The role of UK alcohol and drug (AOD) nurses in a changing workforce

Article

Thom, B., Annand, F., Clancy, C., Whittaker, A. and Janiszewska, I. 2024. The role of UK alcohol and drug (AOD) nurses in a changing workforce. Drugs: Education, Prevention, and Policy. 31 (6), pp. 616-624. https://doi.org/10.1080/09687637.2023.2266554
TypeArticle
TitleThe role of UK alcohol and drug (AOD) nurses in a changing workforce
AuthorsThom, B., Annand, F., Clancy, C., Whittaker, A. and Janiszewska, I.
Abstract

Background: This paper presents the findings from an exploratory study on alcohol and other drugs (AOD) nurses’ views on current career opportunities and challenges and on how their role has been affected by clinical and structural changes in service delivery.
Methods: The paper is based on qualitative interviews with a purposive sample of twelve AOD nurses in the UK. A narrative approach to interviewing aimed to encourage emergence of new insights and suggest theories for future examination. Interview domains were informed by the research team’s knowledge of AOD nursing and by themes from published literature. Interviews were recorded, transcribed, and coded and a reflexive thematic analysis was conducted.
Results: Key themes emerging focused on the growth, advantages, and challenges of non-medical prescribing (NMP), and the impact on AOD nursing of changes in workforce structures and environments. The findings indicate considerable doubts about career opportunities for nurses in AOD services although NMP may offer some limited routes to career advancement.
Conclusions: Some long-standing issues around the identity and professional status of AOD nurses persist and current clinical and structural changes have created a “liminal space” within which the nursing role and AOD nurse identity are disrupted and in transition.

KeywordsAlcohol and drugs nursing; non-medical prescribing; structural change; professional status
Sustainable Development Goals3 Good health and well-being
Middlesex University ThemeHealth & Wellbeing
PublisherTaylor and Francis
JournalDrugs: Education, Prevention, and Policy
ISSN0968-7637
Electronic1465-3370
Publication dates
Online11 Oct 2023
PrintNov 2024
Publication process dates
Submitted08 Jul 2023
Accepted25 Sep 2023
Deposited15 Dec 2023
Output statusPublished
Publisher's version
License
File Access Level
Open
Copyright Statement

© 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group
This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way. The terms on which this article has been published allow the posting of the Accepted Manuscript in a repository by the author(s) or with their consent.

Digital Object Identifier (DOI)https://doi.org/10.1080/09687637.2023.2266554
LanguageEnglish
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Herring, R., Berridge, V. and Thom, B. 2008. Binge drinking: an exploration of a confused concept. Journal of Epidemiology and Community Health. 62 (6), pp. 476-479. https://doi.org/10.1136/jech.2006.056721
Black and minority ethnic groups and alcohol: A scoping and consultation study
Thom, B., Lloyd, C., Hurcombe, R., Bayley, M., Stone, K., Thickett, A. and Watts, B. 2010. Black and minority ethnic groups and alcohol: A scoping and consultation study. London Department of Health.
Working with communities: a feature of multi-component programmes to tackle alcohol and drug-related harm
Thom, B. 2009. Working with communities: a feature of multi-component programmes to tackle alcohol and drug-related harm. Socialno Delo. 48 (5-6), pp. 315-325.
Drugs: the great Cannabis debate
Woolner, C. and Thom, B. 2003. Drugs: the great Cannabis debate. in: Matthews, R. and Young, J. (ed.) The new politics of crime and punishment Willan Publishing.
Drug consumption in London - A city of diverse and changing scenes
Ward, J. and Thom, B. 2009. Drug consumption in London - A city of diverse and changing scenes. in: Eisenbach-Stangl, I., Moskalewicz, J. and Thom, B. (ed.) Two worlds of drug consumption in late modern societies England Ashgate. pp. 39-56
Binge drinking: a confused concept and its contemporary history
Berridge, V., Herring, R. and Thom, B. 2009. Binge drinking: a confused concept and its contemporary history. Social History of Medicine. 22 (3), pp. 597-607. https://doi.org/10.1093/shm/hkp053
Quantities, quality, costs and sources.
Moskalewicz, J., Ward, J. and Thom, B. 2009. Quantities, quality, costs and sources. in: Eisenbach-Stangl, I., Moskalewicz, J. and Thom, B. (ed.) Two worlds of drug consumption in late modern societies. Ashgate. pp. 247-280
The fast alcohol screening test
Thom, B., Alwyn, T., Hodgson, R. and John, B. 2002. The fast alcohol screening test. Alcohol and Alcoholism. 37 (1), pp. 61-66. https://doi.org/10.1093/alcalc/37.1.61
Self-reported never-drinkers in England 1994-2003: characteristics and trends, focusing on white adults aged 18-54.
Thom, B., Nanchahal, K., Pattenden, S. and Primatesta, P. 2007. Self-reported never-drinkers in England 1994-2003: characteristics and trends, focusing on white adults aged 18-54. Alcohol and Alcoholism. 43 (1), pp. 91-96. https://doi.org/10.1093/alcalc/agm138
From alcoholism treatment to the alcohol harm reduction strategy for England: an overview of alcohol policy from 1950.
Thom, B. 2005. From alcoholism treatment to the alcohol harm reduction strategy for England: an overview of alcohol policy from 1950. American Journal on Addictions. 14 (5), pp. 416-425. https://doi.org/10.1080/10550490500247065
Role development and career stages in addiction nursing: an exploratory study.
Clancy, C., Ghodse, A. and Oyefeso, A. 2007. Role development and career stages in addiction nursing: an exploratory study. Journal of Advanced Nursing. 57 (2), pp. 161-171. https://doi.org/10.1111/j.1365-2648.2006.04088.x
Stress and work with substance misusers: the development and cross-validation of a new instrument to measure staff stress
Clancy, C., Farmer, R., Oyefeso, A. and Rassool, G. 2002. Stress and work with substance misusers: the development and cross-validation of a new instrument to measure staff stress. Drugs: Education, Prevention, and Policy. 9 (4), pp. 377-388. https://doi.org/10.1080/09687630210131445
The impact of methadone substitution therapy (MST) on illicit drug use and drug abuse-related quality of life: A European Study
Clancy, C., Ghodse, A., Oyefeso, A. and Rosinger, C. 2003. The impact of methadone substitution therapy (MST) on illicit drug use and drug abuse-related quality of life: A European Study. Heroin Addiction and Related Clinical Problems. 5 (1), pp. 5-16.
Treating an opiate-dependent inpatient population: a one-year follow-up study of treatment completers and noncompleters
Ghodse, A., Reynolds, M., Baldacchino, A., Dunmore, E., Byrne, S., Oyefeso, A., Clancy, C. and Crawford, V. 2002. Treating an opiate-dependent inpatient population: a one-year follow-up study of treatment completers and noncompleters. Addictive Behaviours. 27 (5), pp. 765-778. https://doi.org/10.1016/S0306-4603(01)00208-8
Alcohol, policy and politics in Kazakhstan
Waters, E. and Thom, B. 2007. Alcohol, policy and politics in Kazakhstan. Europe-Asia Studies. 59 (6), pp. 999-1023. https://doi.org/10.1080/09668130701489188
Screening for illicit drug use in psychiatric hospitals: whose job is it?
Thom, B., Bloor, R. and Crome, I. 2006. Screening for illicit drug use in psychiatric hospitals: whose job is it? Advances in Psychiatric Treatment. 12 (5), pp. 375-383. https://doi.org/10.1192/apt.12.5.375