The Concept of Successful Re-Entry in the Addicted Anesthesia Provider

Monday, July 11, 2011

Jorge A. Valdes, MSN, CRNA
School of Nursing and Health Studies, University of Miami, Coral Gables, FL

Learning Objective 1: identify barriers to successful re-entry into practice for anesthesia providers

Learning Objective 2: list factors in successful re-entry to practice.

Purpose: The purpose of this study was to develop a conceptual definition of the term “Successful Re-entry” in the addicted anesthesia provider. This term is used in the literature’ however what are the components that make up successful re-entry?

Methods: Walker and Avant’s method of concept analysis was used to develop the defining attributes, antecedents, consequences, empirical referents, and construction of a model case, borderline case, and contrary case.

Results: Successful re-entry is dependent on the treatment modality which the impaired practitioner chooses. Full disclosure, support from colleagues, and participation in impaired practitioner program are the tenets of a successful re-entry scenario. A successful re-entry into practice would be an anesthesia provider that has all of the above attributes.

Conclusion: Recognition of unique treatments, methods of prevention, and awareness in both anesthesiologists and nurse anesthetists will not only save the practitioners life but the lives of their patients as well. The gaps in the literature concerning length of treatment, length of re-entry contracts and workloads are apparent in both cohorts of anesthesiologist and CRNAs. Discipline specific studies should be conducted, so treatment and re-entry can be individualized for anesthesiologists and CRNAs. The issues which affect substance abuse re-entry and treatment for CRNAs are different than those affecting anesthesiologist.