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DOCTORAL PRELIMINARY EXAMINATION for Jordan G. Ferris
November 15, 2023 @ 3:00 pm - 4:00 pm
DOCTORAL PRELIMINARY EXAMINATION
for Jordan G. Ferris
Chair: Marian Wilson
Wednesday, November 15, 2023, 3:00 p.m. – 4:00 p.m.
Substance Use Related Licensure Discipline in Nurses:
Factors and Trends in the Return-to-Work (RTW) Process
Abstract
Background: Substance use among Registered Nurses has significant consequences that can extend into their workplace and patient care delivery. Limited research has explored the return-to-work process that RNs must engage in after licensure discipline related to substance use. With the looming nursing shortage, it is critical to understand the factors that may be associated with substance use related licensure discipline and the barriers that RNs encounter when attempting to return to work. More research is needed to create evidence-based pathways that can facilitate successful reintegration to the workplace for RNs.
Aims:
1) Describe the current state of substance use related licensure discipline among RNs in the United States in 2018-2023
2) Describe and analyze RN self-reported barriers in returning to work after licensure discipline related to substance use
3) Describe and analyze RN self-reported facilitators in returning to work after licensure discipline related to substance use
Methods: This is a three-manuscript dissertation. First, a retrospective descriptive analysis will be conducted using the National Practitioner Data Bank, a publicly available disciplinary data file, to identify and analyze RN licensure discipline trends from 2018-2022 (Manuscript 1). The results will investigate what percentage of RN licensure discipline is substance use related and through logistic regression, what variables (age of practitioner, years in practice, licensure state, licensure level) are associated with an increased likelihood of substance use related licensure discipline. Next, Group Concept Mapping (GCM) will be used to identify and analyze RN perspective barriers encountered in returning-to-work after substance use related licensure discipline (Manuscript 2). Third, the GCM method will be used again to look forward by asking RNs how to improve the return-to-work process. GCM recognizes the importance of diversity of knowledge and expertise contributed by individuals who have meaningful experience related to the issue. It is a group process that uses participatory and integrated methods for data collection and analysis. Through all three of these manuscripts, the goal is to be able to look at substance use among RNs as a larger process with capability for improvement in their ability to return to work.
Significance:
These studies will add to the body of knowledge emerging surrounding substance use in RNs. The gap currently identified involves the contributions of the RN participant voices. Rather than only viewing the phenomenon from the perspective of the regulatory bodies, this research will allow for examination of perceptions and values of RNs while also identifying ways to support their priorities. Through this dissertation there lies the possibility for new and creative pathways to support RNs in their return-to-work goals.
Zoom Information
Zoom: https://wsu.zoom.us/j/99639393950?pwd=LytScWI5RzV1dFhyQWdsVkZJaDJqUT09
Meeting ID 996 3939 3950; Passcode 006416
