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Prescription Stimulant Misuse Among College Students
RESEARCH
months at home. Infants had complex conditions including genetic and congenital conditions, and many were assisted by technology. Findings: Results indicated that parents sought to stabilize and normalize their lives after the disruptions caused by the infant's diagnosis, treatment, and hospitalization. They were eager to leave the hospital environment, and most believed that both their own and their infant's lives would improve once home. Those who had been regularly involved in day-to-day care felt most prepared. Challenges during discharge planning included inadequate sleeping facilities near their infants, and a rushed and high-pressure atmosphere as last-minute teaching was done. Once home, challenges included adapting to unfamiliar supplies and assistive technologies; working with community pediatricians, pharmacies, and durable medical equipment providers; and returning to the tertiary center for subspecialty care. Successes included supportive relationships with hospital staff, the ability to contact hospital nurses with questions after returning home, and comfort with hands-on care that was learned over long hospitalizations. During the course of the study, two infants were rehospitalized, and two infants died. Conclusion: Implications for nurses include the importance of including parents in daily care throughout hospitalization for infants with complex needs, anticipating and facilitating practice with the specific equipment and supplies that will be used at home, and continuing as a resource for parents immediately after discharge. 020—Promoting the Family's Role in Medication B Reconciliation: A Telephone Intervention. Kathy Riley-Lawless, PhD, RN, APRN, BC, Jennifer Healy, Nemours/A. I. duPont Hospital for Children, University of Delaware, Newark, DE; University of Delaware, Newark, DE Across the continuum of care, pediatric nurses are challenged to promote patient safety through medication reconciliation. Although it has long been known that children face an increased risk of medication errors, little is known about the role of the family in medication reconciliation because it pertains to the prevention of medication errors in children. Building on the results of previous research, this study focused on the barriers families identified as interfering with the medication reconciliation process (did not know to bring medication, forgot the medication, and knew the information so did not need to bring) and expands the scope of study to also include herbal and overthe-counter products. The purposes of this study were to test whether a telephone intervention and the particular method of contact (person vs. message) lead to an increase in the number of families that brought their child's medication to a presurgical evaluation and through a follow-up telephone call and evaluate the completeness and accuracy of medication information provided by families when the medication was not brought as requested but relied on family knowledge recall. This presentation focuses on the results of this research to highlight, assess, and promote the role of the family in the medication
B This project described was supported by Grant 2 P20 RR01647207 under the IDeA Networks of Biomedical Research Excellence program of the National Center for Research Resources, a component of the National Institutes of Health.
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reconciliation process. Implications for practice will be presented as pediatric nurses and advanced practice nurses are in an ideal position to move to the forefront and lead this patient safety initiative. 021—Prescription Stimulant Misuse Among College Students. Emma Scotter, BSN, RN, Julie Meaux, PhD, Arkansas Children's Hospital, Little Rock, AR; University of Central Arkansas, Conway, AR Target Audience: Registered nurses Background and Problem: The misuse of prescription stimulants is a growing problem on college campuses. The increasing availability, high-pressure school environment, significant side effects, and high-abuse potential necessitate further investigation. Purpose: The objectives of this study were to (a) describe patterns of nicotine, caffeine, alcohol, illicit drug, and prescription stimulant use among college students and (b) identify the relationship between the use of prescription stimulants and nicotine, caffeine, alcohol, and/or illicit drugs. Methods: An anonymous, cross-sectional survey was distributed using convenience sampling and was completed by 404 college students. Descriptive statistics and Spearman rank correlation were used to analyze the data. Results: A total of 58 of 404 (14.7%) students reported use of prescription stimulants; only 7 of the 58 (12.5%) reporting use of prescription stimulants also reported a medical diagnosis of attention deficit hyperactivity disorder. Most participants (70.9%) using prescription stimulants did not have valid prescriptions. Prescription stimulant use significantly correlated with nicotine (rs = .220) and alcohol (rs = .151) use. Conclusions: The results of this study support the findings of previous studies, which indicate that prescription stimulants misuse is prevalent among college students. Implication for Practice: Multisubstance prevention efforts beginning in adolescence would have the largest, and most cost-effective, impact on reducing substance use by college students. Nurses are in a position to educate college students about the dangers of misuse and abuse of prescription stimulant medication and to implement prevention efforts to reduce misuse. 022—The Key to Graduate Nurse Success! Karen Slater, BSN, RN, CCRN, P. Hubbs, K. Roberts, P. Agosto, The Children's Hospital of Philadelphia, Philadelphia, PA The nursing shortage, in combination with a shrinking pool of experienced critical care nurses, has contributed to an increasing number of new graduate nurses (GNs) orienting to acute care settings. This environment presents those responsible for orientation of new staff with exciting challenges. The distinct capabilities, diverse communication styles, and different maturity levels of new graduates as well as the impact of crossgenerational variation on individual needs provide many opportunities for innovative programming. This session will offer a comprehensive review of the development, implementation, and evaluation of one intensive care unit's successful experience with a two-phase orientation program for GNs. As a result of this program, 1-year retention rates for new GNs increased from 50% to 90% over a 2-year period. Orientation
months at home. Infants had complex conditions including genetic and congenital conditions, and many were assisted by technology. Findings: Results indicated that parents sought to stabilize and normalize their lives after the disruptions caused by the infant's diagnosis, treatment, and hospitalization. They were eager to leave the hospital environment, and most believed that both their own and their infant's lives would improve once home. Those who had been regularly involved in day-to-day care felt most prepared. Challenges during discharge planning included inadequate sleeping facilities near their infants, and a rushed and high-pressure atmosphere as last-minute teaching was done. Once home, challenges included adapting to unfamiliar supplies and assistive technologies; working with community pediatricians, pharmacies, and durable medical equipment providers; and returning to the tertiary center for subspecialty care. Successes included supportive relationships with hospital staff, the ability to contact hospital nurses with questions after returning home, and comfort with hands-on care that was learned over long hospitalizations. During the course of the study, two infants were rehospitalized, and two infants died. Conclusion: Implications for nurses include the importance of including parents in daily care throughout hospitalization for infants with complex needs, anticipating and facilitating practice with the specific equipment and supplies that will be used at home, and continuing as a resource for parents immediately after discharge. 020—Promoting the Family's Role in Medication B Reconciliation: A Telephone Intervention. Kathy Riley-Lawless, PhD, RN, APRN, BC, Jennifer Healy, Nemours/A. I. duPont Hospital for Children, University of Delaware, Newark, DE; University of Delaware, Newark, DE Across the continuum of care, pediatric nurses are challenged to promote patient safety through medication reconciliation. Although it has long been known that children face an increased risk of medication errors, little is known about the role of the family in medication reconciliation because it pertains to the prevention of medication errors in children. Building on the results of previous research, this study focused on the barriers families identified as interfering with the medication reconciliation process (did not know to bring medication, forgot the medication, and knew the information so did not need to bring) and expands the scope of study to also include herbal and overthe-counter products. The purposes of this study were to test whether a telephone intervention and the particular method of contact (person vs. message) lead to an increase in the number of families that brought their child's medication to a presurgical evaluation and through a follow-up telephone call and evaluate the completeness and accuracy of medication information provided by families when the medication was not brought as requested but relied on family knowledge recall. This presentation focuses on the results of this research to highlight, assess, and promote the role of the family in the medication
B This project described was supported by Grant 2 P20 RR01647207 under the IDeA Networks of Biomedical Research Excellence program of the National Center for Research Resources, a component of the National Institutes of Health.
e21
reconciliation process. Implications for practice will be presented as pediatric nurses and advanced practice nurses are in an ideal position to move to the forefront and lead this patient safety initiative. 021—Prescription Stimulant Misuse Among College Students. Emma Scotter, BSN, RN, Julie Meaux, PhD, Arkansas Children's Hospital, Little Rock, AR; University of Central Arkansas, Conway, AR Target Audience: Registered nurses Background and Problem: The misuse of prescription stimulants is a growing problem on college campuses. The increasing availability, high-pressure school environment, significant side effects, and high-abuse potential necessitate further investigation. Purpose: The objectives of this study were to (a) describe patterns of nicotine, caffeine, alcohol, illicit drug, and prescription stimulant use among college students and (b) identify the relationship between the use of prescription stimulants and nicotine, caffeine, alcohol, and/or illicit drugs. Methods: An anonymous, cross-sectional survey was distributed using convenience sampling and was completed by 404 college students. Descriptive statistics and Spearman rank correlation were used to analyze the data. Results: A total of 58 of 404 (14.7%) students reported use of prescription stimulants; only 7 of the 58 (12.5%) reporting use of prescription stimulants also reported a medical diagnosis of attention deficit hyperactivity disorder. Most participants (70.9%) using prescription stimulants did not have valid prescriptions. Prescription stimulant use significantly correlated with nicotine (rs = .220) and alcohol (rs = .151) use. Conclusions: The results of this study support the findings of previous studies, which indicate that prescription stimulants misuse is prevalent among college students. Implication for Practice: Multisubstance prevention efforts beginning in adolescence would have the largest, and most cost-effective, impact on reducing substance use by college students. Nurses are in a position to educate college students about the dangers of misuse and abuse of prescription stimulant medication and to implement prevention efforts to reduce misuse. 022—The Key to Graduate Nurse Success! Karen Slater, BSN, RN, CCRN, P. Hubbs, K. Roberts, P. Agosto, The Children's Hospital of Philadelphia, Philadelphia, PA The nursing shortage, in combination with a shrinking pool of experienced critical care nurses, has contributed to an increasing number of new graduate nurses (GNs) orienting to acute care settings. This environment presents those responsible for orientation of new staff with exciting challenges. The distinct capabilities, diverse communication styles, and different maturity levels of new graduates as well as the impact of crossgenerational variation on individual needs provide many opportunities for innovative programming. This session will offer a comprehensive review of the development, implementation, and evaluation of one intensive care unit's successful experience with a two-phase orientation program for GNs. As a result of this program, 1-year retention rates for new GNs increased from 50% to 90% over a 2-year period. Orientation