Health and Wellness Research and Published Resources

Collection of recently published items:

A Fatality from Sevoflurane Abuse by B Levine, et al. in 2007 Journal of Analytical Toxicology.

A History of Drug Addiction in Anesthesia chapter by C Kent and K Domino in the book The Wondrous Story of Anesthesia, 2014. 

A Need to Establish Programs to Detect and Prevent Drug Diversion, editorial by CH Lein (see also related research below Diversion of Drugs Within Health Care Facilities) Mayo Clin Proc. 2012:87(7):607-9.

A Strategy to Prevent Substance Abuse in an Academic Anesthesiology Department by J Tetzlaff et al. in J Clin Anesth. 2010 Mar;22(2):143-50.

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 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.

A Survey of Propofol Abuse in Academic Anesthesia Programs by PE Wischmeyer, et al. in 2007 Anesthesia Analgesia.
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.
Addiction and Substance Abuse in Anesthesiology by EO Bryson and JH Silverstein Anesthesiology. 2008 Nov;109(5):905-17.
Addiction to Propofol: A Study of 22 Treatment Cases, by PH Early and T Finver J Addict Med, April 2013.
Deaths from Recreational Use of Propofol in Korea by E Han, et al., in Forensic Science International (2013).
Diversion of Drugs Within Health Care Facilities, a Multiple-Victim Crime: Patterns of Diversion, Scope, Consequences, Detection and Prevention by KH Berge, et al., Mayo Clin Proc. 2012:87(7):674-682.  See also editorial by CA Lein, A Need to Establish Programs to Detect and Prevent Drug Diversion (above).
Energy Capacity Model for Nurses: The Impact of Relaxation and Restoration by S Hoolahan, P Greenhouse, R Hoffman, and L Lehman, Journal of Nursing Administration. 2012: 42(2):102-103.
Exposure of Anesthesia Providers in Recovery from Substance Abuse to Potential Triggering Agents, by CRNA Heather Hamza and EO Bryson, Journal of Clinical Anesthesia, Volume 23, Issue 7, November 2011, Pages 552-557.
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.
My Story: How one Percocet Prescription Triggered my Addiction in the December 2012 issue of the Journal of Medical Toxicology.  An emergency room nurse's personal story of a Percocet prescription that triggered an addictive dependency. 
Non-narcotic Anesthetic Options for the Patient in Recovery from Substance Abuse, by CRNA Heather Hamza, Perioperative Addiction, 2012, Part 3, 263-282.
Nurses Recovering From Substance Use Disorders: A Review of Policies and Position Statements by
TB Monroe, et al. Journal of Nursing Administration. 2011; 41(10):415-421.
Nurses with Chemical Dependency: Promoting Successful Treatment and Reentry by DH Angres, K Bettinardi-Angres, and W Cross. J Nurs Regul. 2010;1(1):16-20.
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 committee. 
Opioid-Abusing Health Care Professionals: Options for Treatment and Returning to Work After Treatment editorial in Mayo Clin Proc. by M Seppala and M Oreskovich. 2012;87(3):213-215. (see also Buprenorphine Maintenance Therapy in Opioid-Addicted HCP).
Preventing Occupational Stress in Healthcare Workers (Review) by A Marine et al. in Cochrane Database
Syst Rev. 2006 Oct 18(4):CD002892. 
Propofol Abuse in Professionals by J Lee in the December 2012 Journal of Korean Medical Sciences.
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.
Reentry of the Addicted Certified Registered Nurse Anesthetist: A Review of the Literature, by CRNA Heather Wilson Hamza and M Compton. This paper provides an extensive review of the literature pertaining to reentry of the recovering CRNA and relevant topics thereof. Journal of Addictions Nursing, 2009;20(4):177-184.
Reentry and Recidivism for Certified Registered Nurse Anesthetists by TB Monroe and CRNA Heather Hamza. J Nurs Regul. 2011;2(1):17-22.
Setting the Standard for Recovery: Physicians' Health Programs by DuPont et al. J Subst Abuse Treat. 2009 Mar;36(2);159-71.
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.
Stress: Perceptions, Manifestations, and Coping Mechanisms of Student Registered Nurse Anesthetists in the August 2012 AANA Journal Special Research Edition by CRNA Anthony Chipas, et al. provides data and analysis on the stressors experienced by the typical SRNA.
Stress Ratings and Health Promotion Practices Among RNs: A Case for Action by S Tucker et al. Journal of Nursing Administration. 2012; 42(5):282-292.
Substance Abuse Recognition and Prevention Through Education chapter by EO Bryson in Comprehensive Guide to Education in Anesthesia, 2014.
Substance Use Disorder Among Anesthesiology Residents, 1975 - 2009 by D Warner, et al. December 4, 2013 Journal of the American Medical Association.   
The Concept of Reentry in the Addicted Anesthesia Provider by Jorje A. Valdes, CRNA, DNP published in the April 2014 AANA Journal
The Drug Seeking Anesthesia Provider, by CRNA Heather Hamza and EO Bryson. International Anesthesiology Clinics, 2011;49(1):157-171.
The Misuse and Abuse of Propofol by TB Monroe, et al., in April 2011 Substance Use and Misuse.  
The National Study of Sleep-Related Behaviors of Nurse Anesthetists: Personal and Professional Implications by Chuck Biddle, CRNA, PhD and John Aker, CRNA, DNAP in the AANA Journal, August 2011.

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.

Workplace Joy and Well-Being is Linked to Patient Safety, 2013 National Patient Safety Foundation (NPSF) white paper and seven recommendations for organizational actions.​


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