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The impact of addictions in terms of the global burden of disease is a pandemic. The disability-adjusted life years (DALY), the number of years lost because of ill health, disability, or early death, was approximately 4.0% for both alcohol and tobacco, and 0.8% for illicit drugs. According to the International Council of Nurses (ICN), there are 13 million registered nurses across the globe. Envision the substantial decrease in DALY if known effective interventions for substance-related disorders were actually practiced by this number of nurses. Nursing care for individuals, families, and communities should be concentrated on from prevention, early identification, intervention, and treatment of substance-related disorders. In the United States, nursing leaders in Addictions Education have stated for the past 3 decades that nursing programs, both at the undergraduate and graduate levels, need to have more didactic content and more clinical practicum experience in nursing education programs. Unfortunately, there has been little progress in this area of nursing education over this period of time. It is an established fact that addictions is a healthcare disorder. Research validates that the behavioral and medical treatments that are effective for other chronic disorders, such as diabetes, asthma, and hypertension, can be just as effective for alcohol and drug abuse disorders when comparing compliance and relapse rates. The Federal government and The Joint Commission are committed to SBIRT (Screening, brief intervention, and referral to treatment). Nurses are ideally positioned to screen, assess, refer, and, at the advanced practice level, treat clients for substance disorders, provided the knowledge and willingness exists to intervene. A vision for nursing education is the achievement of minimal competencies for all nurses, facilitated by incorporation of substance misuse concepts into nursing education. |
