Collection of research and published resources on anesthesia professionals' health, wellness, and addiction. See also the Peer Assistance News published articles.
A Consistent Approach to Treatment and Reentry for CRNAs with Substance Use Disorder by K Bettinardi-Angres and CRNA R Garcia in Journal of Nursing Regulation. 2015 July; 6(2): 47-51.
A Fatality from Sevoflurane Abuse by B Levine, et al. in 2007 Journal of Analytical Toxicology.
A Study in De-Stressing, The American Nurse, November 19, 2013. Article features participation by Janet Dewan, CRNA, MS, chair, FY2013 Health & Wellness committee.
A Study of Occupational Stress, Scope of Practice, and Collaboration in Nurse Anesthetists Practicing in Anesthesia Care Team Settings. Alves SL. AANA J. December 2005;73(6):443-452.
A Substance Use Disorder Educational Session: Influence on Nurse Anesthesia Care Providers' Addiction Attitudes and Perceived Self-Efficacy to Recognize Chemical Impairment - a dissertation by CRNA Ferne Cohen, May 2013.
A Survey of Inhalational Anaesthetic Abuse in Anaesthesia Training Programmes by JE Wilson, et al. in 2008 Anaesthesia.
Assessment of the Substance Abuse Curriculum in Schools of Nurse Anesthesia by CRNAs GD Clark, and JA Stone; J Addict Nurs, 11 (1999), pp. 123–135.
Burnout, Psychosomatic Symptoms and Job Satisfaction Among Dutch Nurse Anesthetists: A Survey
by V Meeusen, K VanDam, C Brown-Mahoney, et al. Acta Anaesthesiol Scand. May 2010;54(5):616-621.
Fentanyl and Propofol Exposure in the Operating Room: Sensitization Hypothesis and Further Data
by LJ Merlo, BA Goldberger, D Kolodner, K Fitzgerald, MS Gold MS. J Addict Dis. 2008;27(3):67-76.
Health-Promoting Collaboration in Anesthesia Nursing: A Qualitative Study of Nurse Anesthetists in Norway
in the August 2012 AANA Journal Special Research Edition
by G Averlid and S Bihari Axelsson finds that collaboration through teamwork is a crucial factor in a positive work environment for nurse anesthetists.
High on the Job: Drug Abuse Among Surgical Staff by I Tsikitas. Outpatient Surgery Magazine. December 2009;10(12): 26-31.
Intranasal Self-administration of Remifentanil as the Foray into Opioid Abuse by an Anesthesia Resident
(case report) by AI Levine, EO Bryson. Anesth Analg. 2009;110(2):524-525.
Narcotics and the Anesthetist: Professional Hazards
in the June 1962 Journal of the American Association of Nurse Anesthetists
(now known as the AANA Journal
) by John S. Lundy, MD and Florence A. McQuillen, CRNA.
An early alert to addiction in anesthesia professionals.
Opioid Abuse Among Nurse Anesthetists and Anesthesiologists
in the April 2012 AANA Journal
by CRNA E. Laura Wright, et al. regarding opioid abuse and dependency among nurse anesthetists and anesthesiologists and offers implications for future research. Abuse and dependency on potent opioids have long been recognized as problems among nurse anesthetists and anesthesiologists. Wright and co-author Zwerling are both members of the AANA Peer Assistance Advisors
Physicians Coping with Addiction Face Long Road Back by DM Pizzi DM. Anesthesiology News. 2009;35(11).
Propofol Abuse Growing Problem for Anesthesiologists, by A Marcus. Anesthesiology News. 2007;33(5):1-4.
Stress and Burnout in Nurse Anesthesia
in the April 2011 AANA Journal
by CRNAs Anthony Chipas and Dennis McKenna
reports on the study to determine the current level of stress and its physical manifestations in Certified Registered Nurse Anesthetists and student registered nurse anesthetists.
Substance Use Disorder in Anesthesiology Residents: Still a Serious Program. Anesthesiology News by DO Warner and KH Berge. 2014; 78(7):38-39.
The Prevalence and Patterns of Substance Abuse Among Nurse Anesthesia Students
by Gregory Bozimowski, CRNA, DNP, Carla Groh, RN, PhD, Patricia Rouen, RN, PhD, and Michael Dosch, CRNA, PhD in the AANA Journal, August 2014.
Two New Case Reports of Propofol Abuse and a Pattern Analysis of the Literature in 2012 issue (Vol. 1, No. 1) of the International Journal of Advanced Nursing Studies by CRNAs Mark Welliver, Anita Bertrand and Jennifer Garza, and Kathy Baker. Bertrand is a member of the AANA Peer Assistance Advisors committee.
Urine Drug Screening: Practical Guide for Clinicians by KE Moeller, KC Lee, JC Kissack. Mayo Clin Proc. 2008;83(1):66-76.
A History of Drug Addiction in Anesthesia chapter by C Kent and K Domino in the book The Wondrous Story of Anesthesia, 2014.
Addicted Healers: 5 key Signs Your Healthcare Professional May Be Drug Impaired, 2012 book by EO Bryson relates stories on addiction among health care professionals along with details to recognizing impaired individuals, and evidence on the genetics and neuroscience of chemical dependency. AANA Journal book review by Art Zwerling, CRNA, DNP, DAAPM, a member of the AANA Peer Assistance Advisors Committee.
From Unbecoming a Nurse to Overcoming Addication: Candid Self-Portraits of Nurses in Recovery, 2010 book by Paula Davies Scimeca, RN, MS (see also Unbecoming a Nurse below).
"Promoting Professional Wellness," chapter 20 of A Professional Study and Resource Guide for the CRNA: Second Edition by CRNAs S Tunajek and D Quinlan, covers the professional responsibility of fitness-for-duty for safe patient care and to encourage healthy coping mechanisms for balancing personal, family, and career
goals with physical and mental health of a CRNA's professional. The book is available through the AANA Bookstore.
Re-Entry: A Guide for Nurses Dealing with Substance Use Disorder, 2013 book by Karolyn Crowley, RN and Carrie Morgan, BA published by Sigma Theta Tau International. See AANA Journal book review by Ann Bostic, CRNA, DNP and Martha Kral, CRNA, BSN, members of the AANA Peer Assistance Advisors Committee.
Substance Abuse Policies for Anesthesia, written by Bernadette T. Higgins Roche, CRNA, EdD available through the AANA Bookstore. Roche's book includes a comprehensive resource for anesthesia providers and the first book to collect the policies, procedures, and structures needed in anesthesia departments to educate and protect practitioners through better understanding of substance misuse and dependency.
Unbecoming a Nurse: Bypassing the Hidden Chemical Dependency Trap, 2008 book by Paula Davies Scimeca, RN, MS outlines the complex issue of chemical dependency in nursing. Forward written by Sarah Stewart Gomes, daughter of CRNA Jan Stewart former AANA President who died of an accidental overdose of sufentenil.