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A Phenomenological Study of Nurses Who Have Diverted Controlled Substances with Temporal Representations of Their Experiences
A Phenomenological Study of Nurses Who Have Diverted Controlled Substances with Temporal Representations of Their Experiences
상세정보
- 자료유형
- 학위논문 서양
- 최종처리일시
- 20260202103630
- ISBN
- 9798290912271
- DDC
- 610.73
- 서명/저자
- A Phenomenological Study of Nurses Who Have Diverted Controlled Substances with Temporal Representations of Their Experiences
- 발행사항
- [Sl] : University of Minnesota, 2025
- 발행사항
- Ann Arbor : ProQuest Dissertations & Theses, 2025
- 형태사항
- 169 p
- 주기사항
- Source: Dissertations Abstracts International, Volume: 87-01, Section: B.
- 주기사항
- Advisor: Krichbaum, Kathleen.
- 학위논문주기
- Thesis (Ph.D.)--University of Minnesota, 2025.
- 초록/해제
- 요약Background: There is limited information about the lived experiences of nurses who have diverted controlled substances. Drug diversion by nurses puts patients at risk of harm and is costly for the health care system. The literature is focused on processes to secure controlled substances, detecting and prosecuting diverters, substance disorder treatment for health care providers, and the efficacy of nurse monitoring programs.Objective: The purpose of this study was to describe the experiences of nurses who have diverted controlled substances to develop knowledge of the factors and life events associated with diversion and the temporal relationships between them.Method: This study used the complementary methods of descriptive-phenomenological interviews (Beck, 2016; Giorgio, 1992; van Manen, 2014), modified life history calendars (Axinn & Pearce, 2006; Nelson, 2010), and Visual Graphic Analysis (Brown, et al., 2007) to guide the planning and development of this study. In depth interviews and completion of life history calendars were completed with seven nurses who had diverted drugs. Themes reflecting the participants' experiences emerged from the data and Temporal Representations were developed and analyzed for temporal relationships.Findings: Results revealed the following themes. The themes were: the impact of childhood exposure to family dysfunction; the seeds of substance abuse and dysfunction were planted; lost and alone in a caring profession; opiates flipped a switch; slippery slope to diversion; in the grip of diversion use; the signs were there and the alarms were sounding; the roles of diversion enablers; depression, anxiety, and other psychiatric and behavioral issues impact diversion; with subthemes of: manipulating the system in a full-time job; and nurse heal thyself - I'm trying. The visual graphic analysis of the temporal representations revealed two findings. The most significant finding was that opiate use disorder occurred for all the nurse participants after they began diverting, apart from one participant who developed opiate use disorder during treatment for pain and began diverting when opiate treatment was terminated by the provider. The second finding that was identified was that the initiation of drug diversion is most likely to occur in the first year of nursing practice.Conclusion: The results of this study provide nurses, nurse managers, nurse educators, nurse regulators, treatment providers, employers, law enforcement insights regarding nurse identified factors that impact initiation of drug diversion. Information from this study will assist with the development of future studies to improve treatment and monitoring, changes to nursing practice to reduce factors contributing to initiation of drug diversion, and strategies to reduce the opportunity for diversion in healthcare settings and the risk to patients.
- 일반주제명
- Nursing
- 일반주제명
- Health sciences
- 키워드
- Drug diversion
- 키워드
- Drugs
- 키워드
- Nurses
- 기타저자
- University of Minnesota Nursing
- 기본자료저록
- Dissertations Abstracts International. 87-01B.
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.
MARC
008260126s2025 us c eng d■001000017358010
■00520260202103630
■006m o d
■007cr#unu||||||||
■020 ▼a9798290912271
■035 ▼a(MiAaPQ)AAI32046798
■040 ▼aMiAaPQ▼cMiAaPQ
■0820 ▼a610.73
■1001 ▼aMiller, Kimberly Ritchey.
■24512▼aA Phenomenological Study of Nurses Who Have Diverted Controlled Substances with Temporal Representations of Their Experiences
■260 ▼a[Sl]▼bUniversity of Minnesota▼c2025
■260 1▼aAnn Arbor▼bProQuest Dissertations & Theses▼c2025
■300 ▼a169 p
■500 ▼aSource: Dissertations Abstracts International, Volume: 87-01, Section: B.
■500 ▼aAdvisor: Krichbaum, Kathleen.
■5021 ▼aThesis (Ph.D.)--University of Minnesota, 2025.
■520 ▼aBackground: There is limited information about the lived experiences of nurses who have diverted controlled substances. Drug diversion by nurses puts patients at risk of harm and is costly for the health care system. The literature is focused on processes to secure controlled substances, detecting and prosecuting diverters, substance disorder treatment for health care providers, and the efficacy of nurse monitoring programs.Objective: The purpose of this study was to describe the experiences of nurses who have diverted controlled substances to develop knowledge of the factors and life events associated with diversion and the temporal relationships between them.Method: This study used the complementary methods of descriptive-phenomenological interviews (Beck, 2016; Giorgio, 1992; van Manen, 2014), modified life history calendars (Axinn & Pearce, 2006; Nelson, 2010), and Visual Graphic Analysis (Brown, et al., 2007) to guide the planning and development of this study. In depth interviews and completion of life history calendars were completed with seven nurses who had diverted drugs. Themes reflecting the participants' experiences emerged from the data and Temporal Representations were developed and analyzed for temporal relationships.Findings: Results revealed the following themes. The themes were: the impact of childhood exposure to family dysfunction; the seeds of substance abuse and dysfunction were planted; lost and alone in a caring profession; opiates flipped a switch; slippery slope to diversion; in the grip of diversion use; the signs were there and the alarms were sounding; the roles of diversion enablers; depression, anxiety, and other psychiatric and behavioral issues impact diversion; with subthemes of: manipulating the system in a full-time job; and nurse heal thyself - I'm trying. The visual graphic analysis of the temporal representations revealed two findings. The most significant finding was that opiate use disorder occurred for all the nurse participants after they began diverting, apart from one participant who developed opiate use disorder during treatment for pain and began diverting when opiate treatment was terminated by the provider. The second finding that was identified was that the initiation of drug diversion is most likely to occur in the first year of nursing practice.Conclusion: The results of this study provide nurses, nurse managers, nurse educators, nurse regulators, treatment providers, employers, law enforcement insights regarding nurse identified factors that impact initiation of drug diversion. Information from this study will assist with the development of future studies to improve treatment and monitoring, changes to nursing practice to reduce factors contributing to initiation of drug diversion, and strategies to reduce the opportunity for diversion in healthcare settings and the risk to patients.
■590 ▼aSchool code: 0130.
■650 4▼aNursing
■650 4▼aHealth sciences
■653 ▼aDrug diversion
■653 ▼aDrugs
■653 ▼aNurses
■653 ▼aHealth care system
■653 ▼aTemporal representations
■690 ▼a0569
■690 ▼a0566
■690 ▼a0769
■71020▼aUniversity of Minnesota▼bNursing.
■7730 ▼tDissertations Abstracts International▼g87-01B.
■790 ▼a0130
■791 ▼aPh.D.
■792 ▼a2025
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17358010▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
