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Brian Cesario


Substance abuse and addiction among nurses remains a problem and can have lasting and sometimes fatal effects on patients. The purpose of this quantitative, quasi-experimental study is to examine the effect of substance use training on RNs’ post training competency about substance use impairment and level of self-efficacy to deal with impaired colleagues. Bandura’s self-efficacy theory (SET) which originated from Bandura’s social cognitive theory provided the theoretical foundation. Data were collected from a convenience sample of 118 registered nurses using the Perceived Competency with Impaired Nurses survey, the Methods for Dealing with Nurse Impairment Questionnaire (MDNIQ) and a demographic questionnaire. The Wilcoxon Signed Ranks Test was used to answer the research questions and test the hypotheses. Resultantly, findings concluded that there was significant difference between pre and posttest scores relative to RNs’ competency and self-efficacy about drug impairment after substance use training. This study promotes positive social change by increasing the awareness of the importance of substance abuse education for all registered nurses, thus empowering registered nurses to identify and intervene on drug-impaired colleagues while endorsing public safety of patients.

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