Substance Use Behaviors and Perceived Stress Among Resident Registered Nurse Anesthetists.

One in four clinicians who seek treatment for substance use disorder are anesthesia providers. However, there is a dearth of research on substance use behaviors of doctoral resident registered nurse anesthetists (RRNA). The purpose of this study was to determine the prevalence and patterns of substa...

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Published in:AANA Journal Vol. 94; no. 3; pp. 200 - 210
Main Authors: Jaworowski, Daniel, Klinowski, Joey, Szulc, Marta, Wakefield, Meaghan
Format: research tables/charts Journal Article
Published: American Association of Nurse Anesthetists Jun2026
Online Access:View this record in EBSCOhost
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      dt: Jun2026
      vid: 94
      iid: 3
      pid: 11824
      pub: American Association of Nurse Anesthetists
      place: Park Ridge, Illinois
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        atl: Substance Use Behaviors and Perceived Stress Among Resident Registered Nurse Anesthetists.
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          Jaworowski, Daniel
          Klinowski, Joey
          Szulc, Marta
          Wakefield, Meaghan
        affil: Research Director at the Albany Medical College Center for Nurse Anesthesiology, Albany, New York
      sug:
        subj:
          Education, Nursing, Doctoral United States
          Education, Nurse Anesthesia
          Interns and Residents Psychosocial Factors
          Certified Registered Nurse Anesthetists Psychosocial Factors
          Stress, Psychological
          Substance Use Disorders Epidemiology
          Substance Use Disorders Risk Factors
          Risk Assessment
          Human
          Male
          Female
          Adult
          Middle Age
          Aged
          United States
          Cross Sectional Studies
          Nonexperimental Studies
          Comparative Studies
          Random Sample
          Scales
          Self Report
          Funding Source
          Descriptive Statistics
          Data Analysis Software
          Pearson's Correlation Coefficient
          Chi Square Test
          T-Tests
          Spearman's Rank Correlation Coefficient
          Multiple Logistic Regression
          Odds Ratio
          Confidence Intervals
          Drugs, Non-Prescription
          Psychotropic Drugs Adverse Effects
          Antianxiety Agents, Benzodiazepine Adverse Effects
          Narcotics Adverse Effects
          Alcohol Drinking
          Stress, Occupational
          Sex Factors
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: One in four clinicians who seek treatment for substance use disorder are anesthesia providers. However, there is a dearth of research on substance use behaviors of doctoral resident registered nurse anesthetists (RRNA). The purpose of this study was to determine the prevalence and patterns of substance use and perceived stress levels among RRNAs. Anonymous surveys were distributed to RRNAs enrolled in doctoral programs in the United States. Respondents self-reported four substance use behaviors. Problematic substance use and perceived stress were self-reported using the Drug Abuse Screening Test (DAST-10) and the Perceived Stress Scale (PSS-10). Overall, 26.5% of respondents reported engaging in nonprescription substance use behaviors since enrollment. The prevalence of anesthetic agent use was 7.4%. Nine percent of respondents reported use of focus-enhancing drugs, 15% reported increased alcohol consumption, and 22% required a new prescription since enrollment. Mean PSS-10 scores were significantly higher in respondents who reported substance use behaviors (19.8 [SD, 6.5] vs 16.5 [SD, 6.3] P < 0.001). Predictive factors for substance use include enrollment period greater than 24 months, male gender, and elevated PSS-10 and DAST-10 scores.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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