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Cited by 83Substance Abuse Treatment and OutcomesOpioid Use Disorder TreatmentOccupational Health and Burnout

The DOI matches its Crossref record; 25 of the 25 references it cites were found in a registry or an index.

Workplace Access, Negative Proscriptions, Job Strain, and Substance Use in Registered Nurses

Trinkoff, Alison M., Zhou, Qiuping, Storr, Carla L., Soeken, Karen L.·2000·Nursing Research
DOI 10.1097/00006199-200003000-00004
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Abstract

BACKGROUND: Both occupational conditions and individual factors have been shown as contributors to the likelihood of substance use among health professionals. OBJECTIVES: To assess the use of Winick's (1974) model for explaining nurses' substance use, which asserts that groups with access to substances, freedom from negative proscriptions, and role strain have an increased likelihood of drug dependence. METHODS: Data were analyzed from the 3,600 working nurses participating in the Nurses Worklife and Health Study, a nationally representative survey of registered nurses in the United States. A structural equation model was tested fitting workplace access to substances (availability, frequency of administration, and knowledge), freedom from negative proscriptions (internal: religiosity; external: social network), and role strain (job demands and depressive symptoms) to the frequency of past year alcohol, marijuana/cocaine, and prescription-type drug use. RESULTS: Nurses were more likely to use substances when workplace access to substances increased (p < 0.001), with social networks containing more drug users, and when religiosity decreased (p < 0.001). Role strain (measured through job demands and depressive symptoms) also was related to substance use. Depressive symptoms were related directly and negatively to substance use (p < 0.01), whereas job demands were related indirectly to substance use through depressive symptoms. CONCLUSIONS: Winick's model has use in explaining nurses' substance use. Research and preventive initiatives should consider the multidimensional aspects of substance use in nurses.

Overview

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Crossref · 10.1097/00006199-200003000-00004

Cites

25 of 25 references verified0 citation errors · 0 not checkable

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This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Of the 112 best drug use or abuse studies, 96 (86%) reported inverse relationships and only one study found a positive relationship.

    “Of the 112 best studies, 96 (86%) reported inverse relationships [223–238] and only one study found a positive relationship [239].”

    From Religion, Spirituality, and Health: The Research and Clinical Implications (2012) · cites this paper as [223]

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Metadata

Authors
Trinkoff, A. M., Zhou, Q., Storr, C. L., & Soeken, K. L.
Affiliations
University of Maryland, Baltimore (US)
ORCID
Venue
Nursing Research
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2000-03
Volume
49
Issue
2
Pages
83-90
ISSN
0029-6562 (ISSN-L)
DOI
10.1097/00006199-200003000-00004
OpenAlex
W2038676884
Cited by
83
References
25
Citations by year
2026: 1 · 2025: 1 · 2023: 2 · 2022: 2 · 2021: 4 · 2020: 4 · 2019: 5 · 2018: 5 · 2017: 1 · 2016: 2 · 2015: 2 · 2014: 2 · 2013: 5 · 2012: 7
FWCI
1.34
Type
journal article
Language
en
Open access
closed
Locations
  • Nursing Research (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (5r01da007434-04)
  • National Institute on Drug Abuse (R01 DA 07434)
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational Health and Burnout
Keywords
substance use, registered nurses, role strain, job strain, drug addiction, alcohol consumption, prescription drug use, religiosity, social networks, depressive symptoms, job demands, occupational health
MeSH terms
Adult, Data Collection, Female, Humans, Male, Middle Aged, Models, Theoretical, Nurses, Stress, Psychological, United States, Work, Organizational Culture, Substance-Related Disorders

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