomes N1 - research; randomized controlled trial. Journal Subset: Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Peer Reviewed; UK & Ireland. Instrumentation: Alcohol Use Disorders Identification Test (AUDIT). NLM UID: 9706284. PMID: NLM23796191. PY - 2013 SN - 1366-5278 SP - 1-158 ST - AESOPS: a randomised controlled trial of the clinical effectiveness and cost-effectiveness of opportunistic screening and stepped care interventions for older hazardous alcohol users in primary care T2 - Health Technology Assessment TI - AESOPS: a randomised controlled trial of the clinical effectiveness and cost-effectiveness of opportunistic screening and stepped care interventions for older hazardous alcohol users in primary care UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=107906432&site=ehost-live&scope=site VL - 17 ID - 88527 ER - TY - JOUR AB - Families have a crucial role supporting a relative with alcohol and/or other drug misuse, but the role has adverse implications for family members' coping, which in turn, affects their ability and willingness to support the relative. The aim of this study was to assess the coping behaviours of affected family members of relatives with alcohol and/or other drug misuse and to assess if there was a relationship between the level of coping and family member type and support‐giving experience. A cross‐sectional survey design was used, and 90 respondents completed the questionnaire. Results suggest the following associations: that 'Other' family members made more frequent use of maladaptive coping strategies than intimate partners (P = 0.012); family members whose role had a negative effect on their physical health made more frequent use of maladaptive coping strategies than those whose role did not have this effect (P = 0.014); and family members whose role had a negative effect on their ability to socialise used maladaptive coping strategies more often than those whose role did not have this effect (P = 0.003). Engaged and tolerant‐inactive maladaptive coping strategies had a significantly greater adverse influence on family members' physical health and/or socialising than withdrawal coping strategies. Affected family members should be supported to use adaptive coping strategies to mitigate the detrimental effects of their support‐giving role and to sustain them in this crucial support‐giving role. Family and friends, mental health nurses, and other clinicians in the alcohol and other drug field have an important role in supporting family members in this context. AD - Program of Nursing and Midwifery, Institute of Health and Sport, Victoria University, Melbourne Victoria, Australia School of Human and Health Sciences, University of Huddersfield, Huddersfield UK Turning Point, Eastern Health Clinical School, Monash University, Melbourne Victoria, Australia AN - 135958740. Language: English. Entry Date: 20190423. Revision Date: 20200601. Publication Type: Article AU - McCann, Terence V. AU - Stephenson, John AU - Lubman, Dan I. DB - cin20 DO - 10.1111/inm.12567 DP - EBSCOhost IS - 3 KW - Extended Family Coping -- Evaluation Behavior Alcohol Abuse Substance Abuse Caregivers Caregiver Attitudes Human Cross Sectional Studies Questionnaires Adaptation, Psychological Data Analysis Software Australia Multiple Regression Correlation Coefficient Socioeconomic Factors Data Analysis, Statistical Descriptive Statistics Funding Source N1 - research; tables/charts. Journal Subset: Australia & New Zealand; Core Nursing; Double Blind Peer Reviewed; Nursing; Peer Reviewed. Instrumentation: Coping Questionnaire. Grant Information: Victoria University provided grant funding to supportthis study. Our grateful appreciation to the familymembers who took part in the study and to the help-line staff who assisted with recruitment. Our apprecia-tion also to Mollie Flood for her assistance with datacollection.. NLM UID: 101140527. PY - 2019 SN - 1445-8330 SP - 687-696 ST - Affected family member coping with a relative with alcohol and/or other drug misuse: A cross‐sectional survey questionnaire T2 - International Journal of Mental Health Nursing TI - Affected family member coping with a relative with alcohol and/or other drug misuse: A cross‐sectional survey questionnaire UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=135958740&site=ehost-live&scope=site VL - 28 ID - 87478 ER - TY - JOUR AB - OBJECTIVE: To describe the impact of an educational intervention for ED prescribers on discharge oxycodone prescribing both for the number of oxycodone prescriptions per 1000 discharged patients, and the number of tablets per prescription. Secondary outcomes included the quality of general practitioner communication. METHODS: An interrupted time series assessment was conducted in the ED of a tertiary referral hospital to establish the pre-intervention, peri-intervention and post-intervention prescribing profile of ED medical practitioners. Prescriber numbers were used to obtain drug data for all oxycodone-containing prescriptions from the Queensland Health Medicines Regulation and Quality Unit database. The intervention included education sessions, a staff information email, posters within the ED, and a patient brochure. It was conducted with relevant nurses, pharmacists and prescribing doctors. RESULTS: In the pre-intervention period, 656/17 371 (38 per 1000) discharged patients were prescribed oxycodone, compared to 180/5938 (30 per 1000) during the intervention, and 602/20 505 (29 per 1000) post-intervention. This equated to a decrease of 8 per 1000 (95% CI 5-12 per 1000) and a 22% (95% CI 13-31%) relative prescribing reduction. The mean total number of tablets of oxycodone per prescription decreased from 16.7 (SD 16.5) pre-intervention, to 12.7 (SD 6.0) peri-intervention, to 10.7 (SD 5.2) post-intervention. After the intervention, there was an increase in discharge communications to general practitioners by 15.4% (95% CI 9.7-21.1%). CONCLUSIONS: An ED prescriber-targeted intervention reduced overall prescribing of oxycodone and improved communication at discharge. The prescribing intervention is one strategy that may be used by ED medical staff to improve patient safety and opioid stewardship in Australia. AD - Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia. Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia. AN - 30916483 AU - Kline, T. V. AU - Savage, R. L. AU - Greenslade, J. H. AU - Lock, C. L. AU - Pattullo, C. AU - Bell, A. J. DA - Aug DO - 10.1111/1742-6723.13261 DP - NLM ET - 20190327 IS - 4 KW - Adult Analgesics, Opioid/*therapeutic use *Drug Prescriptions Drug Utilization Review Emergency Medicine/*education *Emergency Service, Hospital Female Humans Interrupted Time Series Analysis Male Middle Aged Oxycodone/*therapeutic use *Patient Discharge Practice Patterns, Physicians'/statistics & numerical data Queensland emergency department intervention opioid oxycodone prescribing education LA - eng N1 - 1742-6723 Kline, Taylor V Orcid: 0000-0002-0794-5125 Savage, Rina L Greenslade, Jaimi H Orcid: 0000-0002-6970-5573 Lock, Caitlin L Pattullo, Champika Bell, Anthony J Royal Brisbane and Women's Hospital Foundation/International Emergency Medicine Foundation/International Journal Article Research Support, Non-U.S. Gov't Australia 2019/03/28 Emerg Med Australas. 2019 Aug;31(4):580-586. doi: 10.1111/1742-6723.13261. Epub 2019 Mar 27. PY - 2019 SN - 1742-6723 SP - 580-586 ST - Affecting emergency department oxycodone discharge prescribing: An educational intervention T2 - Emerg Med Australas TI - Affecting emergency department oxycodone discharge prescribing: An educational intervention VL - 31 ID - 86334 ER - TY - JOUR AB - TOPIC: Nurse psychotherapists often feel poorly prepared to cope with a patient's death by suicide. The psychotherapist may identify with the family, feel sad at the death, and be plagued by feelings of guilt and responsibility. PURPOSE: A case study illustrates the meaning of the loss to the therapist and the influence on professional identity, self-confidence, and self-esteem. SOURCES: Case study and review of the literature from Medline, psychinfo, and CINAHL. CONCLUSIONS: Therapists experience their own grief as a lack of omnipotence over suicide, and the fear of their colleagues' responses. Understanding bereavement and factors influencing bereavement may help therapists facilitate and reduce negative consequences of their own grief. AD - Assistant Professor, University of Southern California, and Postdoctoral Research Fellow, Veterans Administration Greater Los Angeles Healthcare System, Los Angeles, CA; sharon.valente@med.va.gov AN - 106784524. Language: English. Entry Date: 20031205. Revision Date: 20150818. Publication Type: Journal Article AU - Valente, S. M. DB - cin20 DP - EBSCOhost IS - 1 KW - Grief Psychiatric Mental Health Nurse Practitioners -- Psychosocial Factors Psychiatric Nursing Psychotherapy Suicide -- Psychosocial Factors Adult Alcoholism -- Nursing Alcoholism -- Psychosocial Factors Bereavement Comorbidity Depression -- Nursing Depression -- Psychosocial Factors Female Nursing Assessment Nursing Role Referral and Consultation Risk Assessment Suicide -- Prevention and Control N1 - case study. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 0401133. PMID: NLM12724962. PY - 2003 SN - 0031-5990 SP - 17-22 ST - Aftermath of a patient's suicide: a case study T2 - Perspectives in Psychiatric Care TI - Aftermath of a patient's suicide: a case study UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=106784524&site=ehost-live&scope=site VL - 39 ID - 89698 ER - TY - JOUR AB - Background: There has been considerable focus on the adolescent stage of development in the study of alcohol use and the etiology of alcohol-related problems. Because adolescence is a process of dynamic change rather than a discrete or static stage of development, it is important to consider ontogenetic changes in the response to ethanol within the adolescent time period. In rodents, levels of ethanol-induced motor impairment have been shown to increase from early to late adolescence. This study investigated associations between behavior following acute ethanol administration and age, rearing condition (mother-reared vs nursery-reared), and serotonin transporter (rh5-HTTLPR) genotype in a sample of alcohol-naïve adolescent rhesus macaques. Methods: Rhesus macaques ( n=97; 41 males, 56 females), ranging in age from 28 to 48 months, were administered intravenous (IV) doses of ethanol (2.2 g/kg for males, 2.0 g/kg for females) twice in 2 separate testing sessions. A saline/ethanol group ( n=16; 8 males, 6 females) was administered saline in 1 testing session and ethanol in the second session. Following each IV injection, subjects underwent a 30-minute general motor behavioral assessment. Behavior in the saline/ethanol group was compared between the saline and ethanol-testing sessions using analysis of variance. Behavioral data for the larger study sample were averaged between the 2 testing sessions and summarized using factor analysis. Rotated factor scores were used as dependent variables in multiple regression analyses to test for relationships between behavior and age, rearing condition, and rh5-HTTLPR genotype. Results: During the ethanol-testing session, behaviors indicative of motor impairment (stumbles, falls, sways, bumping the wall, and unsuccessful jumps) were frequently observed in the saline/ethanol group, while they did not occur under the saline-testing session. Factor analysis of behavior following ethanol administration in the larger study sample yielded 3 factors: Ataxia, Impaired Jumping Ability, and Stimulation. Significant negative correlations between age and Ataxia were found for both males and females. Females also exhibited positive correlations between age and Impaired Jumping Ability and age and Stimulation. No significant correlations were found with either rearing condition or rh5-HTTLPR genotype. Conclusions: These findings suggest that ontogenetic changes during adolescence in the behavioral response to ethanol differ between rodents and primates. Furthermore, sex differences in the behavioral response to ethanol appear to develop during adolescence. AN - 105924636. Language: English. Entry Date: 20080111. Revision Date: 20200623. Publication Type: Journal Article AU - Schwandt, M. L. AU - Barr, C. S. AU - Suomi, S. J. AU - Higley, J. D. DB - cin20 DO - 10.1111/j.1530-0277.2006.00300.x DP - EBSCOhost IS - 2 KW - Aging -- Physiology Ethanol -- Pharmacodynamics Alcoholic Intoxication -- Physiopathology Central Nervous System Depressants -- Pharmacodynamics Primates -- Physiology Animals Ataxia -- Physiopathology Dose-Response Relationship, Drug Female Genotype Male Movement -- Drug Effects Movement -- Physiology Regression Reproduction Rodents Substance Use Disorders Substance Use Disorders -- Etiology Substance Use Disorders -- Physiopathology Animal Studies N1 - research. Journal Subset: Biomedical; Peer Reviewed; USA. NLM UID: 7707242. PMID: NLM17250614. PY - 2007 SN - 0145-6008 SP - 228-237 ST - Age-Dependent Variation in Behavior Following Acute Ethanol Administration in Male and Female Adolescent Rhesus Macaques ( Macaca mulatta) T2 - Alcoholism: Clinical & Experimental Research TI - Age-Dependent Variation in Behavior Following Acute Ethanol Administration in Male and Female Adolescent Rhesus Macaques ( Macaca mulatta) UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=105924636&site=ehost-live&scope=site VL - 31 ID - 89332 ER - TY - JOUR AB - French psychiatric nurses' perspectives on individuals addicted to drugs and their treatments are influenced by French socio-cultural norms. In this study, steps of the ethnographic method were used to elicit the intertwining of French professional and cultural perspectives on drug addiction. Emergent themes from nurses' interviews and cultural participant-observations suggest that drug addiction management in France's harm reduction paradigm challenges nurses' beliefs about addicted individuals' agency and conformity to treatment goals, and is influenced by European Union membership, changes in health care, drugs and demographics. Novel nursing strategies emergent from these themes might be applicable in other cultural contexts. AD - East Stroudsburg University, East Stroudsburg, PA AN - 104024739. Language: English. Entry Date: 20140214. Revision Date: 20200708. Publication Type: Journal Article AU - Gray, Mary Tod DB - cin20 DO - 10.1016/j.apnu.2013.09.005 DP - EBSCOhost IS - 1 KW - Harm Reduction Psychiatric Nursing -- France Nurse Attitudes -- Evaluation Substance Use Disorders Human France Ethnographic Research Semi-Structured Interview Participant Observation Thematic Analysis Qualitative Studies Snowball Sample Audiorecording Open-Ended Questionnaires Coding Archives Substance Use Disorders -- Therapy N1 - research; tables/charts. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Psychiatry/Psychology. NLM UID: 8708535. PMID: NLM24506985. PY - 2014 SN - 0883-9417 SP - 35-42 ST - Agency and Addiction in a Harm Reduction Paradigm: French Nurses' Perspectives T2 - Archives of Psychiatric Nursing TI - Agency and Addiction in a Harm Reduction Paradigm: French Nurses' Perspectives UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=104024739&site=ehost-live&scope=site VL - 28 ID - 88325 ER - TY - JOUR AB - Although fairly frequent in psychiatric in-patient, episodes of aggression/violence are mainly limited to verbal aggression, but the level of general health is significantly lower in nurses who report 'frequent' exposure to violent incidents, and there is disagreement between patients and staff concerning predictors of these episodes. We searched the Pubmed, Embase and PsychInfo databases for English, Italian, French or German language papers published between 1 January 1990 and 31 March 2010 using the key words "aggress*" (aggression or aggressive) "violen*" (violence or violent) and "in-patient" or "psychiatric wards", and the inclusion criterion of an adult population (excluding all studies of selected samples such as a specific psychiatric diagnosis other than psychosis, adolescents or the elderly, men/women only, personality disorders and mental retardation). The variables that were most frequently associated with aggression or violence in the 66 identified studies of unselected psychiatric populations were the existence of previous episodes, the presence of impulsiveness/hostility, a longer period of hospitalisation, non-voluntary admission, and aggressor and victim of the same gender; weaker evidence indicated alcohol/drug misuse, a diagnosis of psychosis, a younger age and the risk of suicide. Alcohol/drug misuse, hostility, paranoid thoughts and acute psychosis were the factors most frequently involved in 12 studies of psychotic patients. Harmony among staff (a good working climate) seems to be more useful in preventing aggression than some of the other strategies used in psychiatric wards, such as the presence of male nurses. © 2010 Elsevier Ltd. AD - M. Beghi, Psychosocial Centre, Via Beatrice d'Este 28, 20017 Rho Milan, Italy AU - Cornaggia, C. M. AU - Beghi, M. AU - Pavone, F. AU - Barale, F. DB - Embase Medline DO - 10.1016/j.psychres.2010.12.024 IS - 1 KW - age distribution aggression alcohol abuse analytic method correlation analysis disease association drug misuse hospital patient hospitalization hostility human impulsiveness interpersonal communication involuntary commitment medical decision making mental disease nurse patient relationship patient attitude predictor variable prevalence priority journal professional knowledge professional practice psychiatric department psychosis review risk assessment risk factor social environment study design suicidal ideation systematic review victim workplace violence LA - English M3 - Review N1 - L51227809 2011-01-16 2011-08-26 PY - 2011 SN - 0165-1781 1872-7123 SP - 10-20 ST - Aggression in psychiatry wards: A systematic review T2 - Psychiatry Research TI - Aggression in psychiatry wards: A systematic review UR - https://www.embase.com/search/results?subaction=viewrecord&id=L51227809&from=export http://dx.doi.org/10.1016/j.psychres.2010.12.024 VL - 189 ID - 95455 ER - TY - JOUR AB - Purpose Opioid use disorder (OUD) increasingly is encountered in geriatric patients and can create formidable challenges to clinicians. While OUD is more common in younger people, it is not accurate to assume that clinicians will not encounter the largely unstudied population of recreational opioid users who have become senior citizens with their drug use largely unchanged. Although not well studied, this population is not trivial a- a New York methadone maintenance clinic reported 13% of its patients were over age 60. Furthermore, this unique population is expected to increase and account for about 2.4% of all seniors by 2020. Of the 80 million baby boomers who came of age in the 1960s and 1970s and are not reaching Medicare status, all types of substance use disorder appear to occur at higher rates than previous generations. There is little guidance in the literature as to how to manage geriatric patients with active OUD, many of whom see no particular reason to give up drugs. Furthermore, there are issues with geriatric patients in terms of drug metabolism. Opioids were legal in the United States up until the Harrison Narcotic Control Act of 1914. At that time, the American attitude was that pain should be managed with moral fortitude rather than potentially dangerous drugs. Over time, opioids were valued for their analgesic effect in cancer patients at the end of life with the Cancer Pain Monograph from the World Health Organization. Baby boomers grew up in a world where celebrities used (and glorified) drugs and experienced the aches and pains of middle age at a time when opioids were liberally prescribed, and pain control was seen as a fundamental human right. Thus, the baby boomers grew up with a tolerant attitude toward drugs, may have experimented with them over their lifetime, and view them with a more favorable attitude. As lifespan increases and patients live longer, sometimes with managed diseases like cancer or chronic painful conditions, geriatric patients with OUD are likely to become an important, emerging patient population. Methods This report was based on a literature search, clinical observations, and the opportunity to interview a 64-year-old patient in a skilled nursing facility with lifelong drug addiction, including a preference for opioids and OUD of at least 20 years. Results Geriatric patients are more likely to overdose on prescription than street opioids. It is not known if there are specific interventions or rehabilitation programs that might work better in the geriatric population than younger patients. In many cases, geriatric people with OUD may require alternate pain control strategies even if they originally took opioids for psychoactive rather than analgesic effects. The authors are not aware of any specific treatment options designed for older individuals. Maintenance therapy is not contraindicated in this population. However, there are important considerations when treating geriatric opioid addicts: Drug metabolism slows, brain changes and cognitive disorders can complicate care, concomitant untreated mental health disorders may be deeply entrenched, and patients are likely on polypharmacy, thus at risk for drug-drug interactions. An interview was conducted with a 64-year-old man in long-term care for paraplegia (unrelated to drug use which preceded the disability) who was willing to discuss his lifelong drug use providing he could speak anonymously. Some of his remarks appear in Table 2. Conclusions There is an urgent need to better understand, identify, and treat geriatric patients with OUD. They represent a small but growing population for OUD who may have special risks (such as age-related slower drug metabolism, the likelihood of pain syndromes, and psychological stressors like loneliness) and need specific interventions. More and more clinicians encounter such patients who pose a real clinical challenge. There is an urgent need to study these patients and craft appropriate guidance for clinicians who treat them. AD - J.V. Pergolizzi, Nema Research, Inc, Naples, FL, United States AU - Pergolizzi, J. V. AU - Varrassi, G. AU - Paladini, A. AU - LeQuang, J. A. DB - Embase DO - 10.1080/00325481.2019.1655695 IS - SUPPL 1 KW - opiate adult aging analgesic activity attitude baby boomer brain cancer pain cancer patient case report clinical article clinical observation cognitive defect conference abstract control strategy drug metabolism drug overdose geriatric patient human interview lifespan loneliness male medicare methadone treatment middle aged morality New York nursing home opiate addiction paraplegia polypharmacy prescription public figure rehabilitation World Health Organization LA - English M3 - Conference Abstract N1 - L634019807 2021-02-02 PY - 2019 SN - 1941-9260 SP - 44-45 ST - Aging High: Geriatric Patients with Opioid Use Disorder T2 - Postgraduate Medicine TI - Aging High: Geriatric Patients with Opioid Use Disorder UR - https://www.embase.com/search/results?subaction=viewrecord&id=L634019807&from=export http://dx.doi.org/10.1080/00325481.2019.1655695 VL - 131 ID - 94758 ER - TY - JOUR AB - Nurses and nurse practitioners require information on the health problems faced by aging HIV-infected adults. In this descriptive, cross-sectional study, we reviewed the electronic medical records of 1,478 adult patients seen in an HIV clinic between May 2006 and August 2007 to examine patterns of comorbidities, and immunological and clinical characteristics across each decade of life. With increasing age, patients were found to have lower HIV viral loads, more prescribed medications, and a higher prevalence of comorbid conditions, including coronary artery disease, hypertension, hypercholesterolemia, hypogonadism, erectile dysfunction, diabetes, peripheral neuropathy, hepatitis C, esophageal gastric reflux disease, and renal disease. Fortunately, with increasing age, patients were also more likely to have public or private health insurance and tended to be more compliant to medical appointments. With growing interest in aging with HIV, this study highlights the vastly different comorbidity profiles across decades of life, calling into question what constitutes “older” with HIV. AN - 104875229. Language: English. Entry Date: 20110421. Revision Date: 20200708. Publication Type: Journal Article AU - Vance, David E. AU - Mugavero, Michael AU - Willig, James AU - Raper, James L. AU - Saag, Michael S. DB - cin20 DO - 10.1016/j.jana.2010.04.002 DP - EBSCOhost IS - 1 KW - HIV Infections Aging Health Behavior Longevity Hypertension Hypercholesterolemia Aged Middle Age Young Adult Adult Substance Abuse Descriptive Research Insurance Coverage Heart Diseases Antiviral Agents -- Adverse Effects Medication Compliance Viral Load CD4 Lymphocyte Count Comorbidity Record Review Chi Square Test Black Persons Age Factors P-Value Human Cross Sectional Studies N1 - research; tables/charts. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 9111870. PMID: NLM20471864. PY - 2011 SN - 1055-3290 SP - 17-25 ST - Aging With HIV: A Cross-Sectional Study of Comorbidity Prevalence and Clinical Characteristics Across Decades of Life T2 - JANAC: Journal of the Association of Nurses in AIDS Care TI - Aging With HIV: A Cross-Sectional Study of Comorbidity Prevalence and Clinical Characteristics Across Decades of Life UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=104875229&site=ehost-live&scope=site VL - 22 ID - 88831 ER - TY - CHAP AB - BACKGROUND: Opioid-related harms are increasing among older adults. Until we better understand the factors contributing to this trend, we will be unable to design and implement effective interventions to optimally manage opioid use and its potential harms among older adults. Although considerable research has been done in younger or mixed-age populations, the degree to which it is directly applicable to older adults is uncertain. OBJECTIVES: To provide a framework for understanding how to reduce adverse outcomes of opioid use among older adults, and to describe the evidence available for different factors associated with and interventions to reduce adverse outcomes related to opioid use in this population. APPROACH: With input from a diverse panel of content experts and other stakeholders, we developed a conceptual framework and evidence map to characterize empirical studies of factors associated with opioid-related outcomes and interventions to reduce opioid-related harms in older adults. We identified relevant literature among older adults (age ≥60 years) for an evidence map by systematically searching PubMed, PsycINFO, and CINAHL for studies published in English between 2000 and May 6, 2020. FINDINGS: We identified 5,933 citations, from which we identified 41 studies with multivariable models of factors associated with opioid-related outcomes and 16 studies of interventions in older adults. More than half (22/41) of the multivariable analysis studies evaluated factors associated with long-term opioid use (which, though not a harm per se, may increase the risk of harms if not appropriately managed). Prior or early postoperative opioid use, or greater amounts of prescribed opioids (high number of opioid prescriptions or higher opioid dose), were consistently (100% agreement) and strongly (measure of association ≥2.0) associated with long-term opioid use. Back pain, depression, concomitant use of nonsteroidal anti-inflammatory drugs (NSAIDs), and fibromyalgia also had consistent, but weaker, associations with long-term opioid use. Several factors were mostly associated (>75% agreement) with long-term opioid use, including benzodiazepine use, comorbidity scores, (generally undefined) substance misuse, tobacco use, and low income. However, studies were mostly consistent that alcohol abuse and healthcare utilization were not associated with long-term opioid use. Gender, age among older adults, Black race, dementia, rural/nonurban residence, prescription of long-acting opioids, unmarried status, and use of muscle relaxants were variably associated (<75% agreement) with long-term opioid use. Six studies examined factors associated with opioid-related disorders, although only one study evaluated factors associated with opioid use disorder. Alcohol misuse and gender were variably associated with opioid misuse (examined by three studies each). All other evaluations of specific pairs of associated factors and outcomes of interest were evaluated by only one or two studies each. These included analyses of factors associated with multiple opioid prescribers, mental health outcomes, physical health outcomes, all-cause hospitalization, opioid-related hospitalization, nonopioid-specific hospitalization, emergency department visits, opioid overdose, all-cause death, opioid-related death, and nonopioid-related death. The evidence on interventions directed at older adults is sparse. Of the 16 studies of opioid-related interventions in older adults, six examined screening tools to predict opioid-related harms, but none of these tools was tested in clinical practice to assess real-world results. Two studies found that prescription drug monitoring programs are associated with less opioid use in communities. Other studied interventions include multidisciplinary pain education for patients, an educational pamphlet for patients, implementation of an opioid safety initiative, provision of patient information and pain management training for clinicians, a bundle of educational modalities for clinicians, free prescription acetaminophen, a nationally mandated tamper-resistant opioid formulation, and motivational interview training for nursing students. Few intervention studies evaluated pain or other patient-centered outcomes such as disability and functioning. CONCLUSIONS: The evidence base that is directly applicable to older adults who are prescribed opioids or have opioid-related disorders is limited. Fundamental research is necessary to determine which factors may predict clinically important, patient-centered, opioid-related outcomes. Studies to date have identified numerous possible factors associated with long-term opioid use (whether appropriate or not), but analyses of other opioid-related outcomes in older adults are relatively sparse. Research is also needed to identify interventions to reduce opioid prescribing where harms outweigh benefits (including screening tools), reduce opioid-related harms and disorders, and treat existing misuse or opioid use disorder among older adults. AN - 33211447 AU - Zullo, A. R. AU - Danko, K. J. AU - Moyo, P. AU - Adam, G. P. AU - Riester, M. AU - Kimmel, H. J. AU - Panagiotou, O. A. AU - Beaudoin, F. L. AU - Carr, D. AU - Balk, E. M. CY - Rockville (MD) LA - eng N1 - Zullo, Andrew R Danko, Kristin J Moyo, Patience Adam, Gaelen P Riester, Melissa Kimmel, Hannah J Panagiotou, Orestis A Beaudoin, Francesca L Carr, Daniel Balk, Ethan M Review Book NBK564144 [bookaccession] PB - Agency for Healthcare Research and Quality (US) PY - 2020 ST - AHRQ Comparative Effectiveness Technical Briefs T2 - Prevention, Diagnosis, and Management of Opioids, Opioid Misuse, and Opioid Use Disorder in Older Adults TI - AHRQ Comparative Effectiveness Technical Briefs ID - 86534 ER - TY - JOUR AB - Introduction: The Al-Anon mutual-help program helps concerned others (COs; e.g., families, friends) of persons with excessive alcohol use. Despite widespread availability of Al-Anon meetings, participation is limited and little is known about how to best facilitate engagement. Al-Anon Intensive Referral (AIR) was developed to facilitate COs' engagement in Al-Anon and is being tested in a randomized controlled trial (RCT). Toward the end of the recruitment for the RCT, a qualitative formative evaluation was conducted to learn about facilitators, barriers, and recommendations for AIR implementation in substance use disorder (SUD) treatment clinics. Methods: Thirty-one directors and staff at ten VA and community SUD clinics were interviewed. Semi-structured interviews were based on the Consolidated Framework for Implementation Research and were thematically analyzed to identify facilitators, barriers, and recommendations for AIR implementation. Results: Perceived facilitators of AIR implementation included AIR's face validity, adaptability, and alignment with staff values and skills, requiring only minimal training. Several interviewees in community settings thought AIR would fit with their current practices (e.g., family groups), and some clinics reported having sufficient staff available for delivering AIR. Perceived barriers included limited staff time, and VA clinics having limited resources for providing services to COs. Furthermore, many clients have no COs, or COs who are unwilling or unable to engage with them. Recommendations included fitting AIR within existing workflows and focusing on COs with highest readiness to receive support. Interviewees also thought AIR could be adapted to a website format or smartphone app, which may expand its reach while decreasing staff burden and cost; however, it may not be as effective and appealing to some demographic groups (e.g., older COs). Conclusions: AIR has strong potential for implementation in SUD treatment settings, but clinics vary on implementation capacity. Most clinics could implement AIR partially (e.g., case-by-case basis) while clinics with sufficient capacity (e.g., staff time) could implement it more fully. These findings can also inform implementation of other interventions for concerned others. AD - J. Baloh, Department of Health Policy and Management, College of Public Health, 4301 W. Markham St., Mail slot 820, Little Rock, AR, United States AU - Baloh, J. AU - Curran, G. M. AU - Timko, C. AU - Grant, K. M. AU - Cucciare, M. A. DB - Embase Medline DO - 10.1016/j.jsat.2021.108520 KW - smartphone Al Anon Intensive Referral alcoholics anonymous alcoholism article attitude caregiver support communication skill community support counselor drug dependence human human experiment implementation science knowledge leadership nurse perception psychologist qualitative analysis questionnaire randomized controlled trial (topic) semi structured interview training LA - English M3 - Article N1 - L2012853123 2021-07-21 2022-02-02 PY - 2021 SN - 1873-6483 0740-5472 ST - Al-Anon Intensive Referral (AIR): A qualitative formative evaluation for implementation T2 - Journal of Substance Abuse Treatment TI - Al-Anon Intensive Referral (AIR): A qualitative formative evaluation for implementation UR - https://www.embase.com/search/results?subaction=viewrecord&id=L2012853123&from=export http://dx.doi.org/10.1016/j.jsat.2021.108520 VL - 132 ID - 94259 ER - TY - JOUR AB - The Alabama Board of Nursing (ABN) administers the Voluntary Disciplinary Alternative Program (VDAP) and Probation, which are two monitoring programs related to substance use disorder. Based on national estimates of nurses with substance-related impairment, more than 8,000 nurses caring for patients in Alabama facilities may have a substance-related impairment. To better protect the public, identify nurses with substance abuse behaviors earlier, and improve communication, the ABN committed itself to create opportunities for early intervention and monitoring to support a safe return to professional practice. The ABN staff also developed educational programs for substance use diversion, initiated a continuous quality improvement team to enhance its VDAP and Probation programs, and created a promotional campaign for the VDAP. The program has produced clear and definable success, as demonstrated by a doubling of nurse substance abuse self-reports and peer reports. AN - 146735763. Language: English. Entry Date: 20201107. Revision Date: 20201107. Publication Type: Article. Journal Subset: Health Services Administration AU - Benson, Peggy Sellers AU - Ingels, Honor L. DB - cin20 DO - 10.1016/S2155-8256(20)30133-2 DP - EBSCOhost IS - 3 KW - State Boards of Nursing -- Alabama Substance Use Disorders Program Implementation Quality Improvement Alabama Communication Early Intervention Program Evaluation Probation Self Report N1 - Nursing; USA. NLM UID: 101545184. PY - 2020 SN - 2155-8256 SP - 44-48 ST - The Alabama Board of Nursing Campaign to Promote the Voluntary Disciplinary Alternative Program T2 - Journal of Nursing Regulation TI - The Alabama Board of Nursing Campaign to Promote the Voluntary Disciplinary Alternative Program UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=146735763&site=ehost-live&scope=site VL - 11 ID - 87189 ER - TY - JOUR AB - Over the last 25 years, nursing regulatory agencies have developed programs for nurses recovering from substance use disorders. It is estimated that over 250,000 nurses are affected by substance use disorders. Recovery rates for nurses are higher than the general public due, in part, to the regulatory agency oversight. Within the State ofAlabama, the Board ofNursing manages both voluntary alternative to discipline and disciplinarymonitoring programs. Both programs allow nurses in recovery to return to work with supervision. This project sought to evaluate recovering nurses' attitudes about the monitoring program. Nurses actively involved in both monitoring programs (N = 173) were asked complete an anonymous survey to evaluate and share perspectives of the experience. The participants reported that the monitoring process was cumbersome, yet the structure assisted nurses to remain in recovery. AD - University of South Alabama, College of Nursing, 161 North Section Street, Fairhope, AL, 36532. E-mail: sfogger@usouthal.edu AN - 105408678. Language: English. Entry Date: 20091030. Revision Date: 20200708. Publication Type: Journal Article AU - Fogger, S. A. AU - McGuinness, T. DB - cin20 DO - 10.1080/10884600903078928 DP - EBSCOhost IS - 3 KW - Drug Rehabilitation Programs Nurse Attitudes Recovery Substance Use Disorders -- Rehabilitation Alabama Descriptive Statistics Evaluation Research Licensure, Nursing State Boards of Nursing -- Alabama Substance Abuse Detection Supervisors and Supervision Surveys Human N1 - research; tables/charts. Journal Subset: Core Nursing; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 9616159. PY - 2009 SN - 1088-4602 SP - 142-149 ST - Alabama's nurse monitoring programs: the nurse's experience of being monitored T2 - Journal of Addictions Nursing TI - Alabama's nurse monitoring programs: the nurse's experience of being monitored UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=105408678&site=ehost-live&scope=site VL - 20 ID - 89001 ER - TY - JOUR AB - The article offers information on the concerns related to the increase in vaping among youth. Topics discussed include information on the increase in the sales of electronic cigarettes after a plethora of advertisements featuring glamorous celebrities; discussions on the need to involve nurses in educating the public, especially adolescents and their parents about the dangers of vaping; and the information on the challenges faced by the patients in withdrawal from vaping. AD - University of Tennessee, Knoxville, Tennessee AN - 136150161. Language: English. Entry Date: 20190503. Revision Date: 20200922. Publication Type: Editorial AU - Thomas, Sandra P. DB - cin20 DO - 10.1080/01612840.2019.1578142 DP - EBSCOhost IS - 4 KW - Smoking -- In Adolescence -- United States Nicotine Nebulizers and Vaporizers -- Utilization Adolescent Behavior United States Food and Drug Administration Adolescence Young Adult Electronic Cigarettes Tobacco Products Public Health United States Smoking -- Complications Nursing Role Counseling Motivational Interviewing Smoking -- Prevention and Control -- In Adolescence N1 - editorial. Journal Subset: Blind Peer Reviewed; Core Nursing; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 7907126. PY - 2019 SN - 0161-2840 SP - 287-288 ST - The Alarming Increase in Vaping among Youth T2 - Issues in Mental Health Nursing TI - The Alarming Increase in Vaping among Youth UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=136150161&site=ehost-live&scope=site VL - 40 ID - 87515 ER - TY - JOUR AB - Background: The harms associated with the use of psychoactive prescription drugs are a serious public health problem. Healthcare professionals play an important part in addressing this problem; however, there is limited research examining their role in identifying and preventing prescription drug misuse (PDM). Methods: The perceptions of 1,063 Canadian healthcare professionals (HCPs) (physicians, registered nurses and nurse practitioners, pharmacists, and dentists) regarding PDM were collected using an anonymous online survey. Results: Findings revealed that only 27.7% of HCPs felt adequately supported in addressing PDM. HCPs did not feel overly effective in preventing or addressing PDM; they indicated several barriers such as inadequate knowledge and training, as well as those related to communication issues with fellow HCPs. Interpretation: This study supports the need to increase the capacity of HCPs to identify and address PDM among patients. This could be accomplished through clearer protocols and training on the clinical signs of PDM, as well as strategies aimed at facilitating better communication among healthcare providers. By limiting some of the existing barriers, HCPs will be better prepared to address this public health crisis. AD - O.A. McInnis, Canadian Centre on Substance Abuse, Ottawa, ON, Canada AU - McInnis, O. A. AU - Robeson, P. AU - Gereghty, S. A. AU - Porath-Waller, A. J. DB - Embase IS - 1 KW - central stimulant agent hypnotic sedative agent opiate adult article controlled study dentist drug misuse female health care personnel health survey human knowledge male medical education middle aged nurse practitioner online system perception pharmacist physician public health registered nurse LA - English M3 - Article N1 - L618653469 2017-10-12 2017-10-17 PY - 2016 SN - 2368-4720 SP - 5-11 ST - Alberta healthcare professionals' perceptions of prescription drug misuse T2 - Canadian Journal of Addiction TI - Alberta healthcare professionals' perceptions of prescription drug misuse UR - https://www.embase.com/search/results?subaction=viewrecord&id=L618653469&from=export VL - 7 ID - 95113 ER - TY - JOUR AB - The article focuses on alcohol consumption and its relation to injury cases attending hospital emergency departments (EDs) in Palmerston North, New Zealand. Topics include the three observational studies at the Palmerston North Emergency Department examining alcohol intoxication among patients in ED from 2009 to 2012, the high rate compliance of nurses, and the development of harm reduction interventions in the area. AN - 94592095. Language: English. Entry Date: 20140228. Revision Date: 20140228. Publication Type: Article AU - Vera, Sharon AU - McMaster, Martin DA - Winter2013 DB - cin20 DP - EBSCOhost KW - Alcohol-Related Disorders Emergency Nursing Health Resource Utilization N1 - brief item. Journal Subset: Australia & New Zealand; Nursing. Special Interest: Emergency Care. PY - 2013 SN - 1176-2691 SP - 17-17 ST - ALCOHOL - RELATED EMERGENCY DEPARTMENT ATTENDANCE: PALMERSTON NORTH STUDY T2 - Emergency Nurse New Zealand TI - ALCOHOL - RELATED EMERGENCY DEPARTMENT ATTENDANCE: PALMERSTON NORTH STUDY UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=94592095&site=ehost-live&scope=site ID - 88368 ER - TY - JOUR AN - 108081675. Language: English. Entry Date: 20130208. Revision Date: 20150819. Publication Type: Journal Article AU - Servodidio, Camille A. DA - 2012 Fall DB - cin20 DP - EBSCOhost IS - 4 KW - Alcohol Abuse Alcoholism Impairment, Health Professional Nurses Alcohol Abuse -- Symptoms Attitude of Health Personnel Incidence Intraprofessional Relations Professionalism N1 - tables/charts. Journal Subset: Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 100909507. PY - 2012 SN - 2168-8044 SP - 35-37 ST - Alcohol abuse in the workplace and patient safety T2 - Journal of the Association of Occupational Health Professionals in Healthcare TI - Alcohol abuse in the workplace and patient safety UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=108081675&site=ehost-live&scope=site VL - 32 ID - 88583 ER - TY - JOUR AB - This is a descriptive exploratory study that aimed to verify nursing students' attitudes facing to the alcoholic drinks, alcoholism and alcoholics, according to their position in face of an attitudes scale items. For data collection, it was used the Scale of Attitudes to alcohol, alcoholism and alcoholic, applied to 144 nursing students. The results showed a tendency to negative attitudes of these students in face of alcoholism, alcoholic person and alcoholic drinks, since most participants were placed in category indifferent or disagree with the positive items, agreeing with negative scale items. We conclude that this trend of negative attitudes is connected to insufficient attention given to the subject during the nurses' education, being verified the need for greater importance to be given to this problem. AN - 108018252. Language: Portuguese. Entry Date: 20130705. Revision Date: 20150820. Publication Type: Journal Article AU - Vargas, Divane AU - Bittencourt, Marina Nolli DB - cin20 DO - dx.doi.org/S0034-71672013000100013 DP - EBSCOhost IS - 1 KW - Alcoholics Alcoholism Student Attitudes Adult Alcoholic Beverages Attitude Measures Descriptive Research Education, Nursing Exploratory Research Female Human Male Scales Students, Nursing N1 - research; tables/charts. Journal Subset: Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Mexico & Central/South America; Nursing; Peer Reviewed. NLM UID: 7910105. PMID: NLM23681384. PY - 2013 SN - 0034-7167 SP - 84-89 ST - Alcohol and alcoholism: attitudes of nursing students T2 - Revista Brasileira de Enfermagem TI - Alcohol and alcoholism: attitudes of nursing students UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=108018252&site=ehost-live&scope=site VL - 66 ID - 88546 ER - TY - JOUR AB - Rationale: The incidence of alcohol related hospital admissions a world-wide public health problem and currently costs the UK NHS approximately 4% of its annual budget. Some 40% of men and 22% of women drink over the recommended weekly allowance. The purpose of our study was to look at the trend in alcohol related admissions to a large regional burns unit from 2003 to 2008. Methods: We prospectively looked at all burn admissions over a 5-year period. Patients were documented on admission for alcohol related burn, and whether there was also history of alcohol dependence. Results: A total of1293 of patients admitted between 2003 and 2008 were included in the study. For each year, the number of alcohol related burns were as follows-2003: (12) 6%; 2004: (17) 10%; 2005: (41) 16%; 2006: (18) 9%; 2007: (44) 19%; 2008: (50) 19%. This increasing trend was highly significant (p < 0.0001). There was also a parallel significant increase in the number of alcohol related burns who had a background of alcohol dependence p < 0.02. Furthermore, the alcohol related burns had a higher incidence of flame injury (60%) and a subsequent longer length of stay (6 vs. 4, p = 0.04). Evidence of alcohol dependence was noted in 50% of all alcohol related burns and in 55 of the non-alcohol related burns. Conclusion: Our data shows that the number of alcohol related admissions to a regional burn unit is increasing and now comprises of up to 20% of all admissions. Alcohol, with its significant morbidity in burn patients, and its increasing prevalence, must be appropriately dealt with early in order to help reduce long term adverse sequalae. In view of these results our unit has initiated a nurse-led benzodiazepine-based protocol for the management of alcohol withdrawal. In our experience, we have found this protocol has minimized acute alcohol withdrawal and greatly improved patient compliance with burn wound management, physio and dressing, and reduction in physical and non-physical assault. AD - W.J.M. Holmes, Burns and Plastic Surgery, Whiston Hospital, Prescot, United Kingdom AU - Holmes, W. J. M. AU - Hold, P. AU - James, I. DB - Embase DO - 10.1016/j.burns.2009.06.041 KW - alcohol benzodiazepine alcoholism patient alcohol withdrawal syndrome nurse patient compliance burn assault hospital admission public health problem United Kingdom budget female length of stay burn unit morbidity burn patient prevalence injury LA - English M3 - Conference Abstract N1 - L70154959 2010-06-03 PY - 2009 SN - 0305-4179 SP - S10-S11 ST - Alcohol and burns - Impact on a regional burns centre T2 - Burns TI - Alcohol and burns - Impact on a regional burns centre UR - https://www.embase.com/search/results?subaction=viewrecord&id=L70154959&from=export http://dx.doi.org/10.1016/j.burns.2009.06.041 VL - 35 ID - 95576 ER - TY - JOUR AB - Background and objectives: Drug misuse among young people has become a major worldwide health concern. The present study analyzes substance misuse and its social and personal consequences in young university students. Materials and Methods: Screening of alcohol misuse was based on the Alcohol Use Disorder Identification Test (AUDIT), while screening of substance-related risks and problems was performed with the Car, Relax, Alone, Forget, Friends, Trouble (CRAFFT) score. Results: The population was composed of nursing students at the University of Valencia (Valencia, Spain) (n = 185). More than 50% of the surveyed students reported alcohol intake based on the CRAFFT scale; 31.4% were classified as having "risky alcohol use", and 19.5% met the criterion for hazardous drinking based on the AUDIT score. In turn, 34.1% of the sample reported marijuana/hashish intake based on the CRAFFT scale. A gender effect was only observed for marijuana/hashish use, which was significantly (p < 0.001) higher in male students. No other gender differences were observed. In the logistic regression analysis, only age was identified as a protective factor for obtaining a reduced risk score with both the AUDIT and the CRAFFT. Among the social and personal consequences of drug misuse, the inability to "stop drinking once you have started" or the inability to "remember what happened while consuming" was significantly associated with an increased frequency of alcohol consumption (OR 20.93, p < 0.0001 and OR 13.68, p < 0.05, respectively). Conclusions: Our findings are consistent with emerging social concerns about drug misuse in the university population, including nursing students as future healthcare professionals. AU - Tejedor-Cabrera, C. AU - Cauli, O. DB - Medline DO - 10.3390/medicina55100628 IS - 10 KW - adult age alcoholism cannabis addiction cannabis use drinking behavior drug dependence female human male middle aged nursing student questionnaire sex factor Spain statistical model young adult LA - English M3 - Article N1 - L629433264 2019-10-01 2020-03-03 PY - 2019 SN - 1648-9144 ST - Alcohol and Cannabis Intake in Nursing Students T2 - Medicina (Kaunas, Lithuania) TI - Alcohol and Cannabis Intake in Nursing Students UR - https://www.embase.com/search/results?subaction=viewrecord&id=L629433264&from=export http://dx.doi.org/10.3390/medicina55100628 VL - 55 ID - 94643 ER - TY - JOUR AN - 107492731. Language: English. Entry Date: 19921001. Revision Date: 20150712. Publication Type: Journal Article AU - Sullivan, E. J. AU - Handley, S. M. DB - cin20 DP - EBSCOhost KW - Impairment, Health Professional Alcoholism Substance Abuse Nurses -- Psychosocial Factors Students, Nursing -- Psychosocial Factors Nurse Attitudes Descriptive Research Qualitative Studies Intraprofessional Relations N1 - review. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 8406387. PMID: NLM1389459. PY - 1992 SN - 0739-6686 SP - 113-125 ST - Alcohol and drug abuse in nurses T2 - Annual Review of Nursing Research TI - Alcohol and drug abuse in nurses UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=107492731&site=ehost-live&scope=site VL - 10 ID - 90246 ER - TY - JOUR AB - Studies examining alcohol and drug education in schools of nursing were reviewed. A paucity of investigations was noted and most evaluations possessed significant methodologic shortcomings. Schools of nursing generally provided minimal exposure to important concepts in the addictions. Few classroom hours were dedicated to alcohol and drug issues and individual courses devoted to substance use disorders were uncommon. Clinical training was a particularly neglected area. Neither the scope nor intensity of clinical instruction was sufficient to ensure that graduating nurses could effectively intervene with chemically dependent patients. Other findings suggested that drug education receives less attention than alcohol education and that schools of nursing provide less chemical dependency training than medical and other professional schools. AD - George Warren Brown School of Social Work, Washington University, Campus Box 1196, One Brookings Dr., St. Louis, MO 66130-4899 AN - 107295434. Language: English. Entry Date: 20070101. Revision Date: 20150711. Publication Type: Journal Article AU - Howard, M. O. AU - Walker, R. D. AU - Walker, P. S. AU - Suchinsky, R. T. DA - Spring97 DB - cin20 DP - EBSCOhost IS - 3 KW - Substance Abuse -- Education Education, Nursing -- Trends Nurse Attitudes Substance Abuse -- Psychosocial Factors Education, Nursing, Baccalaureate Education, Nursing, Masters Alcoholism -- Education Human N1 - research; systematic review; tables/charts. Journal Subset: Biomedical; Expert Peer Reviewed; Health Promotion/Education; Peer Reviewed; USA. NLM UID: 0351416. PY - 1997 SN - 0090-1482 SP - 54-80 ST - Alcohol and drug education in schools of nursing T2 - Journal of Alcohol & Drug Education TI - Alcohol and drug education in schools of nursing UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=107295434&site=ehost-live&scope=site VL - 42 ID - 90024 ER - TY - JOUR AB - Patients with physical problems related to the use of alcohol or drugs often present to general hospitals in an unplanned, emergency fashion. In 2005, the Kerr report concluded that fundamental changes were needed in our approach, shifting the emphasis from a reactive to a more proactive, prevention-based model in the treatment of acute medical conditions. We studied patients who had at least one alcohol- or drug-related emergency admission, whose most recent admission was to Aberdeen Royal Infirmary and who, using the Scottish Patients at Risk of Re-admission and Admission (SPARRA) All Ages Tool, were thought to be at high risk of further emergency admission. We examined data sets derived from the National Health Service National Services Scotland Information Services Division, a Liaison Psychiatry database, data from the local psychiatric Patient Information Management System and data collected by the hospital alcohol liaison nurse to examine this group of patients further and consider the scope for any future intervention. Patients who have an alcohol- or drug-related emergency admission to the general hospital are at increased risk of re-admission. A substantial proportion of these patients has come into contact with the psychiatric services, often attracting a substance misuse and/or personality disorder diagnosis. A significant proportion also presents in the context of self-harm. In conclusion, this group of frequent hospital attenders may be difficult to engage but may benefit from more proactive intervention, a more joined-up management approach and the development of an enhanced general hospital alcohol liaison service. AD - R. Goldbeck, Department of Psychological Medicine, Royal Cornhill Hospital, Aberdeen, Scotland, United Kingdom AU - Goldbeck, R. AU - Asif, M. AU - Sanderson, M. AU - Farquharson, C. DB - Embase Medline DO - 10.1258/smj.2011.011291 IS - 1 KW - alcohol adult aged alcohol abuse alcohol consumption article controlled study drug misuse emergency care female general hospital hospital readmission human liaison psychiatry major clinical study male mental health service mental hospital national health service pilot study risk assessment United Kingdom LA - English M3 - Article N1 - L364413823 2012-03-19 2012-03-28 PY - 2012 SN - 0036-9330 ST - Alcohol and drug misuse, risk of re-admission to a general hospital and psychiatric contact T2 - Scottish Medical Journal TI - Alcohol and drug misuse, risk of re-admission to a general hospital and psychiatric contact UR - https://www.embase.com/search/results?subaction=viewrecord&id=L364413823&from=export http://dx.doi.org/10.1258/smj.2011.011291 VL - 57 ID - 95431 ER - TY - JOUR AB - Objectives: Screening, Brief Intervention, and Referral to Treatment (SBIRT) can effectively identify and address substance misuse and substance use disorders (SUDs), and can be delivered by a range of trained health professionals. Yet, barriers remain to effective training and implementation of SBIRT in health and social service settings, and models of interprofessional collaboration in SBIRT delivery are underdeveloped. Methods: We reviewed current literature regarding SBIRT effectiveness, training, and implementation by physicians, nurses, psychologists, and social workers. An SBIRT expert and representative from each health profession synthesized literature and training experiences to inform the development of interprofessional training and collaborative implementation strategies. Results: Each of the health professions involved in SBIRT training and implementation have strengths and weaknesses that influence how SBIRT is taught, learned, and delivered. Some of these are specific to the components of SBIRT, for example, screening versus brief intervention, whereas others depend on profession-driven competencies, for example, motivational interviewing. Professional organizations have encouraged a range of tailored SBIRT training initiatives, but true interprofessional training and the implementation of collaborative, team-based care are largely unrealized. Conclusions: SBIRT can be a valuable approach to screening and treatment for SUDs when delivered by a range of healthcare professionals. A more nuanced understanding of the assumptions and characteristics of each profession, informed by the emerging field of implementation science, may shape more effective training curricula and highlight interprofessional models of SBIRT delivery that maximize the strengths of each profession. AD - Division of General Internal Medicine, University of California, San Francisco, CA School of Nursing and Health Professions, Department of Integrated Healthcare, University of San Francisco, CA Butler Institute for Families, Denver University Graduate School of Social Work, Denver, CO Department of Psychiatry, UCSF Weill Institute for Neurosciences, University of California, San Francisco, CA Division of Research, Kaiser Permanente Northern California, Oakland, CA AN - 131161819. Language: English. Entry Date: 20180819. Revision Date: 20180819. Publication Type: Article AU - Wamsley, Maria AU - Satterfield, Jason M. AU - Curtis, Alexa AU - Lundgren, Lena AU - Satre, Derek D. DB - cin20 DO - 10.1097/ADM.0000000000000410 DP - EBSCOhost IS - 4 KW - Drug Evaluation, Preclinical Referral and Consultation Health Occupations -- Psychosocial Factors Health Screening Alcohol Abuse -- Therapy Alcohol Abuse -- Diagnosis Program Implementation Social Work Service Interprofessional Relations Health Personnel -- Education Attitude of Health Personnel Perception Collaboration Learning Motivational Interviewing Professional Organizations Curriculum Social Workers Physicians Nurses Psychologists Education, Interdisciplinary N1 - review; tables/charts. Journal Subset: Biomedical; Peer Reviewed; USA. NLM UID: 101306759. PY - 2018 SN - 1932-0620 SP - 262-272 ST - Alcohol and Drug Screening, Brief Intervention, and Referral to Treatment (SBIRT) Training and Implementation: Perspectives from 4 Health Professions T2 - Journal of Addiction Medicine TI - Alcohol and Drug Screening, Brief Intervention, and Referral to Treatment (SBIRT) Training and Implementation: Perspectives from 4 Health Professions UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=131161819&site=ehost-live&scope=site VL - 12 ID - 87669 ER - TY - JOUR AB - The present paper reports on the results of a telephone survey of 217 alcohol and drug treatment clinicians on their beliefs and practice, in relation to service provision for women. Nurses comprised the second largest professional group surveyed. Seventy-eight percent of clinicians believed that women's treatment needs differed from men's and 74% reported a range of approaches and interventions, such as assisting with parenting issues and referral to women-only programmes. Several differences emerged in relation to approaches and interventions used, depending on clinician gender, work setting and proportion of women on clinicians' caseload. Implications for mental health nursing include the need to more systematically incorporate gender-based treatment needs into practice and undergraduate and postgraduate education and training programmes. AD - School of Nursing, Christchurch Polytechnic Institute of Technology, PO Box 540, Christchurch, New Zealand; cowanl@cpit.ac.nz AN - 106787790. Language: English. Entry Date: 20031212. Revision Date: 20200624. Publication Type: Journal Article AU - Cowan, L. AU - Deering, D. AU - Crowe, M. AU - Sellman, D. AU - Futterman-Collier, A. AU - Adamson, S. DB - cin20 DO - 10.1046/j.1440-0979.2003.00268.x DP - EBSCOhost IS - 1 KW - Alcohol Abuse -- Rehabilitation Attitude of Health Personnel Substance Abuse -- Rehabilitation Women's Health Services Chi Square Test Descriptive Statistics Female Funding Source Gender Specific Care New Zealand P-Value Questionnaires Sex Factors Surveys Telephone Human N1 - research; tables/charts. Journal Subset: Australia & New Zealand; Core Nursing; Double Blind Peer Reviewed; Nursing; Peer Reviewed. Grant Information: Alcohol Advisory Council of New Zealand (ALAC). NLM UID: 101140527. PMID: NLM14685959. PY - 2003 SN - 1445-8330 SP - 48-55 ST - Alcohol and drug treatment for women: clinicians' beliefs and practice T2 - International Journal of Mental Health Nursing TI - Alcohol and drug treatment for women: clinicians' beliefs and practice UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=106787790&site=ehost-live&scope=site VL - 12 ID - 89680 ER - TY - JOUR AB - Purpose: The purpose of the study was to determine the amount of content covered in baccalaureate science of nursing (BSN) curricula related to alcohol and health. Methods: this study was a cross sectional descriptive survey. The survey was electronically distributed to members of the American Association of Colleges of Nursing (AACN) listserv. Data were analyzed through the calculation of frequencies, and distribution. The survey inquired about the number of hours that alcohol content was taught, in what course(s) and the content area covered. Results: Sixty-eight schools responded (11% response rate). The the mean number of hours related to alcohol content over a four year curriculum was 11.3 (SD = 8.34) with a range of 3 to 38 hours. Over a third (38%) included 6 hours or less of alcohol related content. The majority of those hours were offered in the psychiatric course and focused on treatment of AUDs. The mean number of hours related to Alcohol content in the psychiatric courses was 4.9 (SD = 5.03), with a range of 0 to 35. Eighty one percent reported 6 or less hours of alcohol-related content in the psychiatric course. The mean number of hours dedicated to alcohol-related content in the lifespan nursing courses (obstetrics, pediatrics and adult health) was lower. In courses that cover content related to adult health, the mean number of hours was 2.8 (SD = 3). A little less than 65% included 2 hours or less and almost 16% reported that no content was included in the adult health courses related to alcohol. The women's and children's health courses had a mean of 1.8 hours with a range of 0 to 6. Ten percent included no content on alcohol and 51% reported that they included one hour or less. Conclusion: No standard approach was used by these schools in relation to the amount of alcohol related content hours that should be included. The lack of alcohol related content in the lifespan courses has potentially serious consequences. For example, nurses working in schools need alcohol related knowledge to actively participate in alcohol prevention with school children especially with the strong evidence that first use of alcohol at ages 11 to 14 increases the risk for the development of an alcohol use disorder. Since nurses are the largest segment of the health care work force, and alcohol is one of the top three causes of premature death, interventions are needed that will result in an increase in alcohol-related content in BSN curricula. AD - C.L. Savage, University of Cincinnati, College of Nursing, Cincinnati, OH, United States AU - Savage, C. L. AU - Dyehouse, J. AU - Marcus, M. AU - Lindell, A. DB - Embase DO - 10.1111/j.1530-0277.2011.01497.x KW - alcohol health nursing alcoholism society human school adult curriculum nurse lifespan female child prevention risk alcohol consumption school child death health care obstetrics pediatrics college LA - English M3 - Conference Abstract N1 - L70597693 2011-12-08 PY - 2011 SN - 0145-6008 SP - 74A ST - Alcohol and health content in bacalaureate nursing programs T2 - Alcoholism: Clinical and Experimental Research TI - Alcohol and health content in bacalaureate nursing programs UR - https://www.embase.com/search/results?subaction=viewrecord&id=L70597693&from=export http://dx.doi.org/10.1111/j.1530-0277.2011.01497.x VL - 35 ID - 95471 ER - TY - JOUR AB - BACKGROUND: To study the relationship between alcohol abuse or dependence as diagnosed by the CAGE questionnaire, and nicotine dependence as diagnosed by Fagerström Test of Nicotine Dependence (FTND) in French seamen. MATERIALS AND METHODS: French seamen were recruited from a stratified survey of 19 ports in France. The subjects completed a questionnaire during their annual medical check-up with occupational physicians and nurses of the Occupational Health Department (Service de santé des gens de mer). FINDINGS: Approximately forty-four per cent of male subjects were current smokers, and approximately sixty-three per cent of these were nicotine dependent according to FTND. More than 11% of male subjects drank alcohol every day. About 16% of these were alcohol dependent according to CAGE. A strong positive relationship has been shown between alcohol dependence and nicotine dependence. There was a highly significant difference between alcohol dependent and non-alcohol dependent subjects in the FTND. Conversely, nicotine dependent and non-nicotine dependent subjects significantly differed regarding several alcohol-related variables. CONCLUSIONS: Alcohol and nicotine consumption is a major public health issue in seamen. A strong positive correlation was found between alcohol abuse or dependence and nicotine abuse or dependence. Some alcohol-related behaviours were associated with nicotine dependence, and some tobacco-related behaviours were also associated with alcohol dependence. These findings are novel for this kind of population in France. In view of these results, combined smoking cessation and alcohol consumption reduction policies should be developed in this population. Finally, future studies could analyze the work environment, which seems to be associated with consumption and dependency. AD - E. Fort, Université de Lyon, Lyon, France. AU - Fort, E. AU - Massardier-Pilonchery, A. AU - Bergeret, A. DB - Medline IS - 1-2 KW - alcoholism article comorbidity cross-sectional study drinking behavior France health survey human male workforce medicine occupational disease onset age ship smoking statistics tobacco dependence LA - English M3 - Article N1 - L358722555 2010-05-05 PY - 2009 SN - 1641-9251 SP - 18-28 ST - Alcohol and nicotine dependence in French seafarers T2 - International maritime health TI - Alcohol and nicotine dependence in French seafarers UR - https://www.embase.com/search/results?subaction=viewrecord&id=L358722555&from=export VL - 60 ID - 95561 ER - TY - JOUR AB - Alcohol and Other Drug (AOD) education amongst hospital staff is often inadequate. This leads to suboptimal care of patients and is a missed opportunity for early identification and treatment. This integrative review evaluates the core features of current education for hospital-based doctors and nurses in AOD, including country of origin, content, duration, and pedagogy. The majority of included studies were conducted in the USA (72%), target alcohol rather than AOD in general (72%), adopted a purely medical model of treatment (94%), and utilised a Screening, Brief Intervention, and Referral to Treatment (SBIRT) model (94%). The overall quality of the studies was weak-moderate, which led to small effect sizes in most studies and limits the generalizability of any conclusions. More high quality research trials are needed to establish the core features of effective AOD education for hospital staff. Future research should include a focus on the psychosocial context of addiction, other drug use and the impact of negative attitudes on care delivery. AD - Alfred Psychiatry, Melbourne, Australia School of Nursing, University of Melbourne, Melbourne, Australia AN - 120669632. Language: English. Entry Date: 20170117. Revision Date: 20190214. Publication Type: Article AU - Brereton, Rebecca AU - Gerdtz, Marie DB - cin20 DO - 10.1080/01612840.2016.1248876 DP - EBSCOhost IS - 1 KW - Physicians -- Education Nurses Alcoholism -- Education Substance Use Disorders -- Education Human Systematic Review Effect Size Medline CINAHL Database Psycinfo United States Personnel, Health Facility N1 - research; systematic review; tables/charts. Journal Subset: Blind Peer Reviewed; Core Nursing; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Evidence-Based Practice. NLM UID: 7907126. PY - 2017 SN - 0161-2840 SP - 42-60 ST - Alcohol and Other Drug (AOD) Education for Hospital Staff: An Integrative Literature Review T2 - Issues in Mental Health Nursing TI - Alcohol and Other Drug (AOD) Education for Hospital Staff: An Integrative Literature Review UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=120669632&site=ehost-live&scope=site VL - 38 ID - 87914 ER - TY - JOUR AB - Alcohol and other drug (AOD) abuse and mental health issues continue to be problems in nursing practice. These issues often began or were identified while the individual was in nursing school. Because little uniformity has existed in the amount or quality of AOD abuse or mental health/illness curriculum content, the Texas Peer Assistance Program for Nurses (TPAPN) sponsored a study to determine 1) what curriculum elements related to AOD abuse and mental health/illness issues were seen as important and essential by faculty responsible for basic nursing programs in Texas; 2) what curriculum elements related to AOD abuse and mental health/illness issues were actually taught in basic nursing programs in Texas; and 3) what resources were available and needed to better present this content. Recommendations are made as to essential content and ideas/resources for presenting AOD and mental health content. AD - Blinn College, Bryan, Texas AN - 107428855. Language: English. Entry Date: 19951201. Revision Date: 20150819. Publication Type: Journal Article AU - Parrott, T. E. DB - cin20 DP - EBSCOhost IS - 5 KW - Education, Nursing -- Texas Alcoholism -- Education Substance Abuse -- Education Curriculum Exploratory Research Texas Descriptive Statistics Questionnaires Content Validity Mail Convenience Sample Schools, Nursing -- Texas Impairment, Health Professional Students, Nursing Faculty, Nursing Multivariate Analysis of Variance Human N1 - research; tables/charts. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 7701902. PY - 1995 SN - 0363-3624 SP - 10-17 ST - Alcohol and other drug abuse and mental health curriculum elements T2 - Nurse Educator TI - Alcohol and other drug abuse and mental health curriculum elements UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=107428855&site=ehost-live&scope=site VL - 20 ID - 90117 ER - TY - JOUR AB - The economic, social and health costs associated with alcohol and other drug use, including medicines, impact on the Australian community profoundly. Many Australians use alcohol and other drugs (AODs) on a regular basis and a significant number experience problems at some time. There are about 25,000 drug-related deaths annually, the majority of which are related to alcohol and tobacco use. Many young people die or are injured as a direct result of alcohol intoxication, accidental overdose and related problems, and significant numbers of elderly people are hospitalised, permanently incapacitated or suffer avoidable trauma through adverse drug reactions and side-effects of medications. It is estimated that at least 25 per cent of acute hospital beds hold patients with alcohol-related problems directly associated with the medical diagnosis, and there are comparable numbers of people needing social and other forms of assistance at some time. Despite the preventative nature of many AOD problems and the call for harm reduction, timely intervention and support for the thousands of Australians attending hospitals, community health and mental health services, nurses are yet to effectively assist the community in preventing and responding to the range of AOD problems. Nursing policy, guidelines and clinical expertise are required to assist the community in addressing this issue. Undergraduate, postgraduate and continuing education have a vital role to play in providing the profession with the knowledge, skills and research base to meet this challenge. AD - Flinders University of South Australia School of Nursing AN - 107305145. Language: English. Entry Date: 19970101. Revision Date: 20150820. Publication Type: Journal Article. Journal Subset: Australia & New Zealand AU - de Crespigny, C. DB - cin20 DP - EBSCOhost IS - 3 KW - Alcoholism -- Australia Substance Abuse -- Australia Australia Education, Nursing Nursing Role N1 - Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed. NLM UID: 9612493. PMID: NLM9265493. PY - 1996 SN - 1322-7696 SP - 23-29 ST - Alcohol and other drug problems in Australia: the urgent need for nurse education T2 - Collegian TI - Alcohol and other drug problems in Australia: the urgent need for nurse education UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=107305145&site=ehost-live&scope=site VL - 3 ID - 90066 ER - TY - JOUR AB - Objective: To examine the characteristics of alcohol and other drug (AOD) specialist treatment agencies, their workforce and workforce development issues. Methods: A national survey of AOD specialist treatment agency managers was conducted using the Clients of Treatment Service Agencies (COTSA) database as the sampling framework. Agency managers across Australia were surveyed by phone or electronically between April and October 2002. Qualitative and quantitative data were collected. Two hundred and thirty-four managers participated, representing 318 agencies, and a response rate of 65%. More than 50% of managers from each State and Territory participated in the study. Results: The study found a high prevalence of alcohol-related problems. Managers estimated 45% of clients nominated alcohol as their primary problematic drug and that 53% of poly-drug clients identified alcohol-related problems. Managers reported increasingly complex client needs such as co-occurring substance and mental health issues. A harm minimisation treatment approach was supported by more than three-quarters of AOD agencies. The majority of the AOD workforce were trained professionals and consisted of nurses (26%), general AOD workers (19%) and psychologists (9%). Approximately half the sample had been in their current managerial role for less than five years. Key workforce development issues identified were education and training, funding, and staff recruitment and retention. Conclusion: More information is required on the key characteristics of the AOD workforce and their workforce development needs. Such information can contribute to policies and strategies that develop the capacity of the AOD sector to manage and treat the increasingly complex needs of clients. AD - A. Roche, Natl. Ctr. Educ./Training Addiction, Flinders University, Mark Oliphant Building, Bedford Park, SA 5042, Australia AU - Roche, A. AU - O'Neil, M. AU - Wolinski, K. DB - Embase Medline DO - 10.1111/j.1467-842X.2004.tb00704.x IS - 3 KW - alcohol abuse article Australia continuing education controlled study data base drug abuse drug dependence treatment financial management harm reduction health care need health care policy health practitioner human information processing manager medical specialist mental health care multiple drug abuse nurse personnel management prevalence psychologist qualitative analysis quantitative analysis staff training telephone LA - English M3 - Article N1 - L38868321 2004-07-18 PY - 2004 SN - 1326-0200 SP - 252-258 ST - Alcohol and other drug specialist treatment services and their managers: Findings from a national survey T2 - Australian and New Zealand Journal of Public Health TI - Alcohol and other drug specialist treatment services and their managers: Findings from a national survey UR - https://www.embase.com/search/results?subaction=viewrecord&id=L38868321&from=export http://dx.doi.org/10.1111/j.1467-842X.2004.tb00704.x VL - 28 ID - 95809 ER - TY - JOUR AB - Purpose: The purpose of this review is to inform nurses on the prevalence of substance use screening with screening, brief intervention, and referral to treatment; its use in the primary care setting; and its effectiveness on HIV-related risk behaviors to prevent adverse health consequences among people living with HIV/AIDS (PLWH). Review: For PLWH, identification of at-risk substance use is important because of the association between substance use and HIV infection both in terms of acquiring HIV and in further transmission of HIV. Conclusion: Alcohol and substance use disorders continue to be a burden for PLWH and are associated with poor health outcomes. Implementation of screening, brief intervention, and referral to treatment in the primary care setting is critical for promoting positive health outcomes in this population and provides an opportunity for nurses to intervene. AD - Johns Hopkins University School of Nursing, Baltimore, MD AN - 118175968. Language: English. Entry Date: 20180427. Revision Date: 20200810. Publication Type: Article AU - Savage, Christine L. AU - Sanchez, Michael DB - cin20 DO - 10.1097/JAN.0000000000000137 DP - EBSCOhost IS - 3 KW - Alcohol-Related Disorders -- Prevention and Control Substance Use Disorders -- Prevention and Control HIV-Positive Persons Program Implementation Health Screening -- Methods Prevalence N1 - review. Journal Subset: Core Nursing; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 9616159. PY - 2016 SN - 1088-4602 SP - 214-217 ST - Alcohol and Substance Use Disorder Screening, Brief Intervention, and Referral to Treatment Among People Living With HIV/AIDS T2 - Journal of Addictions Nursing TI - Alcohol and Substance Use Disorder Screening, Brief Intervention, and Referral to Treatment Among People Living With HIV/AIDS UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=118175968&site=ehost-live&scope=site VL - 27 ID - 88007 ER - TY - JOUR AB - Background: Alcohol and tobacco use among young people with human immunodeficiency virus represents a problem due to its impact on their health. Objectives: To determine the prevalence of alcohol and tobacco use among young people with human immunodeficiency virus. Methodology: Cross-sectional descriptive study. The sample included 70 young people with human immunodeficiency virus registered in an outpatient center for prevention and care of AIDS and sexually transmitted diseases. A confidence level of 95% was used. Results: We found that 100% of young people had drink alcohol at some point in their life, with a harmful consumption of 95.7%. Similarly, 81.4% of young people had smoked at some point in their life, with a predominance of experimental smokers (50%). Conclusion: A high prevalence of alcohol and tobacco use was observed among young people with human immunodeficiency virus. Therefore, nursing interventions should be implemented with a view to effectively reducing, delaying or avoiding the consumption of these substances. Enquadramento: O consumo de álcool e tabaco em jovens portadores do vírus da imunodeficiência humana representa um crescente problema devido ao impacto na saúde destas pessoas. Objectivos: Determinar a prevalência de consumo de álcool e tabaco em jovens portadores do vírus de imunodeficiência humana. Metodologia: Desenho descritivo transversal, incluiu 70 jovens portadores do vírus da imunodeficiência humana, inscritos num centro ambulatório de prevenção e atenção em sida e infeções de transmissão sexual. Resultados: Cem por cento dos jovens têm consumido álcool alguma vez na vida, apresentando um consumo nocivo de 95,7%. Assim mesmo o 81,4% dos jovens que têm consumido tabaco alguma vez na vida, predominando o tipo de fumador experimental com 50%. Conclusão: Verificou-se uma elevada prevalência de consumo de álcool e tabaco nos jovens portadores do vírus de inmunodeficiência humana, sendo indispensá- vel implementar intervenções de enfermagem que contribuam de maneira eficaz a reduzir ou evitar o consumo destas substâncias. Marco Contextual: El consumo de alcohol y tabaco en jóvenes portadores del virus de la inmunodeficiencia humana representa un problema debido al impacto que tiene en la salud de estas personas. Objetivos: Determinar la prevalencia de consumo de alcohol y tabaco en jóvenes portadores del virus de la inmunodeficiencia humana. Metodología: Diseño descriptivo transversal, la muestra se estimó bajo un nivel de confianza del 95%, incluyéndose 70 jóvenes portadores del virus de la inmunodeficiencia humana adscritos a un centro ambulatorio de prevención y atención en sida e infecciones de transmisión sexual. Resultados: El 100% de los jóvenes han consumido alcohol alguna vez en la vida, presentando un consumo dañino el 95,7%. Asimismo el 81,4% de los jóvenes han consumido tabaco alguna vez en la vida, predominando el tipo de fumador experimental con un 50%. Conclusión: Se presentó alta prevalencia de consumo de alcohol y tabaco en los jóvenes portadores del virus de la inmunodeficiencia humana. Por ello es indispensable implementar intervenciones de enfermería que contribuyan de manera eficaz y oportuna a reducir, retrasar o evitar el consumo de estas sustancias. AD - Ph.D., Professor Autonomous University of Carmen, Faculty of Health Sciences, 24167 Carmen, Campeche, México RN, Professor Autonomous University of Carmen, Faculty of Health Sciences, 24167 Carmen, Campeche, México MSc., Professor Autonomous University of Carmen, Faculty of Health Sciences, 24167 Carmen, Campeche, México Ph.D., Professor; Autonomous University of Nuevo León, 24167, Nuevo León, Monterrey México AN - 122120459. Language: English. Entry Date: 20170404. Revision Date: 20180313. Publication Type: Article AU - López Cisneros, Manuel Antonio AU - Castillo Arcos, Lubia Del Carmen AU - Morales Vinagre, Reyna Guadalupe AU - Telumbre Terrero, Juan Yovani AU - López García, Karla Selene AU - Armendáriz García, Nora Angélica DB - cin20 DO - 10.12707/RIV16083 DP - EBSCOhost IS - 12 KW - HIV-Positive Persons Alcohol Drinking -- Epidemiology Smoking -- Epidemiology Human Female Male Adolescence Young Adult Descriptive Research Cross Sectional Studies Nonprobability Sample Convenience Sample Data Analysis Software Questionnaires Internal Consistency Coefficient Alpha Descriptive Statistics N1 - research; tables/charts. Journal Subset: Blind Peer Reviewed; Continental Europe; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed. Instrumentation: Alcohol Use Disorders Identification Test (AUDIT); Fagerstrom Test for Nicotine Dependence; Questionnaire about Personal Data and Prevalence of Tobacco and Alcohol Consumption. PY - 2017 SN - 0874-0283 SP - 27-34 ST - Alcohol and tobacco use among young people with human immunodeficiency virus T2 - Revista de Enfermagem Referência TI - Alcohol and tobacco use among young people with human immunodeficiency virus UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=122120459&site=ehost-live&scope=site VL - 4 ID - 87931 ER - TY - JOUR AB - A well-supported link exists between alcohol use and trauma-related death. Nursing assessment in alcohol-related trama is complicated by several factors, which are explored through two case studies. AD - Coll Nurs Health, Univ Cincinnati, Cincinnati OH AN - 107443204. Language: English. Entry Date: 19940601. Revision Date: 20150818. Publication Type: Journal Article AU - Sommers, M. S. DB - cin20 DP - EBSCOhost IS - 2 KW - Alcoholic Intoxication Trauma Critical Care Nursing Accidents, Traffic Neurologic Examination Nursing Assessment Cardiovascular System -- Drug Effects Central Nervous System -- Drug Effects Gastrointestinal System -- Drug Effects Liver -- Drug Effects Respiratory System -- Drug Effects Blood -- Drug Effects Cell Physiology Nursing Diagnosis Drug Interactions Head Injuries Thoracic Injuries Alcohol Withdrawal Delirium Alcoholism -- Diagnosis Adult Inpatients Male Female N1 - case study; tables/charts. Journal Subset: Blind Peer Reviewed; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 8207799. PMID: NLM7882694. PY - 1994 SN - 0279-5442 SP - 82-93 ST - Alcohol and trauma: the critical link T2 - Critical Care Nurse TI - Alcohol and trauma: the critical link UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=107443204&site=ehost-live&scope=site VL - 14 ID - 90172 ER - TY - JOUR AB - Epidemiological studies of alcohol consumption and misuse among the elderly reveal inconsistent results. In a representative sample of community and residential residents (75+) the pattern of alcohol consumption related to sociodemographic variables is investigated. In addition the difficulties, which arise in surveys about alcohol drinking, are discussed. The alcohol intake is much less in old age- and nursing homes compared to private households. The alcohol consumption declines with increasing age. Sex and family status, but not the professional achievement is related to the amount of drinking. The prevalence of heavy drinking is low among the oldest compared to younger ages. AD - C. Aurich, Klinik und Poliklinik Psychiatrie, Universität Leipzig, Johannisallee 20, D-04317 Leipzig, Germany AU - Aurich, C. AU - Riedel-Heller, S. G. AU - Busse, A. AU - Angermeyer, M. C. DB - Embase DO - 10.1024//1011-6877.14.3.143 IS - 3 KW - aged aging alcohol consumption alcoholism article demography family female gender Germany health survey household human major clinical study male occupation residential home social aspect LA - German M3 - Article N1 - L34136153 2002-02-23 PY - 2001 SN - 1011-6877 SP - 143-150 ST - Alcohol consumption among the elderly: Results of a population survey T2 - Zeitschrift fur Gerontopsychologie und -psychiatrie TI - Alcohol consumption among the elderly: Results of a population survey UR - https://www.embase.com/search/results?subaction=viewrecord&id=L34136153&from=export http://dx.doi.org/10.1024//1011-6877.14.3.143 VL - 14 ID - 95904 ER - TY - JOUR AB - Background: Alcohol consumption has been associated with an increased prevalence of sunburn, which is an established skin cancer risk factor. Objective: We investigated whether alcohol consumption is associated with risk of cutaneous basal cell carcinoma (BCC). Design: We conducted a prospective analysis on alcohol consumption and risk of BCC on the basis of data from 167,765 women in the NHS (Nurses' Health Study) (1984-2010) and NHS II (1991-2011) and 43,697 men in the Health Professionals Follow-Up Study (1986-2010). Alcohol intake was repeatedly assessed every 2-4 y over the follow-up period. HRs and 95% CIs for BCC in association with alcohol intake were computed with the use of Cox proportional hazards models with adjustment for sun exposure and other skin cancer risk factors. Results: A total of 28,951 incident BCC cases were documented over 3.74 million person-years of follow-up. Increased alcohol intake was associated with increased BCC risk in both women and men (both P-trend, 0.0001). Pooled multivariable-adjusted HRs over increasing cumulative averaged alcohol intake categories were 1.00 (reference) for nondrinkers, 1.13 (95% CI: 1.06, 1.20) for 0.1-9.9 g/d, 1.24 (95% CI: 1.14, 1.35) for 10.0-19.9 g/d, 1.27 (95% CI: 1.20, 1.35) for 20.0-29.9 g/d, and 1.22 (95% CI: 1.15, 1.30) for $30.0 g/d (P-trend, 0.0001, P-heterogeneity by study = 0.10 ). The association remained consistent when we used alcohol intakes over different latency periods (0-4, 4-8, 8-12, and 12-16 y) as exposures and over categories of sun exposure-related factors. In the individual alcoholic beverages, white wine and liquor were positively associated with BCC risk. Conclusion: Alcohol consumption is associated with increased risk of cutaneous BCC in both women and men. AD - Department of Dermatology, Warren Alpert Medical School, Providence, RI Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA Department of Epidemiology, School of Public Health, Brown University, Providence, RI Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA Department of Dermatology, Rhode Island Hospital, Providence, RI AN - 110815356. Language: English. Entry Date: 20151117. Revision Date: 20190712. Publication Type: Article AU - Shaowei, Wu AU - Wen-Qing, Li AU - Qureshi, Abrar A. AU - Eunyoung, Cho DB - cin20 DO - 10.3945/ajcn.115.115196 DP - EBSCOhost IS - 5 KW - Alcohol Drinking Carcinoma, Basal Cell -- Risk Factors Human Male Female Funding Source Prospective Studies Nurses Health Personnel Odds Ratio Confidence Intervals Cox Proportional Hazards Model Multivariate Analysis Adult Middle Age Aged Nutritional Assessment Questionnaires Self Report Life Style -- Evaluation Body Weights and Measures Smoking -- Evaluation Physical Activity -- Evaluation Regression Dose-Response Relationship Sunlight Environmental Exposure Data Analysis Software P-Value Professional Practice, Evidence-Based Meta Analysis Age Factors Adolescence Young Adult Descriptive Statistics N1 - meta analysis; research; tables/charts. Journal Subset: Allied Health; Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. Special Interest: Evidence-Based Practice; Oncologic Care. Instrumentation: Food Frequency Questionnaire (FFQ). Grant Information: Supported in part by the NIH (grants UM1 CA186107, P01 CA87969,UM1 CA176726, UM1 CA167552, and R01 CA137365).. NLM UID: 0376027. PMID: NLM26423390. PY - 2015 SN - 0002-9165 SP - 1158-1166 ST - Alcohol consumption and risk of cutaneous basal cell carcinoma in women and men: 3 prospective cohort studies T2 - American Journal of Clinical Nutrition TI - Alcohol consumption and risk of cutaneous basal cell carcinoma in women and men: 3 prospective cohort studies UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=110815356&site=ehost-live&scope=site VL - 102 ID - 88098 ER - TY - JOUR AB - Objective: to determine the prevalence of substance abuse and unsafe sexual practices and to analyze the relationship between them, in nursing students at the University of Seville. Method: quantitative methodological approach with a descriptive cross-sectional design. The population was composed of first year nursing students in the University of Seville, during the academic year 2010-2011 (N = 510), with consecutive opportunistic sampling composed of students who attended class on the scheduled day (n=291). Results: a high prevalence of alcohol consumption, and increased likelihood of not using protective measures during sexual practices when alcohol had been consumed, was present. Conclusion: these findings are consistent with those obtained in the same population in Brazil, and highlight the need to strengthen in the nursing curriculum, the transverse axis related to the prevention of substance abuse, especially alcohol. AD - PhD, Associate Professor, Departamento de Enfermería, Universidad de Sevilla, Sevilla, Spain AN - 107964238. Language: English. Entry Date: 20130814. Revision Date: 20200708. Publication Type: Journal Article AU - Gil-García, Eugenia AU - Gue Martini, Jussara AU - Maria Porcel-Gálvez, Ana DB - cin20 DO - 10.1590/S0104-11692013000400016 DP - EBSCOhost IS - 4 KW - Risk Taking Behavior Alcohol Drinking Students, Nursing -- Spain Substance Abuse Sexuality Human Spain Descriptive Statistics Quantitative Studies Cross Sectional Studies Questionnaires Data Analysis Software Confidence Intervals Chi Square Test Male Female Adolescence Adult Middle Age Logistic Regression Unsafe Sex Odds Ratio N1 - research; tables/charts. Journal Subset: Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Mexico & Central/South America; Nursing; Peer Reviewed. NLM UID: 9420934. PMID: NLM23970232. PY - 2013 SN - 1518-8345 SP - 941-947 ST - Alcohol consumption and risky sexual practices: the pattern of nursing students from the Spanish University T2 - Revista Latino-Americana de Enfermagem (RLAE) TI - Alcohol consumption and risky sexual practices: the pattern of nursing students from the Spanish University UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=107964238&site=ehost-live&scope=site VL - 21 ID - 88439 ER - TY - JOUR AB - OBJECTIVE: We sought to investigate whether a polymorphism in the alcohol dehydrogenase 1c (ADH1C) gene modifies the association between alcohol consumption and type 2 diabetes. RESEARCH DESIGN AND METHODS: In nested case-control studies of 640 women with incident diabetes and 1,000 control subjects from the Nurses' Health Study and 383 men with incident diabetes and 382 control subjects from the Health Professionals Follow-Up Study, we determined associations between the ADH1C polymorphism, alcohol consumption, and diabetes risk. RESULTS: Moderate to heavy alcohol consumption (>5 g/day for women and >10 g/day for men) was associated with a decreased risk of diabetes among women (odds ratio [OR] 0.45 [95% CI 0.33-0.63]) but not men (1.08 [0.67-1.75]). ADH1C genotype modified the relation between alcohol consumption and diabetes for women (P(interaction) = 0.02). The number of ADH1C*2 alleles, related to a slower rate of ethanol oxidation, attenuated the lower risk of diabetes among women consuming >/=5 g alcohol/day (P(trend) = 0.002). These results were not significant among men. Results were similar in pooled analyses (P(interaction) = 0.02) with ORs for diabetes among moderate drinkers of 0.44 (95% CI 0.21-0.94) in ADH1C*1 homozygotes, 0.65 (0.39-1.06) for heterozygotes, and 0.78 (0.50-1.22) for ADH1C*2 homozygotes compared with those for ADH1C*1 homozygote abstainers (P(trend) = 0.02). CONCLUSIONS: ADH1C genotype modifies the association between alcohol consumption and diabetes. The ADH1C*2 allele, related to a slower oxidation rate, attenuates the lower diabetes risk among moderate to heavy drinkers. This suggests that the association between alcohol consumption and diabetes may be causal but mediated by downstream metabolites such as acetate rather than ethanol itself. AD - Department of Nutrition, Harvard School of Public Health, Boston, Massachusetts, USA. j.beulens@umcutrecht.nl AN - 106192688. Language: English. Entry Date: 20071116. Revision Date: 20200624. Publication Type: Journal Article AU - Beulens, J. W. J. AU - Rimm, E. B. AU - Hendriks, H. F. J. AU - Hu, F. B. AU - Manson, J. E. AU - Hunter, D. J. AU - Mukamal, K. J. DB - cin20 DO - 10.2337/db07-0181 DP - EBSCOhost IS - 9 KW - Alcohol Dehydrogenase Alcohol Drinking Diabetes Mellitus, Type 2 -- Epidemiology Genetics Adult Analysis of Variance Case Control Studies Data Analysis Software Descriptive Statistics Diabetes Mellitus, Type 2 Female Funding Source Genes Genotype Logistic Regression Male Middle Age Polymorphism, Genetic Questionnaires Reference Values Smoking -- Epidemiology Human N1 - research; tables/charts. Journal Subset: Biomedical; Peer Reviewed; USA. Grant Information: National Institutes of Health grants, a travel grant from the Dutch Heart Association, and the European Research Advisory Board. NLM UID: 0372763. PMID: NLM17563066. PY - 2007 SN - 0012-1797 SP - 2388-2394 ST - Alcohol consumption and type 2 diabetes: influence of genetic variation in alcohol dehydrogenase T2 - Diabetes TI - Alcohol consumption and type 2 diabetes: influence of genetic variation in alcohol dehydrogenase UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=106192688&site=ehost-live&scope=site VL - 56 ID - 89274 ER - TY - JOUR AB - Alcohol consumption in France exceeds the European average (12.7 L of pure alcohol/habitant/year in 2009 for an average of 12.5 L). This consumption has a major professional, social and health impact on the individuals and their families. The cost of such, estimated in Europe to be of 155.8 billion Euros in 2010, is the highest among the central nervous system diseases in Europe, far higher than that of depression or dementia. Patients suffering from psychiatric disorders are more frequently affected by problems related to alcohol use than the general population. They are also more vulnerable to the immediate and subsequent consequences of their consumption. The alcohol related disorders that are often accompanied by risk taking and other addictive behaviour require a global assessment of the addiction, with and without substance, and of the complications. These have a strong impact on risk taking, compliance with care, and the morbidity of somatic and psychiatric disorders, as well as access to optimal care and the life span of patients suffering from psychiatric disorders. The development of addictology care, with integrative treatment programs, is recommended in response to these public health issues. Nevertheless, specific addictology practices and partners with addictology care structures are still scarcely developed in psychiatry. Firstly, it would be necessary to set up such integrated treatments through the systematisation of an "addictology" checkup on admission, a global assessment of addictive behaviour and cognitive disorders, using pragmatic tools that are user-friendly for the care teams, maintain the reduction in risk taking, and apply prescriptions for addiction to psychotropic treatments, in liaison with the referring general practitioner. As early as possible, accompanied by specific training in addictology for the psychiatrists and the mental health nursing teams, such care could be enhanced by the development of liaison and advanced psychiatric consultation teams, specialised in addictology, together with the installation of a addictology care network in supplementary psychiatry of levels 1, 2 and 3 in addictology. This network of specific care would notably permit the integrated management of patients suffering from acute psychiatric disorders or requiring care under constraint. More specific care networks for particular problems (maternity issues, adolescence, HIV and hepatitis, cognitive disorders...) and programs of therapeutic education could reinforce this proposal within a protocol of care that should be legible, coherent and coordinated. The psychiatrist and the addictologist must therefore learn to work together over and above the dogmatic boundaries and positioning in a constructive and efficient partnership, beneficial for the patient. © 2013 L'Encéphale, Paris. AD - J.-P. Lang, Pôle de Psychiatrie et de Santé Mentale, Hôpitaux Universitaires de Strasbourg, Hôpital Civil, place de l'Hôpital, 67000 Strasbourg, France AU - Lang, J. P. AU - Bonnewitz, M. L. AU - Kusterer, M. AU - Lalanne-Tongio, L. DB - Embase DO - 10.1016/j.encep.2014.07.008 IS - 4 KW - alcohol psychotropic agent adolescence alcohol consumption alcoholism article clinical assessment cognitive defect consultation general practitioner health care access health care cost hepatitis high risk behavior high risk patient human Human immunodeficiency virus infection integrated health care system lifespan maternal care mental disease mental patient morbidity patient compliance patient education prescription psychiatric nursing psychiatrist psychologic assessment psychopharmacotherapy risk reduction vulnerable population LA - French M3 - Article N1 - L53282807 2014-08-14 2014-09-17 PY - 2014 SN - 0013-7006 SP - 301-307 ST - Alcohol consumption in patients with psychiatric disorders: Assessment and treatment T2 - Encephale TI - Alcohol consumption in patients with psychiatric disorders: Assessment and treatment UR - https://www.embase.com/search/results?subaction=viewrecord&id=L53282807&from=export http://dx.doi.org/10.1016/j.encep.2014.07.008 VL - 40 ID - 95295 ER - TY - JOUR AB - The results from the few cohort studies that have measured usual alcohol consumption over time have not been summarized. We therefore conducted a systematic review and meta-analysis to quantify mortality risk. Pertinent studies were identified by searching the Medline, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL) Plus, and Scopus databases through August 2012 using broad search criteria. Studies reporting relative mortality risks for quantitatively defined categories of alcohol consumption over time were eligible. Nine cohort studies published during 1991–2010 (comprising 62,950 participants and 10,490 deaths) met the inclusion criteria. For men, there was weak evidence of lower mortality risk with low levels of alcohol intake over time but higher mortality risk for those with intakes over 40 g/day compared with abstainers using a random-effects model (P for nonlinearity = 0.02). The pooled relative risks were 0.90 (95% confidence interval: 0.81, 0.99) for 1–29 g/day, 1.19 (95% confidence interval: 0.89, 1.58) for 30–59 g/day, and 1.52 (95% confidence interval: 0.78, 2.98) for 60 or more g/day compared with abstention. There was moderate between-study heterogeneity but no evidence of publication bias. Studies including women were extremely scarce. Our findings include a curvilinear association between drinking over time and mortality risk for men overall and widespread disparity in methods used to capture exposure and report results. AN - 95756094. Language: English. Entry Date: 20140502. Revision Date: 20190103. Publication Type: Article AU - Jayasekara, Harindra AU - English, Dallas R. AU - Room, Robin AU - MacInnis, Robert J. DB - cin20 DO - 10.1093/aje/kwu028 DP - EBSCOhost IS - 9 KW - Alcohol Drinking Alcoholism -- Mortality Death -- Risk Factors Epidemiology Serial Publications Human Meta Analysis Databases Medline CINAHL Database Data Collection Outcomes (Health Care) Data Analysis Male N1 - meta analysis; research; systematic review; tables/charts. Journal Subset: Biomedical; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; Public Health; USA. Special Interest: Evidence-Based Practice. NLM UID: 7910653. PY - 2014 SN - 0002-9262 SP - 1049-1059 ST - Alcohol Consumption Over Time and Risk of Death: A Systematic Review and Meta-Analysis T2 - American Journal of Epidemiology TI - Alcohol Consumption Over Time and Risk of Death: A Systematic Review and Meta-Analysis UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=95756094&site=ehost-live&scope=site VL - 179 ID - 88294 ER - TY - JOUR AB - Purpose: Increasing our capacity to treat and prevent alcohol use disorders and adverse health consequences related to alcohol use requires the building of a workforce outside the traditional alcohol treatment system. Since nurses represent the greatest number of healthcare workers increasing curricular content related to alcohol use and health is a logical approach. However, most nursing curricula provide minimal content on alcohol use prevention and treatment. To address this need a new alcohol related curriculum for nurses developed by the NIAAA was piloted with nurse educators at two Universities, Howard University and the University of Cincinnati. Methods: This was an educational evaluation study. Participants at the two pilot sessions answered questions related to their teaching of alcohol content prior to attending the conference and their own level of knowledge. They were then asked to evaluate the effectiveness of the curriculum presented. Data were analyzed using basic frequencies. Findings: A total of 37 educators from nine institutions participated. Of these 26 completed the evaluation (70% response rate). At the first session (n = 13) 53% rated the content presented on prevention at community, family, and individual as exceptional and 38% rated it good. At the second session (n=7) 100% rated the same content as exceptional. At the first session (n = 13) 23% rated the content on alcohol screening in nursing practice exceptional to good and at the second session (n = 13) 92% rated is as exceptional and 8% as good. At the second session, additional questions were included. Based on eleven responses, 82% stated they had no academic training in alcohol or substance abuse yet the same percentage stated that they provided care to patients with alcohol related problems and 55% taught alcohol-related content in their classes. Conclusions: The attendees ranked the curriculum presented to them with high rankings. The nurse educators attending the second session reported encountering alcohol-related problems in their practice and teaching alcohol content. However, they did not have formal academic training in alcohol and health. Based on the results of this study, an alcohol curriculum for nursing students has the potential to increase nurse educators' knowledge base in alcohol and health and has utility for the teaching of alcohol content in nursing curricula. AD - C.L. Savage, University of Cincinnati, College of Nursing, Cincinnati, OH, United States AU - Savage, C. L. AU - Murray, M. DB - Embase DO - 10.1111/j.1530-0277.2009.00957.x KW - alcohol nitrogen 13 curriculum nursing pilot study United States alcoholism society nurse alcohol consumption health teaching university prevention worker evaluation study community nursing practice screening patient substance abuse knowledge base health care nursing student LA - English M3 - Conference Abstract N1 - L70027548 2009-12-26 PY - 2009 SN - 0145-6008 SP - 138A ST - Alcohol content in nursing curriculum: A pilot study T2 - Alcoholism: Clinical and Experimental Research TI - Alcohol content in nursing curriculum: A pilot study UR - https://www.embase.com/search/results?subaction=viewrecord&id=L70027548&from=export http://dx.doi.org/10.1111/j.1530-0277.2009.00957.x VL - 33 ID - 95594 ER - TY - JOUR AB - Healthcare providers, and nurses in particular, are increasingly being called upon for health promotion counseling. Alcohol risk assessment is often included in general health screening questionnaires, but often little use is made of this information. Alcohol consumption is infrequently included as a focus of health promotion campaigns. Because alcohol intake influences many other health risks, it is logical and practical to include alcohol risk reduction in general wellness counseling. This article presents evidence that incorporating alcohol counseling lowers alcohol risk and lowers the risk of other chronic diseases. It also provides examples of ways nurses and other health professionals can discuss alcohol risk reduction in the context of general health, thus helping remove the stigma associated with alcohol risk and engage clients in efforts to lower their alcohol risk. AD - Research Associate, University of Michigan Worker Health Program, Ann Arbor, MI; csieck@umich.edu AN - 106741829. Language: English. Entry Date: 20040604. Revision Date: 20200708. Publication Type: Journal Article AU - Sieck, C. J. AU - Heirich, M. AU - Major, C. DB - cin20 DO - 10.1111/j.0737-1209.2004.021207.x DP - EBSCOhost IS - 2 KW - Alcohol Abuse -- Prevention and Control Alcohol Drinking -- Education Counseling -- Methods Health Education Health Promotion Occupational Health Behavioral Changes Cardiovascular Diseases -- Prevention and Control Descriptive Statistics Random Assignment Risk Assessment Time Factors Wellness Human N1 - research; tables/charts. Commentary: Snow D. Research reviews: addictions and primary care. (J ADDICT NURS (TAYLOR & FRANCIS LTD)) 2004; 15 (3): 141-143. Journal Subset: Core Nursing; Nursing; Peer Reviewed; Public Health; USA. NLM UID: 8501498. PMID: NLM14987213. PY - 2004 SN - 0737-1209 SP - 137-143 ST - Alcohol counseling as part of general wellness counseling T2 - Public Health Nursing TI - Alcohol counseling as part of general wellness counseling UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=106741829&site=ehost-live&scope=site VL - 21 ID - 89593 ER - TY - JOUR AB - Primary health care professionals are well placed to enquire about people's drinking habits and to encourage heavy drinkers to cut down. They also have a key role in referring those with alcohol problems for specialist help. In recent years several projects have been set up to increase such activity amongst primary health care teams with varying levels of success. This paper describes the changes that took place in three practices over a 2-year period when an alcohol counsellor was attached to work with the teams. They are compared with a control practice in the same district. The results suggest that the presence of an alcohol counsellor is associated with considerable increases in the meaningful recording of alcohol consumption in the patients' records, in the identification of heavy drinkers and those with related problems, and in the frequency of doctors and nurses advising patients to cut down. AD - P. Mason, Aquarius, 6th Floor, The White House, 111 New Street, Birmingham B2 4EU, United Kingdom AU - Mason, P. DB - Embase IS - 2 KW - alcohol adult alcohol consumption alcoholism article controlled study drinking behavior female general practice human major clinical study male medical record medical staff nurse patient counseling patient referral physician primary health care LA - English M3 - Article N1 - L27156639 1997-04-22 PY - 1997 SN - 1357-5007 SP - 85-93 ST - Alcohol counsellors in general practice T2 - Journal of Substance Misuse TI - Alcohol counsellors in general practice UR - https://www.embase.com/search/results?subaction=viewrecord&id=L27156639&from=export VL - 2 ID - 95987 ER - TY - JOUR AB - PURPOSE: To identify alcohol dependence, depression, and their comorbidity as common health problems in the United States. To emphasize advance practice nurse (APN) interventions including screening, treatment, and outcome evaluations for individuals and their families suffering with alcohol dependence and depression. DATA SOURCES: Scientific literature on alcohol dependence, depression, and their comorbidity as well as general systems theory. CONCLUSIONS: APNs have the opportunity to successfully intervene with individuals and their family with alcohol dependence, depression, and their comorbidity. These complex health conditions need to be screened for, treated, and evaluated to ensure positive outcomes for the individual and their family system. IMPLICATIONS FOR PRACTICE: APNs are in an excellent position to intervene at every contact with the individual and family with alcohol dependence and depression. Interventions aimed at the individual and family system are detailed in order to assist the individual and family to optimal health. AD - T.L. Fowler, The University at Buffalo School of Nursing, Buffalo, New York, USA. AU - Fowler, T. L. DB - Medline IS - 7 KW - adaptive behavior alcoholism attitude to health comorbidity cost of illness depression family family health human mass screening needs assessment nurse attitude nurse practitioner nursing assessment organization and management outcome assessment patient referral prevalence primary health care psychiatric diagnosis psychological aspect psychological theory review systems theory United States LA - English M3 - Review N1 - L44381158 2006-09-19 PY - 2006 SN - 1041-2972 SP - 303-308 ST - Alcohol dependence and depression: advance practice nurse interventions T2 - Journal of the American Academy of Nurse Practitioners TI - Alcohol dependence and depression: advance practice nurse interventions UR - https://www.embase.com/search/results?subaction=viewrecord&id=L44381158&from=export VL - 18 ID - 95716 ER - TY - JOUR AB - The main objective of this paper is to describe the way in which the Alcohol Dependence Syndrome is manifested, according to the criteria and indicators proposed by the DSM-IV, in a female sample that sought help at a treatment center due to alcohol consumption-related problems. A comparison was made with the results obtained in a previous 211-male-sample at the same treatment center. Method: This project is a case study in which a sample of 100 females was interviewed at the Clinica para Atencion de Problemas Relacionados con el Alcohol (CAPRA) (Clinic for the Attention of Alcohol Related Problems) at the Hospital General de Mexico (the main general hospital for patients who do not have social security benefits and come from different regions of the country including rural areas). The criteria for inclusion were: being aged 18 or over, female, having sought help for the first time (at these centers) due to alcohol problems and being physically and mentally able to answer the questionnaire correctly. Females that had previously been treated were included. However, one of the requisites was that they had to have drunk alcohol during the year before the interview to warrant recent and current consumption, regardless of being exposed to prior treatments, since the questionnaire includes the previous 12 months as a parameter. The instrument used to conduct this study was the Composite International Diagnostic Interview, Substance Abuse Module (CIDI-SAM). This instrument has been widely used with excellent results on various population samples in the U.S., as well as on the male population receiving treatment in Mexico. The instrument included the following sections: sociodemographic characteristics, amount and frequency of consumption; physical, psychological and social problems; symptoms of alcohol dependence, and pathways to health services. A few new sections were incorporated with specific characteristics for women, such as the effects of alcohol on women, alcohol consumption during pregnancy and nursing, partner's alcohol consumption and violent behavior in the couple and their associated risks. Results: The average age of the women interviewed was 47 years old, ranging from 22 to 91. Thirty-two percent were either married or living with a partner, 20% were divorced, 26% were widows and 22% were single. Seventy-four percent of them had children and they had 4.5 children in average. The average educational level was 4.7 years. Fifty-two percent of the respondents reported drinking alcohol every day and 19% almost every day (five or six days a week), with an average of 4.2 drinks per occasion (52% of the women reported having three to four drinks per occasion). The preferred reported beverage was «pulque» (28%), followed by beer (25%) and distilled beverages (21%). Other traditional drinks and «96° proof" alcohol also showed a significant percentage (20%). As for the Alcohol Dependence Syndrome, 50% of the women met the dependency criteria proposed by the DSM-IV, compared with 82% of the 211 men interviewed in the same center with a statistically significant difference (X2= 34.22; p = 0.000). Women with alcohol dependence syndrome presented an average of five symptoms. A more detailed analysis was carried out based on the severity of the dependence syndrome, measured by the number of reported symptoms (1-2,3-4, 5-7). The most frequently reported symptom across all levels of severity was the presence of physical and/or psychological problems. In the group of non-dependent women (those who reported less than 3 symptoms), an important difference between men and women was observed. The most frequent symptoms reported by men, after the presence of physical and psychological problems, were withdrawal symptoms (34.2%) and loss of control (15.8%). In the case of the women, unsuccessful efforts to reduce alcohol intake (16%) and withdrawal symptoms (16%) appeared in the second place. The group of women with low dependence (three to four criteria reported) presented similar characteristics to those observed in the group o non-dependent women. In men with low levels of dependence, the most frequent symptom presented were: giving up or reducing activities (social, occupational or recreational) in order to drink and withdrawal symptoms. In the groups with the highest severity level (5-7 symptoms), differences between men and women were less evident. Conclusions: The most important differences in dependence symptoms between men and women are probably related to gender-specific cultural expectations and social norms regarding alcohol use. This situation is reflected in the type of symptoms presented more frequently in women and men. Women reported more symptoms related to unsuccessful efforts to reduce alcohol intake; whereas men presented symptoms related to the time spent drinking or recovering from the effects of alcohol and giving up or reducing activities (social, occupational or recreational) in order to drink. The information presented evidences the need to conduct more specific studies that take in consideration biological and psychological, as well as social conditions underlying female alcohol use in order to provide appropriate and effective treatment to meet their gender needs and expectations. AD - Ma.D.C. Mariño, Dirección de Investigaciones Epidemiológicas y Psicosociales, Instituto Nacional de Psiquiatría Ramón de la Fuente, Calz. México-Xochimilco 101, Tlalpan, 14370, México, D.F., Mexico AU - Mariño, Ma D. C. AU - Berenzon, S. AU - Medina-Mora, Ma E. DB - Embase IS - 4 KW - alcohol adult aged alcohol withdrawal syndrome alcoholism article cultural factor daily life activity Diagnostic and Statistical Manual of Mental Disorders drinking behavior education emotional stress female gender human interview major clinical study mental stress symptomatology LA - Spanish M3 - Article N1 - L41655836 2005-12-27 PY - 2005 SN - 0185-3325 SP - 33-39 ST - Alcohol Dependence Syndrome: A comparison between men and women T2 - Salud Mental TI - Alcohol Dependence Syndrome: A comparison between men and women UR - https://www.embase.com/search/results?subaction=viewrecord&id=L41655836&from=export VL - 28 ID - 95762 ER - TY - JOUR AB - Introduction Alcohol misuse is a rising problem and alcohol related admissions are common. Alcohol detoxification (DETOX) regimes vary and frequently confuse the prescribers and nurses leading to administration errors, compromising the patient's care and possibly contributing to early readmissions, by not achieving maximum detoxification. In order to improve that, we have developed and trialled a chlordiazepoxide prescription drug chart in our emergency assessment unit. Following the introduction of the chart there was a significant reduction in prescription and administration errors. The chart is now the standard means of prescribing alcohol detoxification regimes in our hospital. Methods We reviewed 43 patient's notes with respect to chlordiazepoxide prescription and identified errors in the prescribed DETOX schedule, timing and missed doses. We then developed a drug chart, which was intended to guide the clinician to assess the severity of alcohol dependence using the severity of alcohol dependency questionnaire (SADQ) and then prescribing the correct chlordiazepoxide schedule, bypassing possible prescription errors. We then reviewed 56 medical notes following the introduction of the drug chart and statistically compared the prescription errors (2 population proportion test). We also compared the median total chlordiazepoxide dose given in milligrams and the duration of regimes in days (t test for 2 independent means) in order to identify a possible impact of those elements to alcohol related early (< 28 days) re-admissions. Results The chart has led to significant (p < 0.05) reduction of wrong schedule and timing prescriptions, as well as significant (p < 0.05) increase in SADQ score calculation. There was no significant reduction in missed doses. It was also noted that the average length (days) and milligrams of detoxification regimes were inversely proportional to the risk of early readmission, although these results were not statistically significant, suggesting that the chart might contribute to a reduction in early readmission by ensuring adequate detoxification. [IMAGE PRESENTED] Conclusion Our experience suggests that DETOX regimes can be cumbersome to prescribe leading to prescription errors, thus compromising patient's care. The idea of introducing a chlordiazepoxide drug chart was to achieve better care for these patients, by simplifying the prescription process. Our results imply that this was achieved with a suggestion that early readmissions were reduced. The chart is now established as part of alcohol DETOX management at Ipswich Hospital. AD - V. Galanakis, Gastroenterology, Ipswich Hospital, Ipswich, United Kingdom AU - Galanakis, V. AU - Lambert, K. AU - Williams, S. DB - Embase DO - 10.1136/gutjnl-2016-312388.562 KW - alcohol chlordiazepoxide prescription drug alcoholism calculation clinical article clinical trial controlled study detoxification error hospital readmission human prescription questionnaire Student t test LA - English M3 - Conference Abstract N1 - L613507237 2016-12-07 PY - 2016 SN - 1468-3288 SP - A298 ST - Alcohol detoxification drug chart audit T2 - Gut TI - Alcohol detoxification drug chart audit UR - https://www.embase.com/search/results?subaction=viewrecord&id=L613507237&from=export http://dx.doi.org/10.1136/gutjnl-2016-312388.562 VL - 65 ID - 95126 ER - TY - JOUR AB - The purpose of this paper was to evaluate a role for the Roy adaptation model (RAM) for the nursing care of military veterans with alcohol use disorder. Parse's criteria were used to critique the RAM. The RAM's humanistic philosophy emphasizes the ability to develop new coping skills and adapt to complex environments. The framework can define physical, emotional, and social responses to stressors faced by veterans. The RAM could guide new research and practice initiatives that optimize the health of military veterans. AD - Department of Biobehavioral Nursing Science, College of Nursing, University of Illinois at Chicago, Chicago, IL, USA AN - 152521415. Language: English. Entry Date: 20210929. Revision Date: 20221003. Publication Type: Article AU - Hallihan, Hagar AU - Kapella, Mary C. AU - Fink, Anne M. DB - cin20 DO - 10.1177/08943184211031595 DP - EBSCOhost IS - 4 KW - Alcoholism Substance Use Disorders Nursing Care Veterans Roy Adaptation Model Alcohol-Related Disorders Coping Adaptation, Psychological Philosophy Conceptual Framework Nursing Role N1 - review; tables/charts. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 8805022. PY - 2021 SN - 0894-3184 SP - 392-397 ST - Alcohol Disorders in Military Veterans: An Evaluation with the Roy Adaptation Model T2 - Nursing Science Quarterly TI - Alcohol Disorders in Military Veterans: An Evaluation with the Roy Adaptation Model UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=152521415&site=ehost-live&scope=site VL - 34 ID - 87005 ER - TY - JOUR AB - Summary: Background: Alcohol-related harm impacts significantly on the health of the population. Nurses are often among the first health professionals that many patients with alcohol-related problems come into contact with and have been identified as playing a key role but may be ill-prepared to respond. Future nurses need to have the skills, knowledge and clinical confidence to respond to patients suffering from alcohol-related harm. A pre-registration curriculum that ensures a nursing workforce fit for practice in responding to alcohol-related harm is necessary. Objectives: To determine the level of alcohol education and training content in the pre-registration curriculum for nursing in the United Kingdom (UK). To establish whether there are variations in the pre-registration curriculum content across the UK. Design: A descriptive study. Setting: All 68 UK Higher Education Institutions offering a total of 111 pre-registration courses for nurses were invited to participate in the study. Participants: Twenty nine completed questionnaires were returned, a response rate of 26%. The largest number of identified responders were from England (n=15), with 3 from Scotland and 1 each from Wales and Northern Ireland. Nine Universities chose not to identify themselves. Methods: An online semi-structured questionnaire survey was used to collect the study data. Results: Teaching of alcohol and alcohol related harm was mainly delivered during the second year of a pre-registration nursing programme provided mainly to adult and mental health students. Overall, the majority of alcohol related content that is provided within the responding pre-registration nursing courses relates to biophysiology, aetiology, and pharmacological and non-pharmacological interventions. Conclusion: This study highlights the need for a greater and more relevant focus of alcohol education to pre-registration nursing students of all fields of practice incorporating an integrated approach across all years of study. AD - School of Health in Social Sciences, The University of Edinburgh, The Medical School, Teviot Place, Edinburgh EH8 9AG, UK School of Nursing & Midwifery, Faculty of Health & Social Care, Robert Gordon University, Garthdee Campus, Garthdee Road, Aberdeen AB10 7QG, Scotland, UK AN - 104218439. Language: English. Entry Date: 20131011. Revision Date: 20150711. Publication Type: Journal Article AU - Holloway, Aisha S. AU - Webster, Brian J. DB - cin20 DO - 10.1016/j.nedt.2012.10.011 DP - EBSCOhost IS - 9 KW - Alcohol Abuse -- Education -- United Kingdom Education, Nursing -- United Kingdom Human United Kingdom Descriptive Research Descriptive Statistics Convenience Sample Questionnaires Colleges and Universities Student Attitudes -- Evaluation Curriculum N1 - research. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. Special Interest: Nursing Education. NLM UID: 8511379. PMID: NLM23154151. PY - 2013 SN - 0260-6917 SP - 992-997 ST - Alcohol education and training in pre-registration nursing: A national survey to determine curriculum content in the United Kingdom (UK) T2 - Nurse Education Today TI - Alcohol education and training in pre-registration nursing: A national survey to determine curriculum content in the United Kingdom (UK) UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=104218439&site=ehost-live&scope=site VL - 33 ID - 88407 ER - TY - JOUR AB - The purpose of this survey research was to identify practicing nurses' knowledge about the biophysiological and psychosocial components of alcohol and its pharmacological effects. Additionally, data were gathered with the intent of assisting nurses in the early identification of and intervention with individuals at risk for the disease of alcoholism. The study consisted of a convenience sample of 298 practicing nurses employed by community hospitals that had been identified as having no specific treatment program for chemical dependency. The investigation obtained self-reported information by means of a questionnaire. The instrument elicited both demographics and the answers to 25 fixed alternative questions designed to obtain information in nine topic areas. Findings indicated that 66% of the nurses incorrectly answered questions aimed at correlating population statistics to the disease of alcoholism and its physiological effects. Questions about knowledge of the pharmacological properties of alcohol were answered incorrectly by 93% of the participants. One-way analysis of variance was computed to compare the total score for each of the variables listed. Conclusions document a critical need for increased alcohol education in basic nursing programs. Content related to the pharmacological properties, the disease concept and the biophysiological and psychosocial effects of alcohol should be included in curriculum design. AD - Department of Family and Community Health Nursing, School of Nursing, State University of New York, Stony Brook, NY 11794 AU - Long, P. AU - Gelfand, G. DB - Embase Medline DO - 10.15288/jsa.1992.53.101 IS - 2 KW - adult alcohol consumption alcoholism article education program female health care policy human male nurse prevention United States LA - English M3 - Article N1 - L22095847 1992-03-26 PY - 1992 SN - 0096-882X SP - 101-105 ST - Alcohol education as primary prevention in health care T2 - Journal of Studies on Alcohol TI - Alcohol education as primary prevention in health care UR - https://www.embase.com/search/results?subaction=viewrecord&id=L22095847&from=export http://dx.doi.org/10.15288/jsa.1992.53.101 VL - 53 ID - 96056 ER - TY - JOUR AB - This article describes a replication study conducted in South Africa of research previously done by the authors in the USA. The purpose of this study was to identify practicing nurses' knowledge of the biophysiological and psychosocial components of alcohol and its pharmacological effects. Data were also gathered in order to assist nurses in the early identification of individuals at risk for the disease of alcoholism. The study consisted of a non-randomly selected study group for a sample of 114 practicing nurses employed at two hospitals in Johannesburg, South Africa. The investigation obtained self-reported information by means of a questionnaire The instrument elicited both demographics and the answers to 25 fixed alternative questions to obtain information in nine topic areas. Findings indicated that none of the nurses were able to answer questions about the biophysiological effect of alcohol. Items related to attitudes were answered correctly by only 44.7%, and questions about pharmacological properties of alcohol were answered incorrectly by 86.8%. Conclusions document a critical need for increased alcohol education in nursing programs. AD - Department of Community & Mental Health Nursing, School of Nursing, Health Sciences Center, State University of New York, Stony Brook, NY AN - 107347631. Language: English. Entry Date: 19971201. Revision Date: 20200708. Publication Type: Journal Article AU - Long, P. AU - Gelfand, G. DB - cin20 DO - 10.3109/14659899709081968 DP - EBSCOhost IS - 4 KW - Nursing Knowledge -- Evaluation Alcoholism South Africa Alcoholism -- Physiopathology Alcoholism -- Psychosocial Factors Substance Abuse Detection Replication Studies Questionnaires Surveys Data Analysis Software One-Way Analysis of Variance Adult Middle Age Male Female Human N1 - research; tables/charts. Journal Subset: Europe; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 9604389. PY - 1997 SN - 1357-5007 SP - 191-196 ST - Alcohol education as primary prevention in health care: a replication study T2 - Journal of Substance Misuse: For Nursing, Health & Social Care TI - Alcohol education as primary prevention in health care: a replication study UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=107347631&site=ehost-live&scope=site VL - 2 ID - 90033 ER - TY - JOUR AD - K. Smith-DiJulio AU - Smith-DiJulio, K. DB - Medline IS - 3 KW - alcoholism article health personnel attitude human nursing education nursing staff psychological aspect United States LA - English M3 - Article N1 - L11594829 1981-07-22 PY - 1981 SN - 0090-838X SP - 68-71 ST - Alcohol education for nurses T2 - Alcohol health and research world TI - Alcohol education for nurses UR - https://www.embase.com/search/results?subaction=viewrecord&id=L11594829&from=export VL - 5 ID - 96129 ER - TY - JOUR AB - Nurses form the largest group of health care workers and given their repeated contact with patients are in a good position to develop their health education role. Alcohol is the third major cause of morbidity and mortality and alcohol education is an important part of patient care. As part of a prospective study to assess the effects of early identification and education for those patients drinking to excess, we assessed nurses' attitudes towards screening patients for alcohol related problems, their knowledge of what constituted harmful drinking and their views on alcohol education for those at risk of harming their health. While nurses themselves were receptive to alcohol education a sizeable proportion remained unconvinced of the long term benefits of education for those who drink to excess. Alcohol researchers and health education still have some way to go in persuading health professionals of the benefits of incorporating health education into their everyday practices. AN - 107535519. Language: English. Entry Date: 19890901. Revision Date: 20150712. Publication Type: Journal Article AU - Rowland, N. AU - Maynard, A. K. DB - cin20 DP - EBSCOhost IS - 2 KW - Patient Education Alcoholism -- Education Health Screening Nurses Attitude of Health Personnel Prospective Studies Health Knowledge Human N1 - research. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 8511379. PMID: NLM2725456. PY - 1989 SN - 0260-6917 SP - 100-104 ST - Alcohol education for patients: some nurses need persuading T2 - Nurse Education Today TI - Alcohol education for patients: some nurses need persuading UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=107535519&site=ehost-live&scope=site VL - 9 ID - 90338 ER - TY - JOUR AB - Introduction: This study examines student nurses knowledge, attitudes and educational preparation to work with patients who misuse alcohol. The study begins to quantify how much time is devoted to alcohol education at one Scottish University. Method: The study modified the Short Alcohol Attitudes Problem Perception Questionnaire (SAAPPQ) and incorporated three case vignettes to examine the student nurses knowledge, attitudes and experience of working with patients who have an alcohol problem. The questionnaire was hand delivered to a convenience sample of third year nursing students. Results: The results show that the student nurses exhibit positive attitudes and beliefs about working with patients who have an alcohol misuse problem. A series of significant associations was found between the adult nursing cohort and their ability to include a comprehensive alcohol history in their nursing assessments (χ² = 19.82, df = 4, p < 0.0005); recognise signs of acute alcohol withdrawal (χ² = 52.26, df = 16, p < 0.000); and the psychological signs associated with alcohol misuse (χ² = 41.81, df = 16, p < 0.000). A baseline figure of 2.5 h of alcohol education is noted at this university. Conclusions: Alcohol education strongly features in three out of the five nursing programmes surveyed. Nurse education needs to focus on strategies that extend to teaching nurses how to respond, provide brief interventions and identify when to refer the patient for specialist intervention. These approaches should be universal to all areas of nursing practice. AD - University of West of Scotland, Paisley Campus, School of Nursing, Paisley PA1 2BE, United Kingdom AN - 108023012. Language: English. Entry Date: 20130205. Revision Date: 20200708. Publication Type: Journal Article AU - Cund, Audrey DB - cin20 DO - 10.1016/j.nepr.2012.07.005 DP - EBSCOhost IS - 1 KW - Education, Nursing Alcohol Abuse -- Education Human Questionnaires Convenience Sample Colleges and Universities -- Scotland Scotland Chi Square Test Student Attitudes -- Evaluation Vignettes Bivariate Statistics Male Female Adult Middle Age Summated Rating Scaling Student Knowledge -- Evaluation N1 - research; tables/charts. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Europe; Nursing; Peer Reviewed; UK & Ireland. Instrumentation: Short Alcohol Attitudes Problem Perception Questionnaire (SAAPPQ)modified(Cartwright). NLM UID: 101090848. PMID: NLM22858311. PY - 2013 SN - 1471-5953 SP - 35-39 ST - Alcohol education revisited: Exploring how much time we devote to alcohol education in the nursing curriculum T2 - Nurse Education in Practice TI - Alcohol education revisited: Exploring how much time we devote to alcohol education in the nursing curriculum UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=108023012&site=ehost-live&scope=site VL - 13 ID - 88543 ER - TY - JOUR AB - Previous research has suggested that the moderate use of alcoholic beverages by institutionalized elders results in improved functioning. However, prior studies often had deficiencies in their design or research methodology (such as not having a control group condition) and most were limited to one beverage. This paper presents a careful comprehensive experimental study which assessed psychological and physical effects of alcoholic beverages in two different elderly populations: a nursing home, where elders were of low functional status, and a residence for more independent and capable elders. At both settings, two servings of various alcoholic beverages (each containing 0.4 fl. oz. of alcohol) were available during a social hour to voluntary participants, five days a week. Randomly chosen participants in the Experimental Condition had alcoholic available for 18 weeks; Control Condition participants had only non alcoholic beverages available during the first 9 weeks, and then alcoholic beverages for 9 weeks. Medical and psychological data were gathered by physicians and interviewers who were blind to the subjects' assignment to experimental conditions and consumption rates. Data were gathered before the start of the project, after the first 9 weeks and at the end (after 18 weeks). Medical information included electro cardiograms, blood tests, and a special physical examination which focused upon changes which could be related to alcohol consumption. Psychological assessments included measures standardised on geriatric populations, e.g. Powell Lawton's Morale Scale, VIRO Scale, Face Hand Test, as well as questions about daily living, e.g. how well people slept. No negative physiological or psychosocial changes were attributable to alcohol consumption or participation in the social hours and no alcoholism occurred. A number of positive effects were found, e.g. participants who drank improved in cognitive performance, increased morale and reported sleeping better. Although there were positive results for Experimental and Control Conditions, improvements were more frequent in the experimental group and among drinkers. Thus, the availability of moderate amounts of alcoholic beverages offers benefits for the elderly and has few drawbacks. AD - Lab. Commun. Psychiat., Harvard Med. Sch., Boston, Mass. AU - Mishara, B. L. AU - Kastenbaum, R. AU - Baker andPatterson, F. R. D. DB - Embase Medline IS - 10 KW - alcohol age aged alcoholism clinical study clinical trial controlled study fitness geriatric hospital human major clinical study nursing home performance psychologic test psychology randomized controlled trial LA - English M3 - Article N1 - L6189994 1976-01-01 PY - 1975 SN - 0277-9536 SP - 535-547 ST - Alcohol effects in old age: an experimental investigation T2 - Social Science and Medicine TI - Alcohol effects in old age: an experimental investigation UR - https://www.embase.com/search/results?subaction=viewrecord&id=L6189994&from=export VL - 9 ID - 96161 ER - TY - JOUR AB - INTRODUCTION: The Australian National Alcohol Strategy 2006-2009 recommends strengthening data collection at the local level, gathering information from emergency department (ED) attendees and, by integrating data sources, to develop a better understanding of alcohol- related harm. We piloted a method to estimate the number of alcohol-related presentations to ED and alcohol-related police incidents in a remote regional centre. We explore the practicality and benefits of integrating such alcohol related police and health data. Subjects and setting: Broken Hill Hospital is the district hospital that serves Broken Hill and surrounds in far west New South Wales, a population of approximately 20 000, over 90% of whom live in the town itself. Computerised records of all attendances are available. The Barrier police command is based in Broken Hill with 56 police. METHOD: Over two one-week periods a combination of a short patient questionnaire, nurses' assessment and concordance with Broken Hill police records were used to determine alcohol-related presentations. RESULTS: Both health and police data showed seasonal variation, with alcohol-related incidents and costs doubling in warmer weather. Altogether 32 people (5% of all 602 presentations) were recorded as having consumed alcohol prior to the event that brought them to ED. From 765 events, police attended 118 (15%) alcohol-related incidents. While the two groups were essentially independent, they were very similar demographically. The majority (68%) were males aged in their 30s who came to ED/ police notice in the late evening/early morning, mainly in the weekend. By integrating police data, routine ED data and an ED survey, a more comprehensive picture of alcohol-related harms emerged. CONCLUSION: Future research would benefit from the use of project officers in ED and in the police force, to improve compliance and data completeness. A more comprehensive local picture would also include data from other agencies dealing with alcohol. A longer study is necessary to confirm the preliminary data on seasonal variation. Key words: alcohol, emergency department, injury prevention/ early intervention, intoxication, police incidents/crime. AD - Broken Hill Centre for Remote Health Research (Joint Initiative of the University of Sydney and Greater Western Area Health Service), Broken Hill, New South Wales, Australia. mlesjak@gwahs.health.nsw.gov.au AN - 105810318. Language: English. Entry Date: 20080905. Revision Date: 20150711. Publication Type: Journal Article AU - Lesjak, M. S. AU - McMahon, G. J. AU - Zanette, L. DB - cin20 DP - EBSCOhost IS - 2 KW - Alcohol Drinking -- Epidemiology Emergency Service -- Statistics and Numerical Data Police -- Statistics and Numerical Data Substance Use Disorders -- Epidemiology Adolescence Adult Aged Aged, 80 and Over Alcohol Drinking Female Male Middle Age New South Wales Pilot Studies Seasons Human N1 - research. Journal Subset: Australia & New Zealand; Biomedical; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed. NLM UID: 101174860. PMID: NLM18399729. PY - 2008 SN - 1445-6354 SP - 12p-12p ST - Alcohol harm and cost at a community level: data from police and health T2 - Rural & Remote Health TI - Alcohol harm and cost at a community level: data from police and health UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=105810318&site=ehost-live&scope=site VL - 8 ID - 89209 ER - TY - JOUR AB - Traditional inpatient treatments for alcohol-related problems often prevent the problem drinker from seeking early intervention. Inpatient treatment may be particularly difficult for women because of stigma, labelling and family commitments. An alternative, home-based program initiated in the United Kingdom (U.K.) in the late 1980s and currently being trialed by many health districts, may be of interest to Canadian nurses. In addition to improved client outcomes and cost-effectiveness, the program offers nurses a higher public and medical profile. Clinical nurse specialists in particular may want to consider whether the expanded role of their British colleagues might be appropriate for Canadian adaptation. AD - D.B. Cooper AU - Cooper, D. B. DB - Medline IS - 6 KW - alcoholism article community health nursing female home care human male nurse nursing assessment organization and management LA - English M3 - Article N1 - L125078722 1995-07-19 PY - 1995 SN - 0008-4581 SP - 35-39 ST - Alcohol home detoxification T2 - The Canadian nurse TI - Alcohol home detoxification UR - https://www.embase.com/search/results?subaction=viewrecord&id=L125078722&from=export VL - 91 ID - 96023 ER - TY - JOUR AB - Aims: In the ED, alcohol identification and brief advice is an effective method of reducing consumption and related harms. Our objective was to conduct a national survey of English EDs to determine current practice regarding alcohol identification and provision of brief advice and to compare changes in activity to a previous National Survey conducted in 2011.Methods: This was a cross-sectional survey of all consultant-led EDs in England.Results: Of 180 departments, 147 (81.6%) responded. All departments may question adult patients about their alcohol consumption, with many (63.6%) asking all patients aged over 18 years as part routine care and using a formal screening tool (61.4%). The majority of departments asked young people (aged 11-17 years) about their consumption (83.8%), but only 11.6% did so as a part of routine practice. Compared with the 2011 survey, there have been significant increases in routine screening among adults (15.9%, CI 4.16% to 27.18%; p=0.006), general practitioners being informed about patients'alcohol-related presentations (10.2%, CI 0.64% to 19.58%; p=0.028) and access to an alcohol health worker or a clinical nurse specialist (13.4%, CI 3.64% to 22.91%, p=0.005). Modest (non-significant) changes were also found in access to training on brief advice (9.7%) and the use of formal screening questions on adult patients (9.7%).Conclusion: Alcohol screening together with referral or intervention is becoming part of routine practice in England. Compared with our previous national survey, increases in alcohol screening and intervention activity are demonstrated, with improvements in routine questioning (among adults), the number of general practitioners being informed about alcohol-related attendances, provision of training, access to specialist services and the use of formal screening tools. AD - Department of Psychological Interventions, School of Psychology, University of Surrey, Guildford, UK AN - 127481009. Language: English. Entry Date: 20180426. Revision Date: 20200708. Publication Type: journal article. Journal Subset: Allied Health AU - Wisniacki, Fiona AU - Patton, Robert AU - Green, Ghiselle DB - cin20 DO - 10.1136/emermed-2016-206467 DP - EBSCOhost IS - 2 KW - Health Screening -- Utilization Alcoholism -- Diagnosis Aged, 80 and Over England Emergency Service -- Administration Adult Referral and Consultation -- Statistics and Numerical Data Health Screening -- Methods Child National Health Programs -- Administration Middle Age Alcoholism -- Psychosocial Factors Adolescence Aged Male Cross Sectional Studies Female Arthritis Impact Measurement Scales Clinical Assessment Tools Questionnaires Scales N1 - Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Peer Reviewed; UK & Ireland. Instrumentation: Arthritis Impact Measurement Scale (AIMS) (Meenan); Clinical Decision Making in Nursing Scale (CDMNS) (Jenkins); General Health Questionnaire (GHQ); Behavior Rating Inventory of Executive Function (BRIEF). NLM UID: 100963089. PMID: NLM28483931. PY - 2018 SN - 1472-0205 SP - 74-74 ST - Alcohol identification and intervention in English emergency departments T2 - Emergency Medicine Journal TI - Alcohol identification and intervention in English emergency departments UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=127481009&site=ehost-live&scope=site VL - 35 ID - 87742 ER - TY - JOUR AB - Research on the meanings of the use of alcohol by adolescents. Objectives: To identify the meaning attributed by adolescents to alcohol consumption; characterize the quantity and the main sites of consumption of these drinks. Detect risk factors and / or the tendency to consumption. Methodology: Qualitative, convergent services, coordinated care - education. It was applied an interview, semi-structured with open questions. There were two groups each with six teenagers. The higher consumption of alcohol by teenagers is at parties and celebrations, highlighting the social appeal of alcohol, which is a facilitator for interaction, socialization and permissiveness of attitudes and thoughts not accepted socially. Teenagers do not recognize themselves as potential victims, associating the issue to other young people, not to them and their group. The methodology facilitated the integration of the participants, and the guidelines and the discussions contributed with the reflections and demystification of the ideas on the subjects about the consumption of alcoholic beverages. AN - 104953357. Language: Portuguese. Entry Date: 20110114. Revision Date: 20150818. Publication Type: Journal Article AU - Mendes, L. R. AU - Teixeira, M. L. O. AU - Ferreira, M. A. DB - cin20 DO - 10.1590/S1414-81452010000100023 DP - EBSCOhost IS - 1 KW - Alcohol Abuse -- Prevention and Control -- In Adolescence School Health Education Adolescence Alcohol Abuse -- Risk Factors Alcohol Drinking Human Qualitative Studies School Nursing Semi-Structured Interview Socialization N1 - research. Journal Subset: Editorial Board Reviewed; Expert Peer Reviewed; Mexico & Central/South America; Nursing; Peer Reviewed. PY - 2010 SN - 1414-8145 SP - 158-164 ST - Alcohol in adolescence: the care-education as an action strategy for the nursing T2 - Anna Nery School Journal of Nursing / Escola Anna Nery Revista de Enfermagem TI - Alcohol in adolescence: the care-education as an action strategy for the nursing UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=104953357&site=ehost-live&scope=site VL - 14 ID - 88951 ER - TY - JOUR AD - University of Pittsburgh, Pittsburgh, Pennsylvania, USA New York University College of Nursing, New York, New York, USA AN - 104542492. Language: English. Entry Date: 20120424. Revision Date: 20200708. Publication Type: Journal Article AU - Castle, Nicholas G. AU - Wagner, Laura M. AU - Ferguson-Rome, Jamie C. AU - Smith, Mary Lindsey AU - Handler, Steven M. DB - cin20 DO - 10.1177/0164027511423929 DP - EBSCOhost IS - 3 KW - Alcohol Abuse -- In Old Age Assisted Living -- Pennsylvania Attitude of Health Personnel Human Funding Source Pennsylvania Registry Personnel -- Statistics and Numerical Data -- Pennsylvania Secondary Analysis Prevalence Decision Making, Patient Certified Nursing Assistants Aged Surveys Convenience Sample Questionnaires Face Validity Content Validity Descriptive Statistics Descriptive Research N1 - research; tables/charts. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. Grant Information: Agency for Healthcare Research and Quality 1 RO3 HS0165347-01A1.. NLM UID: 7908221. PY - 2012 SN - 0164-0275 SP - 321-336 ST - Alcohol Misuse and Abuse Reported by Nurse Aides in Assisted Living T2 - Research on Aging TI - Alcohol Misuse and Abuse Reported by Nurse Aides in Assisted Living UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=104542492&site=ehost-live&scope=site VL - 34 ID - 88646 ER - TY - JOUR AD - R. Touquet, St Mary's Hospital, Praed Street, London W2 1NY, United Kingdom AU - Touquet, R. AU - Brown, A. DB - Embase Medline DO - 10.1111/j.1742-6723.2006.00834.x IS - 2 KW - accident alcohol abuse alcohol consumption alcoholism assault Australia collapse cost control counseling alcohol intoxication editorial emergency medicine falling funding gastrointestinal symptom head injury health care health care system health education health promotion heart disease hospital human mental disease nurse nurse attitude patient referral priority journal Wernicke encephalopathy LA - English M3 - Editorial N1 - L43542830 2006-04-26 PY - 2006 SN - 1742-6731 1742-6723 SP - 103-107 ST - Alcohol misuse: Positive response. Alcohol Health Work for every acute hospital saves money and reduces repeat attendances T2 - EMA - Emergency Medicine Australasia TI - Alcohol misuse: Positive response. Alcohol Health Work for every acute hospital saves money and reduces repeat attendances UR - https://www.embase.com/search/results?subaction=viewrecord&id=L43542830&from=export http://dx.doi.org/10.1111/j.1742-6723.2006.00834.x VL - 18 ID - 95725 ER - TY - JOUR AB - Consuming alcohol within moderate and recommended amounts can have its benefits. These include: social inclusion, socialising, positive impacts it can have on providing employment and to the economy. However, not all people drink in moderation. Alcohol misuse (AM) is increasingly becoming a cause for concern in public health, medical reports and criminal justice systems. Reports and strategies continue to highlight the risks and dangers that AM poses for those who engage in harmful drinking. Alongside the risks to the individual, other costs include discord within families and society and further financial pressure on healthcare systems. However, often AM does not come to the attention of health practitioners until it is in its advanced stages, yet it is preventable and is an issue that impacts all age groups from children to older people. Community nurses can play a pivotal, proactive and preventative role in detecting and offering information and brief advice for those in their care. Though this may be challenging and requires innovative thinking in identifying the most suitable approaches to best match the needs of their patients, it is an issue that can be prevented and have untold benefits for individuals, families and societies. AD - M. Holmes, Faculty of Health and Social Care, London South Bank University, United Kingdom AU - Holmes, M. AU - Currid, T. J. DB - Medline DO - 10.12968/bjcn.2013.18.2.92 IS - 2 KW - alcoholism article community health nursing female human male nurse attitude nurse patient relationship nursing risk factor United Kingdom LA - English M3 - Article N1 - L368467620 2013-04-12 PY - 2013 SN - 1462-4753 SP - 92-93 ST - Alcohol misuse: The need to take a preventative approach T2 - British Journal of Community Nursing TI - Alcohol misuse: The need to take a preventative approach UR - https://www.embase.com/search/results?subaction=viewrecord&id=L368467620&from=export http://dx.doi.org/10.12968/bjcn.2013.18.2.92 VL - 18 ID - 95362 ER - TY - JOUR AD - M. Akid AU - Akid, M. DB - Medline IS - 11 KW - alcoholism article community health nursing economics education human nurse attitude nurse practitioner primary health care psychological aspect standard United Kingdom LA - English M3 - Article N1 - L35648841 2002-04-04 PY - 2002 SN - 0954-7762 SP - 13 ST - Alcohol misuse. The demon drink T2 - Nursing times TI - Alcohol misuse. The demon drink UR - https://www.embase.com/search/results?subaction=viewrecord&id=L35648841&from=export VL - 98 ID - 95895 ER - TY - JOUR AN - 97639029. Language: English. Entry Date: 20140902. Revision Date: 20140902. Publication Type: Article DB - cin20 DP - EBSCOhost IS - 31 KW - Alcoholism -- Prevention and Control Fees and Charges N1 - commentary; letter. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 0423236. PY - 2014 SN - 0954-7762 SP - 8-8 ST - Alcohol misusers need help, not fines..."Call for more fines to deter alcohol-related A&E attendances," nursingtimes.net T2 - Nursing Times TI - Alcohol misusers need help, not fines..."Call for more fines to deter alcohol-related A&E attendances," nursingtimes.net UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=97639029&site=ehost-live&scope=site VL - 110 ID - 88267 ER - TY - JOUR AB - A variety of sources of data indicate that alcoholism in the elderly is a significant problem which is contrary to most current beliefs. Elderly alcoholics can be classified into two groups: early-onset alcoholics with long-term alcoholism continui into old age and late-onset alcoholics who develop alcoholism as a result of the stresses of aging. The diagnosis of alcoholism in the elderly is more difficult because there are few acute medical signs and symptoms since elderly alcoholics generally consume smaller quantities of alcohol. The diagnosis can be made by associating alcohol consumption with social, behavioral and organic mental impairments. Elderly alcoholics are best treated in group therapy with other elderly people who have problems other than alcoholism. Psychosociaing interventions and anti-depressant medication for those who are depressed have been found effective for both early-onset and late-onset alcoholics. Prevention of alcoholism in the elderly could be achieved by helping the elderly make adjustments to aging, thus reducing the stresses of aging. Alcohol used in nursing homes should be avoided for its properties as a mood changing drug. Nursing homes should try to utilize the principles of the therapeutic community to improve the sociability and management of their residents rather than through the use of alcohol. AD - Joint Diseases, North General Hospital, New York, NY 10035 AU - Zimberg, S. DB - Embase IS - 6 KW - aged alcoholism central nervous system clinical article gerontopsychiatry group therapy human nursing home psychological aspect physiological stress therapy LA - English N1 - L14127721 1984-05-31 PY - 1983 SN - 0195-8127 SP - 515-520 ST - Alcohol problems in the elderly T2 - Journal of Psychiatric Treatment and Evaluation TI - Alcohol problems in the elderly UR - https://www.embase.com/search/results?subaction=viewrecord&id=L14127721&from=export VL - 5 ID - 96116 ER - TY - JOUR AB - Emma Dermody leads a hospital-based specialist nursing team working with patients who have alcohol-related problems. They aim to reduce admissions by early intervention. AU - Dermody, E. DB - Medline DO - 10.7748/ns.28.43.24.s28 IS - 43 KW - alcoholism drinking behavior health promotion human nursing patient education procedures United Kingdom LA - English M3 - Article N1 - L606710619 2015-11-06 PY - 2014 SN - 2047-9018 SP - 24-25 ST - Alcohol reduction starts here T2 - Nursing standard (Royal College of Nursing (Great Britain) : 1987) TI - Alcohol reduction starts here UR - https://www.embase.com/search/results?subaction=viewrecord&id=L606710619&from=export http://dx.doi.org/10.7748/ns.28.43.24.s28 VL - 28 ID - 95257 ER - TY - JOUR AB - Abstinence from alcohol after liver transplantation is an important outcome for all adult liver transplant recipients to attain. Currently, there is no clear explanation for why some recipients consume alcohol after transplantation, whereas others do not, and the predictors of alcohol relapse after liver transplantation have not been clearly explained. It often is believed that nurses do not have sufficient knowledge of alcohol abuse and that addiction specialists are needed to assess alcohol relapse after transplantation. As a result, the contributions of nursing to abstinence counseling for adult liver transplant recipients are unknown. For this study, a mixed method approach was used that combined the qualitative research method known as phenomenology with statistical findings to illuminate the lived experience of adult liver transplant recipients and to discover whether a relationship exists between the recipients' lived experiences and alcohol relapse after transplantation. Five clinical themes emerged from the data, two of which had positive relationships with alcohol relapse. Nursing implications related to abstinence counseling for all adult liver transplant recipients are addressed. AD - Sarah E. Newton, PhD, RN, is Associate Professor, Oakland University School of Nursing, Rochester, Michigan. AN - 106260876. Language: English. Entry Date: 20070406. Revision Date: 20210406. Publication Type: Journal Article AU - Newton, S. E. DB - cin20 DO - 10.1097/00001610-200701000-00004 DP - EBSCOhost IS - 1 KW - Alcohol Abuse Liver Transplantation -- Psychosocial Factors Recurrence -- Psychosocial Factors Transplant Recipients -- Psychosocial Factors Adult Data Analysis Software Female Interviews Life Change Events Life Experiences Liver Diseases, Alcoholic Male Multimethod Studies Phenomenological Research Purposive Sample Qualitative Studies Human N1 - research. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 8915377. PMID: NLM17312423. PY - 2007 SN - 1042-895X SP - 37-42 ST - Alcohol relapse and its relationship to the lived experience of adult liver transplant recipients T2 - Gastroenterology Nursing TI - Alcohol relapse and its relationship to the lived experience of adult liver transplant recipients UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=106260876&site=ehost-live&scope=site VL - 30 ID - 89340 ER - TY - JOUR AB - Purpose: Determine the prevalence of alcohol-related brain injury (ARBI) in alcohol use disorder (AUD) patients attending an NHS acute hospital. To examine patient characteristics and/or behaviours in an attempt to better understand and identify predisposing factors. Methods: A Cohort study in a NHS secondary care hospital in England. Participants were all inpatients aged ≥ 18 years who were reviewed by the Alcohol Care Team's (ACT) Specialist Nurses between 01/04/2017 and 31/03/2018 (n = 1276). Any patient with > 3 alcohol-related admissions in one year, >2 alcohol related admissions 1 month, patient or their significant other had concerns regarding cognition, was screened for evidence of ARBI using theMontreal Cognitive Assessment (MoCA) tool: Outcomes The primary measure of interest was MoCA ≤ 23. Analysis was conducted between subgroups of the study population to identifying risk of: 1) matching MoCA screening criteria; 2) MoCA ≤ 23 in the entire cohort; and 3) MoCA ≤ 23 in the screened cohort. Further analysis was performed to identify predisposing characteristics. Results: Two-hundred and five patients were screened, interestingly ∼38% were initiated due to concerns raised by relatives. Of all patients referred to the ACT (n = 1276) 5.8%screened positive (MoCA ≤ 23). This increased to 36.1%of the 205 patientsmatching screening criteria. Age was significantly correlated to MoCA score: negative correlation (r = -0.295, P < 0.0005). Drinking measures, gender, deprivation status, living environment, and smoking status were not predictive of either; the need for screening, or the presence of ARBI (MoCA ≤ 23). The most common diagnosis in AUD patients with evidence of ARBI was Alcohol Related Liver Disease (ARLD) with 19%as a primary diagnosis and 8% as a secondary diagnosis. At 12-month follow-up 17.5%of patients had died with an average time to death of 118 days (range 10 to 243) of which 61.5%had no evidence of ARLD. Conclusion: Screening for ARBI in acute hospital setting is an important first step in improving identification and management of this patient group with complex medical histories. These patients despite concerns noted and reported by their relatives had received no previous diagnosis of ARBI. Further work is required to optimise screening processes and to develop treatment pathways that are appropriate for this population. AD - P. Richardson, Royal Liverpool and Broadgreen University Hospital NHS Trust, Digestive Diseases, Liverpool, United Kingdom AU - Richardson, P. AU - Pirmohamed, M. AU - Owens, L. AU - Thompson, A. DB - Embase DO - 10.1111/acer.14059 KW - alcohol adult adverse drug reaction alcoholism brain injury cognition cohort analysis conference abstract controlled study death disease course drinking England female follow up gender hospital patient human liver disease major clinical study male medical history Montreal cognitive assessment nurse relative secondary care center side effect smoking LA - English M3 - Conference Abstract N1 - L628240115 2019-06-28 PY - 2019 SN - 1530-0277 SP - 186A ST - Alcohol related brain injury in alcohol use disorder patients attending a UK secondary care hospital T2 - Alcoholism: Clinical and Experimental Research TI - Alcohol related brain injury in alcohol use disorder patients attending a UK secondary care hospital UR - https://www.embase.com/search/results?subaction=viewrecord&id=L628240115&from=export http://dx.doi.org/10.1111/acer.14059 VL - 43 ID - 94681 ER - TY - JOUR AB - Background: The prevalence of alcohol related harm (ARH) in Israel has traditionally been low. The lack of familiarity with ARH may derive from the fact that in the past there was limited clinical exposure to these harms. However, ARH is becoming more common in Israel but it is unclear whether the medical and nursing workforce's knowledge is adequate to manage these problems. Our main objective was to assess knowledge regarding ARH among medical and nursing staff (MNS) in an Israeli university affiliated general hospital. We also aimed to compare knowledge of different MNS groups Methods: One hundred and twenty-seven MNS including consultants (senior physicians), residents, interns and nursing staff completed the Knowledge of Psychiatric Aspects of Alcohol Questionnaire (KPAAQ), a validated measure of knowledge concerning ARH comprised of five categories.Results: There was no significant difference between the four MNS groups in overall mean KPAAQ scores that varied from 45% (nurses) to 54% (interns). However, direct comparisons indicate that physicians scored higher than nurses (p=0.02). overall. The mean score for the KPAAQ category "alcohol withdrawal syndrome" was below 40% for all MNS groups. Physicians scored significantly higher than nursing staff (p=0.005). All MNS mean scores were greater than 63% for the category "alcohol in pregnancy." This was the highest category score.Conclusions: Assessment of knowledge regarding ARH among MNS in a general hospital with a standardized instrument demonstrated no significant difference in knowledge of ARH among nursing staff, interns, residents and consultants apart from knowledge about alcohol withdrawal. However, the overall score of the physicians as a whole was significantly higher than the nursing group. These findings suggest a need to implement educational interventions in MNS to increase knowledge of ARH so as to promote the provision of brief interventions for patients with ARH. AD - Department of Consultation and Liaison Psychiatry, Shoore Zedek Medical Center, Hebrew University, Jerusalem, Israel Unit of Infectious Diseases, Shaare Zedek Medical Center, Hebrew University, Jerusalem, Israel Drug Health Services, Royal Prince Alfred Hospital, Camperdown NSW and University of Sydney, Australia Biostatistics Unit Hopital Pitie-Solpetriere AP-HP, Paris, France AN - 132451524. Language: English. Entry Date: In Process. Revision Date: 20190217. Publication Type: journal article. Journal Subset: Biomedical AU - Jaworowski, Sol AU - Raveh-Brawer, David AU - Gropp, Cornelius AU - Haber, Paul S. AU - Golmard, Jean-Louis AU - Mergui, Joseph DB - cin20 DP - EBSCOhost IS - 2 KW - Nursing Staff, Hospital -- Statistics and Numerical Data Medical Staff, Hospital -- Statistics and Numerical Data Clinical Competence -- Statistics and Numerical Data Alcohol-Related Disorders Attitude to Health Middle Age Hospitals -- Statistics and Numerical Data Female Male Adult Israel Clinical Assessment Tools Questionnaires Scales N1 - Middle East. Instrumentation: Clinical Decision Making in Nursing Scale (CDMNS) (Jenkins); General Health Questionnaire (GHQ); Functional Assessment of Cancer Therapy (FACT); Behavior Rating Inventory of Executive Function (BRIEF). NLM UID: 8108287. PMID: NLM30351278. PY - 2018 SN - 0333-7308 SP - 32-36 ST - Alcohol Related Harm: Knowledge Assessment of Medical and Nursing Staff in a General Hospital T2 - Israel Journal of Psychiatry & Related Sciences TI - Alcohol Related Harm: Knowledge Assessment of Medical and Nursing Staff in a General Hospital UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=132451524&site=ehost-live&scope=site VL - 55 ID - 87716 ER - TY - JOUR AB - Many people admitted to the acute care hospital routinely use alcohol. Their patterns of drinking may vary widely from being low risk to hazardous. It is known that alcohol plays a part in the etiology of some illnesses and adds risk of further morbidity with the development of withdrawal symptoms. Conducting alcohol screening on patients admitted to the hospital cues the nurse to identify those patients in jeopardy of alcohol withdrawal syndrome. Nurses can be proactive in planning interventions for their patients. Early recognition and a timely response can facilitate healing and form an environment that is caring, protective and respectful of the patient's needs. AD - Bristol Hospital, Bristol, CT AN - 106624966. Language: English. Entry Date: 20050425. Revision Date: 20200708. Publication Type: Journal Article AU - Ragaisis, K. M. DB - cin20 DO - 10.1080/10884600490889294 DP - EBSCOhost IS - 4 KW - Addictions Nursing Alcoholism -- Diagnosis Alcoholism -- Nursing Hospitalization Risk Assessment Substance Withdrawal Syndrome -- Prevention and Control Acute Care Clinical Assessment Tools Inpatients Nurse Attitudes Nursing Assessment N1 - questionnaire/scale; tables/charts. Journal Subset: Core Nursing; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 9616159. PY - 2004 SN - 1088-4602 SP - 171-175 ST - Alcohol screening in the acute care hospital T2 - Journal of Addictions Nursing TI - Alcohol screening in the acute care hospital UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=106624966&site=ehost-live&scope=site VL - 15 ID - 89526 ER - TY - JOUR AB - Introduction: The American College of Surgeons has mandated that Level I and II trauma center have a process to identify patients with alcohol use disorders. One reason for this screen is that trauma survivors with problem and dependent drinking are at risk for more significant impairment in functional outcomes (McFarlane, 2009). The aims of this study were to evaluate the alcohol screening process at a level 1 academic trauma center, its effectiveness in detecting alcohol use disorders and the associations of the alcohol screen withPTSDsymptoms and quality of life. Methods: The alcohol screening initiative was implemented at a Level 1 trauma center in October, 2007. All patients were screened by a registered nurse, using 3 questions modified from the AUDIT-C. If screened positive, a social worker followed with a CAGEassessment. A retrospective chart review was performed on patients admitted to the trauma service between January 2008 and May 2009 following traumatic injury. Information on the screen results andCAGEassessment was obtained from medical record review. Information regarding demographics, mechanism of injury, and injury severity score was obtained from the trauma registry. Results of the alcohol screen were correlated with mental and physical quality of life measured by the Short Form-36 (SF36) and PTSD measured by the PTSD Checklist (PCLC), routinely given in our trauma population. Data were analyzed using SPSS. Results: Four hundred eightyeight patients admitted to the trauma service during the study period were screened for alcohol use disorders. The majority of patients were male (n = 351, 72%) with an average age of 41 years. Sixty-two percent were Caucasian (n = 303), 37% were Black (n = 144) and 6.8% were Hispanic (n = 33). The mean injury severity score was 12.25. The majority experienced non-assaultive traumas (71.9%, n = 351) with 33.8% of all traumas resulting from motor vehicle crashes (n = 165). Seven hundred eleven patients were admitted during this time period of which 68% were screened for alcohol use, 25% screened positive (n = 122), and of those 40.5% were eventuallyCAGEassessed. Of those screened,85%(n = 414) completed thePCLCsurvey and89%(n= 429) completed the SF36 survey. Patients screening positive for alcohol abuse did not differ from those screening negative with respect to PTSD symptoms or mental and physical quality of life. Conclusion: Alcohol screening can be successfully implemented in a trauma population using standard workflows and non-MD providers, although compliance is significantly less than 100%. Positive screens using this adapted tool were not correlated with either PTSD symptoms or health-related quality of life. Further work to determine the optimal screen and relationship between preexisting alcohol use disorders PTSD symptoms, and quality of life is necessary. AD - C. Chu, Medical College of Wisconsin, Milwaukee, WI, United States AU - Chu, C. AU - De Roon-Cassini, T. AU - Brasel, K. DB - Embase IS - 2 KW - alcohol screening alcohol consumption posttraumatic stress disorder quality of life injury surgery society university surgeon human patient alcoholism compliance (physical) emergency health service traumatology injury scale medical record review population register social worker registered nurse survivor risk male drinking college alcohol abuse motor vehicle Hispanic Caucasian checklist Short Form 36 data analysis software LA - English M3 - Conference Abstract N1 - L71483827 2014-07-21 PY - 2010 SN - 0022-4804 SP - 286 ST - Alcohol screening tools affect whether alcohol use history relates to post traumatic stress disorder and quality of life after a traumatic injury T2 - Journal of Surgical Research TI - Alcohol screening tools affect whether alcohol use history relates to post traumatic stress disorder and quality of life after a traumatic injury UR - https://www.embase.com/search/results?subaction=viewrecord&id=L71483827&from=export VL - 158 ID - 95548 ER - TY - JOUR AB - Introduction: According to the World Health Organization at-risk alcohol use is associated with over 200 diseases and injuries and is among the top five risk factors in disease, disability and death. To help reduce the global burden of at-risk alcohol use in there has been a recent emphasis on increasing aSBIRT content in Advanced Practice Registered Nursing (APRN) curricula. What is not known is the extent of aSBIRT content in current APRN programs and whether APRN students are evaluated on their competency to deliver aSBIRT. In a recent study conducted in 2011 over 50%of baccalaureate nursing programs surveyed included some content on aSBIRT but less than 10% included an evaluation of competency. In the current study, we expand this survey to APRN programs with the purpose of determining the number of content hours included in APRN programs related to each of the components of aSBIRT and whether or not students were evaluated on competency to deliver aSBIRT. Methods: This was a cross sectional descriptive survey distributed electronically to a random selection of U.S.-based nursing schools with APRN programs. Of over 300 APRN programs contacted, 93 responded to the survey request. Findings: Among APRN programs responding, 88 of 93 (95%) reported that students received content related to alcohol screening. Curricular content on brief intervention (59/93, 63%) and referral to treatment (64/93, 69%) was less common. Only 54 of 93 (58%) included curricular content on all 3 components with only 14 of 93 (15%) reporting that they assessed students competency on all 3 components. Programs devoted the most curricular content time to screening, spending an average of 1.9 h on the topic (Range = 0 to 10 h). Brief intervention and referral to treatment each received on average less than an hour of curricular content (0.8 h and 0.9 h, respectively). Across all components, programs spent an average of 3.2 curricular content hours on aSBIRT (Range = 0-15 h). Conclusion: Compared to the previous survey of baccalaureate nursing programs, the APRN programs that participated in the study were more likely to include some component of aSBIRT in their curriculum, though the number of hours devoted to aSBIRT and the percentage of programs that evaluate the competency of students on these components continues to be small. This supports the need for development and implementation of aSBIRT curricula for APRN programs at the national level including methods for establishing clinical competency to deliver aSBIRT prior to graduation. AD - C.L. Savage, School of Nursing, Johns Hopkins University, United States AU - Savage, C. L. AU - Daniels, J. AU - Johnson, A. AU - Finnell, D. S. AU - Seale, J. P. DB - Embase DO - 10.1111/acer.13084 KW - alcohol screening registered nurse human society alcoholism student nursing curriculum alcohol consumption risk diseases nursing education United States death disability risk factor injury World Health Organization LA - English M3 - Conference Abstract N1 - L72333514 2016-07-23 PY - 2016 SN - 1530-0277 SP - 131A ST - Alcohol screening, brief intervention and referral to treatemnt (aSBIRT) content in advanced practice registered nurse (APRN) programs T2 - Alcoholism: Clinical and Experimental Research TI - Alcohol screening, brief intervention and referral to treatemnt (aSBIRT) content in advanced practice registered nurse (APRN) programs UR - https://www.embase.com/search/results?subaction=viewrecord&id=L72333514&from=export http://dx.doi.org/10.1111/acer.13084 VL - 40 ID - 95082 ER - TY - JOUR AB - Introduction: In a quasi-experimental study, control and intervention group outcomes were compared following implementation of alcohol screening, brief intervention, and referral to treatment (SBIRT) by emergency nurses. The primary hypothesis was: Trauma patients who participate in nurse-delivered ED SBIRT will have greater reductions in alcohol consumption and fewer alcohol-related incidents than those who do not. Methods: Patients were screened for alcohol use and those with risky drinking were randomly assigned to either the intervention or usual care group. Those in the intervention group received a brief motivational intervention and referral to appropriate follow-up services. Using medical and driving history records, subjects'' alcohol consumption, alcohol-related traffic incidents, repeat injuries, and repeat ED visits were compared between groups at baseline and three-month follow-up. Results: Alcohol consumption decreased by 70% in the intervention group compared to 20% in the usual care group. Drinking frequency also decreased in both groups. Fewer patients from the intervention group (20%) had recurring ED visits compared to patients in the usual care group (31%). Discussion: The SBIRT procedure can impact alcohol consumption and potentially reduce injuries and ED visits when successfully implemented by staff nurses in the emergency department environment. Further research is needed to improve follow-up methods in this hard to reach, mobile patient population. AN - 104942737. Language: English. Entry Date: 20110131. Revision Date: 20200708. Publication Type: Journal Article AU - Désy, P. M. AU - Howard, P. K. AU - Perhats, C. AU - Li, S. DB - cin20 DO - 10.1016/j.jen.2009.09.011 DP - EBSCOhost IS - 6 KW - Emergency Nursing Nursing Interventions Alcohol Abuse -- Prevention and Control Wounds and Injuries -- Prevention and Control Education, Continuing (Credit) Human Quasi-Experimental Studies Referral and Consultation Randomized Controlled Trials Motivational Interviewing Kentucky Record Review Male Female Adult Middle Age Aged Alcohol Drinking N1 - research; tables/charts; randomized controlled trial. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 7605913. PMID: NLM21078465. PY - 2010 SN - 0099-1767 SP - 538-545 ST - Alcohol Screening, Brief Intervention, and Referral to Treatment Conducted by Emergency Nurses: An Impact Evaluation T2 - Journal of Emergency Nursing TI - Alcohol Screening, Brief Intervention, and Referral to Treatment Conducted by Emergency Nurses: An Impact Evaluation UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=104942737&site=ehost-live&scope=site VL - 36 ID - 88859 ER - TY - JOUR AB - Six Veterans' Administration primary care clinics were studied for practice patterns of guidelines for alcohol problem screening and referral for further evaluation and treatment. Analysis of 31 primary care provider interviews and 650 patient electronic records revealed 75 patients (14%) scored positive on the AUDIT-C, but only 4 (5%) were referred. Electronic record prompt with practice guidelines ensured screening, but scoring was inconsistent and follow-up responsibility was diffuse. Barrier themes included (a) communication patterns within and between primary care and specialty care, (b) perceived role of behavioral health providers, and (c) provider attitudes and expectations about patients' alcohol-related behavior. AD - Associate Professor, School of Social Welfare, University at Albany, State University of New York, 1400 Washington Avenue, Albany, NY 12222; nc@albany.edu AN - 105102355. Language: English. Entry Date: 20101029. Revision Date: 20200708. Publication Type: Journal Article AU - Claiborne, N. AU - Videka, L. AU - Postiglione, P. AU - Finkelstein, A. AU - McDonnell, P. AU - Krause, R. D. DB - cin20 DO - 10.1080/1533256X.2010.500963 DP - EBSCOhost IS - 3 KW - Alcohol Abuse -- Diagnosis Alcohol Abuse -- Therapy Primary Health Care Referral and Consultation Veterans Adult Aged Attitude of Health Personnel Collaboration Communication Electronic Health Records Data Analysis Software Exploratory Research Female Human Interviews Male Mental Health Personnel Middle Age Nurse Practitioners Outpatients Physicians Practice Guidelines Psychological Tests Random Sample Rural Areas Secondary Analysis Urban Areas N1 - research; tables/charts. Journal Subset: Allied Health; Peer Reviewed; USA. Instrumentation: Alcohol Use Disorders Identification Test (AUDIT). NLM UID: 100898201. PY - 2010 SN - 1533-256X SP - 308-326 ST - Alcohol screening, evaluation, and referral for veterans T2 - Journal of Social Work Practice in the Addictions TI - Alcohol screening, evaluation, and referral for veterans UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=105102355&site=ehost-live&scope=site VL - 10 ID - 88898 ER - TY - JOUR AB - Aim To survey the use of alcohol, and its correlates by mental health professions in China, a nation where there is rapid increase in alcohol consumption and problems. Methods As a part of a large-scale, nation-wide online survey of healthcare professionals, we collected demographic variables and other health-related variables anonymously. The Alcohol Use Disorder Identification Test-Concise (AUDIT-C) was used to collect data on alcohol use. Results 13,980 mental health professionals completed the survey (4382 doctors, 9339 nurses and 259 clinical psychologists), representing 64% of the total targeted. Respondents were predominantly female (75.1%). Alcohol consumption was reported by 41.8% of participants (by 53.9% of doctors, 36.2% of nurses and 40.5% of clinical psychologists). Based on the cut-off scores of the AUDIT-C (≥3 for women and ≥4 for men), 7.5% were classified as probable alcohol misusers in the past year, and the rates were 10.2% in doctors, 6.3% in nurses and 5.8% in clinical psychologists. Multiple logistic regression showed that male sex (OR = 3.772; CI = 3.206–4.439), being a doctor (OR = 1.259; CI = 1.052–1.506), being divorced or widowed (OR = 1.979; CI = 1.467–2.666), having an associate degree or less (OR = 1.809; CI = 1.040–3.147), working in Northeast China (OR = 1.538; CI = 1.281–1.848) and the habit of smoking (OR = 3.345; CI = 2.280–3.967) were significantly associated with alcohol misuse. Conclusions Alcohol use and misuse were relatively common among mental health professionals in China, and male sex, being a doctor, with lower education, working in Northeast China and cigarette smoking were significant associations. Awareness and interventions are recommended to promote healthier use of alcohol in this professional group, especially among risk subgroups. AD - Department of Psychiatry , Chaohu Hospital of Anhui Medical University , 64 Chaohu Road, Chaohu District, Hefei, 238000, China Department of Substance-Related Disorders , Hefei Fourth People's Hospital , 316 Huangshan Road, Shushan District, Hefei, 230022, China School of Public Health , Chinese Academy of Medical Sciences and Peking Union Medical College, 5 Dongdansantiao, Dongcheng District, Beijing, 100730, China Institute for Hospital Management of Tsinghua University , Haidian District, Beijing, 100091, China Mental Health Service Line , Atlanta VA Medical Center , Decatur, GA, 30033, USA Addiction Psychiatry Fellowship Program , Department of Psychiatry and Behavioral Sciences , Emory University, Atlanta, GA, 30329, USA AN - 150091595. Language: English. Entry Date: 20210507. Revision Date: 20220502. Publication Type: Article AU - Tao, Rui AU - Jiang, Feng AU - Min, Kaiyuan AU - Liu, Tingfang AU - Liu, Yuanli AU - Xia, Lei AU - Wang, Juan AU - Liu, Huanzhong AU - Tang, Yi-lang DB - cin20 DO - 10.1093/alcalc/agaa065 DP - EBSCOhost IS - 3 KW - Alcohol Drinking -- Evaluation -- China Drinking Behavior -- Evaluation Mental Health Personnel -- Psychosocial Factors Human China Cross Sectional Studies Surveys Descriptive Statistics Male Female Physicians -- Psychosocial Factors Psychiatric Nursing -- Psychosocial Factors Psychologists -- Psychosocial Factors Alcohol Abuse -- Risk Factors Multiple Logistic Regression Risk Assessment Sex Factors Odds Ratio Confidence Intervals Smoking Geographic Factors Educational Status Clinical Assessment Tools N1 - research; tables/charts. Journal Subset: Biomedical; Europe; Peer Reviewed; UK & Ireland. Instrumentation: Alcohol Use Disorders Identification Test-Concise (AUDIT-C). NLM UID: 8310684. PY - 2021 SN - 0735-0414 SP - 351-359 ST - Alcohol Use Among Mental Health Professionals in China: A Nationwide Cross-sectional Survey T2 - Alcohol & Alcoholism TI - Alcohol Use Among Mental Health Professionals in China: A Nationwide Cross-sectional Survey UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=150091595&site=ehost-live&scope=site VL - 56 ID - 87076 ER - TY - JOUR AB - PURPOSE: Literature reports that 23% of people with cancer, with pain, and a palliative care patient had a history of drinking alcohol. Of those with an alcohol use disorder admitted to palliative care only 13% had this documented. The effects of a substance use disorder will negatively impact treatments and outcomes among people diagnosed and treated for cancer. The purpose of this poster is to highlight a program for screening and treatment of alcohol use disorder that can be incorporated into primary cancer care settings to increase their capacity to effect positive behavioral change among cancer patients with substance use disorders. METHODS: The data are from an evaluation of a Screening, Brief Intervention, and Referral to Treatment (SBIRT) program. Social workers and nurses completed a survey prior to and immediately after attending an all day workshop on substance abuse issues (n=137). The instrument contained a measures on understanding substance abuse disorders from four perspectives: disease; psychosocial; moral/spiritual and, eclectic treatment models and one measure of clinical self-efficacy. The analysis examined differences between pre and post test scores and secondly, regressed the difference in self-efficacy scores on the models to determinewhich models are predictive of change in self-efficacy. RESULTS: The findings showed a statistically significant differences on the pre-post comparisons on each of the major variables. The regression analysis showed that positive change in clinical selfefficacy resulted an increase in understanding that the psychosocial model was best for working with people with substance use disorders. CONCLUSIONS: It is important to take into consideration clinicians basic views of substance use in developing education programs for enhancing clinician skills. By providing specific training on screening and treatment options an improvement in self-efficacy may result in improved patient care. Specifically, the increase in the use of a psychosocial perspective would be beneficial in a primary cancer care setting. Research Implications: Based on the findings fromthe evaluation study there is evidence that a modified and refined SBIRT training curriculum for a primary cancer care setting could improve the identification and treatment of those who use alcohol resulting in a better experience for both the patient and the providers. Clinical Implications: Incorporation of SBIRT into a primary cancer care setting seems is feasible and could improve patient care for those who use alcohol. The process of how to identify and train cancer setting SBIRT champions who can be trained to provide continuous training and supervision will be presented. A plan for the identification of resources to refer patients to who can balance both the cancer related and the alcohol use issues and the continuous evaluation of the incorporation of SBIRT into the standard of care will be discussed. AD - K. BrintzenhofeSzoc, Catholic University of America, Washington, DC, United States AU - BrintzenhofeSzoc, K. DB - Embase DO - 10.1002/pon.4082 KW - alcohol alcohol consumption human neoplasm screening primary tumor American oncology society substance abuse self concept model patient palliative therapy patient care alcoholism regression analysis diseases workshop drinking nurse health care quality social worker cancer patient curriculum evaluation study skill education program substance use behavior change pain LA - English M3 - Conference Abstract N1 - L72278278 2016-05-31 PY - 2016 SN - 1057-9249 SP - 150-151 ST - Alcohol use among people diagnosed with cancer: Why incorporate screening and treating into primary cancer care? T2 - Psycho-Oncology TI - Alcohol use among people diagnosed with cancer: Why incorporate screening and treating into primary cancer care? UR - https://www.embase.com/search/results?subaction=viewrecord&id=L72278278&from=export http://dx.doi.org/10.1002/pon.4082 VL - 25 ID - 95108 ER - TY - JOUR AB - The consequences of alcohol use are closely related to its pattern of intake. The aim of this study is to analyze the pattern of alcohol use by doctors and nurses. Associated co-factors have also been considered. We calculated a representative sample of doctors and nurses from two hospitals in Maranhão, Northeastern Brazil. The Alcohol Use Disorders Identification Test (AUDIT) was employed to assess patterns of alcohol consumption. A score ≥8 was defined as alcohol misuse, and an answer to question number 3 > 1 was indicative of heavy episodic drinking (HED). In order to identify factors associated with HED and alcohol misuse, bivariate and multiple logistic regression analyses were performed with SPSS v20.0. A sample of 510 professionals was examined and 25% of those were abstainers; among those who had drinks containing alcohol, 86% were classified as low-risk alcohol use, scoring lower than 8, while 10.6% of the whole sample was categorized as alcohol misusers, scoring more than 8. The habit of smoking (OR = 6.02; CI: 1.71-21.16), following the Catholic religion (OR = 3.55; CI: 2.47-8.58), and also gender (OR = 3.09; CI: 1.68-5.71) were independently associated with alcohol misuse. HED was found in 14.3%. Younger age (OR = 0.96; CI: 0.92-0.98), male gender (OR = 5.13; CI: 2.55-10.30), the Catholic religion (OR = 3.22; CI: 1.44-7.21), and smoking habits (OR = 5.25; CI: 1.26-21.75) were associated with HED. Therefore, physicians and nurses have a lesser prevalence of abstainers, similar rates of alcohol misuse, and greater prevalence of HED when compared to the general Brazilian adult population. More studies involving these professionals need to be carried out in other Brazilian states in order to determine whether the results can be understood as widespread throughout the country. AD - Federal University of Maranhao, Sao Luis, Brazil AN - 134737226. Language: English. Entry Date: 20200330. Revision Date: 20200330. Publication Type: journal article AU - Tobias, Joilma S. P. AU - da Silva, Diego L. F. AU - Ferreira, Pedro A. M. AU - da Silva, Antonio A. M. AU - Ribeiro, Renato S. AU - Ferreira, Adalgisa S. P. DB - cin20 DO - 10.1016/j.alcohol.2018.07.002 DP - EBSCOhost KW - Nurses -- Trends Physicians -- Trends Alcohol Drinking -- Trends Alcohol Drinking -- Epidemiology Male Nurses -- Psychosocial Factors Cross Sectional Studies Smoking -- Trends Smoking -- Epidemiology Human Adult Young Adult Female Middle Age Risk Factors Brazil Religion and Psychology Physicians -- Psychosocial Factors Alcohol Drinking Sex Factors Validation Studies Comparative Studies Evaluation Research Multicenter Studies N1 - research. Journal Subset: Biomedical; USA. Instrumentation: Alcohol Use Disorders Identification Test (AUDIT). NLM UID: 8502311. PMID: NLM30640073. PY - 2019 SN - 0741-8329 SP - 105-112 ST - Alcohol use and associated factors among physicians and nurses in northeast Brazil T2 - Alcohol TI - Alcohol use and associated factors among physicians and nurses in northeast Brazil UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=134737226&site=ehost-live&scope=site VL - 75 ID - 87533 ER - TY - JOUR AB - Objective: To evaluate the problematic use of alcohol and health behavior among the nursing staff of a general hospital. Method: Cross-sectional study conducted at a general hospital. A questionnaire with socio-demographic information, the alcohol and substance use screening test, and a questionnaire on health behavior were applied. Results: A total of 416 professionals participated in the study. In the final model of logistical regression, male professionals (OR 4.3), singles (OR 3.7), those that professed to having other religions (OR 3.8), worked as nursing technician (OR 2.3), did not consume low doses of alcoholic beverages per day (OR 2.0), used tobacco (OR 8.9), avoided consuming beverages with caffeine (OR 1.9) and avoided noisy environments (OR 2.0) showed higher chances of consuming alcohol at a problematic level. Conclusion: Among nursing professionals, the use of alcohol and not engaging in health behavior are strongly associated. These findings have implications for the implementation of strategies for the promotion of health and the prevention of alcohol use in work relationships. Objetivo: Evaluar el uso problemático de alcohol y comportamientos de salud entre profesionales de enfermería de un hospital general. Método: Estudio transversal llevado a cabo en un hospital general. Se aplicó un cuestionario con informaciones sociodemográficas, la prueba de cribado del uso de alcohol y de otras drogas y el cuestionario de comportamientos de salud. Resultado: Participaron en la investigación 416 profesionales. En el modelo final de la regresión logística, los profesionales del sexo masculino (OR 4,3), solteros (OR 3,7), que profiesan otras religiones (OR 3,8), ejercen función de técnico de enfermería (OR 2,3), no consumen bajas dosis de bebidas alcohólicas por día (OR 2,0), son tabaquistas (OR 8,9), evitan el consumo de bebidas con cafeína (OR 1,9) y ambientes ruidosos (OR 2,0) presentaron probabilidades aumentadas para el consumo de alcohol a nivel problemático. Conclusión: Uso de alcohol y comportamientos de salud no sanos entre profesionales de enfermería están fuertemente asociados. Dichos hallazgos tienen implicaciones para la implantación de trabajos con estrategias de promoción de salud y prevención del uso de alcohol en las relaciones laborales. Objetivo: Avaliar o uso problemático de álcool e comportamentos de saúde entre profissionais de enfermagem de um hospital geral. Método: Estudo transversal realizado em um hospital geral. Foi aplicado um questionário com informações sociodemográficas, o teste de triagem do uso álcool e de outras drogas e o questionário de comportamentos de saúde. Resultado: Participaram da pesquisa 416 profissionais. No modelo final da regressão logística, os profissionais do sexo masculino (OR 4,3), solteiros (OR 3,7), que professam outras religiões (OR 3,8), exercem função de técnico de enfermagem (OR 2,3), não consomem baixas doses de bebidas alcoólicas por dia (OR 2,0), fazem uso de tabaco (OR 8,9), evitam o consumo de bebidas com cafeína (OR 1,9) e ambientes barulhentos (OR 2,0) apresentaram chances aumentadas para o consumo de álcool em nível problemático. Conclusão: O uso de álcool e comportamentos de saúde não saudáveis entre profissionais de enfermagem estão fortemente associados. Esses achados têm implicações para a implementação de trabalhos com estratégias de promoção de saúde e prevenção do uso de álcool nas relações de trabalho. AD - Universidade Federal de Uberlândia, Faculdade de Medicina, Curso de Enfermagem, Uberlândia, MG, Brazil Universidade de São Paulo, Faculdade de Filosofia, Ciências e Letras de Ribeirão Preto, Ribeirão Preto, SP, Brazil Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Departamento de Enfermagem Psiquiátrica e Ciências Humanas, Ribeirão Preto, SP, Brazil AN - 129671051. Language: English. Entry Date: 20180725. Revision Date: 20180725. Publication Type: Article AU - Marcelle Aparecida de Barros, Junqueira AU - Maria Cristina de Moura, Ferreira AU - Gabriel Terêncio, Soares AU - Isadora Eufrásio de, Brito AU - Priscilla Larissa Silva, Pires AU - Manoel Antônio dos, Santos AU - Sandra Cristina, Pillon DB - cin20 DO - 10.1590/S1980-220X2016046103265 DP - EBSCOhost KW - Substance Use Disorders Health Behavior Nursing Staff, Hospital Human Cross Sectional Studies Questionnaires Logistic Regression Male Brazil Female Data Analysis Software Chi Square Test Adult Middle Age Aged Interpersonal Relations N1 - research; tables/charts. Journal Subset: Double Blind Peer Reviewed; Expert Peer Reviewed; Mexico & Central/South America; Nursing; Peer Reviewed. Instrumentation: Alcohol Use Disorders Identification Test (AUDIT); Alcohol, Smoking and Substance Involvement Screening Test (ASSIST); Health Behavior Questionnaire (HBQ). NLM UID: 0242726. PY - 2017 SN - 0080-6234 SP - 1-8 ST - Alcohol use and health behavior among nursing professionals T2 - Revista da Escola de Enfermagem da USP TI - Alcohol use and health behavior among nursing professionals UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=129671051&site=ehost-live&scope=site VL - 51 ID - 87930 ER - TY - JOUR AB - In summary, people age 65 and older are the fastest growing segment of the United States population. As the older population increases, the risk for injuries also increases. Several studies have established that use of alcohol is a major contributing risk factor for unintentional injury and death in the trauma population. The risk is even greater in the older population where smaller amounts of alcohol may result in significant impairment and injury. Trauma centers provide a systematic approach to the care of the trauma patient and provide significant resources to support personnel and services necessary to provide care for seriously injured patients. One of the essential elements of a trauma system is prevention. This study has supported the need to routinely screen older trauma patients for alcohol use at the time of injury event and provide intervention strategies. Early identification and assessment of the alcohol impaired older trauma patient provides nursing with an opprtunity to implement intervention strategies to detect at risk and harmful drinkers and provide education on the health risks and consequences of continuing unhealthy behaviors. Ultimately this will assist the older trauma patient in reducing alcohol consumption and minimize the patient's risk of developing dependence, reduce unintentional injuries, reduce subsequent readmissions for recurrent injuries, decrease overall health care costs, improve quality of life, and decrease morbidity and mortality. This can make a marked impact on public health. AD - K. Rohr AU - Rohr, K. DB - Medline IS - 4 KW - age distribution aged alcoholism article biomechanics case control study emergency health service health health service health survey hospital discharge human injury length of stay model morbidity nurse attitude outcome assessment prevalence register risk factor statistics system analysis United States LA - English M3 - Article N1 - L350334373 2008-01-30 PY - 2007 SN - 0032-6666 SP - 6-11 ST - Alcohol use and injury-related outcomes in older rural trauma patients T2 - The Prairie rose TI - Alcohol use and injury-related outcomes in older rural trauma patients UR - https://www.embase.com/search/results?subaction=viewrecord&id=L350334373&from=export VL - 76 ID - 95665 ER - TY - JOUR AB - Objective: To establish national standards of care for the screening and recording of alcohol use and counselling on alcohol use of women of child-bearing age and pregnant women based on the most up-to-date evidence. Evidence: Published literature was retrieved through searches of PubMed, CINAHL, and the Cochrane Library in May 2009 using appropriate controlled vocabulary (e.g., pregnancy complications, alcohol drinking, prenatal care) and key words (e.g., pregnancy, alcohol consumption, risk reduction). Results were restricted to literature published in the last five years with the following research designs: systematic reviews, randomized control trials/controlled clinical trials, and observational studies. There were no language restrictions. Searches were updated on a regular basis and incorporated in the guideline to May 2010. Grey (unpublished) literature was identified through searching the websites of health technology assessment (HTA) and HTA-related agencies, national and international medical specialty societies, clinical practice guideline collections, and clinical trial registries. Each article was screened for relevance and the full text acquired if determined to be relevant. The evidence obtained was reviewed and evaluated by the members of the Expert Workgroup established by the Society of Obstetricians and Gynaecologists of Canada. The quality of evidence was evaluated and recommendations were made according to guidelines developed by the Canadian Task Force on Preventive Health Care. Values: The quality of evidence was rated using the criteria described by the Canadian Task Force on Preventive Health Care (Table 1). Sponsor: The Public Health Agency of Canada and the Society of Obstetricians and Gynaecologists of Canada. Endorsement: These consensus guidelines have been endorsed by the Association of Obstetricians and Gynecologists of Quebec; the Canadian Association of Midwives; the Canadian Association of Perinatal, Women's Health and Neonatal Nurses (CAPWHN); the College of Family Physicians of Canada; the Federation of Medical Women of Canada; the Society of Rural Physicians of Canada; and Motherisk. Summary Statements: 1.There is evidence that alcohol consumption in pregnancy can cause fetal harm. (II-2) There is insufficient evidence regarding fetal safety or harm at low levels of alcohol consumption in pregnancy. (III)2.There is insufficient evidence to define any threshold for low-level drinking in pregnancy. (III)3.Abstinence is the prudent choice for a woman who is or might become pregnant. (III)4.Intensive culture-, gender-, and family-appropriate interventions need to be available and accessible for women with problematic drinking and/or alcohol dependence. (II-2). Recommendations: 1.Universal screening for alcohol consumption should be done periodically for all pregnant women and women of child-bearing age. Ideally, at-risk drinking could be identified before pregnancy, allowing for change. (II-2B)2.Health care providers should create a safe environment for women to report alcohol consumption. (III-A)3.The public should be informed that alcohol screening and support for women at risk is part of routine women's health care. (III-A)4.Health care providers should be aware of the risk factors associated with alcohol use in women of reproductive age. (III-B)5.Brief interventions are effective and should be provided by health care providers for women with at-risk drinking. (II-2B)6.If a woman continues to use alcohol during pregnancy, harm reduction/treatment strategies should be encouraged. (II-2B)7.Pregnant women should be given priority access to withdrawal management and treatment. (III-A)8.Health care providers should advise women that low-level consumption of alcohol in early pregnancy is not an indication for termination of pregnancy. (II-2A). AU - Carson, G. AU - Cox, L. V. AU - Crane, J. AU - Croteau, P. AU - Graves, L. AU - Kluka, S. AU - Koren, G. AU - Martel, M. J. AU - Midmer, D. AU - Nulman, I. AU - Poole, N. AU - Senikas, V. AU - Wood, R. DB - Embase Medline DO - 10.1016/S1701-2163(16)34633-3 IS - 8 KW - alcohol consumption alcoholism article awareness consensus counseling decision making drinking behavior human practice guideline pregnancy pregnant woman register risk assessment LA - English M3 - Article N1 - L610893227 2016-06-30 2016-07-08 PY - 2010 SN - 1701-2163 SP - S1-S2 ST - Alcohol Use and Pregnancy Consensus Clinical Guidelines T2 - Journal of Obstetrics and Gynaecology Canada TI - Alcohol Use and Pregnancy Consensus Clinical Guidelines UR - https://www.embase.com/search/results?subaction=viewrecord&id=L610893227&from=export http://dx.doi.org/10.1016/S1701-2163(16)34633-3 VL - 32 ID - 95554 ER - TY - JOUR AB - The purpose of this cross-sectional study was to investigate alcohol use and the levels of spirituality among nursing students. The tests used were the Alcohol Use Disorders Identification Test and the Spirituality Scale. Participants were 191 (80.2%) nursing undergraduates from a city in the state of Minas Gerais, 75.4% of which were female, average age 25 years, and 149 (78%) were Catholic. As for alcohol use per gender, 117 (75%) women used alcoholic beverages and 33 (56.9%) had a drinking problem (p?0.05), against 25 men (431%). Low scores for spirituality levels were found in the sample: in average, women had lower scores compared to men (12.7 against 13.5). Comparing the level of spirituality with having a drinking problem, it was observed that students with low risk alcohol use had lower levels of spirituality. In conclusion, spirituality may not function as a protecting factor for alcohol use, hence this behavior may be under the control of other variables. AD - Departamento de Enfermagem Psiquiátrica e Ciências Humanas, Escola de Enfermagem de Ribeirao Preto, Universidade de Sao Paulo. pillon@eerp.usp.br AN - 108237125. Language: Portuguese. Entry Date: 20110805. Revision Date: 20150820. Publication Type: Journal Article AU - Pillon, Sandra Cristina AU - dos Santos, Manoel Antônio AU - de Souza Gonçalves, Angélica Martins AU - de Araújo, Keila Maria DB - cin20 DO - dx.doi.org/S0080-62342011000100014 DP - EBSCOhost IS - 1 KW - Alcohol Drinking Spirituality Students, Nursing Adolescence Adult Alcohol Abuse -- Epidemiology -- Brazil Attitude Measures Brazil Chi Square Test Clinical Assessment Tools Confidence Intervals Cross Sectional Studies Data Analysis Software Descriptive Statistics Female Human Male Middle Age P-Value Questionnaires Scales Schools, Nursing Summated Rating Scaling N1 - research; tables/charts. Journal Subset: Double Blind Peer Reviewed; Expert Peer Reviewed; Mexico & Central/South America; Nursing; Peer Reviewed. Instrumentation: Alcohol Use Disorders Identification Test (AUDIT); Spirituality Self-Rating Scale (SSRS). NLM UID: 0242726. PMID: NLM21445495. PY - 2011 SN - 0080-6234 SP - 100-107 ST - Alcohol use and spirituality among nursing students T2 - Revista da Escola de Enfermagem da USP TI - Alcohol use and spirituality among nursing students UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=108237125&site=ehost-live&scope=site VL - 45 ID - 88813 ER - TY - JOUR AB - The ageing population is rapidly increasing worldwide, and the alcohol-related disease burden in most Western countries is on the rise. However, very few studies assess alcohol use in older people. Here, a self-reported questionnaire was administered to all individuals aged 70 years or more who visited a social centre for older people in western France. The average age of the 98 subjects included in the survey was 79 years (range, 70–97 years; SD=6), and 57.1% (n=56) reported weekly alcohol consumption. An average consumption of over two standard units each day during weekends was reported by 53% subjects (n=52), and the same on each weekday was reported by 34% (n=33). Thus, a significant proportion of subjects aged 70 years or over consumed more alcohol than is recommended in current guidelines. The participants also reported that they rarely discussed alcohol consumption with their general practitioners. Alcohol use should be assessed regularly. District nurses and members of the primary care team should recommend strategies to help older people reduce their alcohol consumption. AD - Specialised Nurse, Addictive Disorders Unit, University Hospital of Brest, Brest, France EA Soins primaires, Santé publique, Registre des cancers de Bretagne Occidentale (SPURBO), Family Practice Department, Université Bretagne Occidentale, Brest, France Geriatric Service, Université Occidentale, Brest, France Addictive Disorders Unit, University Hospital of Nantes, Nantes, France EA SPURBO, Université Bretagne Occidentale, Brest, France Director of ERCR SPURBO, Université Bretagne Occidentale, Brest, France EA SPURBO, Addiction Disorders Department, Université Bretagne Occidentale, Brest, France AN - 134990804. Language: English. Entry Date: 20190304. Revision Date: 20190408. Publication Type: Article AU - Michel, Lenaig AU - Conq, Estelle AU - Combs, Emmanuelle AU - Cholet, Jennyfer AU - Bodenez, Pierre AU - Le Reste, Jean Yves AU - Landreat, Morgane Guillou DB - cin20 DO - 10.12968/bjcn.2019.24.3.128 DP - EBSCOhost IS - 3 KW - Alcohol Drinking -- In Old Age Alcohol Abuse -- Psychosocial Factors Health Services for Older Persons Human Aged Questionnaires Aged, 80 and Over France Male Female Alcohol Abuse -- Prevention and Control Prospective Studies Quantitative Studies Descriptive Research Data Analysis Software Descriptive Statistics Risk Taking Behavior Affect Primary Health Care N1 - research; tables/charts. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; Public Health; UK & Ireland. NLM UID: 9815827. PY - 2019 SN - 1462-4753 SP - 128-133 ST - Alcohol use by people in their seventies is not an exception: a preliminary prospective study T2 - British Journal of Community Nursing TI - Alcohol use by people in their seventies is not an exception: a preliminary prospective study UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=134990804&site=ehost-live&scope=site VL - 24 ID - 87535 ER - TY - JOUR AB - In the United States, one in every 100 adults is confined to a correctional facility. Approximately 60% of inmates have an alcohol use disorder (AUD). When compared to the general population, inmates are twice as likely to have AUD. As they are unable to readily access alcohol, inmates entering a correctional facility with AUD are at high risk for the lethal alcohol withdrawal syndrome (AWS). AWS is preventable and yet correctional nurses process new inmates without an evidence-based clinical practice guideline (CPG) to assess for AUD, the prerequisite for AWS. The purpose of this project was to develop an evidence-based CPG with implementation algorithm to guide the inmate assessment for AUD. The ACE star model of knowledge transformation guided the project, the AGREE II was used to develop the CPG, and the Delphi technique was used to evaluate the final CPG with algorithm. Nationally, 20 correctional health experts were identified and asked to participate in the Delphi expert panel, although 11 experts agreed to participate only 9 completed the evaluation. The experts were correctional health experts, nurses and physicians, from different regions of the United States. The resulting CPG satisfied all 23-items of the AGREE II. Through 2 Delphi panel rounds, all participants recommended the CPG with minor modifications (6 experts recommended as presented while the 3 recommended with modifications). At the project conclusion, all 9 experts agreed the CPG will help improve the identification, referral, and management of inmates with AUD. This project contributes to positive social change as the CPG addresses a serious problem, AUD with possible AWS, in a vulnerable population. The CPG may be generalizable for use in other correctional facilities. AD - Walden University AN - 129444426. Language: English. Entry Date: 20180510. Revision Date: 20180511. Publication Type: Article AU - González-Méndez, Wanda W. DB - cin20 DP - EBSCOhost KW - Alcohol Abuse Prisoners Alcohol Withdrawal Syndrome Correctional Nursing Practice Guidelines Human United States Delphi Technique Algorithms Program Implementation Nursing Practice, Evidence-Based N1 - research; doctoral dissertation. Special Interest: Evidence-Based Practice; Psychiatry/Psychology. 10638051 PY - 2017 SN - 9780355469905 SP - 1-1 ST - Alcohol Use Disorder and Withdrawal Syndrome in Correctional Facilities: An Evidence-Based Clinical Practice Guideline to Prevent Alcohol-Related Adverse Events T2 - Alcohol Use Disorder & Withdrawal Syndrome in Correctional Facilities: An Evidence-Based Clinical Practice Guideline to Prevent Alcohol-Related Adverse Events TI - Alcohol Use Disorder and Withdrawal Syndrome in Correctional Facilities: An Evidence-Based Clinical Practice Guideline to Prevent Alcohol-Related Adverse Events UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=129444426&site=ehost-live&scope=site ID - 87901 ER - TY - JOUR AB - Alcohol use disorder (AUD) is a common, under-recognized, and under-treated health concern in older adults. Its prevalence is expected to reach unprecedented levels as the U.S. population ages; consequently, it is poised to place a significant burden on the healthcare system. Given the growing body of evidence regarding the patterns of use in this age group and the serious consequences of its misuse, it is critical that nurses and other healthcare providers assess for AUD in order to identify older adults in need of treatment. Yet, differences in symptom presentation, problems in isolating the symptoms of AUD from other healthcare complaints associated with aging, as well as the denial and fear of stigma that is especially pervasive in this age group, are major barriers to its identification and subsequent treatment. Furthermore, the lack of consistent use of evidence-based, age-specific screening instruments to identify those at risk is another significant obstacle to successful treatment. Healthcare providers in primary care are especially well-positioned to perform a systematic assessment utilizing appropriate instruments to identify AUD and initiate age-specific interventions, including the use of alcohol screening and brief interventions (ASBIs). The use of ASBIs, along with other targeted interventions such as mutual help groups (MHGs), such as Alcoholics Anonymous, can be key in encouraging insight, dismantling denial, and supporting treatment success, lifelong recovery, and overall quality of life in this vulnerable group. AD - Salisbury University, Department of Nursing, Salisbury, Maryland, USA AN - 120669636. Language: English. Entry Date: 20170117. Revision Date: 20190313. Publication Type: Article. Journal Subset: Blind Peer Reviewed AU - DiBartolo, Mary C. AU - Jarosinski, Judith M. DB - cin20 DO - 10.1080/01612840.2016.1257076 DP - EBSCOhost IS - 1 KW - Alcohol Abuse -- Diagnosis -- In Old Age Alcohol Abuse -- Therapy -- In Old Age Aging Clinical Assessment Tools DSM Alcohol Abuse -- Symptoms Patient Assessment Physical Examination Alcohol Withdrawal Syndrome -- Prevention and Control Recovery Alcohol Abuse -- Rehabilitation Support Groups Drinking Behavior -- In Old Age Aged N1 - Core Nursing; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 7907126. PY - 2017 SN - 0161-2840 SP - 25-32 ST - Alcohol Use Disorder in Older Adults: Challenges in Assessment and Treatment T2 - Issues in Mental Health Nursing TI - Alcohol Use Disorder in Older Adults: Challenges in Assessment and Treatment UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=120669636&site=ehost-live&scope=site VL - 38 ID - 87913 ER - TY - JOUR AB - This paper describes the psychometric analysis of the alcohol use disorders identification test (AUDIT) after it was modified for use in Hong Kong and administered to examine the patterns of hazardous and harmful drinking. The modified version of AUDIT was an 18-item instrument in which 10 items were completely adopted from the original version and 8 items were added to improve its cultural sensitivity. It was translated into Chinese and back translation was undertaken to confirm the equivalence of the Chinese and English versions. Following a pilot study the instrument was administered to 450 subjects who were recruited from two acute general hospitals, a University Health Clinic and three community health centres. The content validity was judged as adequate by a panel of five international and local experts and the instrument achieved a high reliability coefficient of 0.99 during a test-retest procedure conducted with 20 subjects. Factor analysis was performed on the responses obtained from 450 subjects which supported the construct validity of the 18-item instrument. The modified instrument had a consistently high internal consistency reliability (Cronbach's alpha=0.96-0.97) when tested in the different settings. It was found that a higher percentage of respondents from the hospitals (14.5%) drank at a hazardous or harmful levels compared to those from the community (6.2%) or the University (5.3%). The AUDIT proved a reliable and valid measure with potential applications in Chinese cultures. Early intervention and identification of 'at risk' drinking by the AUDIT is supported as a strategy to be implemented by nurses in primary and secondary health care settings in Hong Kong, where there are indications of increasing alcohol overuse. AD - Department of Nursing and Health Sciences, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong, People's Republic of China AN - 107095485. Language: English. Entry Date: 20000301. Revision Date: 20150820. Publication Type: Journal Article AU - Leung, S. F. AU - Arthur, D. DB - cin20 DP - EBSCOhost IS - 1 KW - Instrument Validation Clinical Assessment Tools Alcohol Abuse -- Diagnosis Hong Kong Translations Validation Studies Content Validity Factor Analysis Coefficient Alpha Instrument Construction Test-Retest Reliability Construct Validity Convenience Sample Descriptive Statistics Cultural Sensitivity Human N1 - research; tables/charts. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. Instrumentation: Alcohol Use Disorders Identification Test (AUDIT). NLM UID: 0400675. PMID: NLM10687810. PY - 2000 SN - 0020-7489 SP - 57-64 ST - The alcohol use disorders identification test (AUDIT): validation of an instrument for enhancing nursing practice in Hong Kong T2 - International Journal of Nursing Studies TI - The alcohol use disorders identification test (AUDIT): validation of an instrument for enhancing nursing practice in Hong Kong UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=107095485&site=ehost-live&scope=site VL - 37 ID - 89872 ER - TY - JOUR AB - Objective: The purpose of this study was to perform a systematic review of the diagnostic accuracy of the Alcohol Use Disorders Identification Test (AUDIT) for detecting at-risk drinking. Method: The MEDLINE, PsycINFO, Science Citation Index Expanded, BIOSIS Previews, Cumulative Index to Nursing and Allied Health Literature (CINAHL), MEDION, and Cochrane Library databases were searched for relevant studies. The criteria for inclusion were a valid reference standard, AUDIT consisting of 10 items, avoiding bias that may result from how the reference standard was obtained, and when and how many participants were tested. Data were extracted independently by two reviewers. Data synthesis was performed by applying direct pooling of proportions and random effects model for likelihood ratios and diagnostic odds ratio. Results: Twenty-three studies were included in the systematic review, 19 of which were included in the meta-analysis. With a cutoff of 8 points, sensitivity ranged from .31 to .89 and specificity ranged from .83 to .96 across the eight studies conducted in primary care. A single trial in general hospital inpatients found a sensitivity of .93 and a specificity of .94; another trial in emergency-department patients found a sensitivity of .72 and a specificity of .88. A study in university students found a sensitivity of .82 and a specificity of .78. Three studies in elderly patients found sensitivities between .55 and .83 at a pooled specificity of .96. There was large heterogeneity between study results, which could only partly be explained by setting diversity. The analysis of results with population-specific cutoff points led to similar findings. Conclusions: Findings on the diagnostic performance of the AUDIT proved to be largely heterogeneous. Its use should be restricted to primary care populations, inpatients, and elderly patients. AD - M.M. Berner, Department of Psychiatry and Psychotherapy, University Medical Center Freiburg, Hauptstr. 5, D-79104 Freiburg, Germany AU - Berner, M. M. AU - Kriston, L. AU - Bentele, M. AU - Härter, M. DB - Embase IS - 3 KW - alcohol alcohol consumption Alcohol Use Disorders Identification Test alcoholism Biosis Cinahl clinical trial Cochrane Library data extraction data synthesis diagnostic accuracy diagnostic value drinking behavior emergency ward general hospital hospital patient human Medline meta analysis population primary medical care PsycINFO rating scale review risk SciSearch sensitivity analysis standard systematic review university student LA - English M3 - Review N1 - L351250926 2008-02-28 PY - 2007 SN - 1937-1888 1938-4114 SP - 461-473 ST - The alcohol use disorders identification test for detecting at-risk drinking: A systematic review and meta-analysis T2 - Journal of Studies on Alcohol and Drugs TI - The alcohol use disorders identification test for detecting at-risk drinking: A systematic review and meta-analysis UR - https://www.embase.com/search/results?subaction=viewrecord&id=L351250926&from=export VL - 68 ID - 95679 ER - TY - JOUR AB - The prevalence of alcohol use disorders in hospital patients was studied in all the hospitals of one area of France. Alcohol disorders were diagnosed by the head nurse or a physician in the hospital where the patient was being attended, and by means of the CAGE self-questionnaire. This descriptive survey, carried out on one particular day, concerned 7626 patients. The prevalence of alcohol disorders was 18%, whereas only 6% of the admissions were for alcohol-related pathologies. Prevalences were 25% in men and 7% in women, 10% in persons aged under 25 years and 43% in men aged. between 36 and 55 years. In all, one patient in two was diagnosed directly, though only one in four in the age range under 25 years. These results suggest that too few patients with alcohol use disorders are identified in hospitals, especially in certain age groups and certain types of ward. AD - M. Reynaud, CMP Unit B of Clermond Ferrand, Groupe Hospitalier St Jacques, Rue Montalembert, 63003 Clermond-Ferrand Cedex, France AU - Reynaud, M. AU - Leleu, X. AU - Bernoux, A. AU - Meyer, L. AU - Lery, J. F. AU - Ruch, C. DB - Embase Medline DO - 10.1093/oxfordjournals.alcalc.a008328 IS - 6 KW - alcohol adolescent adult aged alcoholism article diagnostic error female France hospital patient human major clinical study male nurse pathology physician prevalence priority journal questionnaire LA - English M3 - Article N1 - L28006017 1998-01-07 PY - 1997 SN - 0735-0414 SP - 769-775 ST - Alcohol use disorders in French hospital patients T2 - Alcohol and Alcoholism TI - Alcohol use disorders in French hospital patients UR - https://www.embase.com/search/results?subaction=viewrecord&id=L28006017&from=export http://dx.doi.org/10.1093/oxfordjournals.alcalc.a008328 VL - 32 ID - 95977 ER - TY - JOUR AB - The article discusses the prevalence of alcohol use disorders (AUD) and associated alcohol related harm among women. Topics covered include the gender differences of how alcohol is metabolised, the barriers experienced by women in engaging with essential quality healthcare and the reluctance of women with AUDs to seek help. Also mentioned is the conduct of research which examined students' perception on nursing care for women with AUD. AD - Lecturer, School of Nursing, University of Wollongong, NSW AN - 114938927. Language: English. Entry Date: 20160519. Revision Date: 20160519. Publication Type: Article AU - Bosworth, Rebecca DB - cin20 DP - EBSCOhost IS - 10 KW - Alcohol-Related Disorders -- Epidemiology -- Australia Women's Health Help Seeking Behavior Australia Sex Factors Nurse-Patient Relations Stigma Nurse Attitudes N1 - pictorial. Journal Subset: Australia & New Zealand; Core Nursing; Nursing. PY - 2016 SN - 2202-7114 SP - 35-35 ST - ALCOHOL USE DISORDERS: A MENTAL HEALTH NOT A MORAL ISSUE T2 - Australian Nursing & Midwifery Journal TI - ALCOHOL USE DISORDERS: A MENTAL HEALTH NOT A MORAL ISSUE UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=114938927&site=ehost-live&scope=site VL - 23 ID - 88026 ER - TY - JOUR AB - Abstract: Two diseases linked with alcohol-related brain damage are Wernicke''s encephalopathy (WE) and Korsakoff syndrome (KS) or psychosis, also referred to as Wernicke-Korsakoff syndrome (WKS). Thiamine deficiency is the underlying etiology for alcohol-related WKS. Persons older than 65 who have consumed alcohol at levels exceeding recommendations over a long period, even without a diagnosis of alcohol dependence, are at risk for WKS. Obtaining an alcohol-use history from people over 65 is essential to preventing WKS. The main purpose of this article is to provide the nurse practitioner with strategies for identifying persons over 65 at risk for alcohol-related thiamine deficiency, including screening for alcohol use and obtaining an alcohol-use history. This is followed by a review of the role and physiology of thiamine, laboratory tests that can be used to screen for thiamine deficiency, and prevention and early treatment. AN - 104922087. Language: English. Entry Date: 20110422. Revision Date: 20200708. Publication Type: Journal Article AU - Colella, C. AU - Savage, C. AU - Whitmer, K. DB - cin20 DO - 10.1016/j.nurpra.2009.11.003 DP - EBSCOhost IS - 8 KW - Alcohol Drinking -- In Old Age Korsakoff Syndrome -- Risk Factors -- In Old Age Wernicke's Encephalopathy -- Risk Factors -- In Old Age Aged Alcoholic Beverages -- Classification Avitaminosis -- Risk Factors Clinical Assessment Tools Diagnosis, Differential Male Patient History Taking Questionnaires Substance Dependence -- Diagnosis Thiamine N1 - algorithm; case study; questionnaire/scale. Journal Subset: Blind Peer Reviewed; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Instrumentation: CAGE Questionnaire; Alcohol Use Disorders Identification Test (AUDIT). NLM UID: 101264817. PY - 2010 SN - 1555-4155 SP - 614-621 ST - Alcohol Use in the Elderly and the Risk for Wernicke-Korsakoff Syndrome T2 - Journal for Nurse Practitioners TI - Alcohol Use in the Elderly and the Risk for Wernicke-Korsakoff Syndrome UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=104922087&site=ehost-live&scope=site VL - 6 ID - 88878 ER - TY - JOUR AB - Background: Rates and frequencies of alcohol consumption remain unknown among nursing students, and risk and protective factors associated with alcohol misuse are poorly understood. Nursing curricula often lack content on substance use disorders among nurses, which is reported to begin prior to or during college. Purpose: The aims of the study were to examine nursing students' perceptions of the risk and protective factors associated with alcohol behaviors among themselves and their peers and to identify substance use policies and their influence. Methods: We used the Photovoice method, which employs participatory action research. Participants were screened for alcohol misuse via AUDIT-C, and thoughts and perceptions were obtained regarding their alcohol consumption behaviors through self-expression and group advocacy. Data were collected from four focus groups that included nine undergraduate nursing students. Results: Data reflected the following key issues: stress, environmental influences, societal acceptance, and availability of alcohol. Participants identified that the following problems place them at risk for alcohol misuse: lack of addiction/alcohol education; nursing program expectations increase stress/anxiety; unhealthy habits, social isolation, and individual influences; peer influence/the college experience; and ineffective and unenforced campus policies. Protective factors included university policies; life experiences; and nursing program policies, responsibilities, peer influences, and perceived reputation. Conclusion: This action research informed a dialogue with colleagues regarding nursing students' stressors and resulting professional ramifications. Recommendations for future work include investigation of expressed social isolation from university peers and its effects on their alcohol consumption behaviors and increase alcohol education with emphasis on adaptive coping strategies in a stressful professional role in Bachelor of Science in Nursing curricula. AD - College of Nursing, Medical University of South Carolina, Charleston University of Pennsylvania School of Nursing, Philadelphia AN - 113874106. Language: English. Entry Date: 20180427. Revision Date: 20200810. Publication Type: Article AU - Nair, Julie McCulloh AU - Nemeth, Lynne S. AU - Sommers, Marilyn AU - Newman, Susan AU - Amella, Elaine DB - cin20 DO - 10.1097/JAN.0000000000000107 DP - EBSCOhost IS - 1 KW - Students, Nursing Alcohol Drinking Alcohol Abuse Student Attitudes Behavioral Changes Organizational Policies Human Study Design Photography Male Female Adult N1 - pictorial; research; tables/charts. Journal Subset: Core Nursing; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 9616159. PY - 2016 SN - 1088-4602 SP - 12-23 ST - Alcohol Use, Misuse, and Abuse Among Nursing Students T2 - Journal of Addictions Nursing TI - Alcohol Use, Misuse, and Abuse Among Nursing Students UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=113874106&site=ehost-live&scope=site VL - 27 ID - 88072 ER - TY - THES AB - Existing knowledge about alcohol misuse and abuse and nursing students is founded upon studies conducted primarily in the 1980's and 1990's, thus raising questions as to its relevance in 2014. The patterns of alcohol use and other substances over the past 30 years by students raise several questions concerning this phenomenon, which needs further explanation beyond just the high stress and demands of nursing education. The literature was examined first to identify existing knowledge on alcohol misuse and abuse among nursing students. From this review, we concluded that policy plays a vital role in this issue. Therefore, we next reviewed nursing policy to identify existing alcohol use, misuse and abuse policies to determine how, if at all, they are implemented. Lastly, using the Photovoice method, we conducted a qualitative study to obtain nursing students' perceptions of the risks and protective factors associated with their alcohol behaviors, and to categorize those factors using the ecological health behavior model. Collectively, findings from all papers provide a view of the complexity of this issue. A continued dialogue is needed that will drive policy change(s) and future research initiatives to better address alcohol use, misuse and abuse in the nursing student population. AU - McCulloh Nair, Julie DB - cin20 DP - EBSCOhost KW - Alcohol Abuse Alcohol Drinking Student Attitudes -- Evaluation Students, Nursing Health Behavior Human Models, Theoretical Photography Qualitative Studies School Policies M1 - Ph.D. N1 - Accession Number: 109839248. Language: English. Entry Date: 20150911. Revision Date: 20150923. Publication Type: Doctoral Dissertation; research. Special Interest: Nursing Education. UMI Order AAI3667875 PB - Medical University of South Carolina PY - 2014 SN - 9781321424256 SP - 129 p-129 p ST - Alcohol Use, Misuse, and Abuse Among Nursing Students: A Photovoice Study TI - Alcohol Use, Misuse, and Abuse Among Nursing Students: A Photovoice Study UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=109839248&site=ehost-live&scope=site ID - 88341 ER - TY - JOUR AB - Alcohol use is often overlooked and more importantly unsuspected in young children 3-11 years of age. Alcohol use in preteens is commonly overlooked when there is growing evidence to suggest that the age at which one begins drinking can be predictive of future problem drinking and other substance abuse. There is a need for health care professionals and elementary school educators to be aware of the real and growing problem of alcohol use from childhood through adolescence. It is sometimes difficult to recognize because many of the effects of alcohol mimic routine presentations seen in children. This article focuses on the significance, contributing factors, effects on the body, comorbidities, and social and psychological effects of alcohol use on children through adolescence. It also examines diagnostic screening for alcohol use in adolescence and the detrimental role of the nurse in assisting with identifying and preventing the problem of alcohol use in childhood through adolescence. © 2012 Elsevier Inc.. AD - T.P. Lewis, Nicholls State University, Thibodaux, LA, United States AU - Lewis, T. P. AU - Hession, C. DB - Medline DO - 10.1016/j.pedn.2012.01.003 IS - 5 KW - adolescent alcoholism article child drinking behavior female human male methodology nurse attitude nursing nursing assessment preschool child risk factor LA - English M3 - Article N1 - L51925825 2013-02-15 PY - 2012 SN - 0882-5963 SP - e50-e58 ST - Alcohol use: From childhood through adolescence T2 - Journal of Pediatric Nursing TI - Alcohol use: From childhood through adolescence UR - https://www.embase.com/search/results?subaction=viewrecord&id=L51925825&from=export http://dx.doi.org/10.1016/j.pedn.2012.01.003 VL - 27 ID - 95388 ER - TY - JOUR AB - Older adults experience significantly more alcohol withdrawal symptoms for a longer duration. Staff members caring for older adults conduct significantly more assessments and interventions related to alcohol withdrawal than those working with younger adults. Frequency and duration of withdrawal symptoms are positively correlated with frequency and duration of nursing care assessments and interventions. Nurses who care for clients in alcohol withdrawal must prepare for the increased amount of nursing care for elderly clients in alcohol withdrawal. AD - Univ Michigan Alcohol Research Ctr, 400 E Eisenhower Pkw, Ste A, Ann Arbor MI 48104 AN - 107455928. Language: English. Entry Date: 19941201. Revision Date: 20150818. Publication Type: Journal Article AU - Mudd, S. A. AU - Boyd, C. J. AU - Brower, K. J. AU - Young, J. P. AU - Blow, F. C. DB - cin20 DP - EBSCOhost KW - Alcoholism Substance Withdrawal Syndrome -- Nursing -- In Old Age Substance Withdrawal Syndrome -- Nursing -- In Adulthood Nursing Assessment -- Evaluation -- In Old Age Nursing Assessment -- Evaluation -- In Adulthood Nursing Interventions -- Evaluation -- In Old Age Nursing Interventions -- Evaluation -- In Adulthood Case Control Studies Record Review Content Analysis Interrater Reliability Drug Rehabilitation Programs Multidisciplinary Care Team Alcoholism -- Nursing T-Tests Mann-Whitney U Test Spearman's Rank Correlation Coefficient Data Collection Methods Hospital Programs Adult Middle Age Aged Inpatients Male Female Aged, 80 and Over Human N1 - research; tables/charts. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 7510258. PMID: NLM7963291. PY - 1994 SN - 0098-9134 SP - 17-26 ST - Alcohol withdrawal and related nursing care in older adults T2 - Journal of Gerontological Nursing TI - Alcohol withdrawal and related nursing care in older adults UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=107455928&site=ehost-live&scope=site ID - 90147 ER - TY - JOUR AB - The purpose of this study was to validate a tool to assess alcohol withdrawal in acute care patients. Study aims included (1) establish content validity, (2) examine criterion-related validity, (3) test interrater reliability, and (4) assess nurse usability. Design: A psychometric research study was designed to evaluate the Alcohol Withdrawal Assessment Tool. Methods: Validation was conducted using an expert panel to determine content validity. The Clinical Institute Withdrawal Assessment for AlcoholYRevised was used as comparison for the criterion related validity. Interrater reliability was determined by having 2 investigators simultaneously complete the assessment on the same patients. Usability was determined using a Likert scale survey. Results: The average age of participants was 53 years, with a range of 27 to 81 years. Interrater reliability was supported by a 0 statistic range of 0.61 to 0.6957, and content validity was supported by a content validity index of 1.0. Criterion-related validity was supported with a Pearson r correlation of 0.665 (P G.000). Of nurses surveyed, all answered agree or strongly agree to the usability survey. Conclusions: The assessment tool may be an effective alternative to utilize in the acute care setting. It is easy to use and drives frequency of assessment and appropriate pharmacologic treatment. AD - Clinical Nurse Specialists, Indiana University Health, University Hospital, Indianapolis Clinical Nurse Specialist, Indiana University Health, Bloomington Hospital, Indianapolis Assistant Professor, Indiana University School of Nursing, Indianapolis AN - 132290938. Language: English. Entry Date: 20181013. Revision Date: 20190212. Publication Type: Article AU - Davis, Carmen R. AU - Keen, Alyson AU - Holly, Vince AU - Balaguras, Jean AU - Miller, Wendy R. DB - cin20 DO - 10.1097/NUR.0000000000000408 DP - EBSCOhost IS - 6 KW - Alcohol Withdrawal Syndrome Clinical Assessment Tools -- Evaluation Reliability and Validity Acute Care Human Male Female Adult Middle Age Aged Aged, 80 and Over Severity of Illness Indices Instrument Validation Psychometrics Content Validity Criterion-Related Validity Interrater Reliability Usability Study Addictions Nursing Summated Rating Scaling Scales Pearson's Correlation Coefficient Alcohol Abuse -- Prevention and Control Health Screening Data Analysis Software Descriptive Statistics N1 - research; tables/charts. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Instrumentation: Content Validity Index (CVI); Alcohol Withdrawal Assessment Tool (AWAT). NLM UID: 8709115. PY - 2018 SN - 0887-6274 SP - 307-312 ST - Alcohol Withdrawal Assessment Tool: Validity and Reliability Testing in Acute Care T2 - Clinical Nurse Specialist: The Journal for Advanced Nursing Practice TI - Alcohol Withdrawal Assessment Tool: Validity and Reliability Testing in Acute Care UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=132290938&site=ehost-live&scope=site VL - 32 ID - 87606 ER - TY - JOUR AB - There are approximately 8 million people in the United States that are dependent on alcohol. About 500,000 cases of alcohol withdrawal syndrome each year are severe enough to require hospitalization and the care of a medical-surgical nurse. AD - Clinical nurse specialist/clinical instructor, Columbus Regional Hospital, Columbus, IN AN - 105006873. Language: English. Entry Date: 20101126. Revision Date: 20150711. Publication Type: Journal Article AU - Burton, J. DB - cin20 DP - EBSCOhost IS - 5 KW - Alcohol-Related Disorders Medical-Surgical Nursing Alcohol-Related Disorders -- Diagnosis Alcohol-Related Disorders -- Drug Therapy Alcohol-Related Disorders -- Nursing Alcohol-Related Disorders -- Physiopathology Education, Continuing (Credit) N1 - CEU; pictorial; questionnaire/scale; tables/charts. Journal Subset: Nursing; USA. PY - 2010 SP - 1-12 ST - Alcohol withdrawal syndrome T2 - Med-Surg Matters TI - Alcohol withdrawal syndrome UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=105006873&site=ehost-live&scope=site VL - 19 ID - 88883 ER - TY - JOUR AB - The differences regarding alcohol withdrawal syndrome and its treatment are not entirely explored because, for decades, research studies have only been focusing on the male alcohol-related problems. The study has assessed both pattern and frequency of alcohol consumption, presence of alcohol withdrawal syndrome, and the need for outpatient detoxification, besides relating AWS and OD to the treatment outcomes. It is a retrospective study with 1,051 patients who sought treatment in the Alcohol and Drug Research Unit at the Federal University of São Paulo for the first time between 2000 and 2006.Patients were followed up during the first year of treatment until they decided to drop out (four non-justified consecutive absences) and only the first OD was recorded when needed. Although both male and female patients showed statistical significance with alcohol consumption, only men had a relationship with the need of outpatient detoxification, which was performed by professionals who used specific medications. Patients submited to the OD process tended to spend more time under treatment and nursing intervention showed that there are new possibilities for working in the area of chemical dependency. In addition, specific measures should be planned for women as they are more likely to abandon treatment earlier than men. AN - 104963416. Language: Portuguese. Entry Date: 20110121. Revision Date: 20150711. Publication Type: Journal Article DB - cin20 DP - EBSCOhost IS - 1 KW - Alcohol Rehabilitation Programs Alcohol Withdrawal Syndrome -- Therapy Outcomes (Health Care) Sex Factors Academic Medical Centers Alcohol Drinking Brazil Comparative Studies Female Human Male Nursing Interventions Outcome Assessment Outpatients Patient Dropouts Prospective Studies Retrospective Design N1 - abstract; research. Journal Subset: Editorial Board Reviewed; Expert Peer Reviewed; Mexico & Central/South America; Nursing; Peer Reviewed. NLM UID: 8215976. PY - 2009 SN - 0100-8889 SP - 1p-1p ST - Alcohol withdrawal syndrome and outpatient alcohol detoxification: a gender comparison and its relationship with treatment outcome T2 - Revista Paulista de Enfermagem TI - Alcohol withdrawal syndrome and outpatient alcohol detoxification: a gender comparison and its relationship with treatment outcome UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=104963416&site=ehost-live&scope=site VL - 28 ID - 89104 ER - TY - JOUR AB - Alcoholism continues to be a persistent health problem in the United States, accounting for up to 62% of emergency department (ED) visits. This quality improvement (QI) project examined whether identifying the benefit for early use of Alcohol Use Disorders Identification Test (AUDIT C) and Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised (CIW-ar) in the ED would avoid escalation of care and offset poor outcomes of alcohol withdrawal syndrome (AWS). A preimplementation chart review ( N= 99) showed an average of 12%-15% of patients requiring escalation of care at the project site. The QI project utilized a single-group, pre-/posttest design. The setting was a Southwest Veterans Affair tertiary care referral center. Thirty-five ED staff members were surveyed for baseline knowledge and attended education sessions, led by an advanced practice nurse, on the use of AUDIT-C and CIWA-ar. Posteducation, patients admitted to the hospital were screened with AUDIT-C and treated with CIWA-ar. Postimplementation, charts were reviewed for admitted patients ( N= 42) on the use of AUDIT-C, CIWA-ar, length of stay (LOS), and area patient treated. Although the test scores after didactic education were statistically significant ( p- 0.050), there was no significant difference in the use of AUDIT-C or CIWA-ar in the ED, nor a significant decrease in LOS for those patients with CIWA-ar ordered. However, the potential for clinical benefit could not be disavowed. Barriers to implementation included survey fatigue, inability to embed AUDIT-C in the electronicmedical record, inconsistency in completing AUDIT-C, interrater reliability, and patient fear of stigmatization. Advanced practice nurses provide an integral role to augment early identification and treatment of AWS in the ED. AD - Trauma/Surgical ICU, Harborview Medical Center, Seattle, Washington Georgetown University School of Nursing & Health Studies, Washington, District of Columbia Duke University School of Nursing, Durham, North Carolina Raymond G. Murphy VA Medical Center, New Mexico, Albuquerque AN - 134454218. Language: English. Entry Date: 20190206. Revision Date: 20191119. Publication Type: Article AU - Glann, Judith K. AU - Carman, Margaret AU - Thompson, Julie AU - Olson, David AU - Nuttall, Cynthia AU - Fleming, Holly AU - Reese, Cheryl DB - cin20 DO - 10.1097/TME.0000000000000226 DP - EBSCOhost IS - 1 KW - Alcohol Withdrawal Syndrome -- Diagnosis Alcohol Withdrawal Syndrome -- Therapy Emergency Service Quality Improvement Patient Care Outcomes (Health Care) Human Record Review Pretest-Posttest Design Tertiary Health Care Personnel, Health Facility -- Education Length of Stay Descriptive Statistics Electronic Health Records Interrater Reliability Fear Summated Rating Scaling T-Tests Kruskal-Wallis Test Fisher's Exact Test Data Analysis Software Coefficient Alpha Clinical Assessment Tools Scales N1 - forms; research; tables/charts. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. Instrumentation: Alcohol Use Disorders Identification Test (AUDIT); Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised (CIW-ar). NLM UID: 101285075. PY - 2019 SN - 1931-4485 SP - 65-75 ST - Alcohol Withdrawal Syndrome: Improving Recognition and Treatment in the Emergency Department T2 - Advanced Emergency Nursing Journal TI - Alcohol Withdrawal Syndrome: Improving Recognition and Treatment in the Emergency Department UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=134454218&site=ehost-live&scope=site VL - 41 ID - 87561 ER - TY - JOUR AB - The study was based on the project sponsored by the Organization of American States which was developed by São Paulo Federal University College of Nursing aiming at analyzing the alcohol- and drug-related course contents taught in undergraduate nursing programs in Brazil. Its purpose was to evaluate teaching conditions concerning this theme in the undergraduate nursing program at Espírito Santo Federal University through a descriptive survey applied to 86 nursing students. To 95% of the students, the problem related to the consumption of alcohol and drugs is a theme of great interest. The inclusion of these themes in nursing programs is a facilitating condition for the education of nurses in this area. This abstract was translated into English by the publisher or author. AN - 106467414. Language: Portuguese. Entry Date: 20060707. Revision Date: 20150818. Publication Type: Journal Article AU - Boni, R. AU - Pillon, S. C. AU - Santos, E. C. AU - Camata, M. W. AU - Macieira, M. S. DB - cin20 DP - EBSCOhost IS - 1 KW - Curriculum Education, Nursing Substance Abuse -- Education Adult Brazil Descriptive Research Descriptive Statistics Female Male Qualitative Studies Quantitative Studies Questionnaires Schools, Nursing Students, Nursing Surveys Thematic Analysis Human N1 - research; tables/charts. Journal Subset: Double Blind Peer Reviewed; Editorial Board Reviewed; Mexico & Central/South America; Nursing; Peer Reviewed. PY - 2004 SN - 1518-1944 SP - 38-46 ST - Alcohol- and drug-related contents in the nursing program at Espírito Santo Federal University: a critical analysis T2 - Revista Eletronica de Enfermagem TI - Alcohol- and drug-related contents in the nursing program at Espírito Santo Federal University: a critical analysis UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=106467414&site=ehost-live&scope=site VL - 6 ID - 89595 ER - TY - JOUR AB - The aim of this study was to look at how nurses and doctors record alcohol histories on the patients under their care and the frequency and appropriateness of the way they use an alcohol withdrawal scale in the acute hospital setting. To achieve these aims patient records were audited and compared at two points in time, in 1992 and 1994. Results of the study showed that nurses and doctors took alcohol histories from patients on approximately three-quarters of occasions and that this level of recording has not changed over time. The adequacy of alcohol-history taking has, however, increased for both nurses and doctors since 1992. At that time, 71% of the alcohol histories taken by nurses and 74% of alcohol histories taken by doctors were judged to be adequate. By 1994, however, 79% of alcohol histories taken by nurses and 77% of histories by doctors were rated as adequate. The increase in the adequacy of history taking by nurses was significant (chi 2 = 5.05; d.f. = 1; P < 0.05) and the increase by doctors was not significant (chi 2 = 1.03; d.f. = 1; P > 0.05). These results are seen as being positively associated with the major governmental nursing initiative in New South Wales, Australia, the New South Wales Strategic Plan for the Nursing Management of Alcohol and Other Drugs. AD - L. Burns, New South Wales Health Department, Australia. AU - Burns, L. AU - Adams, M. DB - Medline IS - 3 KW - aged alcoholism anamnesis article epidemiology female human male mass screening clinical audit middle aged nursing nursing assessment reproducibility standard LA - English M3 - Article N1 - L127242974 1997-05-29 PY - 1997 SN - 0309-2402 SP - 509-513 ST - Alcohol-history taking by nurses and doctors--how accurate are they really? T2 - Journal of advanced nursing TI - Alcohol-history taking by nurses and doctors--how accurate are they really? UR - https://www.embase.com/search/results?subaction=viewrecord&id=L127242974&from=export VL - 25 ID - 95991 ER - TY - JOUR AB - Introduction: The prevalence of alcohol misuse has risen dramatically over the past decade with younger individuals (aged 16-44 years) and women increasingly affected.1 In 2007 24% adults were classified as hazardous drinkers (33% men, 16% women).2 Over a 15-year period hospital admission rates for alcohol-related disorders have doubled,3 with significant social and economic consequences. Recently, The British Society of Gastroenterology and NICE recommended an Alcohol Care Team including an ASN in every District General Hospitals to ensure early and effective inpatient treatment of patients with alcohol misuse; maximising compliance and reducing relapse. Studies indicate that an ASN generates 400 fewer admissions per year with shorter durations of stay and lower mortality rates.4 Methods We retrospectively audited the impact of the ASN on rates of inpatient referrals and medical detoxification regimes undertaken between 2004 and 2011 at Bassetlaw District General Hospital. Rates of commenced and completed detoxifications in addition to self-discharge data were obtained. Medical and surgical inpatients were included. Exclusion criteria: outpatient and A&E attendances, telephone referrals. Results: Between 2004 and 2011 the number of inpatient referrals for medical detoxification increased BY 657% (49-371 referrals per year). On average, the majority of inpatients were male (66%) and 48 years of age (range 17-90 years). Over a 7-year period the number of inpatient detoxifications commenced increased by 600% (24-168 detoxifications per year). Similarly, completed detoxifications increased by 517% (23 and 142 completed detoxifications in 2004 and 2011 respectively). On average 90.8% (714/786) detoxifications were completed prior to discharge. 9.2% (72/786) patients self-discharged prior to completing the detoxification regime. Conclusion: The workload of the Alcohol Care Team and ASN has increased substantially over a 7-year period, reflecting the rising prevalence of alcohol misuse and alcohol-related disease. The ASN provides early recognition and implementation of medical detoxification regimes for inpatients, offering support and continuity of care to maximise compliance and efficacy of treatment. Greater recognition and investment in alcohol services is essential within all UK District General Hospitals to minimise the growing burden of alcohol misuse. AD - V.L. Beckett, Department of Gastroenterology, Bassetlaw District General Hospital, Worksop, United Kingdom AU - Beckett, V. L. AU - Ching, J. AU - Wood, V. AU - Singh, G. DB - Embase DO - 10.1136/gutjnl-2012-302514c.262 KW - alcohol human nurse medical specialist detoxification workload digestive system function disorder general hospital hospital patient male prevalence female patient relapse gastroenterology alcoholism hospital admission society United Kingdom investment patient care telephone outpatient mortality adult LA - English M3 - Conference Abstract N1 - L71122584 2013-07-30 PY - 2012 SN - 0017-5749 SP - A293 ST - Alcohol-misuse and inpatient detoxification: The increasing workload and impact of an alcohol care team and alcohol specialist nurse (ASN) in a district general hospital T2 - Gut TI - Alcohol-misuse and inpatient detoxification: The increasing workload and impact of an alcohol care team and alcohol specialist nurse (ASN) in a district general hospital UR - https://www.embase.com/search/results?subaction=viewrecord&id=L71122584&from=export http://dx.doi.org/10.1136/gutjnl-2012-302514c.262 VL - 61 ID - 95405 ER - TY - JOUR AB - Background: Brief alcohol intervention (BI) is recommended for use in health care. However, too little is known about its use in everyday work. Objective: The aim of this study was to examine the activity of asking patients about alcohol use, offering them BI, and documenting these issues in physicians' and nurses' consultations as a part of everyday primary health care (PHC) work. Methods: All PHC workers (n = 104) of seven health care centers were asked to report information on 30 consecutive adult patients. Altogether, 78 PHC workers (75.0%) participated in this study and reported information on 2,047 patients. Results: A total of 1,112 (56.4%) patients had been asked about alcohol use at some point. According to the PHC workers, 115 (10.4%) of the patients who had been asked about alcohol use were risky drinkers. BI was offered to 103 (89.6%) risky drinkers. Alcohol-related documentation was found in 452 (42.0%) of the records of patients who had been asked about alcohol use. Discussion: The BI activity of PHC professionals is high if the patient is considered a risky drinker. However, the overall incidence of inquiry could be increased and alcohol-related documentation still remains low. AD - Tampere University, Faculty of Medicine and Health Technology, Co-operation Area for Health Care Services in the Jyväskylä Region, Jyväskylä, Finland Faculty of Medicine and Health Technology and South Ostrobothnia Hospital District, Department of Psychiatry, Tampere University, Seinäjoki, Finland Faculty of Medicine and Health Technology, Tampere University Hospital, Department of Psychiatry, Tampere University, Tampere, Finland AN - 148076436. Language: English. Entry Date: 20210119. Revision Date: 20220427. Publication Type: Article AU - Seppänen, Kati AU - Aalto, Mauri AU - Seppä, Kaija DB - cin20 DO - 10.1080/14659891.2020.1779362 DP - EBSCOhost IS - 1 KW - Primary Health Care Alcohol Drinking Substance Use Disorders Professional-Patient Relations Documentation Physicians Nurses Human Finland Access to Information Descriptive Statistics Risk Taking Behavior Male Female Adolescence Adult Middle Age Aged Aged, 80 and Over N1 - research; tables/charts. Journal Subset: Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 100891385. PY - 2021 SN - 1465-9891 SP - 79-84 ST - Alcohol-related activities in primary health care T2 - Journal of Substance Use TI - Alcohol-related activities in primary health care UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=148076436&site=ehost-live&scope=site VL - 26 ID - 87125 ER - TY - JOUR AB - Alcohol-related brain injury (ARBI) is an unrecognized and therefore untreated consequence of alcohol use disorder. Here, we explore a 12-month period prevalence of alcohol-related brain injury (ARBI) in alcohol use disorder patients. Inpatients aged ≥18 years reviewed by the Alcohol Care Team's Specialist Nurses between April 1, 2017 and March 31, 2018 were eligible for the study (n = 1276). Screening identified a high-risk subset of patients who matched at least one of the following: 1) more than three alcohol-related admissions in one year; 2) two alcohol-related admissions in any given 30-day period; 3) patient or their significant other had concerns regarding cognition. The high-risk patients were assessed for evidence of ARBI using the Montreal Cognitive Assessment Tool (MoCA). The primary measure of interest was MoCA ≤23. Analysis was conducted between subgroups of the study population to identify prevalence rate ratios for matching the high-risk screening criteria, and MoCA ≤23 in high-risk patients. Two hundred and five patients were identified as high risk for ARBI. The period prevalence rates in this high-risk group for patients with a MoCA ≤23 was 36.1%. Those under the age of 35 years were significantly less likely to match the high-risk criteria. Patients that were homeless or staying in hostels were more likely to match the high-risk criteria and were also at increased risk of MoCA ≤23, compared with those living with family members. In summary, ARBI is common in patients with AUD attending acute hospitals. ARBI is often not diagnosed, and thus further work is required to improve screening for, and identification of, these patients to develop evidence-based clinical pathways that optimize care. AD - Wolfson Centre for Personalised Medicine, Institute of Translational Medicine, University of Liverpool, United Kingdom Liverpool Centre for Alcohol Research, University of Liverpool, United Kingdom Gastroenterology and Hepatology, Royal Liverpool University Hospital Trust, Ward 5z Link, United Kingdom AN - 145738586. Language: English. Entry Date: 20210917. Revision Date: 20210917. Publication Type: journal article AU - Thompson, Andrew AU - Richardson, Paul AU - Pirmohamed, Munir AU - Owens, Lynn DB - cin20 DO - 10.1016/j.alcohol.2020.05.005 DP - EBSCOhost KW - Alcoholism -- Pathology Brain Injuries -- Chemically Induced Inpatients Human Hospitalization Adult Comparative Studies Multicenter Studies Evaluation Research Validation Studies Scales N1 - research. Journal Subset: Biomedical; USA. Instrumentation: Clinical Decision Making in Nursing Scale (CDMNS) (Jenkins); Work Environment Scale (WES) (Moos et al). Grant Information: MR/S000607/1/MRC_/Medical Research Council/United Kingdom. NLM UID: 8502311. PMID: NLM32502599. PY - 2020 SN - 0741-8329 SP - 49-53 ST - Alcohol-related brain injury: An unrecognized problem in acute medicine T2 - Alcohol TI - Alcohol-related brain injury: An unrecognized problem in acute medicine UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=145738586&site=ehost-live&scope=site VL - 88 ID - 87160 ER - TY - JOUR AB - BACKGROUND: : The American College of Surgeons Committee on Trauma recently required that Level I trauma centers have the capability to perform counseling in the form of brief interventions (BIs) for injured patients identified as problem drinkers. However, it is not yet known what type of training is optimal for trauma center personnel who will conduct these BIs. METHODS: : We conducted a prospective cohort study at the University of California, Davis Medical Center, a Level I trauma center. We compared two methods of training trauma nurse practitioners (NPs) without prior counseling expertise to conduct BIs: formal workshop training versus 'on-the-job' (OTJ) training. We also evaluated whether a further 'booster' training session would improve BI skills. We assessed BI skills in blinded fashion during interviews with a standardized patient actor using a 21-point checklist of BI counseling tasks ('FLO' score). RESULTS: : Nine workshop- and five OTJ-trained NPs participated. FLO scores did not markedly differ between the two groups after initial training (total FLO score, 9.6 ± 2.4 and 7.8 ± 0.4, workshop vs. OTJ, respectively; 95% confidence interval of difference, -4.1 to 0.6). FLO scores did however improve in both groups after booster training (9.1 ± 2.0 and 16.0 ± 2.2, time 1 vs. time 2, respectively; 95% confidence interval of difference, 4.7-9.1). The magnitude of improvement in FLO scores after the booster session did not differ between the workshop and OTJ groups. CONCLUSIONS: : In preparing NPs to conduct BIs, OTJ training by an experienced peer does not seem to differ markedly from workshop training by expert counselors. Interventionist knowledge and performance can be improved in the short term by follow-up training. This indicates that NP's taught by either method should undergo periodic continuing education to maintain the necessary skill set for performing BIs. AD - From the Department of Surgery (J.A.L.), Kaiser Permanente, South Sacramento, California; Department of Surgery (J.A.L., G.H.U.), University of California, Davis Medical Center, Sacramento, California; and Department of Psychiatry and Behavioral Sciences (C.W.D.), University of Washington, Seattle, Washington. AN - 104711133. Language: English. Entry Date: 20110812. Revision Date: 20200708. Publication Type: Journal Article AU - London, J. A. AU - Dunn, C. W. AU - Utter, G. H. DB - cin20 DO - 10.1097/TA.0b013e3182127b0b DP - EBSCOhost IS - 4 KW - Alcoholism -- Diagnosis Attitude of Health Personnel Health Screening -- Statistics and Numerical Data Physicians -- Psychosocial Factors Questionnaires Trauma Centers -- Standards Adult Alcoholism -- Epidemiology Female Human Male Prospective Studies N1 - research. Journal Subset: Biomedical; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. NLM UID: 0376373. PMID: NLM21610398. PY - 2011 SN - 0022-5282 SP - 931-938 ST - Alcohol-related brief interventions as a criterion for american college of surgeons level I trauma center verification: how best to train the interventionists? T2 - Journal of Trauma TI - Alcohol-related brief interventions as a criterion for american college of surgeons level I trauma center verification: how best to train the interventionists? UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=104711133&site=ehost-live&scope=site VL - 70 ID - 88797 ER - TY - JOUR AB - Societal alcohol abuse and misuse is disproportionate to the number of related didactic and clinical hours reported by traditional baccalaureate nursing programs in the United States. Because no recent research re-examines the findings from earlier studies, a survey was developed and then electronically distributed to all nursing department deans or program chairs of traditional baccalaureate nursing programs in the Northeast (N = 117). Twenty-seven (23%) schools responded. Results showed limited didactic and clinical offerings. Most schools cover content related to definition, psychological and medical complications, and treatment and rehabilitation. Clinical applications were limited as was content addressing public dimensions of alcohol misuse. The current findings showed little change from those of studies conducted more than 20 years ago. Based on the current findings, further survey development is encouraged with the intent of continuing exploration of curricular offerings related to alcohol misuse. © SLACK Incorporated. AD - M. A. Mollica, D'Youville College School of Nursing, Alt 519, 320 Porter Avenue, Buffalo, NY 14201, United States AU - Mollica, M. A. AU - Hyman, Z. AU - Mann, C. M. DB - Medline DO - 10.3928/02793695-20110503-01 IS - 6 KW - alcoholism article clinical trial curriculum human multicenter study nursing education United States LA - English M3 - Article N1 - L362020389 2011-08-11 PY - 2011 SN - 0279-3695 SP - 22-30 ST - Alcohol-related content in undergraduate nursing curricula in the northeastern United States T2 - Journal of Psychosocial Nursing and Mental Health Services TI - Alcohol-related content in undergraduate nursing curricula in the northeastern United States UR - https://www.embase.com/search/results?subaction=viewrecord&id=L362020389&from=export http://dx.doi.org/10.3928/02793695-20110503-01 VL - 49 ID - 95464 ER - TY - JOUR AB - Objective: The authors sought to validate the diagnostic criteria for alcohol-related dementia. Methods: The sample consisted of veterans consecutively admitted to a 240-bed VA Nursing Home Care Unit. Baseline and follow-up assessments included measures of cognition and functioning. The diagnosis and type of dementia was determined within 2 months of admission by a geropsychiatrist using patient interviews, chart review, and information from a structured collateral interview, Residents were followed for up to 2 years. Results: Data were collected on 192 of the residents, of whom, 158 (82%) were diagnosed with some form of dementia. Alcohol-related dementia (ARD) was diagnosed in 16 residents (10.1%), probable Alzheimer dementia (AD), in 26 (16.5 %); vascular dementia (VD), in 46 (29.1); and mixed or dementia of undetermined origin, in 70 (44.3%). Those with ARD were less cognitively impaired and were more often unmarried. Residents with ARD demonstrated a stabilization of both cognition and functional status, whereas those with AD and VD showed a general decline in both cognition and functional status. Conclusion: These results serve to validate the diagnostic criteria for ARD and suggest that abstinence may be of clinical value in treating patients with dementia and alcohol dependence. Further research needs to be conducted to confirm the value of abstinence. AD - D.W. Oslin, University of Pennsylvania, 3535 Market Street, Philadelphia, PA 19104, United States AU - Oslin, D. W. AU - Cary, M. S. DB - Embase Medline DO - 10.1097/00019442-200307000-00007 IS - 4 KW - adult aged alcohol related dementia alcoholism Alzheimer disease article cognition dementia diagnostic procedure female follow up gerontopsychiatry human interview major clinical study male military personnel validation process LA - English M3 - Article N1 - L36807641 2003-07-17 PY - 2003 SN - 1064-7481 SP - 441-447 ST - Alcohol-related dementia: Validation of diagnostic criteria T2 - American Journal of Geriatric Psychiatry TI - Alcohol-related dementia: Validation of diagnostic criteria UR - https://www.embase.com/search/results?subaction=viewrecord&id=L36807641&from=export http://dx.doi.org/10.1097/00019442-200307000-00007 VL - 11 ID - 95870 ER - TY - JOUR AB - Excessive alcohol use is associated with health problems for the elderly in combination with their chronic conditions. One such complication, alcohol-related dementia (ARD) is brought about by direct or indirect ethanol intoxication, and coexisting nutritional deficiency, liver disease, cerebrovascular disease and traumatic brain injury. The elderly people with ARD have been underestimated and underdiagnosed. In these older alcoholics, atrophic changes, lacunar infarcts and deep white matter lesions of the brain are evident and are associated not only with their cognitive decline, but also with their frailty, leading to high morbidity and mortality ratio. Although lifelong abstinence can recover patients with ARD to temporally lull, aging, the severity of alcohol dependence, and the concomitant nutritional, physical and environmental factors can all impact negatively their outcome. Therefore, a comprehensive approach to lifestyle factors is recommended so that they can minimize preventable risks and maintain health status. Nursing home placement may be an appropriate treatment option for some refractory, long-term patients with ARD. AD - T. Matsui AU - Matsui, T. AU - Yokoyama, A. AU - Matsushita, S. AU - Kozaki, K. AU - Higuchi, S. DB - Medline IS - 4 KW - aged alcoholism article dementia human pathophysiology LA - Japanese M3 - Article N1 - L373165514 2014-06-04 PY - 2014 SN - 0047-1852 SP - 749-756 ST - [Alcohol-related dementia] T2 - Nihon rinsho. Japanese journal of clinical medicine TI - [Alcohol-related dementia] UR - https://www.embase.com/search/results?subaction=viewrecord&id=L373165514&from=export VL - 72 ID - 95285 ER - TY - JOUR AB - Aims: The aim of the study was to determine for the first time in Germany the prevalence of alcohol-related disorders on the basis of a national representative sample. Method: Based on a probability sample of 609 long-term care facilities in Germany, a subsample was drawn for the present study by using a two-stage, random sampling procedure (stage 1: n = 185 facilities; stage 2: n = 86 facilities). Of these, 67.4 % (58 facilities) took part in the study (4,481 residents; mean age: 82.6 years; female: 78.0 %). The main instrument was the standardized Care and Behaviour Assessment (CBA) for use by nurses. Results: On average, 5.8% of the residents had an alcohol-related disorder according to ICD 10: F10. Current at-risk alcohol consumption (> 20 g, > 30 g for women/men, respectively) was identified among 0.3 % of the residents. The probability of a lifetime alcohol diagnosis was significantly positively associated with: male gender, younger age, fewer social contacts, less functional impairment, more neuropsychiatric symptoms, current alcohol consumption and smoking, and in part with increased somatic morbidity. Conclusions: Alcohol-related disorders are relatively frequent among residents in long-term care facilities. The affected residents form a distinct group and make special demands on therapy and care. AD - M. Schäufele, Arbeitsgruppe Psychiatrische Epidemiologie und Demographischer Wandel, Zentralinstitut für Seelische Gesundheit, Postfach 122120, D-68072 Mannheim, Germany AU - Schäufele, M. AU - Weyerer, S. AU - Hendlmeier, I. AU - Köhler, L. DB - Embase DO - 10.1024/2009.05.04 IS - 5 KW - aged alcohol consumption alcoholism article controlled study elderly care female health care facility hospital patient human major clinical study male morbidity social behavior LA - German M3 - Article N1 - L359387172 2010-08-30 2010-09-01 PY - 2009 SN - 0939-5911 SP - 292-302 ST - Alcohol-related disorders among residents in long-term care facilities: A Germany-wide representative study T2 - Sucht TI - Alcohol-related disorders among residents in long-term care facilities: A Germany-wide representative study UR - https://www.embase.com/search/results?subaction=viewrecord&id=L359387172&from=export http://dx.doi.org/10.1024/2009.05.04 VL - 55 ID - 95562 ER - TY - JOUR AB - The article explains how practice nurses can identify those at risk to alcohol-related harm and deliver interventions to change alcohol consumption behavior. It outlines steps for identifying alcohol consumption levels through the use of screening instruments like the Alcohol Use Disorders Identification Test. A summary of the Model of Change to help health professionals understand how people can change their behavior is given. Interventions for harmful or hazardous drinking are recommended. AD - Programme Director, Master’s in Advancing Nursing Practice, University of Edinburgh, Edinburgh. Honorary Nurse Consultant Alcohol Policy Team, Scottish Government. Chair, Scottish Alcohol Research Network. AN - 100158555. Language: English. Entry Date: 20150102. Revision Date: 20190306. Publication Type: Article AU - Holloway, Aisha DB - cin20 DO - 10.12968/pnur.2015.26.1.10 DP - EBSCOhost IS - 1 KW - Alcohol Abuse -- Prevention and Control Public Health Office Nursing World Health Organization Alcohol Abuse -- Economics Nursing Role Needs Assessment Health Screening Health Promotion Alcohol Drinking -- Classification Clinical Assessment Tools Behavioral Changes Referral and Consultation N1 - tables/charts. Journal Subset: Blind Peer Reviewed; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. PY - 2015 SN - 0964-9271 SP - 10-15 ST - Alcohol-related harm in the practice T2 - Practice Nursing TI - Alcohol-related harm in the practice UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=100158555&site=ehost-live&scope=site VL - 26 ID - 88219 ER - TY - JOUR AB - The City of Wolverhampton has much higher rates of accident and emergency (emergency department) attendance and hospital admission for alcohol-related harm than in neighbouring health authorities and double the national death rate from alcohol-related liver disease. Recovery Near You, the local addiction service, in partnership with The Royal Wolverhampton NHS Trust, initiated a nurse-led drug and alcohol liaison team to address these health issues. This resulted in a tenfold increase in screening and engagement with patients in the acute hospital, the creation of guidelines, protocols and training available for staff in the Trust and an accessible service that has impacted positively on patient experience. This article describes the development of the team, outlining the challenges, successes and outcomes. AD - Drug and Alcohol Liaison Team Manager, New Cross Hospital, The Royal Wolverhampton NHS Trust and Birmingham and Solihull Mental Health NHS Trust Senior Drug and Alcohol Liaison Nurse, New Cross Hospital, The Royal Wolverhampton NHS Trust and Birmingham and Solihull Mental Health NHS Trust Consultant Psychiatrist, Birmingham and Solihull Mental Health NHS Trust Clinical Team Manager, Recovery Near You, Birmingham and Solihull Mental Health NHS Trust Chair in Clinical Practice and Innovation, University of Wolverhampton, and The Royal Wolverhampton NHS Trust Matron, Gastroenterology, New Cross Hospital, The Royal Wolverhampton NHS Trust Consultant Physician, Gastroenterology, New Cross Hospital and Cannock Hospital, The Royal Wolverhampton NHS Trust AN - 131141829. Language: English. Entry Date: 20180810. Revision Date: 20190711. Publication Type: Article AU - Musgrave, Carolyn AU - Timms, Adele AU - Georgiou, George AU - Glover, Simon AU - Sque, Magi AU - Black, Doreen AU - Perry, Ian DB - cin20 DO - 10.12968/bjon.2018.27.15.881 DP - EBSCOhost IS - 15 KW - Alcohol-Related Disorders -- Therapy Nurse Liaison -- England Addictions Nursing -- England England Patient Admission -- Statistics and Numerical Data Inpatients Alcohol-Related Disorders -- Mortality Referral and Consultation Recovery Female Middle Age Alcohol Rehabilitation Programs Mental Health Services Palliative Care Outcomes (Health Care) N1 - case study; statistics; tables/charts. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. Special Interest: Psychiatry/Psychology. NLM UID: 9212059. PY - 2018 SN - 0966-0461 SP - 881-885 ST - Alcohol-related harm: developing a drug and alcohol liaison team T2 - British Journal of Nursing TI - Alcohol-related harm: developing a drug and alcohol liaison team UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=131141829&site=ehost-live&scope=site VL - 27 ID - 87649 ER - TY - JOUR AB - Alcohol-related health problems place a significant burden on general hospitals. Statistics indicate that one in seven acute hospital admissions is a result of alcohol misuse and that one in six attendances at A&E is alcohol related, rising to eight out of 10 at peak times on weekend evenings. Nurses have a role to play in estimating a patient's alcohol use and, if appropriate, providing 'brief intervention' consisting of simple advice and information on sensible drinking. AD - Hospital Liaison Nurse for Alcohol-Related Ill Health, Royal Bolton Hospital and Lecturer/Practitioner, Salford University AN - 106871893. Language: English. Entry Date: 20031003. Revision Date: 20150819. Publication Type: Journal Article AU - Proctor, D. DB - cin20 DP - EBSCOhost IS - 9 KW - Alcohol Abuse -- Complications Alcoholism -- Complications Substance Use Disorders -- Etiology Alcohol Abuse -- Nursing Alcohol Abuse -- Prevention and Control Alcohol Withdrawal Delirium -- Drug Therapy Alcoholism -- Nursing Health Screening Hospitals United Kingdom N1 - equations & formulas; pictorial. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 0423236. PMID: NLM12673982. PY - 2003 SN - 0954-7762 SP - 26-27 ST - Alcohol-related health problems in general hospitals T2 - Nursing Times TI - Alcohol-related health problems in general hospitals UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=106871893&site=ehost-live&scope=site VL - 99 ID - 89677 ER - TY - JOUR AB - Health personnel has been thought to pay too little attention to alcohol-related problems. Knowledge, attitudes and beliefs related to alcohol were studied among 225 physicians, 296 nurses, and 279 clerical employees. Knowledge scores were constructed by giving one point for every correct answer. For knowledge on alcoholic beverages and biological facts (11 questions), the mean scores were: physicians 7.7, nurses 6.7, and clerical employees 6.5. For etiologic knowledge (12 items), the means were: physicians 8.6, nurses 6.9, and clerical employees 6.3. The respective scores for prognostic knowledge (9 items) were: physicians 6.8, nurses 6.3, clerical employees 5.5. For knowledge on prevention and treatment the mean scores were: physicians 2.7, nurses 2.2, and clerical personnel 2.3. Physicians had more permissive attitudes towards alcohol use in various social situations and were less likely to recommend compulsory treatment than nurses or clerical employees. With respect to the prevention of alcohol problems, all groups considered face-to-face health education, and then voluntary treatment. Beverage price increases were regarded to be the least effective approach by nurses and clerical employees, while physicians felt that the press was the least likely source of enlightenment. Knowledge was only remotely related to age, marital status and permissive attitudes. Health personnel knew more about alcohol-related to age, marital status and permissive attitudes. Health personnel knew about alcohol-related problems than lay people, but there is room for further improvement. AN - 107532232. Language: English. Entry Date: 19890701. Revision Date: 20200708. Publication Type: Journal Article AU - Poikolainen, K. DB - cin20 DO - 10.1016/0277-9536(88)90209-2 DP - EBSCOhost IS - 12 KW - Nurses Physicians Health Knowledge Attitude to Health Alcohol Drinking Alcoholism Clerical Personnel Human N1 - research. Journal Subset: Allied Health; Biomedical; Continental Europe; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Peer Reviewed. NLM UID: 8303205. PMID: NLM3238461. PY - 1988 SN - 0277-9536 SP - 1429-1432 ST - Alcohol-related knowledge, beliefs and attitudes among health and clerical personnel T2 - Social Science & Medicine TI - Alcohol-related knowledge, beliefs and attitudes among health and clerical personnel UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=107532232&site=ehost-live&scope=site VL - 27 ID - 90352 ER - TY - JOUR AB - Alcohol is one of the three leading causes of liver disease in the developed world. Patients with alcohol-related liver disease are often cared for in general wards and hospitals, rather than specialist centres. This may be a result of the number of patients being admitted or a lack of referral to specialist services by healthcare professionals. The financial cost of caring for patients with alcohol-related injuries is continuing to rise. This article explores the mechanisms of liver injury caused by alcohol; the risk factors associated with alcohol-related liver disease; assessment tools used to identify patients with alcohol use disorders; withdrawal from alcohol; chronic liver disease; and issues surrounding transplantation. The importance of the nursing role in assessing and monitoring patients undergoing withdrawal from alcohol, information giving and advice on the prevention of alcohol-related liver injury, and supporting patients with alcohol-related liver injury is highlighted. AD - Lecturer Practitioner in Hepatology, Liver Unit, King's College Hospital NHS Foundation Trust, London AN - 103975427. Language: English. Entry Date: 20140718. Revision Date: 20200708. Publication Type: Journal Article AU - Fullwood, Danielle DB - cin20 DO - 10.7748/ns.28.46.42.e8998 DP - EBSCOhost IS - 46 KW - Liver Diseases -- Physiopathology Alcohol-Related Disorders -- Risk Factors Nursing Role Patient Assessment Health Promotion Education, Continuing (Credit) Substance Withdrawal, Controlled Malnutrition N1 - pictorial; review; tables/charts. Note: For CE see p. 48. Journal Subset: Double Blind Peer Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. Special Interest: Psychiatry/Psychology. NLM UID: 9012906. PMID: NLM25027923. PY - 2014 SN - 0029-6570 SP - 42-47 ST - Alcohol-related liver disease T2 - Nursing Standard TI - Alcohol-related liver disease UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=103975427&site=ehost-live&scope=site VL - 28 ID - 88269 ER - TY - JOUR AB - Background: Coronavirus Disease 2019 (COVID-19), firstly reported in China last November 2019, became a global pandemic. It has been shown that periods of isolation may induce a spike in alcohol use disorder (AUD). In addition, alcohol-related liver disease (ALD) is the most common consequence of excessive alcohol consumption worldwide. Moreover, liver impairment has also been reported as a common manifestation of COVID-19. Aims: The aim of our position paper was to consider some critical issues regarding the management of ALD in patients with AUD in the era of COVID-19. Methods: A panel of experts of the Italian Society of Alcohology (SIA) met via “conference calls” during the lockdown period to draft the SIA’s criteria for the management of ALD in patients with COVID-19 as follows: (a) liver injury in patients with ALD and COVID-19 infection; (b) toxicity to the liver of the drugs currently tested to treat COVID-19 and the pharmacological interaction between medications used to treat AUD and to treat COVID-19; (c) reorganization of the management of compensated and decompensated ALD and liver transplantation in the COVID-19 era. Results and Conclusions: The COVID-19 pandemic has rapidly carried us toward a new governance scenario of AUD and ALD which necessarily requires an in-depth review of the management of these diseases with a new safe approach (management of out-patients and in-patients following new rules of safety, telemedicine, telehealth, call meetings with clinicians, nurses, patients, and caregivers) without losing the therapeutic efficacy of multidisciplinary treatment. AD - F. Caputo, Department of Internal Medicine, SS Annunziata Hospital, University of Ferrara, Via Vicini 2, FE, Cento, Italy AU - Testino, G. AU - Vignoli, T. AU - Patussi, V. AU - Allosio, P. AU - Amendola, M. F. AU - Aricò, S. AU - Baselice, A. AU - Balbinot, P. AU - Campanile, V. AU - Fanucchi, T. AU - Greco, G. AU - Macciò, L. AU - Meneguzzi, C. AU - Mioni, D. AU - Palmieri, V. O. AU - Parisi, M. AU - Renzetti, D. AU - Rossin, R. AU - Gandin, C. AU - Bottaro, L. C. AU - Bernardi, M. AU - Addolorato, G. AU - Lungaro, L. AU - Zoli, G. AU - Scafato, E. AU - Caputo, F. DB - Embase Medline DO - 10.1007/s10620-021-07006-1 IS - 6 KW - acamprosate alcohol angiotensin converting enzyme 2 baclofen dexamethasone disulfiram favipiravir hydroxychloroquine ivermectin lopinavir lopinavir plus ritonavir low molecular weight heparin nalmefene naltrexone oxybate sodium remdesivir tocilizumab alcohol consumption alcohol related liver disease alcoholism antiviral therapy article clinical feature clinical practice comorbidity compensated liver cirrhosis coronavirus disease 2019 decompensated liver cirrhosis hospital patient human laboratory test liver disease liver injury liver toxicity liver transplantation lockdown managed care medical expert medical society outpatient care psychopharmacology telehealth telemedicine treatment indication LA - English M3 - Article N1 - L2012834970 2021-06-22 2022-06-16 PY - 2022 SN - 1573-2568 0163-2116 SP - 1975-1986 ST - Alcohol-Related Liver Disease in the Covid-19 Era: Position Paper of the Italian Society on Alcohol (SIA) T2 - Digestive Diseases and Sciences TI - Alcohol-Related Liver Disease in the Covid-19 Era: Position Paper of the Italian Society on Alcohol (SIA) UR - https://www.embase.com/search/results?subaction=viewrecord&id=L2012834970&from=export http://dx.doi.org/10.1007/s10620-021-07006-1 VL - 67 ID - 94189 ER - TY - JOUR AB - Importance: Experts recommend that alcohol use disorders (AUDs) be managed in primary care, but effective approaches are unclear.Objective: To test whether 12 months of alcohol care management, compared with usual care, improved drinking outcomes among patients with or at high risk for AUDs.Design, Setting, and Participants: This randomized clinical trial was conducted at 3 Veterans Affairs (VA) primary care clinics. Between October 11, 2011, and September 30, 2014, the study enrolled 304 outpatients who reported heavy drinking (≥4 drinks per day for women and ≥5 drinks per day for men).Interventions: Nurse care managers offered outreach and engagement, repeated brief counseling using motivational interviewing and shared decision making about treatment options, and nurse practitioner-prescribed AUD medications (if desired), supported by an interdisciplinary team (CHOICE intervention). The comparison was usual primary care.Main Outcomes and Measures: Primary outcomes, assessed by blinded telephone interviewers at 12 months, were percentage of heavy drinking days in the prior 28 days measured by timeline follow-back interviews and a binary good drinking outcome, defined as abstinence or drinking below recommended limits in the prior 28 days (according to timeline follow-back interviews) and no alcohol-related symptoms in the past 3 months as measured by the Short Inventory of Problems.Results: Of 304 participants, 275 (90%) were male, 206 (68%) were white, and the mean (SD) age was 51.4 (13.8) years. At baseline, both the CHOICE intervention (n = 150) and usual care (n = 154) groups reported heavy drinking on 61% of days (95% CI, 56%-66%). During the 12-month intervention, 137 of 150 patients in the intervention group (91%) had at least 1 nurse visit, and 77 of 150 (51%) had at least 6 nurse visits. A greater proportion of patients in the intervention group than in the usual care group received alcohol-related care: 42% (95% CI, 35%-49%; 63 of 150 patients) vs 26% (95% CI, 19%-35%; 40 of 154 patients). Alcohol-related care included more AUD medication use: 32% (95% CI, 26%-39%; 48 of 150 patients in the intervention group) vs 8% (95% CI, 5%-13%; 13 of 154 patients in the usual care group). No significant differences in primary outcomes were observed at 12 months between patients in both groups. The percentages of heavy drinking days were 39% (95% CI, 32%-47%) and 35% (95% CI, 28%-42%), and the percentages of patients with a good drinking outcome were 15% (95% CI, 9%-22%; 18 of 124 patients) and 20% (95 % CI, 14%-28%; 27 of 134 patients), in the intervention and usual care groups, respectively (P = .32-.44). Findings at 3 months were similar.Conclusions and Relevance: The CHOICE intervention did not decrease heavy drinking or related problems despite increased engagement in alcohol-related care.Trial Registration: clinicaltrials.gov Identifier: NCT01400581. AD - Kaiser Permanente Washington Health Research Institute, Seattle Department of Medicine, University of Washington, Seattle Department of Health Services, University of Washington, Seattle Health Services Research & Development Center of Innovation for Veteran-Centered and Value-Driven Care, Veterans Affairs Puget Sound Health Care System, Seattle, Washington Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle Division of Health Services Management and Policy, College of Public Health, Ohio State University, Columbus Center for Innovation in Pediatric Practice, Nationwide Children’s Hospital, Columbus, Ohio Center of Excellence in Substance Abuse Treatment and Education, Veterans Affairs Puget Sound Health Care System, Seattle, Washington Behavioral Health Support Services, Kaiser Foundation Health Plan of Washington, Seattle General Medicine Service, Veterans Affairs Puget Sound Health Care System, Seattle, Washington Innovative Programs Research Group, School of Social Work, University of Washington, Seattle AN - 129543971. Language: English. Entry Date: 20190426. Revision Date: 20191011. Publication Type: journal article AU - Bradley, Katharine A. AU - Bobb, Jennifer F. AU - Ludman, Evette J. AU - Chavez, Laura J. AU - Saxon, Andrew J. AU - Merrill, Joseph O. AU - Williams, Emily C. AU - Hawkins, Eric J. AU - Caldeiro, Ryan M. AU - Achtmeyer, Carol E. AU - Greenberg, Diane M. AU - Lapham, Gwen T. AU - Richards, Julie E. AU - Lee, Amy K. AU - Kivlahan, Daniel R. DB - cin20 DO - 10.1001/jamainternmed.2018.0388 DP - EBSCOhost IS - 5 KW - Primary Health Care Veterans Ambulatory Care Facilities Alcoholism -- Nursing Patient Centered Care -- Administration Middle Age Treatment Outcomes Male Female Human Validation Studies Comparative Studies Evaluation Research Multicenter Studies Funding Source Randomized Controlled Trials Random Assignment N1 - research; tables/charts; randomized controlled trial. Journal Subset: Biomedical; Peer Reviewed; USA. Grant Information: K24 AA022128/AA/NIAAA NIH HHS/United States. NLM UID: 101589534. PMID: NLM29582088. PY - 2018 SN - 2168-6106 SP - 613-621 ST - Alcohol-Related Nurse Care Management in Primary Care: A Randomized Clinical Trial T2 - JAMA Internal Medicine TI - Alcohol-Related Nurse Care Management in Primary Care: A Randomized Clinical Trial UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=129543971&site=ehost-live&scope=site VL - 178 ID - 87699 ER - TY - JOUR AB - Purpose: Alcohol misuse is associated with depressive symptoms and diminished quality of life. Interventions aiming to improve drinking outcomesmay secondarily improve depressive symptoms. The aim of this study was to examine whether the CHOICE trial intervention improved depressive symptoms. Methods: VA-based randomized controlled trial of a 12-month care management intervention versus usual care included 304 primary care patients with heavy drinking at risk for alcohol use disorders (n = 150 intervention vs. n = 154 usual care; mean age = 51; 90%male; 68%white). Care management included proactive outreach and engagement, repeated brief counseling using motivational interviewing and shared decision-making about treatment options. Self-reported DSM major depressive disorder symptom severity was measured at baseline and 12 month follow-up with the eight item Patient Health Questionnaire, known as the PHQ-8 (PHQ-9 minus suicidal ideation item). Linear regression assessed the association between intervention group and change in depressive symptoms (PHQ-8 score) from baseline to 12-month follow up while adjusting for baseline score, gender, age, alcohol dependence, and treatment site. Results: At 12-month follow up the mean depressive symptom severity score was 6.2 (SD = 5.3) in the intervention group and 7.6 (SD = 6.3) in the usual care group. Mean change in depressive symptom scores was 1.91 (SD = 5.08) and 2.01 (SD = 4.92) points, for intervention and usual care, respectively. There was no difference between the intervention and usual care group for change in PHQ-8 depressive symptom scores in adjusted analyses (p = 0.418). Conclusions: The CHOICE intervention did not improve depressive symptoms in heavy drinkers relative to usual care. This result was surprising given that the main analyses of the trial demonstrated improved self-reported health status for intervention participants relative to usual care. Depression-specific interventions are likely needed to impact the highly prevalent depressive symptoms reported by this population. AD - E.J. Ludman, Kaiser Permanente Washington Health Research Institute, Seattle, WA, United States AU - Ludman, E. J. AU - Matson, T. AU - Bobb, J. F. AU - Richards, J. E. AU - Lapham, G. T. AU - Bradley, K. A. DB - Embase DO - 10.1111/acer.13747 KW - alcohol adult alcohol abuse alcoholism conference abstract controlled study female follow up gender health status human linear regression analysis major clinical study major depression male middle aged motivational interviewing nurse Patient Health Questionnaire 8 Patient Health Questionnaire 9 primary medical care randomized controlled trial risk assessment shared decision making suicidal ideation LA - English M3 - Conference Abstract N1 - L622675890 2018-06-28 PY - 2018 SN - 1530-0277 SP - 264A ST - Alcohol-related nurse care management in primary care: Randomized controlled trial depressive symptom outcomes T2 - Alcoholism: Clinical and Experimental Research TI - Alcohol-related nurse care management in primary care: Randomized controlled trial depressive symptom outcomes UR - https://www.embase.com/search/results?subaction=viewrecord&id=L622675890&from=export http://dx.doi.org/10.1111/acer.13747 VL - 42 ID - 94818 ER - TY - JOUR AB - Alcohol-related problems and binge drinking pose continuing challenges to nurses nationally and internationally. To provide optimum care for this vulnerable group and sound advice to hazardous drinkers, it is essential that nurses are knowledgeable and competent in this area of practice. AD - Accident and Emergency, Imperial College Healthcare NHS Trust, St Mary's Hospital, London; mary.dawood@imperial.nhs.uk AN - 105762768. Language: English. Entry Date: 20080711. Revision Date: 20200708. Publication Type: Journal Article AU - Dawood, M. DB - cin20 DO - 10.7748/ns2008.05.22.36.50.c6544 DP - EBSCOhost IS - 36 KW - Alcohol Abuse -- Nursing Alcoholism -- Nursing Emergency Nursing Alcohol Abuse -- Economics Alcoholism -- Complications Education, Continuing (Credit) Liver Cirrhosis -- Symptoms Pancreatitis -- Symptoms Wernicke's Encephalopathy -- Physiopathology N1 - CEU; exam questions; tables/charts. Journal Subset: Double Blind Peer Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 9012906. PMID: NLM18543725. PY - 2008 SN - 0029-6570 SP - 50-60 ST - Alcohol-related presentations in the emergency department T2 - Nursing Standard TI - Alcohol-related presentations in the emergency department UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=105762768&site=ehost-live&scope=site VL - 22 ID - 89192 ER - TY - JOUR AB - A learning zone article helped Joe Keating appreciate the importance of non-judgemental care. AN - 105643962. Language: English. Entry Date: 20090306. Revision Date: 20200708. Publication Type: Journal Article AU - Keating, J. DB - cin20 DO - 10.7748/ns.23.20.59.s55 DP - EBSCOhost IS - 20 KW - Alcohol Abuse -- Complications Alcoholism -- Complications Pancreatitis Nursing Role N1 - pictorial. Journal Subset: Double Blind Peer Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 9012906. PY - 2009 SN - 0029-6570 SP - 59-59 ST - Alcohol-related presentations...this practice profile is based on NS442 Dawood M (2008) Alcohol-related presentations in the emergency department. Nursing Standard. 22, 36, 50-56 T2 - Nursing Standard TI - Alcohol-related presentations...this practice profile is based on NS442 Dawood M (2008) Alcohol-related presentations in the emergency department. Nursing Standard. 22, 36, 50-56 UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=105643962&site=ehost-live&scope=site VL - 23 ID - 89083 ER - TY - JOUR AB - The number and types of alcohol-related problems seen by medical, nursing, and mental health professionals at the University of Massachusetts Health Services has been assessed since 1975 as part of a Demonstration Alcohol Education Project. Medical outpatient clinic alcohol-related contacts using encounter forms completed on every outpatient visit during 1975 and 1976 revealed that 0.08% of approximately 92,500 visits annually were alcohol related, including 0.03% for chronic problems and 0.05% for acute problems (mainly contusions, lacerations, and fractures). Week-long contact surveys conducted in November 1976, and April 1977 recorded a much higher proportion of alcohol-related problems for over 60% of about 2,200 contacts each week. In November 1976, 1.4% of 1,346 reported visits were alcohol related, including 8.0% of contacts which occurred on weekends. In April 1977 2.7% of 1,582 reported visits were alcohol related, including 17.0% of weekend visits. No chronic alcohol problems were reported either week, and most of the acute problems involved traumatic injuries, such as contusions, lacerations, and sprains. Mental health outpatient clinic alcohol-related contacts self-reported by students at the initial visit revealed that 5.8% of 1,179 initial visits between January 1976, and June 1977 were alcohol related, most involving their own alcohol use. Week-long contact surveys involving all 256 contacts during November 1976 and 192 contacts during April 1977 showed that 13.7% of contacts were for alcohol-related problems, over half due to alcohol abuse by someone else, such such a parent or boy/girlfriend. The finding suggest that a significant proportion of students seen by student health services have acute rather than chronic alcohol-related problems, especially acute traumatic injuries and relationship problems. AD - Univ. Massachusetts, Amherst, Mass. AU - Kraft, D. P. DB - Embase IS - 4 KW - alcoholism central nervous system health service major clinical study mental health university LA - English N1 - L9153970 1979-08-06 PY - 1979 SP - 190-194 ST - Alcohol-related problems seen at the student health services T2 - Journal of the American College Health Association TI - Alcohol-related problems seen at the student health services UR - https://www.embase.com/search/results?subaction=viewrecord&id=L9153970&from=export VL - 27 ID - 96139 ER - TY - JOUR AB - We carried out a population-based prevalence study to assess the association between the presence of alcohol-related problems within the family and the risk of disorders in the children's global functioning level. We enrolled 394 children attending nursery, primary and secondary schools and their parents living in two municipalities in Central Italy. Alcohol-related problems within the family were reported by registered records obtained from general practitioners and teachers, who were considered as preference raters. The childrens level of functioning was assessed by teachers, who attributed to each school child a score according to the Children Global Assessment Scale (CGAS). The number of reports of alcohol-related problems within the family and the CGAS scores were considered, respectively, as independent and dependent variables in a multiple logistic regression model for ordinal outcome variables. The children's sex and age, and the age of their parents, the duration of the parents' education and family size were considered as covariates. We found a strong association between a poor level of functioning in the children in the social environment and alcohol-related problems within the family. The prevalence odds ratio (and 95% confidence interval) decreased from 0.5 (range 0.2-1.3) for children whose families were reported by one rater to 0.4 (range 0.2-0.8) for children whose families were reported by two raters, the non-reported families being the reference category, suggesting that the level of functioning of the child decreased as reports of alcohol-related problems in the family increased. AD - G. Corrao, Centro di Epidemiologia, Facolta di Medicina, Via G Verdi 28, 67100 L'Aquila, Italy AU - Corrao, G. AU - Busellu, G. AU - Valenti, M. AU - Lepore, A. R. AU - Sconci, V. AU - Casacchia, M. AU - Di Orio, F. DB - Embase Medline DO - 10.1007/BF00795912 IS - 6 KW - academic achievement age alcoholism article child child health education family family size female human Italy major clinical study male population research prevalence regression analysis social behavior social status LA - English M3 - Article N1 - L24018905 1994-01-21 PY - 1993 SN - 0933-7954 SP - 304-308 ST - Alcohol-related problems within the family and global functioning of the children: A population-based study T2 - Social Psychiatry and Psychiatric Epidemiology TI - Alcohol-related problems within the family and global functioning of the children: A population-based study UR - https://www.embase.com/search/results?subaction=viewrecord&id=L24018905&from=export http://dx.doi.org/10.1007/BF00795912 VL - 28 ID - 96041 ER - TY - JOUR AB - It is generally accepted that around 2-5% of the adult population show major signs of alcohol dependence, that alcohol-related harm is experienced by up to 20% of the population, and that approximately 60% drink at risk-free levels. Further prevalence studies show that there are high numbers of problem drinkers who attend general hospital services for reasons other than their alcohol consumption. Nurses are in constant contact with patients who may have an early problem with alcohol but who are admitted for other reasons, and they are in a prime position to comprehensively assess patients (including alcohol screening), develop rapport and provide 'counselling'. Also, university nursing education is propelling nurses toward adoption of independent discipline focused models of care which are increasingly becoming independent of the medical model. Recent trends in the management of problem drinkers suggest that controlled drinking approaches may well offer treatment options to nurses that the traditional abstinence approaches did not. This paper presents a brief overview of the notion of controlled drinking, then critically reviews the nursing research studies and the descriptive literature providing direction for nursing education. Some recent clinical initiatives are discussed which highlight the flaws existing in nursing education, including lack of sufficient curriculum hours and the need for better designed education models and strategies. AD - Department of Health Sciences, Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong AN - 107299749. Language: English. Entry Date: 19981201. Revision Date: 20150819. Publication Type: Journal Article AU - Arthur, D. DB - cin20 DP - EBSCOhost IS - 6 KW - Alcoholism -- Complications Research, Nursing Education, Nursing Substance Abuse Detection Schools, Nursing Alcohol Drinking Nursing Literature Textbooks N1 - review. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 8511379. PMID: NLM9847741. PY - 1998 SN - 0260-6917 SP - 477-487 ST - Alcohol-related problems: a critical review of the literature and directions in nurse education T2 - Nurse Education Today TI - Alcohol-related problems: a critical review of the literature and directions in nurse education UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=107299749&site=ehost-live&scope=site VL - 18 ID - 89964 ER - TY - JOUR AB - A learning zone article prompted James Cleary to consider the wider implications of emergency care. AN - 105324080. Language: English. Entry Date: 20091030. Revision Date: 20200619. Publication Type: Journal Article AU - Cleary, J. DB - cin20 DO - 10.7748/ns2009.09.24.4.59.c7299 DP - EBSCOhost IS - 4 KW - Alcohol Abuse -- Therapy Alcoholism -- Therapy Emergency Care Emergency Nursing Emergency Service Substance Withdrawal Syndrome N1 - pictorial. Journal Subset: Double Blind Peer Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 9012906. PY - 2009 SN - 0029-6570 SP - 59-59 ST - Alcohol-related problems...this practice profile is based on NS442 Dawood M (2008) Alcohol-related presentations in the emergency department. Nursing Standard. 22, 36, 50-56 T2 - Nursing Standard TI - Alcohol-related problems...this practice profile is based on NS442 Dawood M (2008) Alcohol-related presentations in the emergency department. Nursing Standard. 22, 36, 50-56 UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=105324080&site=ehost-live&scope=site VL - 24 ID - 88995 ER - TY - JOUR AB - This qualitative study aimed to learn the conceptions and attitude tendencies of nurses from public district basic health units towards alcohol, alcoholism and alcohol addicts. The sample consisted of ten nurses from three institutions in a city located in São Paulo. Data were recorded and submitted to content thematic analysis. Subjects evidenced that these nurses are permissive towards moderate alcohol use, but reject alcoholism, conceiving it as a potentially fatal disease, and tend to associate it to personal will, indicating the influence of the moral concept on their conceptions and attitudes. The participating nurses' knowledge about the topics alcohol and alcoholism was also evidenced. Based on the results, the authors suggest training this group and preparing these professionals for the care, recognition and prevention of disorders related to alcohol use/abuse at these health centers. AD - Professor, University of São Paulo School of Nursing; vargas@usp.br AN - 105811230. Language: English. Entry Date: 20080912. Revision Date: 20200623. Publication Type: Journal Article AU - de Vargas, D. AU - Luis, M. A. V. DB - cin20 DO - 10.1590/s0104-11692008000700007 DP - EBSCOhost IS - Special KW - Alcoholism Attitude to Illness Community Health Nursing Nurse Attitudes Adult Brazil Community Health Centers Content Analysis Descriptive Research Discourse Analysis Educational Status Female Job Experience Male Middle Age Qualitative Studies Semi-Structured Interview Thematic Analysis Human N1 - research. Journal Subset: Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Mexico & Central/South America; Nursing; Peer Reviewed. NLM UID: 9420934. PMID: NLM18709273. PY - 2008 SN - 1518-8345 SP - 543-550 ST - Alcohol, alcoholism and alcohol addicts: conceptions and attitudes of nurses from district basic health centers T2 - Revista Latino-Americana de Enfermagem (RLAE) TI - Alcohol, alcoholism and alcohol addicts: conceptions and attitudes of nurses from district basic health centers UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=105811230&site=ehost-live&scope=site VL - 16 ID - 89158 ER - TY - JOUR AB - OBJECTIVE Investigation of the frequency of alcohol consumption, the degree of smoking dependence of nurses and the stress of their daily working life. METHOD The research sample consisted of 129 registered nurses and nursing assistants working in “G. Gennimatas” General Hospital of Athens and the General Hospital of Corinth. The participants completed the AUDIT scale, which provides data on alcohol consumption, the Fagerström scale, which measures smoking addiction, and the Expanded Nursing Stress Scale, which records levels of occupational stress. RESULTS Of the 129 participants, 82.9% were women and 17.1% were men. Their mean age was 43.5 years and their average work experience 19.2 years. Regarding alcohol consumption, 45% of the nurses reported drinking alcohol at least once a month, but in general 99% reported drinking less than the margin of safety (Mean AUDIT=1.84), and the men were more likely to consume alcohol (3.1 vs 1.6). The sample included 56 smokers (43%), of which 37.5% reported smoking 16–25 cigarettes/day. Overall, 37% were non-smokers or less addicted and the 26.8% were very addicted to nicotine. Furthermore, heavy smoking was more prevalent at the General Hospital of Corinth (6.35 vs 4.78). Regarding stress in the workplace, 41% of nurses characterized “performing procedures that patients experience as painful” as being “very stessful”. Other stressful experiences were “unpredictable staffing and schedule” (41.1%), and “not enough time to complete all of the nursing tasks” (43.4%), while “dealing with violent patients” and “dealing with abusive patients” were characterized as “extremely stressful”. Women appear to be more vulnerable to stress in the workplace than men (23.35 vs 19.86). No significant difference was found between the sex of the participants regarding “workplace discrimination” (4.49 vs 3.14) or “problems with peers” (11.08 vs 11.27). CONCLUSIONS In order to avoid the consequences of unhealthy habits on nurses, it is highly recommended that nurses receive support from society and from their family environment, and specialized counseling should be provided when needed. The people who provide citizens with health care services need to maintain and improve their health by every possible means, in order to be capable of doing their job properly, and with no detriment to themselves. AD - V. Karantzia, Department of Social and Educational Policy, University of the Peloponnese, 11 Irakleous street, Corinth, Greece AU - Karantzia, V. AU - Saridi, M. AU - Toska, A. AU - Souliotis, K. DB - Embase IS - 6 KW - adult alcohol consumption article controlled study Expanded Nursing Stress Scale Fagerstrom scale female human job stress male nurse peer group rating scale smoking tobacco dependence workplace LA - Greek M3 - Article N1 - L2003237762 2019-11-14 2019-12-09 PY - 2019 SN - 1105-3992 SP - 771-778 ST - Alcohol, smoking and stress among nurses T2 - Archives of Hellenic Medicine TI - Alcohol, smoking and stress among nurses UR - https://www.embase.com/search/results?subaction=viewrecord&id=L2003237762&from=export VL - 36 ID - 94625 ER - TY - JOUR AB - In Australia 67% of prisoners report previous illicit drug use (AIHW, 2015) with 39% reporting high risk of alcohol-related harm. The links between effective ATOD health programs and outcomes are clearly linked to reduced recidivism (Ombudsman report, 2015) and better biopsychosocial determinates. Correctional nurses' work in challenging environments but their adaptability and passion are key to the provision of community equivalent care. AU - Wiley, A. AU - O'Neill, S. DB - Medline IS - 6 KW - drug dependence human nursing correctional facility prisoner South Australia LA - English M3 - Article N1 - L620284935 2018-01-29 PY - 2016 SN - 2202-7114 SP - 39 ST - ALCOHOL, TOBACCO AND OTHER DRUGS NURSING WITHIN A CORRECTIONAL SETTING T2 - Australian nursing & midwifery journal TI - ALCOHOL, TOBACCO AND OTHER DRUGS NURSING WITHIN A CORRECTIONAL SETTING UR - https://www.embase.com/search/results?subaction=viewrecord&id=L620284935&from=export VL - 24 ID - 95049 ER - TY - JOUR AB - Objectives: To understand the perception of nursing students about alcohol, tobacco and other drugs in the context of their academic training. Method: This is a descriptive study with a qualitative approach using as production technique of the interview data with 15 nursing students of a private institution of higher education. Results: Data were grouped into two categories: knowledge of graduating nursing students on alcohol, tobacco and other drugs and academic formation versus practical application. Conclusion: The study shows a predominance of some participants' knowledge of drugs with specific information, without a more profound reflection on the subject in question on the politics of confrontation and actions of nurses. Objetivos: Comprender la percepción de los estudiantes de enfermería sobre el alcohol, el tabaco y otras drogas en el contexto de su formación académica. Método: Se realizó un estudio descriptivo con abordaje cualitativo, utilizando la técnica de producción de los datos de las entrevistas con 15 estudiantes de enfermería de una institución privada de educación superior. Resultados: Los datos fueron agrupados en dos categorías: el conocimiento de los estudiantes de enfermería sobre el alcohol, el tabaco y otras drogas y la educación académica frente a la aplicación práctica. Conclusión: El estudio muestra un predominio del conocimiento de algunos participantes de las drogas con información específica, sin una reflexión más profunda sobre el tema en cuestión en la política de confrontación y acciones de los enfermeros. Objetivos: Compreender a percepção dos acadêmicos de enfermagem acerca do álcool, tabaco e outras drogas no contexto de sua formação acadêmica. Método: Trata-se de estudo descritivo, com abordagem qualitativa utilizando como técnica de produção de dados a entrevista realizada com 15 acadêmicos de enfermagem de uma instituição de ensino superior privada. Resultados: Os dados foram agrupados em duas categorias: conhecimento dos graduandos de enfermagem sobre álcool, tabaco e outras drogas e a formação acadêmica versus aplicação na prática. Conclusão: O estudo mostra uma predominância de pouco conhecimento dos participantes sobre drogas, com informações pontuais, sem uma reflexão mais densa sobre o tema em questão, sobre as políticas de enfrentamento e as ações dos enfermeiros. AD - Undergraduate student in Nursing University Center of Health,Humanity and Technology of Piau¡-UNINOVAFAPI, scholarship holder of the Scientific Initiation PIBIC-UNINOVAFAPI, Address: Rua Hugo NapoleÆo, 665, Ed. Palazzo Realle, Apto, 1801, Bairro Joquey, Teresina- PI, Brazil, CEP: 64078320 Undergraduate student in Nursing University Center of Health,Humanity and Technology of Piau¡-UNINOVAFAPI, scholarship holder of the Scientific Initiation PIBIC-UNINOVAFAPI, Address: Quadra 08, Casa 21, Setor A, Mocambinho II Teresina- PI, Brazil, CEP: 64010030 Nurse, Master's in Family Health from the University Center UNINOVAFAPI, Professor at UNINOVAFAPI, Address: Rua Mundinho Ferraz, Condom¡nio Park Riviera, Bloco 10, Bairro Morada do Sol Nurse, PhD in Nursing. Professor of the Graduate, Masters and Doctor Programs in Nursing at UFPI, Address: Av. Cel. Costa Ara£jo, 323, Bairro de F tima. Teresina- PI, Brazil, CEP: 65049460 AN - 93651390. Language: English. Entry Date: 20140121. Revision Date: 20181206. Publication Type: Article AU - Campos Arˆa LeÆo, La¡s Monteiro Ara£jo AU - Vaz Elias, Concei‡Æo de Maria AU - Castelo Branco, Fernanda Matos Fernandes AU - Monteiro, Claudete Ferreira de Souza DB - cin20 DO - 10.9789/2175-5361.2013v5n6Esp2p200 DP - EBSCOhost KW - Students, Nursing -- Psychosocial Factors Health Knowledge -- Evaluation Alcohol Abuse -- Evaluation Smoking -- Evaluation Substance Abuse -- Evaluation Human Descriptive Research Qualitative Studies Interviews Brazil Adult Male Female Education, Nursing -- Evaluation N1 - research. Supplement Title: dez2013 special issue. Journal Subset: Biomedical; Continental Europe; Europe; Peer Reviewed. PY - 2013 SN - 2175-5361 SP - 200-206 ST - Alcohol, tobacco and others drugs: nursing academic's perception T2 - Revista de Pesquisa: Cuidado e Fundamental TI - Alcohol, tobacco and others drugs: nursing academic's perception UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=93651390&site=ehost-live&scope=site VL - 5 ID - 88358 ER - TY - JOUR AB - AIM: To determine the extent to which the recommendations of the alcohol harm reduction strategy for England and the Choosing Health white paper for the provision of screening and brief interventions for hazardous and harmful drinkers have been adopted by accident and emergency departments. METHOD: Telephone/postal survey of all 191 Type 1 departments in England. The survey was part of a larger study investigating the impact of the changes in the licensing act (2004) on alcohol-related attendances. RESULTS: 4 departments use formal screening tools and 24 ask general questions about consumption (98.9% response rate). Blood alcohol levels were measured as required by 100 departments. No departments routinely measure blood alcohol, and 84 departments never assess blood alcohol levels. Alcohol-related attendances were formally recorded by 131 departments. Access to an alcohol health worker or a clinical nurse specialist was reported by 32 departments. DISCUSSION: Although departments may be willing to address hazardous alcohol consumption, the low numbers of departments utilising formal screening tools suggests that patients who may benefit from help or advice remain undetected. AD - National Addiction Centre, Kings College London & SLaM NHS Trust, London, UK. r.patton@iop.kcl.ac.uk AN - 105987734. Language: English. Entry Date: 20080222. Revision Date: 20200708. Publication Type: Journal Article AU - Patton, R. AU - Strang, J. AU - Birtles, C. AU - Crawford, M. J. DB - cin20 DO - 10.1136/emj.2006.045179 DP - EBSCOhost IS - 8 KW - Accidents -- Epidemiology Alcoholic Intoxication -- Complications Emergency Service Alcoholic Intoxication -- Blood Chi Square Test England Funding Source Health Screening Interviews Questionnaires Human N1 - research; tables/charts. Journal Subset: Allied Health; Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Peer Reviewed; UK & Ireland. Grant Information: Action on Addiction charity. NLM UID: 100963089. PMID: NLM17652669. PY - 2007 SN - 1472-0205 SP - 529-531 ST - Alcohol: a missed opportunity. A survey of all accident and emergency departments in England T2 - Emergency Medicine Journal TI - Alcohol: a missed opportunity. A survey of all accident and emergency departments in England UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=105987734&site=ehost-live&scope=site VL - 24 ID - 89284 ER - TY - JOUR AB - OBJECTIVES: To conduct a survey of current alcohol identification and brief advice activity in English Emergency Departments, and to compare the results with the previous survey conducted in 2007. METHODOLOGY: Cross-sectional survey of all 187 Emergency Departments in England. RESULTS: Significant increases (p<0.001) in the proportion of departments routinely asking about alcohol, using a screening questionnaire, offering help/advice for alcohol problems, and having access to Alcohol Health Workers or Clinical Nurse Specialists. More than half of all departments indicated that they had an 'alcohol champion', and this was significantly associated with access to training on both identification and provision of brief advice (p<0.001). Departments that routinely asked questions were the most likely to use a formal screening tool (p<0.05), and the Paddington Alcohol Test was the most frequently used measure (40.5%). CONCLUSIONS: There have been significant improvements in ED alcohol identification and brief advice activity since 2007 in line with the recommendations of the Royal College of Physicians, Department of Health and NICE guidelines. English EDs are beginning to maximise the likelihood of identifying patients who may benefit from further help or advice about their alcohol consumption, and are able to offer access to specialist staff who can provide appropriate interventions. AD - National Addiction Centre, Kings College London, 4 Windsor Walk, London SE5 8BB, UK; robert.patton@kcl.ac.uk. AN - 104073338. Language: English. Entry Date: 20141010. Revision Date: 20200708. Publication Type: Journal Article AU - Patton, Robert AU - O'Hara, Pat DB - cin20 DO - 10.1136/emermed-2012-201527 DP - EBSCOhost IS - 6 KW - Alcohol Drinking -- Epidemiology Alcohol-Related Disorders -- Diagnosis Emergency Service -- Statistics and Numerical Data Alcohol-Related Disorders -- Epidemiology Alcohol-Related Disorders -- Prevention and Control Cross Sectional Studies Emergency Service -- Standards England Female Practice Guidelines Human Male Process Assessment (Health Care) Questionnaires N1 - research. Journal Subset: Allied Health; Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Peer Reviewed; UK & Ireland. Special Interest: Emergency Care. NLM UID: 100963089. PMID: NLM22878039. PY - 2013 SN - 1472-0205 SP - 492-495 ST - Alcohol: signs of improvement. The 2nd national Emergency Department survey of alcohol identification and intervention activity T2 - Emergency Medicine Journal TI - Alcohol: signs of improvement. The 2nd national Emergency Department survey of alcohol identification and intervention activity UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=104073338&site=ehost-live&scope=site VL - 30 ID - 88446 ER - TY - JOUR AB - Licensing laws are being liberalised this month -- a change that some fear could lead to more alcohol-related illness. Craig Kenny looks at the effects of the nation's drinking habits on nurses' work. AN - 106389761. Language: English. Entry Date: 20060203. Revision Date: 20150711. Publication Type: Journal Article AU - Kenny, C. DB - cin20 DP - EBSCOhost IS - 44 KW - Alcohol Abuse -- Nursing Alcoholism -- Nursing Alcohol Abuse -- Education Alcohol Abuse -- Prevention and Control Alcohol Drinking -- Legislation and Jurisprudence -- United Kingdom Alcoholism -- Education Alcoholism -- Prevention and Control Health Education Health Screening -- Nursing United Kingdom N1 - pictorial. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 0423236. PMID: NLM16295581. PY - 2005 SN - 0954-7762 SP - 16-18 ST - Alcohol: the impact on nursing T2 - Nursing Times TI - Alcohol: the impact on nursing UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=106389761&site=ehost-live&scope=site VL - 101 ID - 89448 ER - TY - JOUR AB - This study was designed to develop and validate a new nursing diagnosis, altered family processes: alcoholism. The Delphi technique was used to obtain nurse experts' (N = 201) ratings of terms for the definition, related factors, and defining characteristics. Degree of consensus was determined by analyzing the mean, frequencies, and Fehring's (1987) Diagnostic Content Validity Index for items. Findings supported a proposed definition and related factors including family history of alcoholism and lack of problem-solving skills. Defining characteristics were grouped into three categories: feelings (e.g. mistrust, insecurity, powerlessness, unhappiness), roles, and relationships (e.g. disturbed family dynamics, inconsistent parenting, marital problems), and behaviors (e.g. impaired communication, dependency, denial). Future research includes the proposal and testing of nursing interventions for alcoholic families. AD - Univ Nebraska Med Ctr, Coll Nurs, Psychiatr Mental Health Nurs, Omaha NE AN - 107454080. Language: English. Entry Date: 19941101. Revision Date: 20150819. Publication Type: Journal Article AU - Lindeman, M. AU - Hawks, J. H. AU - Bartek, J. K. DB - cin20 DP - EBSCOhost IS - 2 KW - Nursing Diagnosis Alcoholism Family Relations Defining Characteristics (NANDA) Validation Studies Delphi Technique Ineffective Family Coping, Compromised (NANDA) Ineffective Family Coping, Disabling (NANDA) Altered Family Processes (NANDA) Convenience Sample Summated Rating Scaling Questionnaires Data Analysis Emotions Adult Middle Age Male Female Human N1 - research; tables/charts. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 9101481. PMID: NLM8043322. PY - 1994 SN - 1046-7459 SP - 65-73 ST - The alcoholic family: a nursing diagnosis validation study T2 - Nursing Diagnosis TI - The alcoholic family: a nursing diagnosis validation study UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=107454080&site=ehost-live&scope=site VL - 5 ID - 90176 ER - TY - JOUR AB - This is a psychometric study with the purpose of verifying the general hospital nurses attitudes towards the treatment or punishment of alcohol addicted patients. In order to collect data, authors used The Seaman Mannello Nurse's Attitudes toward Alcohol and Alcoholism Scale. The sample was formed by 171 general hospital nurses. Data analysis showed that nurses consider the alcoholism a disease (93%) and that they believe that such patients must receive both a medical treatment (94%) and psychiatric consultation (89%). Considering these results, the authors concluded that nurses believe that alcohol addicted patients are physically ill and, therefore, need medical treatment. This abstract was translated into English by the publisher or author. AN - 106379725. Language: Portuguese. Entry Date: 20060120. Revision Date: 20171010. Publication Type: Journal Article AU - Vargas, D. AU - Labate, R. C. AU - Júnior, M. L. C. DB - cin20 DP - EBSCOhost IS - 2 KW - Alcohol Rehabilitation Programs Attitude to Illness Nurse Attitudes Nursing Staff, Hospital Alcohol Withdrawal Delirium Attitude Measures Brazil Referral and Consultation Research, Nursing Scales Summated Rating Scaling Human N1 - research; tables/charts. Journal Subset: Double Blind Peer Reviewed; Editorial Board Reviewed; Mexico & Central/South America; Nursing; Peer Reviewed. Instrumentation: Seaman and Manello: Nurse's Attitudes toward Alcohol and Alcoholism-Scale. NLM UID: 9440270. PY - 2003 SN - 0104-3552 SP - 188-192 ST - Alcoholic patients -- treatment or punishment: availability of nurses at a general hospital T2 - Revista Enfermagem UERJ TI - Alcoholic patients -- treatment or punishment: availability of nurses at a general hospital UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=106379725&site=ehost-live&scope=site VL - 11 ID - 89668 ER - TY - JOUR AB - One out of 2 Americans report drinking on a routine basis, making the excessive consumption of alcohol the third leading cause of preventable death in America (). Alcoholism and depression are common comorbidities that home healthcare professionals frequently encounter. To achieve the best patient outcomes, alcoholism should be addressed initially. Although all age groups are at risk, alcoholism and depression occur in more than 8 percent of older adults. Prevention through identifying alcohol use early in adolescence is vital to reduce the likelihood of alcohol dependence. This article provides an overview of the long-term effects of alcohol abuse, including alcoholic cirrhosis and hepatic encephalopathy. The diagnostic criteria for substance dependence and ideas for nonthreatening screening questions to use with patients who are adolescent or older are discussed. While providing patient care, home healthcare nurses share the patient's intimate home environment. This environment is perceived as a safe haven by the patient and home care nurses can take advantage of counseling and treatment opportunities in this nonthreatening environment. AD - University of Southern Indiana, Evansville, Indiana 47712, USA. mhall@usi.edu AN - 108082217. Language: English. Entry Date: 20130111. Revision Date: 20150712. Publication Type: Journal Article AU - Hall, Mellisa DB - cin20 DO - 10.1097/NHH.0b013e31826a6719 DP - EBSCOhost IS - 9 KW - Alcoholism Depression Adolescence Adult Aged Alcohol Abuse -- Complications Alcoholism -- Complications Comorbidity Depression -- In Adolescence Depression -- In Old Age Education, Continuing (Credit) Female Hepatic Encephalopathy -- Drug Therapy Hepatic Encephalopathy -- Physiopathology Hepatic Encephalopathy -- Symptoms Home Health Nursing Liver Cirrhosis, Alcoholic Middle Age Patient Compliance N1 - case study; CEU; exam questions; pictorial; tables/charts. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 8403379. PMID: NLM23026991. PY - 2012 SN - 0884-741X SP - 543-552 ST - Alcoholism & depression T2 - Home Healthcare Nurse TI - Alcoholism & depression UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=108082217&site=ehost-live&scope=site VL - 30 ID - 88581 ER - TY - JOUR AD - B. Chodorkoff AU - Chodorkoff, B. DB - Medline IS - 3 KW - achievement alcoholism article authority education health personnel attitude human nurse patient relationship nursing student personality test psychiatric nursing LA - English M3 - Article N1 - L89222186 1969-10-24 PY - 1969 SN - 0033-5649 SP - 657-664 ST - Alcoholism education in a psychiatric institute. II. Student nurses: relationship of personal characteristics, attitudes toward alcoholism and achievement T2 - Quarterly journal of studies on alcohol TI - Alcoholism education in a psychiatric institute. II. Student nurses: relationship of personal characteristics, attitudes toward alcoholism and achievement UR - https://www.embase.com/search/results?subaction=viewrecord&id=L89222186&from=export VL - 30 ID - 96184 ER - TY - JOUR AB - The 1977 patient census, conducted by the Veterans Administration in all its inpatient facilities, indicated that 21.1% of the VA patients were diagnosed as alcoholic by their attending physician or professional designee. The highest prevalence was found in VA domiciliaries (27.9%) and the lowest in VA nursing homes (13.5%). VA hospitals fell in between these with a prevalence of 21.2%. The differences in prevalence between these facilities appeared to be due to the different patients being treated in them. Also the majority of patients diagnosed as alcoholic were admitted to VA facilities for alcoholism-related medical problems (84.2%) and were under care for such disorders at the time of the survey (83.1%). As expected from previous research, men had a higher prevalence than women, age groups from 36 to 55 years had a higher prevalence than other age groups, and umarried patients had a higher prevalence than married ones. Initially there was no overall difference in prevalence across racial, regional, and ethnic groups. However, after controlling for age and marital status, differences emerged across region and ethnicity. For example, the South had a somewhat lower prevalence in the 18-35 and the over 55 age groups. Spanish veterans had a substantially higher prevalence in the 18-35 age group for both married and unmarried patients. Based on these and other independent research findings, it was concluded that the prevalence of alcoholism in VA inpatient facilities was probably no higher than expected given the sex, age, and socioeconomic status of its patient population, together with the inclusiveness of VA medical services. AD - Soc. Res. Div., Market Opinion Res., Detroit, Mich. 48226 AU - Boscarino, J. DB - Embase Medline IS - 2 KW - age aged alcoholism central nervous system epidemiology major clinical study psychological aspect sex short survey military personnel LA - English M3 - Article N1 - L11232229 1981-01-12 PY - 1980 SN - 0095-2990 SP - 237-250 ST - Alcoholism in VA inpatient facilities: Some implications of the VA patient census T2 - American Journal of Drug and Alcohol Abuse TI - Alcoholism in VA inpatient facilities: Some implications of the VA patient census UR - https://www.embase.com/search/results?subaction=viewrecord&id=L11232229&from=export VL - 7 ID - 96131 ER - TY - JOUR AN - 107565124. Language: English. Entry Date: 19871101. Revision Date: 20150712. Publication Type: Journal Article. Journal Subset: Core Nursing AU - Scavnicky-Mylant, M. DB - cin20 DP - EBSCOhost IS - 7 KW - Education, Nursing -- Standards Attitude of Health Personnel Alcoholism -- Education N1 - Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 7705432. PMID: NLM2822874. PY - 1987 SN - 0148-4834 SP - 294-296 ST - Alcoholism nursing: toward a policy perspective T2 - Journal of Nursing Education TI - Alcoholism nursing: toward a policy perspective UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=107565124&site=ehost-live&scope=site VL - 26 ID - 90378 ER - TY - JOUR AB - Evaluation of the effect of a three-year specialized training program in alcoholism on opinions and attitudes of trainees and faculty members at the University of Washington School of Nursing showed that the program influenced both trainees and faculty in a positive direction. Trainees were found to be more accepting of alcoholism as a disease and an increasing number of faculty believed alcoholism-related courses should be a part of the curriculum. AD - M. Gurel AU - Gurel, M. DB - Medline IS - 2 KW - alcoholism animal article attitude curriculum dog evaluation study human nursing education nursing student United States LA - English M3 - Article N1 - L6518883 1976-06-01 PY - 1976 SN - 0029-6562 SP - 127-132 ST - An alcoholism training program: its effect on trainees and faculty T2 - Nursing research TI - An alcoholism training program: its effect on trainees and faculty UR - https://www.embase.com/search/results?subaction=viewrecord&id=L6518883&from=export VL - 25 ID - 96156 ER - TY - JOUR AB - Mapping of the scientific production about alcoholism between 1986 and 2006, focusing on Psychiatry and Public Health. Bibliographic sources: books, magazines, scientific magazines, Dissertations, Thesis and publications of the Centro Brasileiro de Informatoes sobre Drogas Psicotropicas (CEBRID) DL Brazilian Center of Informations about Psychotropic Drugs. The word 'alcoholism' has been used for consultation, by Internet, on the data base of CEBRID and the Virtual Library on Health. A research was made as well on the libraries of the Psychiatric Institute, of the Pharmacy College and the Nursing College Anna Nery, units of the Universidade Federal do Rio de Janeiro. Sixty-two publications about the subject were identified but only fourteen were used. The rest was excluded because it was not related to the subject on these domains. Nine publications focused on Public Health, three on Psychiatrics and two on both domains. The authors concluded that the production was incipient; the nurses have to search for new knowledge about the alcoholism to offer an efficient assistance to these specific clients. AN - 105671131. Language: Portuguese. Entry Date: 20081024. Revision Date: 20150818. Publication Type: Journal Article AU - Acauan, L. AU - Donato, M. AU - Domingos, A. M. DB - cin20 DP - EBSCOhost IS - 3 KW - Alcoholism Alcoholism -- Nursing Brazil Descriptive Statistics Reference Databases, Health Human N1 - research; systematic review; tables/charts. Journal Subset: Editorial Board Reviewed; Expert Peer Reviewed; Mexico & Central/South America; Nursing; Peer Reviewed. PY - 2008 SN - 1414-8145 SP - 566-570 ST - Alcoholism: a new chalenge [sic] for the nurse T2 - Anna Nery School Journal of Nursing / Escola Anna Nery Revista de Enfermagem TI - Alcoholism: a new chalenge [sic] for the nurse UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=105671131&site=ehost-live&scope=site VL - 12 ID - 89138 ER - TY - JOUR AD - C. Clopt AU - Clopt, C. DB - Medline IS - 4 KW - alcoholism article health personnel attitude human nursing LA - French M3 - Article N1 - L20755207 1990-06-06 PY - 1990 SN - 0253-0465 SP - 33-34 ST - Alcoholism: what role for the nurse? Finding a new way T2 - Krankenpflege. Soins infirmiers TI - Alcoholism: what role for the nurse? Finding a new way UR - https://www.embase.com/search/results?subaction=viewrecord&id=L20755207&from=export VL - 83 ID - 96074 ER - TY - JOUR AB - Objective: to present some reflections on problems related to alcohol consumption in Indigenous communities. Method: this reflexive study was based on an analysis of texts on the aforementioned topic. Results: we focused on the need to separate the concept of "alcoholism/alcohol dependence" from "alcoholization process", as it goes well beyond a biomedical model. We also discuss the recovery of cultural values and the history of indigenous communities; it is a great challenge to understand the different meanings associated with the use of psychoactive substances in diverse cultures. Conclusion: we raise the importance of preventive measures and treatment for alcohol-related problems, as they are not the sole responsibility of indigenous communities, but rather of all those involved in the issue, including health professionals such as nurses, who keep in close contact with great contact with indigenous people, both inside and outside of their villages. Objetivo: presentar una reflexión sobre los problemas relacionados con el consumo de alcohol en comunidades indígenas. Método: estudio reflexivo, basado en el análisis de textos que tratan sobre el tema. Resultados: la discusión se organizó en base a la necesidad de separar el concepto de "alcoholismo/dependencia del alcohol" del "proceso de alcoholización," ya que éste va más allá de un modelo basado en la biomedicina, rescatando la historicidad y los valores culturales de las comunidades. Sin embargo, también es un reto complejo que tiene que abarcar los diferentes entendimientos del uso de sustancias psicoactivas entre grupos con diferencias culturales. Conclusión: Recalcamos la importancia de medidas preventivas y del tratamiento de los problemas relacionados con el alcohol, ya que éstos no son responsabilidad exclusiva de las comunidades indígenas, sino de todos los órganos involucrados en el tema, incluyendo los profesionales de la salud como enfermeras, que mantienen un estrecho contacto con los pueblos indígenas, tanto dentro como fuera de sus aldeas. Objetivo: apresentar reflexão sobre os problemas relacionados ao consumo de álcool em comunidades indígenas. Método: estudo reflexivo, alicerçado na análise de textos que versam sobre a temática. Resultados: foram organizados na necessidade de distinguir o conceito de "alcoolismo/dependência alcoólica" de "processo de alcoolização", pois este vai além de um modelo pautado na biomedicina, resgatando a historicidade e os valores culturais das comunidades. Trata-se de um desafio complexo, que necessita compreender os diferentes saberes do consumo de substâncias psicoativas entre os grupos que apresentam diferenças culturais. Conclusão: faz-se necessário ressaltar a importância de medidas preventivas e do tratamento em problemas envolvendo o álcool, sendo esses não de responsabilidade única das comunidades indígenas, mas sim de todos os órgãos envolvidos na questão, inclusive os profissionais de saúde, como os enfermeiros, que mantêm grande contato com esta clientela tanto dentro quanto fora das aldeias. AD - Nurse, MSc. Professor, Federal University of Amapá/UNIFAP, PhD Student, Postgraduate Program in Nursing, University of São Paulo/PPGE/USP. São Paulo (SP), Brazil Nurse, Full Professor (Postdoctoral researcher in Nursing in Addictions), Department of Maternal-Child and Psychiatric Nursing, School of Nursing, University of São Paulo/USP. São Paulo (SP), Brazil AN - 121321025. Language: English. Entry Date: 20170224. Revision Date: 20220316. Publication Type: Article AU - Fernandes Castelo Branco, Fernanda Matos AU - de Vargas, Divane DB - cin20 DO - 10.5205/reuol.10263-91568-1-RV.1102201727 DP - EBSCOhost IS - 2 KW - Indigenous Peoples -- Brazil Alcoholism Alcohol Abuse Cultural Values Human Reflexivity (Research) History Models, Theoretical Rituals and Ceremonies Community Role Socialization Alcoholic Beverages Alcohol-Related Disorders -- Prevention and Control Alcohol-Related Disorders -- Therapy Brazil N1 - research; tables/charts. Journal Subset: Mexico & Central/South America; Nursing; Peer Reviewed. NLM UID: 101484186. PY - 2017 SN - 1981-8963 SP - 718-723 ST - ALCOHOLIZATION PROCESS: REFLECTIONS ON PROBLEMS RELATED TO ALCOHOL CONSUMPTION IN INDIGENOUS COMMUNITIES T2 - Journal of Nursing UFPE / Revista de Enfermagem UFPE TI - ALCOHOLIZATION PROCESS: REFLECTIONS ON PROBLEMS RELATED TO ALCOHOL CONSUMPTION IN INDIGENOUS COMMUNITIES UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=121321025&site=ehost-live&scope=site VL - 11 ID - 87898 ER - TY - JOUR AB - PURPOSE: To emphasize the family as the unit of treatment when one member has alcoholism, discuss the impact of alcoholism on families, and identify resources and referrals available for primary care nurse practitioners (NPs) to assist the patient and family in improving recovery outcomes and family function. DATA SOURCES: Extensive review of current research, literature, and Internet-based resources, supplemented and illustrated with a case study. CONCLUSIONS: Alcohol dependency flourishes within the social context of the family system and is one of the leading causes of family dysfunction. Understanding the impact that alcoholism has on the family system and being familiar with resources and referrals are critical facets of the overall management of treatment for the patient and family. IMPLICATIONS FOR PRACTICE: Patients often seek health care in a primary care clinic for treatment of medical problems related to alcohol use or abuse, and the primary care NP is frequently the initial point of contact. It is imperative that the family be recognized as the unit of treatment and be included in the treatment plan. As the first line of defense, primary care NPs play a critical role in making appropriate referrals for management of family alcoholism. Helping families make changes leads to improved functioning and recovery outcomes for patients with alcoholism as well as to improved family function. AN - 106686514. Language: English. Entry Date: 20040102. Revision Date: 20200708. Publication Type: Journal Article AU - Barnett, M. A. DB - cin20 DO - 10.1111/j.1745-7599.2003.tb00333.x DP - EBSCOhost IS - 10 KW - Alcoholism -- Psychosocial Factors Dysfunctional Family Adult Advanced Practice Registered Nursing Alcoholics Anonymous Family Functioning Family Systems Theory Family Therapy Information Resources Male Nurse Practitioners Referral and Consultation Research Time Factors N1 - case study; review; tables/charts. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 8916634. PMID: NLM14606136. PY - 2003 SN - 1041-2972 SP - 467-472 ST - All in the family: resources and referrals for alcoholism T2 - Journal of the American Academy of Nurse Practitioners TI - All in the family: resources and referrals for alcoholism UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=106686514&site=ehost-live&scope=site VL - 15 ID - 89632 ER - TY - JOUR AB - There is a common perception that women who abuse drugs and alcohol do not like women. How does this attitude relate to women's abuse of drugs, and what difference might it make to the nursing care of addicted women. The importance of relationships to self and others has been emphasized in nursing theories, recent theories of women's psychologic development, and the social models used to explain substance abuse. This article examines what is known about the interpersonal relationships of women with addictions, including those with men and with other women, and explores how those relationships are associated with women's substance abuse behaviors. A brief explanation of current theories of women's psychologic development is followed by a review of the literature regarding the relationships of women with addiction problems, highlighting their attitudes toward themselves as women and the importance of the adult mother-daughter relationship. Implications for the treatment of addicted women by nurses are discussed. AD - Dept of Psychosocial and Community Health, University of Washington, Box 357263, Seattle, WA 98195-7263 AN - 107339936. Language: English. Entry Date: 19971001. Revision Date: 20150818. Publication Type: Journal Article. Journal Subset: Core Nursing AU - Henderson, D. AU - Boyd, C. DB - cin20 DO - 10.1111/j.1552-6909.1997.tb02729.x DP - EBSCOhost IS - 4 KW - Substance Dependence Interpersonal Relations Psychological Theory Female N1 - Nursing; Peer Reviewed; USA. NLM UID: 8503123. PMID: NLM9252895. PY - 1997 SN - 0884-2175 SP - 469-476 ST - All my buddies was male: relationship issues of women with addictions T2 - JOGNN: Journal of Obstetric, Gynecologic & Neonatal Nursing TI - All my buddies was male: relationship issues of women with addictions UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=107339936&site=ehost-live&scope=site VL - 26 ID - 90015 ER - TY - JOUR AB - Objective: To determine whether using nothing stronger than codeine and tramadol provides adequate pain alleviation in people recovering from fixation of a fracture of the femur or tibia shaft.Design: Retrospective case series.Setting: Level 1 trauma center in the United States.Patients: All adult patients from October 2016 to October 2018 with femur (OTA/AO 32) and tibial (OTA/AO 42) shaft fractures who were treated surgically were included. A nurse counseled patients on safe and effective alleviation of pain. Charts were reviewed for pain medication prescribed, noting utilization of schedule II opioid medications.Main Outcome Measures: Frequency of schedule II pain medication prescription on discharge or during follow-up, emergency department presentation for pain, or readmission for pain.Results: One hundred fifty patients with 162 fractures were treated for femoral (N = 73 fractures) or tibial (N = 89 fractures) shaft fractures. Sixty patients (40%) were multiple injured patients. Thirteen (8.7%) patients were discharged with hydrocodone, oxycodone, or fentanyl. Of the remaining patients with adequate follow-up (N = 109), 6.4% requested hydrocodone, oxycodone, or fentanyl after discharge. There was 1 patient presentation to the emergency department for pain, and there were no pain-related readmissions.Conclusions: Alleviation of pain can be achieved in most patients with femoral and tibial shaft fractures, including multiply injured patients, with one-on-one patient support and by using nothing stronger than codeine and tramadol.Level Of Evidence: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence. AD - Department of Orthopaedic Surgery and Rehabilitation, Texas Tech University Health Sciences Center El Paso, El Paso, TX Department of Orthopaedic Surgery, Regions Hospital, St. Paul, MN Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, MN AN - 143871818. Language: English. Entry Date: 20210717. Revision Date: 20211011. Publication Type: journal article. Journal Subset: Allied Health AU - Reich, Michael S. AU - Klahs, Kyle J. AU - Fernandez, Isaac AU - Nguyen, Mai P. DB - cin20 DO - 10.1097/BOT.0000000000001683 DP - EBSCOhost IS - 2 KW - Tibial Fractures -- Complications Tramadol -- Therapeutic Use Tibial Fractures -- Surgery Pain -- Etiology Codeine -- Therapeutic Use Pain -- Drug Therapy Retrospective Design Femur Adult Tibia N1 - Biomedical; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. NLM UID: 8807705. PMID: NLM31977830. PY - 2020 SN - 0890-5339 SP - e56-e59 ST - Alleviation of Pain After Femur and Tibia Shaft Fractures Using Nothing Stronger Than Codeine and Tramadol T2 - Journal of Orthopaedic Trauma TI - Alleviation of Pain After Femur and Tibia Shaft Fractures Using Nothing Stronger Than Codeine and Tramadol UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=143871818&site=ehost-live&scope=site VL - 34 ID - 87314 ER - TY - JOUR AB - Introduction: Korsakoff syndrome (KS) is a neuropsychiatric disorder characterized by cognitive impairments such as global amnesia and executive dysfunctioning. Challenging behavior such as agitation and apathy are highly prevalent in KS. The presence of cognitive impairments and problem behavior often constitutes a reason for institutionalization in specialized long-term care facilities (LTCF), where multidisciplinary care is offered. Recently, it was demonstrated that altered awareness, which can be defined as a reasonable or realistic perception of one's situation, functioning or performance [1] is highly common in KS patients living in Dutch LTCFs [2]. We believe that altered awareness might be associated with problem behavior and reduced functioning, and in turn poses challenges for good care provision. Methods: We assessed how altered awareness relates to cognitive, neuropsychiatric, social and physical functioning by applying a network analyses. We used an existing dataset from a retrospective, cross-sectional study of KS patients (N = 169) living in Dutch nursing homes [2]. Results: Altered awareness was a central node in the network. It was directly associated with impaired cognition and reduced social participation, yet also with increased quality of life. Apathy was also a central node and was directly related to altered awareness, while other neuropsychiatric symptoms were indirectly related. Higher apathy scores related directly to impaired cognition, reduced social participation and more physical dependence. Conclusions: This study sheds new light on the central role that altered awareness plays in the functioning and behavior of patients with KS living in specialized LTCFs. AD - H. Fidder, Amsterdam UMC-Vrije Universiteit Amsterdam, Department of Medicine for Older People, de Boelelaan 1117, Amsterdam, Netherlands AU - Fidder, H. AU - Van Loon, A. M. AU - Veenhuizen, R. B. AU - Gerridzen, I. AU - Hertogh, C. M. P. M. DB - Embase DO - 10.1007/s41999-022-00711-8 KW - adult apathy awareness cognition conference abstract controlled study cross-sectional study drug dependence female human Korsakoff psychosis major clinical study male mental disease network analysis nursing home perception problem behavior quality of life social participation LA - English M3 - Conference Abstract N1 - L639931321 2023-01-06 PY - 2022 SN - 1878-7657 SP - S345-S346 ST - Altered awareness in patients with Korsakoff syndrome living in long-term care facilities; a network analysis T2 - European Geriatric Medicine TI - Altered awareness in patients with Korsakoff syndrome living in long-term care facilities; a network analysis UR - https://www.embase.com/search/results?subaction=viewrecord&id=L639931321&from=export http://dx.doi.org/10.1007/s41999-022-00711-8 VL - 13 ID - 94092 ER - TY - JOUR AB - Pain relief at the end of life is a major factor in allowing patients to attend to personal matters and alleviating suffering. The majority of pain management modalities are pharmacological. Among these, opioids are key to pain relief in the preponderance of patients. Yet, most studies show that health professionals lack the attitudes, skills, and knowledge to employ opioids well. This review addresses the problems that clinicians encounter when faced with the need to use opioids for pain relief in ways not commonly addressed in their training due to complications of the underlying disease. The use of sustained release oral preparations to relieve the need to ingest medication every four hours, novel oral preparations of opioids, and the less commonly used routes of administration are discussed. How clinicians can correlate these issues with the altered pharmacokinetics that can be anticipated are explored. AD - Veterans Affairs Medical Center, Hematology/Oncology (111H), Albuquerque, NM 87108 AN - 107169810. Language: English. Entry Date: 19990301. Revision Date: 20150711. Publication Type: Journal Article AU - Anderson, R. P. AU - Forman, W. B. DB - cin20 DP - EBSCOhost IS - 1 KW - Palliative Care Analgesics, Opioid -- Administration and Dosage Funding Source Nurse Practitioners Terminally Ill Patients Delayed-Action Preparations Administration, Sublingual Administration, Buccal Administration, Rectal Infusions, Subcutaneous N1 - review; tables/charts. Journal Subset: Biomedical; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. Grant Information: This work was supported in part by Open Society-Project Death in America. NLM UID: 9318048. PY - 1998 SN - 1056-4950 SP - 5-21 ST - Alternative routes of opioid administration in palliative care: pharmacologic and clinical concerns T2 - Journal of Pharmaceutical Care in Pain & Symptom Control TI - Alternative routes of opioid administration in palliative care: pharmacologic and clinical concerns UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=107169810&site=ehost-live&scope=site VL - 6 ID - 89984 ER - TY - JOUR AD - St Joseph Behavioral Health Center/CommonSpirit Health, Stockton, California AN - 140063521. Language: English. Entry Date: 20191207. Revision Date: 20210311. Publication Type: Article AU - Rains, Paul DB - cin20 DO - 10.1097/NAQ.0000000000000385 DP - EBSCOhost IS - 1 KW - Mental Health Services -- Administration Psychiatric Nursing -- Administration Psychiatric Nursing -- Psychosocial Factors Behavior Mental Health Psychological Well-Being Nursing Role Stress, Psychological Mental Disorders -- Psychosocial Factors Nurse Attitudes Life Experiences Behavioral Changes Dementia Quality of Nursing Care Stigma Substance Use Disorders Career Planning and Development Nursing Leaders Leadership N1 - anecdote. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 7703976. PY - 2020 SN - 0363-9568 SP - 12-17 ST - Always a Nurse: The Behavioral Health Executive T2 - Nursing Administration Quarterly TI - Always a Nurse: The Behavioral Health Executive UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=140063521&site=ehost-live&scope=site VL - 44 ID - 87345 ER - TY - JOUR AN - 159512794. Language: English. Entry Date: 20221017. Revision Date: 20221017. Publication Type: Article AU - Smith, Patricia Y. DA - Summer2022 DB - cin20 DP - EBSCOhost IS - 72 KW - Coping Alcohol Abuse -- Psychosocial Factors Substance Abuse -- Psychosocial Factors COVID-19 Pandemic -- Psychosocial Factors Nurses -- Psychosocial Factors Alcohol Abuse -- Epidemiology -- United States Substance Abuse -- Epidemiology -- United States Recurrence Stigma Help Seeking Behavior Alcohol Abuse -- Risk Factors Substance Abuse -- Risk Factors Stress, Occupational Nurse Attitudes Recovery Information Resources World Wide Web Impairment, Health Professional Narcotics -- Adverse Effects Heroin -- Adverse Effects United States N1 - pictorial. Journal Subset: Nursing; USA. Special Interest: Psychiatry/Psychology. PY - 2022 SP - 28-29 ST - AM I USING ALCOHOL OR DRUGS AS A METHOD TO COPE? T2 - KBN Connection TI - AM I USING ALCOHOL OR DRUGS AS A METHOD TO COPE? UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=159512794&site=ehost-live&scope=site ID - 86853 ER - TY - JOUR AB - • Pain management of patients with drug addiction can be characterized as a complex task that requires a high level of skill. • Treatment guidelines are perceived as unclear and giving weak support as to how patients with addiction and pain should be treated. • Despite advances in treatment options, patients will continue to be under-treated. Pain is a personal and subjective experience. Prehospital emergency nurses (PEN) should work on the basis that all people are equal and entitled to the same care regardless of gender, age, disability or social status. The objective of treatment in health care is that all the pain to be alleviated. People with addiction problems often seek emergency care and pain is a frequent symptom. Research shows that medical staff often under treats pain and treat patients with addiction differently. To describe PENSs' experiences of relieving pain in patients with addiction problems, otherwise called Substance Abuse Syndrome. The study is designed with a qualitative approach with semistructured interviews. Eight PENs were interviewed and the material was analyzed according to a manifest content analysis. The study's main finding is that the PENs wanted to give all patients equal care but often experienced uncertainty in the care of addicts. Many of the perceived emotions created a doubt in what situations would be resolved. Lack of information and knowledge about addiction and their own feelings and values of addicts made it difficult to decide what was right or wrong treatment. The difficulty was further increased when the unclear guidelines and lack of support meant that the treatment still perceived to be different. Pain management of patients with drug addiction can be characterized as a complex task that requires a high level of skill. PENs often encounter this population in their work. Several factors lead to their experiencing these care situations as difficult to manage. Treatment guidelines are perceived as unclear and giving weak support as to how patients with addiction and pain should be treated. To handle this, PEN sought support in their decision-making from colleagues in ambulance care and the Emergency Department. Their conclusion was that treatment would be different every time, and that patients with addiction and pain were all treated differently. Despite advances in treatment options, patients will continue to be under-treated. Unfortunately, it is not just better knowledge of pain physiology and pharmacology that is the solution. Knowledge about and attitudes to pain and addiction must be corrected before any behaviour can be changed. The results of this study will hopefully make knowledge more nuanced and raise awareness of shortcomings in order to optimize care and treatment in the prehospital environment. AD - Karolinska Institutet, Department of Clinical Science and Education, Södersjukhuset in Stockholm, Sweden The Emergency Department, Södersjukhuset in Stockholm, Sweden The Ambulance Medical Service in Stockholm (AISAB), Sweden Academic EMS in Stockholm, Sweden AN - 139217176. Language: English. Entry Date: 20191104. Revision Date: 20191104. Publication Type: Article AU - Bohm, Katarina AU - Lund, Roger AU - Nordlander, Jörgen AU - Vicente, Veronica DB - cin20 DO - 10.1016/j.ienj.2019.06.002 DP - EBSCOhost KW - Ambulances Emergency Nursing -- Psychosocial Factors Nurse Attitudes Pain Management Substance Dependence -- Sweden Human Sweden Descriptive Statistics Qualitative Studies Semi-Structured Interview Content Analysis Emergency Medical Technicians Registered Nurses Prehospital Care Adult Middle Age Telephone Audiorecording Patients -- Psychosocial Factors Decision Making, Clinical N1 - research. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 101472191. PY - 2019 SN - 1755-599X SP - N.PAG-N.PAG ST - Ambulance nurse's experience to relieve pain in patients with addiction problems in Sweden T2 - International Emergency Nursing TI - Ambulance nurse's experience to relieve pain in patients with addiction problems in Sweden UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=139217176&site=ehost-live&scope=site VL - 46 ID - 87425 ER - TY - JOUR AB - The staff in a freestanding ambulatory surgical center (ASC) must be prepared to identify and treat all emergencies and untoward patient responses. This case study exemplifies some of the problems encountered with a patient who had surgery late in the day and who did not have local anesthetic infiltrated for pain control after inguinal herniorrhaphy. In a retrospective analysis and discussion of the case, the caregivers identified that, in addition to the narcotics given, this patient's lengthy postoperative course was further complicated by inadequate intravenous fluid replacement and ambulation too soon after narcotic administration. From this case study a number of lessons were identified, particularly for the freestanding ASC. These lessons relate to adequate staffing (two nurses) for late cases, the importance of the presence of the anesthesiologist at the center until all patients have been discharged, the need to assure that home conditions are adequate for patients discharged late in the day, and the staff's ability to quickly and accurately identify and treat untoward patient responses. (Copyright 1995 American Society of Post Anesthesia Nurses) AN - 107411503. Language: English. Entry Date: 19950701. Revision Date: 20150820. Publication Type: Journal Article AU - Burden, N. DB - cin20 DP - EBSCOhost IS - 2 KW - Ambulatory Care Nursing Perianesthesia Nursing Postoperative Complications Narcotics -- Adverse Effects Hernia, Inguinal -- Surgery Intravenous Therapy Patient Discharge Walking Anesthesia, Local Middle Age Outpatients Male N1 - case study. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 8609069. PMID: NLM7722955. PY - 1995 SN - 0883-9433 SP - 94-99 ST - Ambulatory approach. A case study: identification and treatment of narcotic depression in the ambulatory surgical patient T2 - Journal of Post Anesthesia Nursing TI - Ambulatory approach. A case study: identification and treatment of narcotic depression in the ambulatory surgical patient UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=107411503&site=ehost-live&scope=site VL - 10 ID - 90126 ER - TY - JOUR AB - BACKGROUND: Ambulatory mastectomy has been a topic of heated political debate with little analysis of clinical data. METHODS: Based on extensive satisfaction surveys, an ideal surgical treatment experience was developed that decreased nausea, increased preoperative education, and reduced perioperative narcotic usage. Using this new algorithm, patients treated by a single surgeon were given the choice of overnight stay versus discharge to home with visiting nurse care. RESULTS: From March 1 to October 31, 2001, 92 mastectomies or lumpectomy/axillary dissections were performed in 87 patients. One patient chose to remain in the center overnight. All others were discharged in less than 2.5 hours postoperatively. Perioperative complications fell to 20% of those of the prior year. Hospital charges fell 79.5%. CONCLUSIONS: Despite lay reservations about ambulatory mastectomy, a detailed approach can result in markedly reduced health care costs without incurring additional morbidity or mortality. AD - University of Oklahoma Breast Institute, 825 NE 10th St., Suite 5200, Oklahoma Health Sciences Center, Oklahoma City 73104, USA. AN - 12488162 AU - Dooley, W. C. DA - Dec DO - 10.1016/s0002-9610(02)01051-6 DP - NLM IS - 6 KW - Adult Aged Aged, 80 and over Ambulatory Surgical Procedures/*economics/standards Attitude of Health Personnel Female Home Care Services/economics/standards Humans Insurance, Health/economics Mastectomy/*economics/standards Middle Aged Patient Satisfaction Surgicenters/*economics United States LA - eng N1 - Dooley, William C Journal Article United States 2002/12/19 Am J Surg. 2002 Dec;184(6):545-8; discussion 548-9. doi: 10.1016/s0002-9610(02)01051-6. PY - 2002 SN - 0002-9610 (Print) 0002-9610 SP - 545-8; discussion 548-9 ST - Ambulatory mastectomy T2 - Am J Surg TI - Ambulatory mastectomy VL - 184 ID - 86556 ER - TY - JOUR AB - BACKGROUND AND PURPOSE: Data from national surveys on the practice of nurse practitioners (NPs) provides valuable information on aspects of practice, demographic characteristics of providers and patients, plans for continued employment, and role satisfaction. The American Association of Nurse Practitioners (AANP) has been conducting the AANP Sample Survey since 1988. METHODS: The most recent AANP Sample Survey was conducted in 2016 with a random stratified survey of 40,000 NPs. Data were collected bimodally, by internet and mail surveys. Responses were received from 3,970 respondents (9.9% response rate), with 335 respondents reporting NP certification in acute care as adult-gerontology acute care and/or pediatric acute care. RESULTS: Almost all acute care nurse practitioners (ACNPs) reported that they were clinically practicing in 2016 (99.3%), with the top three areas encompassing cardiovascular (20.5%), critical care (12.1%), and hospitalist roles (6.3%). More than 1 in 4 ACNPs worked in a hospital inpatient setting, with 16.1% reporting work in a hospital outpatient clinic, 7.7% in a private group practice, 6.5% at a public university, and some in combined roles covering both inpatient and outpatient care, or on consultation service or specialty-based teams. On average, 34.1% of the patients ACNPs saw were between the ages of 66 and 85 years, and 11.2% were 85 years and older. The top 3 medication classes in which ACNPs regularly prescribe were diuretics (31.9%), analgesic narcotics (31.2%), and antibiotics (27.3%). Majority (88%) report satisfaction with the role, and approximately one third (31.1%) expect to continue to work in their current practice for more than 10 years. IMPLICATIONS FOR PRACTICE: The findings of the 2016 AANP National NP Sample Survey data related to ACNP practice identify expansion of work settings, practice consistent with acute care scope of practice, role satisfaction, and intent to continue working. Continued monitoring of practice components and employment is indicated to track ACNP workforce trends. AD - Vanderbilt University School of Nursing, Nashville, Tennessee. Rush University College of Nursing, Chicago, Illinois. AANP Network for Research, American Association of Nurse Practitioners, Austin, Texas. Professional Practice and Partnerships, American Association of Nurse Practitioners, Austin, Texas. AN - 29757882 AU - Kleinpell, R. AU - Cook, M. L. AU - Padden, D. L. DA - Mar DO - 10.1097/jxx.0000000000000030 DP - NLM IS - 3 KW - Adult Certification/methods/trends Critical Care/statistics & numerical data/trends Female Hospitalists Humans Male Middle Aged Nurse Practitioners/education/*organization & administration/statistics & numerical data Nurse's Role Practice Patterns, Nurses'/*trends Surveys and Questionnaires United States LA - eng N1 - 2327-6924 Kleinpell, Ruth Cook, Michelle L Padden, Diane L Journal Article United States 2018/05/15 J Am Assoc Nurse Pract. 2018 Mar;30(3):140-149. doi: 10.1097/JXX.0000000000000030. PY - 2018 SN - 2327-6886 SP - 140-149 ST - American Association of Nurse Practitioners National Nurse Practitioner sample survey: Update on acute care nurse practitioner practice T2 - J Am Assoc Nurse Pract TI - American Association of Nurse Practitioners National Nurse Practitioner sample survey: Update on acute care nurse practitioner practice VL - 30 ID - 85861 ER - TY - JOUR AB - The purpose of this article is to publicize an important new Web-based educational program. Recognizing the growing gap in psychiatric-mental health knowledge and the need to better prepare new graduates and nurses transitioning from other service lines into psychiatric inpatient nursing settings, the American Psychiatric Nurses Association developed a 15-hour, modularized curriculum to provide foundational psychiatric-mental health knowledge. This modularized curriculum, called American Psychiatric Nurses Association Transitions in Practice (ATP) focuses on the knowledge and skills to insure the success of nurses new to psychiatric-mental health nursing settings and to improve the overall care for persons with mental health and substance use disorders. The ATP program is also proving to be useful content for nurses in emergency departments, hospitals, and other health settings to improve their care of patients with psychiatric and mental health needs. A summary of the program modules and a toolkit with suggested measures for nurses, patients, and agency outcomes is described. Feedback from participants completing the ATP program within the first 6 months is overwhelmingly positive and holds promise for widespread application across a variety of health care settings. AD - Vanderbilt University School of Nursing, Nashville, Tennessee American Psychiatric Nurses Association, Falls Church, Virginia AN - 116249740. Language: English. Entry Date: 20160622. Revision Date: 20180316. Publication Type: Article AU - Adams, Susie M. AU - Black, Patricia DB - cin20 DO - 10.1097/NAQ.0000000000000168 DP - EBSCOhost IS - 3 KW - Psychiatric Nursing -- Education Nursing Knowledge Nursing Practice, Evidence-Based Computer Assisted Instruction Education, Nursing, Continuing Career Mobility Transitional Programs Certification Curriculum American Psychiatric Nurses Association Nursing Skills Mental Disorders Substance Use Disorders Psychiatric Patients Stigma Attitude to Mental Illness Nurse-Patient Relations Health Care Delivery Registered Nurses Course Content Outcome Assessment Scales Psychological Tests N1 - review; tables/charts. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. Special Interest: Evidence-Based Practice; Nursing Education; Psychiatry/Psychology. NLM UID: 7703976. PY - 2016 SN - 0363-9568 SP - 225-236 ST - American Psychiatric Nurses Association--Transitions in Practice Certificate Program T2 - Nursing Administration Quarterly TI - American Psychiatric Nurses Association--Transitions in Practice Certificate Program UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=116249740&site=ehost-live&scope=site VL - 40 ID - 88011 ER - TY - JOUR AB - Enhanced recovery pathways have quickly become part of the standard of care for patients undergoing elective surgery, especially in North America and Europe. One of the central tenets of this multidisciplinary approach is the use of multimodal analgesia with opioid-sparing and even opioid-free anesthesia and analgesia. However, the current state is a historically high use of opioids for both appropriate and inappropriate reasons, and patients with chronic opioid use before their surgery represent a common, often difficult-to-manage population for the enhanced recovery providers and health care team at large. Furthermore, limited evidence and few proven successful protocols exist to guide providers caring for these at-risk patients throughout their elective surgical experience. Therefore, the fourth Perioperative Quality Initiative brought together an international team of multidisciplinary experts, including anesthesiologists, nurse anesthetists, surgeons, pain specialists, neurologists, nurses, and other experts with the objective of providing consensus recommendations. Specifically, the goal of this consensus document is to minimize opioid-related complications by providing expert-based consensus recommendations that reflect the strength of the medical evidence regarding: (1) the definition, categorization, and risk stratification of patients receiving opioids before surgery; (2) optimal perioperative treatment strategies for patients receiving preoperative opioids; and (3) optimal discharge and continuity of care management practices for patients receiving opioids preoperatively. The overarching theme of this document is to provide health care providers with guidance to reduce potentially avoidable opioid-related complications including opioid dependence (both physical and behavioral), disability, and death. Enhanced recovery programs attempt to incorporate best practices into pathways of care. By presenting the available evidence for perioperative management of patients on opioids, this consensus panel hopes to encourage further development of pathways specific to this high-risk group to mitigate the often unintentional iatrogenic and untoward effects of opioids and to improve perioperative outcomes. AD - From the Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, Tennessee. Department of Surgery, University of Virginia Health System, Charlottesville, Virginia. Department of Neurology, Albany Medical Center, Albany, New York. Department of Anesthesia, Duke University School of Medicine, Durham, North Carolina. Department of Colon and Rectal Surgery, Cleveland Clinic, Cleveland, Ohio. Department of Anesthesiology, Stony Brook University School of Medicine, Stony Brook, New York. Department of Anaesthesia, University College London, London, United Kingdom. Department of Anesthesiology and Pain Medicine, University of Alberta, Edmonton, Alberta, Canada. Department of Surgery, Duke University Medical Center, Durham, North Carolina. AN - 30768461 AU - Edwards, D. A. AU - Hedrick, T. L. AU - Jayaram, J. AU - Argoff, C. AU - Gulur, P. AU - Holubar, S. D. AU - Gan, T. J. AU - Mythen, M. G. AU - Miller, T. E. AU - Shaw, A. D. AU - Thacker, J. K. M. AU - McEvoy, M. D. DA - Aug DO - 10.1213/ane.0000000000004018 DP - NLM IS - 2 KW - Analgesics, Opioid/*administration & dosage/adverse effects Consensus Delphi Technique Drug Administration Schedule Humans Incidence Opioid-Related Disorders/diagnosis/*epidemiology/prevention & control Pain Management/adverse effects/*standards Pain, Postoperative/diagnosis/*drug therapy/epidemiology Perioperative Care/*standards Risk Assessment Risk Factors Terminology as Topic Time Factors Treatment Outcome LA - eng N1 - 1526-7598 Edwards, David A Hedrick, Traci L Jayaram, Jennifer Argoff, Charles Gulur, Padma Holubar, Stefan D Gan, Tong J Mythen, Michael G Miller, Timothy E Shaw, Andrew D Thacker, Julie K M McEvoy, Matthew D POQI-4 Working Group Journal Article Practice Guideline Research Support, Non-U.S. Gov't Systematic Review United States 2019/02/16 Anesth Analg. 2019 Aug;129(2):553-566. doi: 10.1213/ANE.0000000000004018. PY - 2019 SN - 0003-2999 SP - 553-566 ST - American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Perioperative Management of Patients on Preoperative Opioid Therapy T2 - Anesth Analg TI - American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Perioperative Management of Patients on Preoperative Opioid Therapy VL - 129 ID - 85940 ER - TY - JOUR AB - Surgical care episodes place opioid-naïve patients at risk for transitioning to new persistent postoperative opioid use. With one of the central principles being the application of multimodal pain interventions to reduce the reliance on opioid-based medications, enhanced recovery pathways provide a framework that decreases perioperative opioid use. The fourth Perioperative Quality Initiative brought together a group of international experts representing anesthesiology, surgery, and nursing with the objective of providing consensus recommendations on this important topic. Fourth Perioperative Quality Initiative was a consensus-building conference designed around a modified Delphi process in which the group alternately convened for plenary discussion sessions in between small group discussions. The process included several iterative steps including a literature review of the topics, building consensus around the important questions related to the topic, and sequential steps of content building and refinement until agreement was achieved and a consensus document was produced. During the fourth Perioperative Quality Initiative conference and thereafter as a writing group, reference applicability to the topic was discussed in any area where there was disagreement. For this manuscript, the questions answered included (1) What are the potential strategies for preventing persistent postoperative opioid use? (2) Is opioid-free anesthesia and analgesia feasible and appropriate for routine operations? and (3) Is opioid-free (intraoperative) anesthesia associated with equivalent or superior outcomes compared to an opioid minimization in the perioperative period? We will discuss the relevant literature for each questions, emphasize what we do not know, and prioritize the areas for future research. AD - From the Department of Anesthesiology, Hospital for Special Surgery, New York, New York. Department of Anesthesiology, Weill Cornell Medicine, New York, New York. The Armstrong Institute for Patient Safety and Quality, Johns Hopkins Medicine, Baltimore, Maryland. Department of Anesthesiology, Vanderbilt, Vanderbilt University School of Medicine and University Medical Center, Nashville, Tennessee. Department of Surgery, Vanderbilt, Vanderbilt University Medical Center, Nashville, Tennessee. Department of Anesthesiology and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland. Department of Anaesthesia, Perioperative Medicine and Critical Care, Southampton National Institute of Health Research Biomedical Research Centre, University Hospital Southampton National Health Service (NHS) Foundation Trust/University of Southampton, Southampton, United Kingdom. Department of Anesthesiology, Stony Brook School of Medicine, Stony Brook, New York. Division of Pain Medicine, Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University, Palo Alto, California. Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina. Department of Anesthesiology and Pain Medicine, University of Alberta, Edmonton, Alberta, Canada. Department of Surgery, Duke University School of Medicine, Durham, North Carolina. University College London Hospitals National Institute of Health Research Biomedical Research Centre, London, United Kingdom. AN - 31082966 AU - Wu, C. L. AU - King, A. B. AU - Geiger, T. M. AU - Grant, M. C. AU - Grocott, M. P. W. AU - Gupta, R. AU - Hah, J. M. AU - Miller, T. E. AU - Shaw, A. D. AU - Gan, T. J. AU - Thacker, J. K. M. AU - Mythen, M. G. AU - McEvoy, M. D. C1 - Conflicts of Interest: See Disclosures at the end of the article. C2 - PMC7261519 C6 - NIHMS1591702 DA - Aug DO - 10.1213/ane.0000000000004194 DP - NLM IS - 2 KW - Analgesics, Opioid/*administration & dosage/adverse effects Consensus Delphi Technique Drug Administration Schedule Humans Incidence Opioid-Related Disorders/diagnosis/*epidemiology/prevention & control Pain Management/adverse effects/*standards Pain, Postoperative/diagnosis/*drug therapy/epidemiology Postoperative Care/*standards Risk Assessment Risk Factors Terminology as Topic Time Factors Treatment Outcome LA - eng N1 - 1526-7598 Wu, Christopher L King, Adam B Geiger, Timothy M Grant, Michael C Grocott, Michael P W Gupta, Ruchir Hah, Jennifer M Miller, Timothy E Shaw, Andrew D Gan, Tong J Thacker, Julie K M Mythen, Michael G McEvoy, Matthew D Fourth Perioperative Quality Initiative Workgroup HHSP233201500020I/HS/AHRQ HHS/United States R01 DA045027/DA/NIDA NIH HHS/United States Consensus Development Conference Journal Article Practice Guideline Research Support, Non-U.S. Gov't Review United States 2019/05/15 Anesth Analg. 2019 Aug;129(2):567-577. doi: 10.1213/ANE.0000000000004194. PY - 2019 SN - 0003-2999 (Print) 0003-2999 SP - 567-577 ST - American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Perioperative Opioid Minimization in Opioid-Naïve Patients T2 - Anesth Analg TI - American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Perioperative Opioid Minimization in Opioid-Naïve Patients VL - 129 ID - 85734 ER - TY - JOUR AB - OBJECTIVES: This report presents up-to-date evidence and expert consensus-based revisions to the ASPMN 2011 guidelines that inform interprofessional clinical decision-making for hospitalized adults receiving opioid analgesics. DESIGN: Systematic review of the literature. METHODS: A 14-member expert panel was charged with reviewing and grading the strength of scientific evidence published in peer reviewed journals and revising the ASPMN 2011 existing guidelines. Panel members formulated recommendations based on the strength of evidence and reached consensus through discussion, reappraisal of evidence, and voting by majority when necessary. The American Society of Anesthesiologists evidence categories for grading and classifying the strength of the evidence were used. Recommendations were subjected to a critical review by ASPMN members as well as external reviews. RESULTS: The 2011 guidelines were found to still be relevant to clinical practice, but new evidence substantiated refinement and more specific recommendations for electronic monitoring. The revised guidelines present risk factors divided into three categories: patient-specific, treatment-related, and environment of care. Specific recommendations for the use of electronic monitoring are delineated. CONCLUSIONS: All hospitalized patients that are administered opioids for acute pain are at risk of opioid induced advancing sedation and respiratory depression, but some patients are at high risk and require extra vigilance to prevent adverse events. All patients must be assessed for level of risk. Adaptations to the plan of care and monitoring strategies should be driven by iterative re-assessments according to level of risk. NURSING PRACTICE IMPLICATIONS: Opioid medications continue to be a major component in the management of acute pain. Clinicians have the primary responsibility for safe and effective pain management. Evidence based monitoring strategies can improve patient safety with opioids. AD - University at Buffalo, Buffalo, New York. Electronic address: Carlajun@Buffalo.edu. Private Practice Pain Management Consulting and Education, Wilmington, North Carolina. Wayne State University, Detroit, Michigan. University of Arizona, Tucson, Arizona. Westchester Medical Center, Valhalla, New York. University of California, Los Angeles, Los Angeles, California. Halton Healthcare, Oakville, Ontario, Canada. Harper University Hospital, Detroit, Michigan. Sparrow Hospital, DeWitt, Michigan. Sunnybrook Health Sciences Centre, Toronto, Canada. NYC Health+Hospitals/Jacobi, Bronx, New York. East Alabama Medical Center, Opelika, Alabama. University of Pennsylvania, Philadelphia, Pennsylvania. AN - 31377031 AU - Jungquist, C. R. AU - Quinlan-Colwell, A. AU - Vallerand, A. AU - Carlisle, H. L. AU - Cooney, M. AU - Dempsey, S. J. AU - Dunwoody, D. AU - Maly, A. AU - Meloche, K. AU - Meyers, A. AU - Sawyer, J. AU - Singh, N. AU - Sullivan, D. AU - Watson, C. AU - Polomano, R. C. DA - Feb DO - 10.1016/j.pmn.2019.06.007 DP - NLM ET - 20190731 IS - 1 KW - Analgesics, Opioid/*therapeutic use *Guidelines as Topic Humans Hypnotics and Sedatives/*pharmacology Pain Management/methods/*trends Respiratory Insufficiency/*etiology/physiopathology LA - eng N1 - 1532-8635 Jungquist, Carla R Quinlan-Colwell, Ann Vallerand, April Carlisle, Heather L Cooney, Maureen Dempsey, Susan J Dunwoody, Danielle Maly, Angelika Meloche, Kathy Meyers, Ashley Sawyer, Jason Singh, Navdeep Sullivan, Denise Watson, Chris Polomano, Rosemary C Journal Article United States 2019/08/05 Pain Manag Nurs. 2020 Feb;21(1):7-25. doi: 10.1016/j.pmn.2019.06.007. Epub 2019 Jul 31. PY - 2020 SN - 1524-9042 SP - 7-25 ST - American Society for Pain Management Nursing Guidelines on Monitoring for Opioid-Induced Advancing Sedation and Respiratory Depression: Revisions T2 - Pain Manag Nurs TI - American Society for Pain Management Nursing Guidelines on Monitoring for Opioid-Induced Advancing Sedation and Respiratory Depression: Revisions VL - 21 ID - 86265 ER - TY - JOUR AB - As the complexity of analgesic therapies increases, priorities of care must be established to balance aggressive pain management with measures to prevent or minimize adverse events and to ensure high quality and safe care. Opioid analgesia remains the primary pharmacologic intervention for managing pain in hospitalized patients. Unintended advancing sedation and respiratory depression are two of the most serious opioid-related adverse events. Multiple factors, including opioid dosage, route of administration, duration of therapy, patient-specific factors, and desired goals of therapy, can influence the occurrence of these adverse events. Furthermore, there is an urgent need to educate all members of the health care team about the dangers and potential attributes of administration of sedating medications concomitant with opioid analgesia and the importance of initiating rational multimodal analgesic plans to help avoid adverse events. Nurses play an important role in: 1) identifying patients at risk for unintended advancing sedation and respiratory depression from opioid therapy; 2) implementing plans of care to assess and monitor patients; and 3) intervening to prevent the worsening of adverse events. Despite the frequency of opioid-induced sedation, there are no universally accepted guidelines to direct effective and safe assessment and monitoring practices for patients receiving opioid analgesia. Moreover, there is a paucity of information and no consensus about the benefits of technology-supported monitoring, such as pulse oximetry (measuring oxygen saturation) and capnography (measuring end-tidal carbon dioxide), in hospitalized patients receiving opioids for pain therapy. To date, there have not been any randomized clinical trials to establish the value of technologic monitoring in preventing adverse respiratory events. Additionally, the use of technology-supported monitoring is costly, with far-reaching implications for hospital and nursing practices. As a result, there are considerable variations in screening for risk and monitoring practices. All of these factors prompted the American Society for Pain Management Nursing to approve the formation of an expert consensus panel to examine the scientific basis and state of practice for assessment and monitoring practices for adult hospitalized patients receiving opioid analgesics for pain control and to propose recommendations for patient care, education, and systems-level changes that promote quality care and patient safety. AD - University Medical Center, Tucson, Arizona 85724, USA. AN - 21893302 AU - Jarzyna, D. AU - Jungquist, C. R. AU - Pasero, C. AU - Willens, J. S. AU - Nisbet, A. AU - Oakes, L. AU - Dempsey, S. J. AU - Santangelo, D. AU - Polomano, R. C. DA - Sep DO - 10.1016/j.pmn.2011.06.008 DP - NLM IS - 3 KW - Analgesics, Opioid/*adverse effects Humans Nursing Staff, Hospital/*standards Pain/*drug therapy/epidemiology/nursing *Practice Guidelines as Topic Respiratory Insufficiency/*chemically induced/epidemiology/nursing Risk Factors LA - eng N1 - 1532-8635 Jarzyna, Donna Jungquist, Carla R Pasero, Chris Willens, Joyce S Nisbet, Allison Oakes, Linda Dempsey, Susan J Santangelo, Diane Polomano, Rosemary C Consensus Development Conference Journal Article United States 2011/09/07 Pain Manag Nurs. 2011 Sep;12(3):118-145.e10. doi: 10.1016/j.pmn.2011.06.008. PY - 2011 SN - 1524-9042 SP - 118-145.e10 ST - American Society for Pain Management Nursing guidelines on monitoring for opioid-induced sedation and respiratory depression T2 - Pain Manag Nurs TI - American Society for Pain Management Nursing guidelines on monitoring for opioid-induced sedation and respiratory depression VL - 12 ID - 86421 ER - TY - JOUR AB - The American Society for Pain Management Nursing (ASPMN) has updated its position statement on managing pain in patients with substance use disorders. This position statement is endorsed by the International Nurses Society on Addictions (IntNSA) and includes clinical practice recommendations based on current evidence. It is the position of ASPMN and IntNSA that every patient with pain, including those with substance use disorders, has the right to be treated with dignity, respect, and high-quality pain assessment and management. Failure to identify and treat the concurrent conditions of pain and substance use disorders will compromise the ability to treat either condition effectively. Barriers to caring for these patients include stigmatization, misconceptions, and limited access to providers skilled in these two categories of disorders. Topics addressed in this position statement include the scope of substance use and related disorders, conceptual models of addiction, ethical considerations, addiction risk stratification, and clinical recommendations. AD - Swedish Covenant Hospital, Chicago, IL Hospice Care of the Low Country and Coastal Pain and Spine Center, Bluffton, SC UCLA School of Nursing, Los Angeles, CA James A. Haley Veterans Administration Medical Center & University of South Florida, Tampa, FL Matteliano Pain Rehabilitation Center, Buffalo, NY HorizonPharma, Deerfield, IL Fairview Ridges Hospital, Burnsville, MN University of Michigan Addiction Treatment Services, Ann Arbor, MI Doernbecher Children’s Hospital/Oregon Health & Science University, Portland, OR AN - 103927632. Language: English. Entry Date: 20140411. Revision Date: 20200810. Publication Type: Journal Article AU - Oliver, June AU - Coggins, Candace AU - Compton, Peggy AU - Hagan, Susan AU - Matteliano, Deborah AU - Stanton, Marsha AU - St. Marie, Barbara AU - Strobbe, Stephen AU - Turner, Helen N. DB - cin20 DO - 10.1097/JAN.0b013e318271c123 DP - EBSCOhost IS - 3 KW - American Society for Pain Management Nursing -- Standards Pain -- Drug Therapy Addictions Nursing -- Standards Substance Use Disorders -- Drug Therapy N1 - standards. Journal Subset: Core Nursing; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 9616159. PMID: NLM24335741. PY - 2012 SN - 1088-4602 SP - 210-222 ST - American Society for Pain Management Nursing Position Statement T2 - Journal of Addictions Nursing TI - American Society for Pain Management Nursing Position Statement UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=103927632&site=ehost-live&scope=site VL - 23 ID - 88598 ER - TY - JOUR AB - The American Society for Pain Management Nursing (ASPMN) has updated its position statement on managing pain in patients with substance use disorders. This position statement is endorsed by the International Nurses Society on Addictions (IntNSA) and includes clinical practice recommendations based on current evidence. It is the position of ASPMN and IntNSA that every patient with pain, including those with substance use disorders, has the right to be treated with dignity, respect, and high-quality pain assessment and management. Failure to identify and treat the concurrent conditions of pain and substance use disorders will compromise the ability to treat either condition effectively. Barriers to caring for these patients include stigmatization, misconceptions, and limited access to providers skilled in these two categories of disorders. Topics addressed in this position statement include the scope of substance use and related disorders, conceptual models of addiction, ethical considerations, addiction risk stratification, and clinical recommendations. AD - From the *Swedish Covenant Hospital, Chicago, IL; †Hospice Care of the Low Country and Coastal Pain and Spine Center, Bluffton, SC; ‡UCLA School of Nursing, Los Angeles, CA; §James A. Haley Veterans Administration Medical Center & University of South Florida, Tampa, FL; ∥Matteliano Pain Rehabilitation Center, Buffalo, NY; ¶Horizon Pharma, Deerfield, IL;**Fairview Ridges Hospital, Burnsville, MN; ††University of Michigan Addiction Treatment Services, Ann Arbor, MI; ‡‡Doernbecher Children's Hospital/Oregon Health & Science University, Portland, OR. Correspondence related to content to: Barbara St. Marie, PhD, ANP, GNP, RN-BC, Supervisor, Pain and Palliative Care, Fairview Ridges Hospital, Burnsville, MN 55337. AN - 24335741 AU - Oliver, J. AU - Coggins, C. AU - Compton, P. AU - Hagan, S. AU - Matteliano, D. AU - Stanton, M. AU - St Marie, B. AU - Strobbe, S. AU - Turner, H. N. C1 - DECLARATION OF INTEREST: This endeavor was underwritten by an unrestricted educational grant from King Pharmaceuticals. C2 - PMC4033594 C6 - NIHMS575341 DA - Oct DO - 10.1097/JAN.0b013e318271c123 DP - NLM IS - 3 KW - Adolescent Analgesics, Opioid/adverse effects/*therapeutic use Behavior, Addictive/complications/epidemiology/psychology Child Ethics, Nursing Female Humans Male Middle Aged Models, Theoretical Pain/complications/*drug therapy/nursing Pain Management/*ethics/nursing Prescription Drugs/adverse effects/*therapeutic use Self Medication/psychology/statistics & numerical data Social Stigma *Societies, Nursing Substance-Related Disorders/complications/epidemiology/*nursing Terminology as Topic United States/epidemiology LA - eng N1 - 1548-7148 Oliver, June Coggins, Candace Compton, Peggy Hagan, Susan Matteliano, Deborah Stanton, Marsha St Marie, Barbara Strobbe, Stephen Turner, Helen N American Society for Pain Management Nursing T32 NR011147/NR/NINR NIH HHS/United States Journal Article Practice Guideline United States 2012/10/01 J Addict Nurs. 2012 Oct;23(3):210-22. doi: 10.1097/JAN.0b013e318271c123. PY - 2012 SN - 1088-4602 (Print) 1088-4602 SP - 210-22 ST - American Society for Pain Management nursing position statement: pain management in patients with substance use disorders T2 - J Addict Nurs TI - American Society for Pain Management nursing position statement: pain management in patients with substance use disorders VL - 23 ID - 86059 ER - TY - JOUR AB - ABSTRACT: When contemplating the legal and ethical issues surrounding employment of an alcoholic nurse, nursing administrators are challenged with recognizing and upholding the Americans With Disabilities Act (ADA)-related civil rights of their employees while ensuring the quality of care provided by the practitioners in their facility. The 'direct-threat' exception to disability accommodations relieves employers from making accommodations for a disability if those accommodations would necessitate lowering patient care quality standards. According to the ADA's direct-threat exception, a healthcare facility may legally terminate a nurse with the disability of alcoholism if that practitioner poses a threat to the safety of its patients. This article provides an informative overview of alcoholism as a disability in the context of nursing. A nurse administrator could use the information provided to objectively and competently make a determination of direct threat. The focus is on the importance of making an objective and unbiased assessment when determining if an alcoholic nurse meets the direct-threat' criteria that eliminates the requirement for making reasonable accommodations for a disabled employee. General ADA guidelines are provided, but the assessment must be individualized based on the patient care setting, the requirements of the position, and the nurse's present ability to safely perform the essential job functions. AD - Hospital Quality and Patient Safety, Miami Beach, FL 33155, USA. jb810@nova.edu AN - 105149108. Language: English. Entry Date: 20100521. Revision Date: 20150820. Publication Type: Journal Article AU - Menendez, J. B. DB - cin20 DO - 10.1097/NHL.0b013e3181d20125 DP - EBSCOhost IS - 1 KW - Alcoholism Americans with Disabilities Act -- Legislation and Jurisprudence -- United States Impairment, Health Professional -- Ethical Issues Job Performance -- Legislation and Jurisprudence -- United States Nurses with Disabilities Patient Safety Education, Continuing (Credit) Personnel Management United States N1 - CEU; exam questions. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 100888423. PMID: NLM20195082. PY - 2010 SN - 1520-9229 SP - 21-26 ST - Americans with Disabilities Act-related considerations when an alcoholic nurse is your employee: when is a nurse legally considered a 'direct threat' to patient safety? T2 - JONA's Healthcare Law, Ethics & Regulation TI - Americans with Disabilities Act-related considerations when an alcoholic nurse is your employee: when is a nurse legally considered a 'direct threat' to patient safety? UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=105149108&site=ehost-live&scope=site VL - 12 ID - 88960 ER - TY - JOUR AB - The purpose of this study was to describe the use of student welfare services and smoking behavior among the vocational students and to examine factors related to the use of student welfare services. Data (n=34 776) for this study was acquired from the Finnish School Health Promotion study 2013 for 1st and 2nd grade vocational students. The data were analyzed using statistical methods. Among the boys, 16% had used the services offered by the school nurse twice and 10% three times or more, whereas among the girls corresponding figures were 24% and 25%, respectively. Among the boys, 14% and among the girls 15% had visited a school social worker at least once in the past year, whereas 5% of the boys and the girls had visited a school psychologist. The use of welfare services among students was associated with moderate or poor perceived health and daily smoking. Additionally, among The purpose of this study was to describe the use of student welfare services and smoking behavior among the vocational students and to examine factors related to the use of student welfare services. Data (n=34 776) for this study was acquired from the Finnish School Health Promotion study 2013 for 1st and 2nd grade vocational students. The data were analyzed using statistical methods. Among the boys, 16% had used the services offered by the school nurse twice and 10% three times or more, whereas among the girls corresponding figures were 24% and 25%, respectively. Among the boys, 14% and among the girls 15% had visited a school social worker at least once in the past year, whereas 5% of the boys and the girls had visited a school psychologist. The use of welfare services among students was associated with moderate or poor perceived health and daily smoking. Additionally, among the boys the highest age group, living with a single parent or in an other family type were associated with the use of welfare services, whereas among the girls only an other family type was associated with the use of welfare services. Preventive student health care should continue to focus on students' experiences of their health and to support services for smoking cessation. Additionally, family situation should be assessed as part of adolescent students' well-being. Tutkimuksen tarkoituksena oli kuvata ammattiin opiskelevien poikien ja tyttöjen opiskeluhuollon palvelujen käyttöä ja tupakointia sekä tarkastella tupakoinnin yhteyttä opiskeluhuollon palvelujen käyttöön. Aineistona käytettiin keväällä 2013 kerättyä Kouluterveyskyselyä ammattioppilaitosten 1. ja 2. vuoden opiskelijoiden (n=34 776) osalta. Aineisto analysoitiin tilastollisin menetelmin. Pojista 16% oli käyttänyt terveydenhoitajan palveluja kaksi kertaa lukuvuodessa ja 10% kolme kertaa tai useammin, kun vastaavat luvut tytöillä olivat 24% ja 25%. Pojista 14% ja tytöistä 15% oli käynyt kuraattorilla vähintään kerran, kun taas psykologilla vähintään kerran käyneitä oli sekä pojista että tytöistä 5%. Opiskeluhuollon palvelujen käyttöön olivat yhteydessä sekä tytöillä että pojilla keskinkertaiseksi tai huonoksi koettu terveydentila ja päivittäinen tupakointi, lisäksi pojilla korkein ikäluokka ja yksinhuoltaja tai muu perhemuoto, kun tytöillä vain muu perhemuoto. Ennaltaehkäisevässä opiskelijahuollossa tulisi edelleen kiinnittää huomiota sekä opiskelijoiden tupakoinnin lopettamisen tukemiseen että opiskelijan kokemukseen terveydentilastaan. Lisäksi tulisi arvioida perhetilannetta osana nuoren hyvinvointia. AD - TtM, sairaanhoitaja Tampereen yliopisto Yhteiskuntatieteiden tiedekunta Terveystieteet, Hoitotiede TtM, th, tutkija Terveyden ja hyvinvoinnin laitos Helsinki FM, yliopisto-opettaja Tampereen yliopisto Yhteiskuntatieteiden tiedekunta Terveystieteet, Biostatistiikka TtT, dosentti, yliopistonlehtori Tampereen yliopisto Yhteiskuntatieteiden tiedekunta Terveystieteet, Hoitotiede AN - 124402414. Language: Finnish. Entry Date: 20170803. Revision Date: 20170804. Publication Type: Article AU - Isosomppi, Minna AU - Rantanen, Anja AU - KivimÄKi, Hanne AU - Koivisto, Anna-Maija AU - Joronen, Katja DB - cin20 DP - EBSCOhost IS - 2 KW - Smoking -- Epidemiology -- In Adolescence Student Health Services -- Utilization -- In Adolescence Health Resource Utilization -- In Adolescence Students -- In Adolescence Vocational Education -- In Adolescence Human Finland Health Services Research School Nursing Social Workers Psychologists Health Status Family Characteristics Male Female Adolescence Young Adult Descriptive Statistics P-Value Odds Ratio Schools N1 - research; tables/charts. Journal Subset: Continental Europe; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Nursing; Peer Reviewed. Special Interest: Pediatric Care. NLM UID: 9104138. PY - 2017 SN - 0786-5686 SP - 125-138 ST - Ammattiin opiskelevien nuorten opiskeluhuollon palvelujen käyttö ja tupakointikäyttäytyminen T2 - Hoitotiede TI - Ammattiin opiskelevien nuorten opiskeluhuollon palvelujen käyttö ja tupakointikäyttäytyminen UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=124402414&site=ehost-live&scope=site VL - 29 ID - 87876 ER - TY - JOUR AB - BACKGROUND: Procedural burn pain is the most intense acute pain and most likely type of burn injury pain to be undertreated due to the physician's fear of the adverse effect of analgesia and lack of anesthetist present. At our institution, in most of the cases, local burn detersion and debridement were performed at the ward level without any analgesics. This article describes a study designed to test the analgesia effect of a fixed nitrous oxide/oxygen mixture on burn dressing pain. METHODS/DESIGN: The experiment was carried out in three centers. The patients were given a number from 1 to 240. A randomization list was produced by a statistician according to our preliminary study. Due to the severity of the pain suffered, ethically it was decided to help as many as possible, so patients given the letters A, B or C were treated using a canister with the appropriate letter containing preprepared nitrous oxide/oxygen mixture (NOOM). Those with D were given oxygen only, from an identical-looking canister labeled D. Neither patients, nor doctors, nor nurses, nor data collector knew what was in each canister, thus they were all blind. The nursing officer who implemented the intervention handed the doctors envelopes containing the patients' name and allocation of A, B, C or D. Thus, patients receiving NOOM or oxygen were in the ratio 3:1. Parameters, including pain severity, blood pressure, heart rate, digital oxygen saturation and the Chinese version of the burn specific pain anxiety scale (C-BSPAS), were taken before, during and after dressing for each group. A video and audio record was taken individually for later communication coding and outcome analysis. Rescue analgesic was recorded. DISCUSSION: Based on the findings from our previous qualitative study that physician's reluctance to order narcotic analgesia is due to its adverse effect and from our pilot experiment, this study aims to test the hypothesis that a fixed nitrous oxide/oxygen mixture will promote better burn dressing pain alleviation and outcomes. Analyses will focus on the effects of the experimental intervention on pain severity during dressing (primary outcomes); physiological parameters, C-BSPAS and acceptance of both health care professionals and patients (secondary outcomes). If this model of analgesia for burn pain management implemented by nurses proves successful, it could potentially be implemented widely in hospital and prehospital settings and improve patients' satisfaction and quality of life. TRIAL REGISTRATION: (Clinical Trials Identifier: CHICTR-TRC11001690). AD - Department of Nursing, Changhai Hospital, Second Military Medical University, 168 Changhai Road, Shanghai 200433, China. AN - 22624697 AU - Yuxiang, L. AU - Lu, T. AU - Jianqiang, Y. AU - Xiuying, D. AU - Wanfang, Z. AU - Wannian, Z. AU - Xiaoyan, H. AU - Shichu, X. AU - Wen, N. AU - Xiuqiang, M. AU - Yinsheng, W. AU - Ming, Y. AU - Guoxia, M. AU - Guangyi, W. AU - Wenjun, H. AU - Zhaofan, X. AU - Hongtai, T. AU - Jijun, Z. C2 - PMC3404913 DA - May 24 DO - 10.1186/1745-6215-13-67 DP - NLM ET - 20120524 KW - Administration, Inhalation Analgesics/*administration & dosage Bandages/*adverse effects Burns/complications/psychology/*therapy China Double-Blind Method Humans Nitrous Oxide/*administration & dosage Oxygen/*administration & dosage Pain/diagnosis/etiology/*prevention & control/psychology Pain Management/*methods Pain Measurement *Research Design Severity of Illness Index Time Factors Treatment Outcome Video Recording LA - eng N1 - 1745-6215 Yuxiang, Li Lu, Tang Jianqiang, Yu Xiuying, Dai Wanfang, Zhou Wannian, Zhang Xiaoyan, Hu Shichu, Xiao Wen, Ni Xiuqiang, Ma Yinsheng, Wu Ming, Yao Guoxia, Mu Guangyi, Wang Wenjun, Han Zhaofan, Xia Hongtai, Tang Jijun, Zhao Journal Article Multicenter Study Randomized Controlled Trial Research Support, Non-U.S. Gov't England 2012/05/26 Trials. 2012 May 24;13:67. doi: 10.1186/1745-6215-13-67. PY - 2012 SN - 1745-6215 SP - 67 ST - Analgesia effect of a fixed nitrous oxide/oxygen mixture on burn dressing pain: study protocol for a randomized controlled trial T2 - Trials TI - Analgesia effect of a fixed nitrous oxide/oxygen mixture on burn dressing pain: study protocol for a randomized controlled trial VL - 13 ID - 86683 ER - TY - JOUR AB - Pain can be significant following paediatric laparoscopic appendicectomy [1]. After laparoscopic surgery, national guidance states that oral analgesia or a nurse-controlled analgesia (NCA) or patient-controlled analgesia (PCA) device may be suitable. In our centre, heterogeneity in prescribing practice existed. Others have shown children with simple appendicitis can be managed with oral analgesia [2]. Oral analgesia may reduce opioid-related side effects and speed mobilisation. Methods A retrospective review of 50 sequential cases took place. Factors known at the time of surgery were sought that might predict high morphine consumption and mean pain scores. Guidance was produced recommending a PCA or NCA device plus regular paracetamol and non-steroidal anti-inflammatory drugs (NSAID) for patients with factors associated with high morphine consumption or difficulty accessing pro re nata (PRN) analgesia. Paracetamol, NSAID, tramadol and oral morphine were suggested for consideration in other patients. A prospective review of 50 further cases then took place. Mean pain scores and analgesia prescriptions were analysed. Interim analyses took place after 20 and 35 cases to identify emerging problems. Results In this retrospective review, eight patients received oral analgesia and 42 were prescribed a device. Twenty-eight patients had simple appendicitis that did not require postoperative antibiotics. This group had lower mean morphine consumption in the first 24 h postoperatively than other cases (0.12 vs. 0.22 mg. kg-1, p = 0.03). There was no correlation between morphine consumption and pain score (correlation coefficient -0.14). Our guidance recommended a device for the following patients: those requiring postoperative antibiotics, with other pathology found, aged ≤ 6 years or with behavioural or communication difficulties. Five cases were excluded from prospective follow-up due to missing data. Nineteen patients were prescribed oral analgesia and 26 were prescribed a device. Thirteen patients had simple appendicitis not requiring postoperative intravenous antibiotics. Mean pain scores in the simple appendicitis group were unchanged following introduction of the guidance (1.7 vs. 2.6, p = 0.13). Where a device was used, the mean duration of use increased (17 vs. 24 h, p = 0.04). Fewer opioid-related side effects occurred. Discussion This work suggests a means of identifying those patients who can be successfully managed with oral analgesia. The presence of appendicitis not requiring postoperative antibiotics is a well-defined variable known intra-operatively, and can guide postoperative analgesia. (Figure Presented). AD - D. Radley, Gloucestershire Hospitals NHS Foundation Trust AU - Radley, D. AU - Dunham, J. AU - Parry, S. AU - Stoddart, P. DB - Embase KW - antibiotic agent morphine nonsteroid antiinflammatory agent opiate paracetamol tramadol appendectomy appendicitis child clinical article conference abstract controlled study correlation coefficient drug combination female follow up human male morphine addiction nurse patient controlled analgesia postoperative analgesia prescription prospective study retrospective study side effect surgery total quality management velocity LA - English M3 - Conference Abstract N1 - L631581196 2020-04-30 PY - 2020 SN - 1365-2044 SP - 52 ST - Analgesia following paediatric laparoscopic appendicectomy: A quality-improvement project in Bristol Royal Hospital for Children T2 - Anaesthesia TI - Analgesia following paediatric laparoscopic appendicectomy: A quality-improvement project in Bristol Royal Hospital for Children UR - https://www.embase.com/search/results?subaction=viewrecord&id=L631581196&from=export VL - 75 ID - 94603 ER - TY - JOUR AB - BACKGROUND: Epidural analgesia and intravenous analgesia with opioids are two techniques for the relief of labor pain. The goal of this study was to develop a cost-identification model to quantify the costs (from society's perspective) of epidural analgesia compared with intravenous analgesia for labor pain. Because there is no valid method to assign a dollar value to differing levels of analgesia, the cost of each technique can be compared with the analgesic benefit (patient pain scores) of each technique. METHODS: The authors created a cost model for epidural and intravenous analgesia by reviewing the literature to determine the rates of associated clinical outcomes (benefit of each technique to produce analgesia) and complications (e.g., postdural puncture headache). The authors then analyzed data from their institution's cost-accounting system to determine the hospital cost for parturients admitted for delivery, estimated the cost of each complication, and performed a sensitivity analysis to evaluate the cost impact of changing key variables. A secondary analysis was performed assuming that the cost of nursing was fixed (did not change depending on the number of nursing interventions). RESULTS: If the cesarean section rate equals 20% for both intravenous and epidural analgesia, the additional expected cost per patient to society of epidural analgesia of labor pain ranges from $259 (assuming nursing costs in the labor and delivery suite do not vary with the number of nursing interventions) to $338 (assuming nursing costs do increase as the number of interventions increases) relative to the expected cost of intravenous analgesia for labor pain. This cost difference results from increased professional costs and complication costs associated with epidural analgesia. CONCLUSIONS: Epidural analgesia is more costly than intravenous analgesia. How the cost of the anesthesiologist and nursing care is calculated affects how much more costly epidural analgesia is relative to intravenous analgesia. Published studies have determined that epidural analgesia provides relief of labor pain superior to intravenous analgesia, quantified in one study as 40 mm better on a 100-mm scale during the first stage of labor and 29 mm better during the second stage of labor. Patients, physicians, and society need to weigh the value of improved pain relief from epidural analgesia versus the increased cost of epidural analgesia. AD - Department of Anesthesia, Stanford University, California 94305-5640, USA. amaca@leland.stanford.edu AN - 10719963 AU - Macario, A. AU - Scibetta, W. C. AU - Navarro, J. AU - Riley, E. DA - Mar DO - 10.1097/00000542-200003000-00028 DP - NLM IS - 3 KW - Adult Analgesia, Epidural/*economics Analgesia, Obstetrical/*economics Analgesics, Opioid/administration & dosage/*economics/therapeutic use Cesarean Section Cost-Benefit Analysis Delivery, Obstetric/economics Female Humans Injections, Intravenous Models, Economic Pain Measurement Pregnancy LA - eng N1 - Macario, A Scibetta, W C Navarro, J Riley, E Clinical Trial Journal Article Research Support, Non-U.S. Gov't United States 2000/03/17 Anesthesiology. 2000 Mar;92(3):841-50. doi: 10.1097/00000542-200003000-00028. PY - 2000 SN - 0003-3022 (Print) 0003-3022 SP - 841-50 ST - Analgesia for labor pain: a cost model T2 - Anesthesiology TI - Analgesia for labor pain: a cost model VL - 92 ID - 86140 ER - TY - JOUR AB - BACKGROUND: During the last two decades, epidural analgesia has become 'a gold standard' for labour pain in most Western countries. Newer short-acting opioids given systemically represent an alternative for adequate pain relief without using regional techniques. With this survey, we wish to explore how Norwegian hospitals practice labour analgesia, especially their use of systemic opioids. METHODS: A questionnaire was sent to the head of all 46 registered Norwegian labour units in 2005. The questionnaire focused on epidural and the use of systemic opioids. In 2008, the same questionnaire was sent to the 19 largest units reporting >1000 births a year, seeking updated information. RESULTS: Forty-three of the 46 original questionnaires were returned. An epidural frequency of 25.9% was registered. For epidural treatment, bupivacaine was the preferred local anaesthetic, while sufentanil was the opioid of choice for the majority of units. Pethidine was the most commonly used opioid for systemic administration (77%). All units reported nurse administration of systemic opioids. The intramuscular route was most commonly used, either alone (58%) or in combination with an intravenous (i.v.) administration (34%). Only one unit used i.v. fentanyl. There were only minor changes with the repeated survey, except for one large unit, which reported over a 50% increase in the epidural frequency. CONCLUSION: In Norway, the frequency of epidural for labour analgesia is still relatively low, but seems to be increasing. Systemic opioids are often used instead of or as a supplement. Clinical practice seems to be conservative, and newer short-acting opioids are seldom used systemically. AD - Department of Anaesthesia and Intensive Care, Sorlandet Hospital Kristiansand, Kristiansand, Norway. tor.tveit@sshf.no AN - 19456300 AU - Tveit, T. O. AU - Halvorsen, A. AU - Rosland, J. H. DA - Jul DO - 10.1111/j.1399-6576.2009.01988.x DP - NLM ET - 20090514 IS - 6 KW - Adult Analgesia, Obstetrical/*statistics & numerical data Analgesia, Patient-Controlled *Analgesics, Opioid/administration & dosage Anesthetics, Inhalation Anesthetics, Local Bupivacaine Female Fentanyl/adverse effects Health Care Surveys Hospitals, Community Hospitals, General Humans Infusions, Parenteral Midwifery Nitrous Oxide Norway Obstetrics and Gynecology Department, Hospital Piperidines/adverse effects Pregnancy Remifentanil Sufentanil Surveys and Questionnaires LA - eng N1 - 1399-6576 Tveit, T O Halvorsen, A Rosland, J H Journal Article England 2009/05/22 Acta Anaesthesiol Scand. 2009 Jul;53(6):794-9. doi: 10.1111/j.1399-6576.2009.01988.x. Epub 2009 May 14. PY - 2009 SN - 0001-5172 SP - 794-9 ST - Analgesia for labour: a survey of Norwegian practice - with a focus on parenteral opioids T2 - Acta Anaesthesiol Scand TI - Analgesia for labour: a survey of Norwegian practice - with a focus on parenteral opioids VL - 53 ID - 86443 ER - TY - JOUR AB - The acutely injured child poses unique clinical challenges in many respects. Our understanding of these unique characteristic differences and ability to care for pediatric trauma patients has greatly improved over recent decades; however, one area in pediatric trauma care continues to suffer from relative neglect in research and shows few signs of improvement in clinical practice: analgesia. Studies of analgesia practices continue to describe pervasive undertreatment of pain in the pediatric trauma patient. A growing body of evidence suggests that poorly controlled acute pain (oligoanalgesia) not only causes suffering but may lead to both immediate complications that worsen outcomes as well as debilitating chronic pain syndromes that are often refractory to available treatments. This article will provide a review of pain in injured children with respect to its pathophysiology, clinical ramifications, and patterns of analgesia practices. Impediments to analgesia are examined regarding multiple providers of care for the acutely injured child including prehospital personnel, nurses, and physicians. Finally, the article will provide analgesia recommendations with an approach to pain relief and sedation for the injured pediatric patient. © 2010. AD - M. Greenwald, 1604 Clifton Rd NE, Atlanta, GA 30322, United States AU - Greenwald, M. DB - Embase DO - 10.1016/j.cpem.2009.12.008 IS - 1 KW - amitriptyline anticonvulsive agent fentanyl gabapentin ibuprofen ketamine ketorolac morphine naloxone narcotic analgesic agent nonsteroid antiinflammatory agent paracetamol propofol allergy analgesia article central nervous system childhood injury chronic pain clinical feature clinical practice complex regional pain syndrome constipation continuous infusion drug dependence drug dose titration drug half life drug megadose drug metabolism drug tolerance dysphoria epidural anesthesia gastritis gastrointestinal motility disorder habituation human hypersensitivity hypotension injury inotropism insomnia nausea nerve cell plasticity pain pain assessment pain threshold pathophysiology patient care patient controlled analgesia peritonitis phantom pain respiration depression sedation sensitization side effect spinal cord injury physiological stress platelet count vein dilatation visceral pain vomiting LA - English M3 - Article N1 - L358562860 2010-04-12 2010-04-23 PY - 2010 SN - 1522-8401 SP - 28-40 ST - Analgesia for the pediatric trauma patient: Primum non nocere? T2 - Clinical Pediatric Emergency Medicine TI - Analgesia for the pediatric trauma patient: Primum non nocere? UR - https://www.embase.com/search/results?subaction=viewrecord&id=L358562860&from=export http://dx.doi.org/10.1016/j.cpem.2009.12.008 VL - 11 ID - 95535 ER - TY - JOUR AB - BACKGROUND: Pain can adversely affect a patient's physiological and psychological recovery, yet little is known about the pain experience of cardiac surgical patients. OBJECTIVES: To examine nursing practice regarding analgesic administration and measure pain intensity and patient satisfaction with pain management practices. METHODS: To establish baseline nursing practice regarding analgesic administration, charts were reviewed retrospectively in 50 adult cardiac surgical patients, and the same information was collected concurrently for a prospective sample of 51 patients. The subjects completed visual analogue scales as a measure of pain intensity twice daily while in the cardiothoracic intensive care unit and Pain Relief Satisfaction Questionnaires on the day after transfer from the unit. RESULTS: Patients in the prospective group received significantly more analgesia. Pain intensity was moderate (4 or greater on the Visual Analogue Scale). Women had higher overall visual analogue scale scores than did men, 4.57 versus 3.70. Patients in whom an internal mammary artery had been used as a bypass graft had significantly higher scores compared with patients with vein grafts. The Pain Relief Satisfaction Questionnaire responses indicated that 96% of the patients experienced effective pain management in the cardiothoracic intensive care unit. CONCLUSIONS: Despite receiving analgesic doses twice those reported elsewhere for similar populations, the patients in this study reported moderate pain intensity. This finding was confounded by the fact that 96% expressed satisfaction with their pain management in the cardiothoracic intensive care unit. Frequent assessment and documentation of both pain and pain relief from interventions are necessary if the healthcare team is to implement an individualized analgesic regimen. AN - 107429509. Language: English. Entry Date: 19951201. Revision Date: 20150819. Publication Type: Journal Article AU - Meehan, D. A. AU - McRae, M. E. AU - Rourke, D. A. AU - Eisenring, C. AU - Imperial, F. A. DB - cin20 DP - EBSCOhost IS - 6 KW - Patient Satisfaction -- Evaluation Cardiac Surgery Postoperative Pain -- Diagnosis Postoperative Pain -- Drug Therapy Narcotics -- Administration and Dosage Surgical Patients Cardiac Patients Pain Measurement Record Review Convenience Sample Prospective Studies Visual Analog Scaling Research Instruments Descriptive Statistics Inferential Statistics Sex Factors Case Control Studies Critical Care Nursing Adult Middle Age Aged Aged, 80 and Over Inpatients Male Female Human N1 - research; tables/charts. Journal Subset: Blind Peer Reviewed; Core Nursing; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Instrumentation: Pain Management Assessment Tool; Pain Relief Satisfaction Questionnaire. NLM UID: 9211547. PMID: NLM8556084. PY - 1995 SN - 1062-3264 SP - 435-442 ST - Analgesic administration, pain intensity, and patient satisfaction in cardiac surgical patients T2 - American Journal of Critical Care TI - Analgesic administration, pain intensity, and patient satisfaction in cardiac surgical patients UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=107429509&site=ehost-live&scope=site VL - 4 ID - 90103 ER - TY - JOUR AB - Administration of analgesics is a common nursing intervention for providing pain relief to patients with cancer. A sample of 177 nurses participated in a study to examine their decision-making skills when analgesic orders were changed. Nurses were given four clinical vignettes and reference materials to assist them in responding to the vignettes. Twenty-six percent of 708 responses provided by the nurses were answered correctly. Twenty-nine percent of the sample answered all four vignettes incorrectly. The majority (44%) answered only one vignette correctly. No statistically significant differences were found between correct answers and type of work setting, academic preparation, number of patients with cancer cared for per week, number of years employed as a nurse, recent clinical experience with the analgesics used in the vignettes, or the use of reference materials. These findings raise concerns that patients requiring analgesics may not receive an amount that adequately relieves their pain or avoids unnecessary toxicity. AD - Johns Hopkins Oncology Ctr, Baltimore, MD AN - 107460769. Language: English. Entry Date: 19930301. Revision Date: 20150712. Publication Type: Journal Article AU - Sheidler, V. R. AU - McGuire, D. B. AU - Grossman, S. A. AU - Gilbert, M. R. DB - cin20 DP - EBSCOhost IS - 10 KW - Decision Making, Clinical -- Evaluation Narcotics -- Administration and Dosage Oncology Nursing Cancer Pain -- Drug Therapy Descriptive Research Cross Sectional Studies Surveys Convenience Sample Vignettes Content Validity Descriptive Statistics Chi Square Test Registered Nurses Adult Male Female Human N1 - research; tables/charts. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 7809033. PMID: NLM1461767. PY - 1992 SN - 0190-535X SP - 1531-1534 ST - Analgesic decision-making skills of nurses T2 - Oncology Nursing Forum TI - Analgesic decision-making skills of nurses UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=107460769&site=ehost-live&scope=site VL - 19 ID - 90222 ER - TY - JOUR AB - Editor's note: This is a summary of a nursing care-related systematic review from the Cochrane Library. For more information, see http://nursingcare.cochrane.org. AD - Jacqueline Pich is a lecturer in the Faculty of Health, University of Technology Sydney, Sydney, Australia, and a member of the Cochrane Nursing Care Field. AN - 30461486 AU - Pich, J. DA - Dec DO - 10.1097/01.NAJ.0000549686.66629.f6 DP - NLM IS - 12 KW - Analgesics, Opioid/*therapeutic use Cancer Pain/*drug therapy Humans Neoplasms LA - eng N1 - 1538-7488 Pich, Jacqueline Journal Article Systematic Review United States 2018/11/22 Am J Nurs. 2018 Dec;118(12):22. doi: 10.1097/01.NAJ.0000549686.66629.f6. PY - 2018 SN - 0002-936x SP - 22 ST - The Analgesic Efficacy of Opioids in Cancer Pain T2 - Am J Nurs TI - The Analgesic Efficacy of Opioids in Cancer Pain VL - 118 ID - 86154 ER - TY - JOUR AB - The objective of this study was to characterize analgesic medication errors and to evaluate their association with patient harm. The authors conducted a cross-sectional analysis of individual medication error incidents reported by North Carolina nursing homes to the Medication Error Quality Initiative (MEQI) during fiscal years 2010-2011. Bivariate associations between analgesic medication errors with patient factors, error-related factors, and impact on patients were tested with chi-square tests. A multivariate logistic regression model explored the relationship between type of analgesic medication errors and patient harm, controlling for patient- and error-related factors. A total of 32,176 individual medication error incidents were reported over a 2-year period in North Carolina nursing homes, 12.3% (n = 3949) of which were analgesic medication errors. Of these analgesic medication errors, opioid and nonopioid analgesics were involved in 3105 and 844 errors, respectively. Opioid errors were more likely to be wrong drug errors, wrong dose errors, and administration errors compared with nonopioid errors (P < .0001 for all comparisons). In the multivariate model, opioid errors were found to have higher odds of patient harm compared with nonopioid errors (odds ratio [OR] = 3, 95% confodence interval [CI]: 1.1-7.8). The authors conclude that opioid analgesics represent the majority of analgesic error reports, and these error reports reflect an increased likelihood of patient harm compared with nonopioid analgesics. AD - Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, University of North Carolina-Chapel Hill, NC, USA. AN - 23458096 AU - Desai, R. J. AU - Williams, C. E. AU - Greene, S. B. AU - Pierson, S. AU - Caprio, A. J. AU - Hansen, R. A. DA - Jun DO - 10.3109/15360288.2013.765531 DP - NLM ET - 20130304 IS - 2 KW - Aged Analgesics/administration & dosage/*adverse effects Analgesics, Opioid/administration & dosage/*adverse effects Chi-Square Distribution Cross-Sectional Studies Female Humans Logistic Models Male Medication Errors/*statistics & numerical data Multivariate Analysis North Carolina Nursing Homes/*statistics & numerical data LA - eng N1 - 1536-0539 Desai, Rishi J Williams, Charrlotte E Greene, Sandra B Pierson, Stephanie Caprio, Anthony J Hansen, Richard A Journal Article Research Support, Non-U.S. Gov't England 2013/03/06 J Pain Palliat Care Pharmacother. 2013 Jun;27(2):125-31. doi: 10.3109/15360288.2013.765531. Epub 2013 Mar 4. PY - 2013 SN - 1536-0288 SP - 125-31 ST - Analgesic medication errors in North Carolina nursing homes T2 - J Pain Palliat Care Pharmacother TI - Analgesic medication errors in North Carolina nursing homes VL - 27 ID - 86253 ER - TY - JOUR AB - Objective: The objective of this research was to determine analgesic usage behaviors of patients with migraine. Method: In this descriptive and cross-sectional type research,105 patients who applied to neurology polyclinic in a public hospital between the dates of 01 March- 30 June 2017, were diagnosed with migraine at least for 6 months and accepted to participate in the study were included. Data was collected by using Patient Identification Form, Visual Analogues Scale, Analgesic Usage Form and Migraine Disability Assessment Scale (MIDAS). In data evaluation, average, standard deviation, percentage distribution, chi-square and Fisher's exact chi-square test were used. Results: It was determined that 58.1% of patients were at 4th stage according to MIDAS, one third of the patients (33.3%) were suffering from headache for 30- 90 days in the last three months and pain level of 29.5% of them were 9-10 point. It was stated that participants used non-steroidal anti-inflammatory drug (NSAIDs) firstly (70.8%) for headache attacks, 24.8% of them used analgesics four times a week and more and 66.7% of them used over the counter analgesics. While there is no difference between situations of getting information from nurses and doctors about the migraine, migraine types, pain level, using preventive medication against the migraine and type of analgesic used in patients with medication overuse or not (p>0.05), it was determined according to MIDAS that patients with the migraine suffering from headache for 30- 90 days in the last three months and at 4th stage used analgesics more (p<0.05). Conclusion: It was determined in the research that important part of the patients with the migraine were suffering from pain very frequently at serious level, they commonly used NSAIDs as acute treatment and one fourth of them had behavior of analgesics overuse. AD - Assistant Prof. Akdeniz University, Faculty of Kumluca Health Sciences, Department of Internal Disease Nursing, Antalya, Turkey Assistant Prof. Cumhuriyet University, Health High School of Susehri, Department of Internal Disease Nursing, Sivas, Turkey Assistant Prof. Biruni University, Faculty of Health Sciences, Department of Internal Disease Nursing, Istanbul, Turkey AN - 134112535. Language: English. Entry Date: 20190117. Revision Date: 20191113. Publication Type: Article AU - Ozkan, Ilknur AU - Yilmaz, Feride Taskin AU - Kumsar, Azime Karakoc DB - cin20 DP - EBSCOhost IS - 3 KW - Migraine -- Drug Therapy Analgesics, Opioid -- Administration and Dosage Pain Management Drug Utilization -- Evaluation Human Descriptive Research Cross Sectional Studies Visual Analog Scaling Chi Square Test Fisher's Exact Test Scales Headache -- Drug Therapy Antiinflammatory Agents, Non-Steroidal -- Therapeutic Use Substance Abuse Interviews Patient Attitudes -- Evaluation Data Analysis Software Descriptive Statistics Male Female Young Adult Adult Drugs, Non-Prescription N1 - research; tables/charts. Journal Subset: Continental Europe; Europe; Nursing; Peer Reviewed. Instrumentation: Migraine Disability Assessment Scale (MIDAS); Patient Identification Form. PY - 2018 SN - 1791-5201 SP - 1778-1788 ST - Analgesic Usage Behaviours of Patients with Migraine T2 - International Journal of Caring Sciences TI - Analgesic Usage Behaviours of Patients with Migraine UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=134112535&site=ehost-live&scope=site VL - 11 ID - 87634 ER - TY - JOUR AB - Many age-associated diseases are accompanied by pain. There is no doubt that pain is underrecognized among elderly nursing home residents and the diagnosing of pain is a real challenge in subjects with dementia. The aim of the study was to characterize analgesic use among nursing home residents and to delineate the putative associations between pain management and cognitive functions of elderly persons. The study involved 392 subjects (males:females - 81:311) with a mean age of 83.6±5.9 years. The residents' medical files in relation to diagnoses and drug consumption were analyzed, and the screening of cognitive functions was performed using the Mini-Mental State Examination (MMSE). One hundred and thirteen residents (28.8%) received some analgesics. Among them 84 (21.4%) used them routinely, 25 (6.4%) - pro re nata (PRN) and four (1.0%) - both routinely and PRN. Non-opioid analgesics were taken routinely by 53 residents, weak opioids by nine subjects, and one person was receiving strong opioids. Additionally, three individuals were taking a combination preparation of tramadol and acetaminophen. The rate of subjects who were not receiving any pain treatment was higher in residents with MMSE between 0 and 9 points than in those with MMSE between 24 and 30 points (P=0.0151). Furthermore, ten residents (9.1%) with severe dementia were treated with analgesics PRN. The results of our study point to a remarkably low use of analgesics in nursing home residents in Poland and indicate a need to introduce pain evaluation and monitoring of drug treatment appropriateness as a standard procedure in the geriatric assessment in nursing homes. AD - Department of Geriatrics and Gerontology, Poznan University of Medical Sciences, Poznan, Poland. Department of Palliative Medicine, Laboratory of Geriatrics, Poznan University of Medical Sciences, Poznan, Poland. Department of Psychiatry, Laboratory of Neuropsychobiology, Poznan University of Medical Sciences, Poznan, Poland. Department of Adult Psychiatry, Poznan University of Medical Sciences, Poznan, Poland. Department of Geriatrics, Medical University of Warsaw, Warsaw, Poland. AN - 27051281 AU - Neumann-Podczaska, A. AU - Nowak, T. AU - Suwalska, A. AU - Łojko, D. AU - Krzymińska-Siemaszko, R. AU - Kozak-Szkopek, E. AU - Wieczorowska-Tobis, K. C2 - PMC4807940 DO - 10.2147/cia.S101475 DP - NLM ET - 20160321 KW - Aged Aged, 80 and over Analgesics, Opioid/adverse effects/*therapeutic use Cognition Dementia/*complications Female Geriatric Assessment Homes for the Aged Humans Male Nursing Homes Pain/*drug therapy/epidemiology Pain Measurement Poland Mini-Mental State Examination analgesics dementia multimorbidity pain the elderly LA - eng N1 - 1178-1998 Neumann-Podczaska, Agnieszka Nowak, Tomasz Suwalska, Aleksandra Łojko, Dorota Krzymińska-Siemaszko, Roma Kozak-Szkopek, Elżbieta Wieczorowska-Tobis, Katarzyna Journal Article Research Support, Non-U.S. Gov't New Zealand 2016/04/07 Clin Interv Aging. 2016 Mar 21;11:335-40. doi: 10.2147/CIA.S101475. eCollection 2016. PY - 2016 SN - 1176-9092 (Print) 1176-9092 SP - 335-40 ST - Analgesic use among nursing homes residents, with and without dementia, in Poland T2 - Clin Interv Aging TI - Analgesic use among nursing homes residents, with and without dementia, in Poland VL - 11 ID - 86206 ER - TY - JOUR AB - PURPOSE OF REVIEW: To summarize developments in analgesic use in the older person. RECENT FINDINGS: Observational studies, reviews and a few randomized trials dealing with analgesic use in the older person have been published during the past year. Recent trials examine also pharmacological/nonpharmacological interventions, and education of older patients as well as clinicians in pain management. SUMMARY: Under-treatment of pain remains a major concern in community-dwelling or institutionalized older persons, especially with dementia. An increased awareness of pain and palliative pain management in the older person is present throughout the literature. Age-related factors affect the safety and efficacy of the analgesic treatment and pharmacological aspects are often underlined, especially when impaired cognition and frailty are present. The use of topical analgesics, well tolerated in older persons, allows reduction of concomitant treatments and of adverse events. Optimizing analgesic use in older patients is carried out by exploring motivations and attitudes of the patients, by analysing barriers and practices of clinicians and by setting up structured educational nursing interventions. Although a larger number of older persons are included in studies, prospective and large-scale trials are needed in this vulnerable population characterized by a high variability and heterogeneity. AD - CHU Clermont-Ferrand, Centre de Pharmacologie Clinique, F-63001 Clermont-Ferrand, France. gisele.pickering@u-clermont1.fr AN - 22469664 AU - Pickering, G. DA - Jun DO - 10.1097/SPC.0b013e32835242d2 DP - NLM IS - 2 KW - Aged *Aging Analgesics/*therapeutic use Analgesics, Opioid/therapeutic use Anti-Inflammatory Agents, Non-Steroidal/therapeutic use Humans Osteoarthritis/drug therapy Pain/*drug therapy Patient Education as Topic/*organization & administration LA - eng N1 - 1751-4266 Pickering, Gisèle Journal Article Review United States 2012/04/04 Curr Opin Support Palliat Care. 2012 Jun;6(2):207-12. doi: 10.1097/SPC.0b013e32835242d2. PY - 2012 SN - 1751-4258 SP - 207-12 ST - Analgesic use in the older person T2 - Curr Opin Support Palliat Care TI - Analgesic use in the older person VL - 6 ID - 86271 ER - TY - JOUR AB - AIMS AND OBJECTIVES: To describe the analgesic use in hip fracture patients with dementia during the first two postoperative days as reported by nurses. BACKGROUND: Nurses play a pivotal role in treating postoperative pain in patients with dementia and monitoring the effects of administered analgesics. DESIGN: Cross-sectional descriptive questionnaire study in seven university hospitals and 10 central hospitals in Finland. METHODS: The study was conducted from March until May in 2011 in Finland. For this analysis, the focus was on the sample of nurses (n = 269) who were working in orthopaedic units. Analgesics were classified according to the Anatomical Therapeutic Chemical Classification System. Nonparametric tests were applied to find out the significant differences between analgesic use and different hospitals. RESULTS: Paracetamol and strong opioids administered orally or parenterally seemed to be the most typical of postoperatively used types of analgesics in patients with dementia. Nonsteroidal anti-inflammatory analgesics and weak opioids were also commonly reported to be in use. There were no statistically significant differences between hospitals in typical daily doses. The majority of the nurses reported that the primary aim of postoperative pain management in hip fracture patients with dementia was 'slight pain, which does not prevent normal functioning' (72%). CONCLUSION: The pharmacological postoperative pain treatment in acute care was commonly based on the use of strong opioids and paracetamol in hip fracture patients with dementia. The reported use of transdermal opioids and codeine combination warrants further examination. Further studies are also needed to find out whether the pain is appropriately and adequately treated. RELEVANCE TO CLINICAL PRACTICE: Transdermal opioids and codeine combination may not be relevant analgesics for acute pain management in older adults. It is important to create a balance between sufficient pain relief and adverse effects of analgesics to allow early mobilisation and functional recovery. AD - Department of Nursing Sciences, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland. AN - 24476197 AU - Rantala, M. AU - Hartikainen, S. AU - Kvist, T. AU - Kankkunen, P. DA - Nov DO - 10.1111/jocn.12548 DP - NLM ET - 20140130 IS - 21-22 KW - Acetaminophen/administration & dosage Adult Aged Aged, 80 and over Analgesics/*administration & dosage Analgesics, Opioid/administration & dosage *Attitude of Health Personnel Cross-Sectional Studies *Dementia Drug Administration Schedule Female Finland Hip Fractures/*surgery Humans Male Middle Aged Pain, Postoperative/*drug therapy/nursing Postoperative Care/nursing Surveys and Questionnaires acute care dementia hip fracture medication nurse pain relief postoperative pain LA - eng N1 - 1365-2702 Rantala, Maija Hartikainen, Sirpa Kvist, Tarja Kankkunen, Päivi Journal Article Multicenter Study Research Support, Non-U.S. Gov't England 2014/01/31 J Clin Nurs. 2014 Nov;23(21-22):3095-106. doi: 10.1111/jocn.12548. Epub 2014 Jan 30. PY - 2014 SN - 0962-1067 SP - 3095-106 ST - Analgesics in postoperative care in hip fracture patients with dementia - reported by nurses T2 - J Clin Nurs TI - Analgesics in postoperative care in hip fracture patients with dementia - reported by nurses VL - 23 ID - 86007 ER - TY - JOUR AB - Anonymous questionnaires were used to study 1218 pupils of 4 general education lyceums, 3 technical schools, plastic arts lyceum and medical nursing lyceum in Sczecin. The study was intended to provide survey of the youth's opinion on the harmfulness of alcohol, on alcoholism and the knowledge of fighting against it. Only 7% of the students considered alcohol harmful. The majority of the pupils emphasized the negative influence of alcohol on physical health. Hardly 1/3 of the students properly understand the essence of alcohol addiction. The level of knowledge concerning the method of combating alcoholism was estimated as insufficient. Both the environmental factors and the personal experiences of the pupils influence to an equal extent their attitude to alcoholism. The most tolerant with regard to that problem are the pupils of the plastic arts lyceum, the most critical ones the girl pupils attending the medical nursing lyceum. AD - Klin. Psychiat., Pom. Akad. Med., Szczecin AU - Jarema, M. DB - Embase KW - alcoholism health education intoxication prevention LA - Polish N1 - L7204117 1977-01-01 PY - 1976 SN - 1427-440X SP - 501-516 ST - Analysis of alcoholism problem evaluation by the youth of secondary schools in the town of Szczecin (Polish) T2 - Roczniki Pomorskiej Akademii Medycznej W Szczecinie TI - Analysis of alcoholism problem evaluation by the youth of secondary schools in the town of Szczecin (Polish) UR - https://www.embase.com/search/results?subaction=viewrecord&id=L7204117&from=export VL - Vol. 22 ID - 96152 ER - TY - JOUR AB - We reviewed 526 medical records of surgical patients and interviewed 81 of these patients. We also sent questionnaires to house staff (57 of 97 responded) and nurses (70 of 142 responded) involved in the care of these patients. A substantial number of patients suffered at least moderate pain during the postoperative period despite analgesic medication. Patients received 70% of the maximal ordered analgesic dose in the first 24 hours. Physicians prescribed drugs in doses that were often inadequate and to be given at inflexible intervals. The optimal doses and duration of action of meperidine, as judged by the house staff and nurses, did not agree with the accepted pharmacologic profile of this drug. AN - 6134850 AU - Sriwatanakul, K. AU - Weis, O. F. AU - Alloza, J. L. AU - Kelvie, W. AU - Weintraub, M. AU - Lasagna, L. DA - Aug 19 DP - NLM IS - 7 KW - Acute Disease Adult Aged Analgesics, Opioid/administration & dosage/*therapeutic use Drug Administration Schedule Drug Therapy, Combination Female Humans Injections, Intramuscular Male Meperidine/administration & dosage Middle Aged Morphine/administration & dosage Pain, Postoperative/*drug therapy Pentazocine/administration & dosage Surveys and Questionnaires LA - eng N1 - Sriwatanakul, K Weis, O F Alloza, J L Kelvie, W Weintraub, M Lasagna, L Journal Article Research Support, Non-U.S. Gov't United States 1983/08/19 JAMA. 1983 Aug 19;250(7):926-9. PY - 1983 SN - 0098-7484 (Print) 0098-7484 SP - 926-9 ST - Analysis of narcotic analgesic usage in the treatment of postoperative pain T2 - Jama TI - Analysis of narcotic analgesic usage in the treatment of postoperative pain VL - 250 ID - 86201 ER - TY - JOUR AB - ObjectiveTo compare and contrast the reasons that nurses and nursing students provide for entering and leaving nursing.DesignA quantitative cross-sectional cohort design with online survey.SettingRegional public health service district and regional university nursing school.SubjectsNurses (n= 272) and nursing students (n=259).Main outcome measuresDemographics of nurses and nursing students including age, sex and length of time as a nurse, and reasons for entering and leaving the profession.ResultsAmong the nurses 88.4% were female and 37% 50 years of age or older. Almost half (45.3%) of the nursing students were 30 years of age or older and 44.1% of all students were working as nursing assistants or enrolled nurses whilst studying. Of these working students 32.5% had been nursing in excess of five years. Self interest, vocation and altruism were identified by both students and nurses as the main reasons for entering nursing. Respondents above and below 30 years of age gave the same reasons for entering nursing. Choice of factors for considering leaving nursing differed between groups and ages. Compared to students, nurses were most likely to cite disillusionment with nursing. Students under 30 years of age indicated pursuit of another career and starting a family to be the major factors while older students offered disillusionment with nursing and health concerns.ConclusionsRetention strategies may need to differ for the age of nurse. However, recruitment needs to be informed by the altruistic and vocational reasons why nurses and nursing students are drawn to nursing rather than focussing on perceived generational differences. AD - Postgraduate Coordinator Master of Health Science (Clinical Practice), School of Nursing & Midwifery Postgraduate Coordinator Master of Health Science (Clinical Practice), School of Nursing & Midwifery, Australian Catholic University Fitzroy, Victoria, Australia. rosemary.ford@acu.edu.au AN - 104964617. Language: English. Entry Date: 20110318. Revision Date: 20150820. Publication Type: Journal Article AU - Ford, Rosemary DB - cin20 DP - EBSCOhost IS - 1 KW - Addictions Nursing Methadone -- Administration and Dosage Needle Exchange Programs Nurse Attitudes Substance Abuse -- Prevention and Control Adult Analysis of Variance Chi Square Test Comparative Studies Convenience Sample Cross Sectional Studies Databases Descriptive Research Descriptive Statistics Female Funding Source Heroin -- Administration and Dosage Human Inferential Statistics Mail Male Northern Territory Nurse Attitudes -- Evaluation Parametric Statistics Public Opinion Questionnaires Spearman's Rank Correlation Coefficient Summated Rating Scaling T-Tests N1 - research; tables/charts. Journal Subset: Australia & New Zealand; Core Nursing; Double Blind Peer Reviewed; Nursing; Peer Reviewed. Grant Information: National Health and Medical Research Council, the National Centre for Education and Training on Addictions and the Australian Capital Territory (ACT) Nurses Registration Board.. NLM UID: 8409358. PY - 2010 SN - 0813-0531 SP - 14-24 ST - An analysis of nurses' views of harm reduction measures and other treatments for the problems associated with illicit drug use T2 - Australian Journal of Advanced Nursing TI - An analysis of nurses' views of harm reduction measures and other treatments for the problems associated with illicit drug use UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=104964617&site=ehost-live&scope=site VL - 28 ID - 88873 ER - TY - JOUR AB - Background: Patient's willingness and barriers for discharge after shoulder arthroplasty (SA) has not been studied. The aim of this study was to prospectively analyze patient's willingness for discharge and barriers to discharge beyond postoperative day #1 (POD#1) after SA. Methods: In this prospective study, patients undergoing primary or revision SA (anatomic, reverse, or hemiarthroplasty) at our institution were enrolled to determine their willingness and concerns for discharge after SA. Patient's willingness for discharge was inquired daily until discharge. Demographic information, patient's medical history, intraoperative details (duration of surgery, estimated blood loss, intraoperative complication), discharge disposition, length of stay (LOS), and reasons for extension of LOS beyond POD#1 were analyzed. Results: A total of 184 patients who underwent SA were included. Eight patients were discharged on POD#0, 114 patients on POD#1, 37 patients on POD#2, and 25 patients after POD#2. One hundred nineteen (119) patients were discharged to home, 40 were discharged to home with services, 15 were discharged to nursing facilities, and 10 were discharged to rehabilitation centers. Reasons for extension of LOS past POD#1 included patients failing to clear home safety evaluation (n = 4), inadequate pain control (n = 6), worsening of preexisting medical conditions (n = 8), delay in patient disposition (awaiting placement in a rehabilitation facility [n = 6] and awaiting culture results [n = 9]). Social reasons (n = 29) were the most common reasons for extension of LOS. These included patients requesting an extra day of stay (n = 20), patients requesting rehabilitation facility placement (n = 5), lack of a timely ride home (n = 2), and family-related reasons (death in the family [n = 1], lack of home help [n = 1]). Conclusions: This prospective study demonstrates modifiable factors associated with LOS beyond POD#1 (inadequate pain control, logistic delays in disposition, and patient-related social concerns) after SA. With increasing interest in same-day discharge and rising concerns to control cost and use bundled payment initiatives with SA, improving patient's willingness to discharge by addressing their concerns can improve early discharge after SA. AD - M.S. Virk, Division of Shoulder and Elbow Surgery, Department of Orthopedic Surgery, NYU Grossman School of Medicine, NYU Langone Orthopedic Hospital, NYU Langone Health, New York, NY, United States AU - Magone, K. M. AU - Ben-Ari, E. AU - Gordan, D. AU - Pines, Y. AU - Boin, M. A. AU - Kwon, Y. W. AU - Zuckerman, J. D. AU - Virk, M. S. C1 - tylenol(Johnson and Johnson,United States) C2 - Johnson and Johnson(United States) Pfizer DB - Embase DO - 10.1016/j.jseint.2021.12.015 IS - 3 KW - rollator shoulder prosthesis walker wheelchair bupivacaine buprenorphine plus naloxone gabapentin ibuprofen lidocaine oxycodone paracetamol pregabalin tramadol adult aged analgesia article cohort analysis controlled study demographics disease exacerbation female home home care home safety hospital discharge human length of stay major clinical study male medical history nursing home operation duration operative blood loss patient attitude peroperative complication postoperative pain postoperative period prospective study rehabilitation center revision arthroplasty risk factor shoulder arthroplasty shoulder hemiarthroplasty social aspect walking difficulty tylenol LA - English M3 - Article N1 - L2017524987 2022-04-05 2022-06-23 PY - 2022 SN - 2666-6383 SP - 429-433 ST - Analysis of patient's willingness and concerns for discharge following shoulder arthroplasty T2 - JSES International TI - Analysis of patient's willingness and concerns for discharge following shoulder arthroplasty UR - https://www.embase.com/search/results?subaction=viewrecord&id=L2017524987&from=export http://dx.doi.org/10.1016/j.jseint.2021.12.015 VL - 6 ID - 94207 ER - TY - JOUR AB - The number of patients with chronic liver disease (CLD) is large. The social and economic burdens due to CLD have increased. The mental health problems of patients with CLD are prominent and deserve our attention and care. This study analyzed 320 patients with CLD who were hospitalized between January 2018 and January 2020. Questionnaire surveys were used to assess mental health status, including the Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), and Symptom Checklist-90 (SCL-90). At the same time, basic data and potential related factors were collected. Data were analyzed using descriptive statistics and logistic regression. Among the 320 patients with CLD, 240 (75%) had mental health problems; among the total patients, education levels, occupations, course of disease, annual hospitalizations, complications, and nursing satisfaction were significantly different between the two groups (p <.05). The education levels and occupations of the group without mental health problems were significantly different within the group (p <.05). The SCL-90 found that the four factors with the highest scores were anxiety (ANX: 33.3%), depression (DEPR: 20.4%), somatization (SOM: 12.9%), and sleep and diet (SD: 9.6%). Logistic regression analysis showed that education levels, course of disease, annual hospitalizations, complications, and nursing satisfaction levels were independent risk factors for the mental health of patients with CLD. Model fitness was checked using the Hosmer–Lemeshow test. The receiver operating characteristic (ROC) curve showed that the area under the curve was 0.84. Patients with CLD have prominent mental health problems and experience many risk factors. It is necessary to adopt individualized psychological interventions and care to improve the quality of life of these patients. AD - L. Zhang, Department of Nursing, Shanghai Public Health Clinical Center, Fudan University, Shanghai, China AU - Qin, Z. AU - Shen, Y. AU - Wu, Y. AU - Tang, H. AU - Zhang, L. DB - Embase Medline DO - 10.1002/brb3.2406 IS - 12 KW - adult aged alcoholism article autoimmunity cholestatic hepatitis chronic liver disease controlled study data analysis diagnostic test accuracy study diet experimental test female health status hosmer lemeshow test hospitalization human major clinical study male mental disease mental health middle aged mixed anxiety and depression mouth ulcer nursing obsessive compulsive disorder psychosis quality control questionnaire receiver operating characteristic risk factor satisfaction Self-rating Anxiety Scale Self-rating Depression Scale sleep somatization Symptom Checklist 90-Revised LA - English M3 - Article N1 - L2014182679 2021-11-16 2021-12-24 PY - 2021 SN - 2162-3279 ST - Analysis of risk factors for mental health problems of inpatients with chronic liver disease and nursing strategies: A single center descriptive study T2 - Brain and Behavior TI - Analysis of risk factors for mental health problems of inpatients with chronic liver disease and nursing strategies: A single center descriptive study UR - https://www.embase.com/search/results?subaction=viewrecord&id=L2014182679&from=export http://dx.doi.org/10.1002/brb3.2406 VL - 11 ID - 94302 ER - TY - JOUR AB - Objective: To explore the risk factors of benign vocal fold lesions among professional voice users, and to provide scientific basis for the prevention of diseases. Methods: Using a case-control study, a questionaire investigation was conducted among 92 patients with benign vocal cord lesions and contemporaneous 122 patients without benign vocal cord lesions. Influencing factors were analyzed by using Logistic regression analysis. Results: Single-factor analysis of variance showed that there were statistically significant differences in 9 factors between two groups (P<0.05). Whether they were working in noise environment, average smoking cigarettes per day, average times of alcohol drinking per week, times of eating spicy food per day, time of using sound per day, whether they had voice abuse, whether they had history of allergic rhinitis, upper gastrointestinal reflux disease or upper respiratory tract infection in the last month. The results of multi-factor analysis of variance showed that working in noise environment (OR=2.630), average smoking cigarettes per day (OR=2.682), average times of alcohol drinking per week (OR=1.697), times of eating spicy food per day (OR= 1.623), time of using sound per day (OR=10.122) and voice abuse (OR=4.959) were independent risk factors for benign vocal fold lesions (P<0.05). Conclusion: It is advices that medical staff should strengthen targeted voice health education and protection guidance related to risk factors of benign vocal fold lesions among professional voice users. AD - Shanxi Medical University, Shanxi 030001 China AN - 144409464. Language: Chinese. Entry Date: 20200717. Revision Date: 20200717. Publication Type: Article AU - Yan, Ning AU - Binquan, Wang AU - Jing, D. U. DB - cin20 DO - 10.12102/j.issn.1009-6493.2020.12.010 DP - EBSCOhost IS - 12 KW - Performing Artists Vocal Cords -- Pathology Laryngeal Diseases -- Risk Factors Laryngeal Diseases -- Prevention and Control Laryngeal Diseases -- Nursing Risk Assessment Human Case Control Studies Questionnaires Logistic Regression Descriptive Statistics Odds Ratio Factor Analysis Smoking Alcohol Drinking Spices Food Intake N1 - research; tables/charts. Journal Subset: Asia; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed. PY - 2020 SN - 1009-6493 SP - 2110-2114 ST - Analysis of risk factors of benign vocal fold lesions among professional voice users and nursing strategies T2 - Chinese Nursing Research TI - Analysis of risk factors of benign vocal fold lesions among professional voice users and nursing strategies UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=144409464&site=ehost-live&scope=site VL - 34 ID - 87247 ER - TY - JOUR AB - Aim: Breastfeeding and consumption of breast milk positively affect the health of children and mothers. The goal of this research was an analysis of intention to breastfeed in pregnant women and the impact of selected factors on intention to breastfeed. Design: Cross - sectional study. Methods: Research was conducted involving 176 women in the 5th- 9th month of pregnancy. We analyzed their intention to breastfeed using the Infant Feeding Intentions Scale (IFI). Among the analyzed factors we included: socio-demographic variables, smoking during pregnancy, women's attitudes to breastfeeding, and the body image of pregnant women (the Body Image States Scale - BISS). Results: The intention to breastfeed in pregnant women was very high (M = 13.15; SD = 2.6). In the 1st month after birth, 85.2% of women plan to breastfeed to the fullest extent, falling to 77.2% in the 3rd month, and 62.5% in the 6th month. Variables included in linear regression explain 30% of the variation in intention to breastfeed. By hierarchic linear regression, we identified the attitude of husband/partner towards breastfeeding (ß = 1.236; p = 0.001), and impact of breastfeeding on women's health (ß = 0,354; p = 0,035) and body image (ß = 0,497; p = 0,000) as significant independent variables determining the intention to breastfeed. Women's satisfaction with their pregnant body explains 11% of the variation in all analyzed variables. Conclusion: Promoting the health of mothers and their children requires midwives and nurses to perform a range of activities that will engage the husbands/partners of the women, and which will also take account of the body perceptions of pregnant women. AD - Department of Nursing, Faculty of Health Care, University of Prešov in Prešov, Slovakia Department of Midwifery, Faculty of Health Care, University of Prešov in Prešov, Slovakia Department of Urgent Health Care, Faculty of Health Care, University of Prešov in Prešov, Slovakia AN - 135835209. Language: English. Entry Date: 20190413. Revision Date: 20190413. Publication Type: Article AU - Mrosková, Slávka AU - Schlosserová, Alena AU - Reľovská, Martina DB - cin20 DO - 10.15452/CEJNM.2018.09.0027 DP - EBSCOhost IS - 4 KW - Expectant Mothers -- Psychosocial Factors Attitude to Breast Feeding Intention Women's Health Human Female Adolescence Adult Cross Sectional Studies Scales Smoking Body Image Descriptive Statistics Multiple Linear Regression Spouses -- Psychosocial Factors Health Promotion Questionnaires Prenatal Care Child Health Health Status Data Analysis Software T-Tests Analysis of Variance Pearson's Correlation Coefficient Post Hoc Analysis Breast Feeding -- Economics Time Factors Breast Feeding -- Education Support, Psychosocial Spouses -- Education N1 - research; tables/charts. Journal Subset: Continental Europe; Europe; Nursing. Special Interest: Women's Health. Instrumentation: Body Image States Scale (BISS); Infant Feeding Intentions Scale (IFI). PY - 2018 SN - 2336-3517 SP - 939-946 ST - ANALYSIS OF SELECTED DETERMINANTS OF INTENTION TO BREASTFEED T2 - Central European Journal of Nursing & Midwifery TI - ANALYSIS OF SELECTED DETERMINANTS OF INTENTION TO BREASTFEED UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=135835209&site=ehost-live&scope=site VL - 9 ID - 87617 ER - TY - JOUR AB - Background: Japan's tolerance of alcohol consumption and intoxication pose extreme difficulties for community-dwelling alcoholics who wish to abstain from alcohol and maintain sobriety. Emotional problems triggered in daily life can easily lead to relapse, especially after abstinence. Alcoholics Anonymous places great emphasis on dealing with attendees' emotional experiences. However, the specific nature of this support is not well understood. Therefore, this study aimed to elucidate the emotional experiences of AA members who strive for sobriety while attending AA and to identify suggestions for new methods of support. Methods: The present study employed an interview method. Data were analyzed using the KJ Method, which was developed by Japanese cultural anthropologist Jiro Kawakita. Study participants were 36 men chosen from AA groups in the Kanto and Kyushu regions of Japan. Results: Long-term abstinence was achieved through the following process: 1) gaining objectivity, 2) striving to maintain an attitude of acceptance, and 3) remaining devoted to discipline for one's goals, thereby 4) recovering one's contradictory self. This was an unending process that unfolded as the individual tasks affected each other. To facilitate this process, AA members dealt with risk cues that destabilized post-cessation emotional balance while making daily efforts to regulate their own emotions. Conclusions: To maintain sobriety, AA members strove to regulate their emotions. By doing so, they experienced personal growth and attained a life in which they did not require alcohol (i.e., sobriety). The present study indicated that Japanese nursing and health care workers should be willing to learn from AA members, such as by understanding the 12-step culture. The data also suggest the need to create environments conducive to AA activities, from which many alcoholics derive emotional support. AD - M. Kihara, Department of Health Sciences, Faculty of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku Fukuoka, Japan AU - Kihara, M. AU - Kitaoka, K. DB - Embase Medline DO - 10.1186/s12888-019-2226-0 IS - 1 KW - adult alcohol abstinence alcoholics anonymous alcoholism article clinical article cultural anthropology emotion emotionality health care personnel human Japan Japanese (people) male middle aged motivation nursing staff patient attitude personal experience semi structured interview sobriety LA - English M3 - Article N1 - L628807004 2019-08-16 2019-08-21 PY - 2019 SN - 1471-244X ST - Analysis of the emotional experiences of Japanese Alcoholics Anonymous members striving for sobriety T2 - BMC Psychiatry TI - Analysis of the emotional experiences of Japanese Alcoholics Anonymous members striving for sobriety UR - https://www.embase.com/search/results?subaction=viewrecord&id=L628807004&from=export http://dx.doi.org/10.1186/s12888-019-2226-0 VL - 19 ID - 94653 ER - TY - JOUR AB - Alcohol which, at first, is part of great ceremonies, parties, get-togethers, is now becoming an important issue, for the number of women who consume alcoholic beverages has increased, and consequently the number of pregnant women, considering that not only the mother's body but also the one of the child that is being formed, are under metabolic changes, and inevitably will be a target for acquired alcohol alterations (intake). During the human development, it is important to take into consideration the pregnancy stage and depending on it, the individual becomes susceptible to teratogenic agents. This paper aims at providing some contribution related to this social issue bringing knowledge on the action of alcohol on the fetus alterations, from the slightest (irritability, lack of attention, mobility deficiency) until Fetal Alcoholic Syndrome (F.A.S.) and also tries to analyse the extent of people knowledge on the consequences of alcohol effects over pregnant women bodies and the possible changes that may occur with the fetus. In order to make this study possible, interviews have been made by the use of forms with a population sample of about 100 people living in the northern, western, southern and interior low land regions. We have also visited some public and private institutions (23) on those regions, interviewing nurses in paediatric wards, aiming at identifying the difficulties found related to the diagnosis and management towards F.A.S. AD - G.T. de Souza, Departamento de Embriologa e Histologia da UFRJ. AU - de Souza, G. T. AU - Rodrigues, M. C. AU - Ciavaglia, M. C. DB - Medli