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ABSTRACT In addiction treatment, harm reduction is a philosophy that aims to reduce the harms from ongoing alcohol and other drug use. Although abstinence may be the ‘gold standard’ in reducing harm from ongoing alcohol and other drug use, harm reduction recognises that abstinence may not be achievable for certain individuals. Accordingly, harm reduction is used to enable medical or mental health treatment for individuals who continue to use alcohol and other drugs, providing a form of care which meets individuals where they present to healthcare facilities. Harm reduction accepts ongoing alcohol and other drug use, while providing a traditionally marginalised cohort of individuals access to healthcare services. In this perspective paper, we argue that the role of nurses in promoting and utilising harm reduction as part of their regular practice is essential to both reducing harm from alcohol and other drug use, engaging individuals who use alcohol and other drugs in healthcare services, and providing a means to accept individuals as they are to build trust and rapport for engagement in addiction treatment when they are ready, and at their own pace. Nurses, by virtue of their role and number in the healthcare landscape (approximately 28 million globally), are ideally placed to implement harm reduction in their practice to achieve better outcomes for individuals who use alcohol and other drugs. [ABSTRACT FROM AUTHOR]

Aim Design Methods Data Sources Results Conclusion Implications to Clinical Practice Impact Reporting Method Protocol Registration To map key characteristics and describe nurse led models of care for the treatment of persons with substance use disorders (SUDs) in the outpatient setting.A scoping review.Conducted in accordance with the JBI methodology. The PRISMA‐ScR checklist was used.Pubmed, CINAHL Complete (EBSCOhost), Cochrane Library, APA PsycNet and Scopus were searched from 1999 to May 2022 and updated on 28 November 2023. A handsearch and a grey literature search was conducted.Title and abstract screening was performed on 774 articles resulting in 88 articles for full text screening. Full text screening yielded 13 articles that met inclusion criteria.Existing nurse‐led models of care for SUDS are scarce and limited in scope, with the majority focused on treating opioid use disorder. Additional research is needed to develop, test, and implement efficacious nurse‐led models of care for the treatment and management of SUDs.Nurse led models of care have demonstrated their efficacy and quality in the management of other chronic diseases. As we move forward with innovative solutions for individuals with addiction, nurse led models of care can be a mechanism to deliver high quality, evidence‐based care for SUDs.SUDs are chronic diseases that impact individuals, families, and communities. SUDs require a biopsychosocial approach to treatment. Globally, nurses are well positioned to provide high quality care to mitigate the impact of SUDs. This scoping review mapped the extant literature on nurse led models of care for substance use disorder treatment in the outpatient setting finding that additional research is needed to develop, test and implement evidence‐based interventions to care for individuals, families, and communities experiencing SUDs.PRISMA checklist for scoping reviews.No patient or public contribution were part of this study.Open Science Framework accessible at: https://doi.org/10.17605/OSF.IO/NSW7V. [ABSTRACT FROM AUTHOR]

Aim: To identify and map out existing nurse‐led models of care for treatment and prevention of metabolic syndrome in primary care settings. Design: A scoping review. Methods: Conducted in accordance with the JBI methodology. Data Sources: A search of the databases PubMed, CINAHL Complete, Cochrane Library, Scopus, handsearch and a grey literature search was conducted in June 2022 and updated in March 2023. Results: Title and abstract screening was performed on 926 articles resulting in 40 articles for full text screening. Full text screening yielded seven articles that met inclusion criteria. Conclusion: Additional research is needed on nursing models of care to prevent and treat metabolic syndrome. Future studies should concentrate on rigour with clearly defined objective inclusion criteria. Implications to Clinical Practice: This review contributes a synthesis of the evidence on nurse‐led models for metabolic syndrome in primary care. Impact: This scoping review addresses metabolic syndrome, the precursor to non‐communicable disease. The review mapped the evidence for nurse‐led models of care for metabolic syndrome in the primary care setting. These findings promote the development and evaluation of novel nurse‐led models of care which can mitigate the effect of the current epidemic. Reporting Method: PRISMA checklist for scoping reviews. No patient or public contribution was part of this study. Protocol Registration: Open Science Framework accessible at: https://osf.io/jfpw7/. [ABSTRACT FROM AUTHOR]

The article presents the need to leverage the nursing workforce in the U.S. to address the addiction crisis, highlighting the importance of expanding access to addiction treatment and the role of nurses in providing care to individuals with substance use disorders, including their expertise, reach, and efficacy.

The article presents the discussion on addiction being defined as a chronic, relapsing disorder characterised by compulsive drug. Topics include causing discrimination by both healthcare providers and society at large leading to reduced individual health-seeking behaviour; and providing several services including health teaching, mental and physical health support and addiction treatment.

This study investigated the recovery process for individuals engaged in treatment for substance use disorders (SUDs) who had co-occurring anxiety and depression. The participants were eight individuals engaged in treatment. The results of a Grounded Theory design and methods revealed the core category and substantive theory, Stumbling toward Vulnerability. Four phases in which the participants progressed in a linear way emerged. The study results have implications for the role of the advance practice psychiatric-mental health nurse in the early assessment of mental illness for clients with SUDs by providing integrated treatment for these individuals, and focusing on health and wellness as a recovery outcome. Based on the findings, hypotheses for further research are recommended. [ABSTRACT FROM AUTHOR]

Diversity, equity, inclusion, and antiracism (DEI-A) are critical to providing adequate health care to all populations. High-fidelity simulations and role-play scenarios allow students to experience caring for clients from diverse backgrounds. This article discusses the project development and implementation of a DEI-A simulation day placed in a community health clinical course. [ABSTRACT FROM AUTHOR]