The team of nurses that Tilda Shalof found herself working with in the intensive care unit (ICU) of a big-city hospital was known as “Laura’s Line.” They were a bit wild: smart, funny, disrespectful of authority, but also caring and incredibly committed to their jobs. Laura set the tone with her quick remarks. Frances, from Newfoundland, was famous for her improvised recipes. Justine, the union rep, wore t-shirts emblazoned with defiant slogans, like “Nurses Care But It’s Not in the Budget.” Shalof was the one who had been to university. The others accused her of being “sooo sensitive.” They depended upon one another. Working in the ICU was both emotionally grueling and physically exhausting. Many patients, quite simply, were dying, and the staff strove mightily to prolong their lives. With their skill, dedication, and the resources of modern science, they sometimes were almost too successful. Doctors and nurses alike wondered if what they did for terminally-ill patients was not, in some cases, too extreme. A number of patients were admitted when it was too late even for heroic measures. A boy struck down by a cerebral aneurysm in the middle of a little-league hockey game. A woman rescued – too late – from a burning house. It all took its toll on the staff. And yet, on good days, they thrived on what they did. Shalof describes a colleague who is managing a “crashing” patient: “I looked at her. Nicky was flushed with excitement. She was doing five different things at the same time, planning ahead for another five. She was totally focused, in her element, in control, completely at home with the chaos. There was a huge smile on her face. Nurses like to fix things. If they can.” Shalof, a veteran ICU nurse, reveals what it is really like to work behind the closed hospital curtains. The drama, the sardonic humour, the grinding workload, the cheerful camaraderie, the big issues and the small, all are brought vividly to life in this remarkable book.

1995. 528 pp., illustrated

In this age of increasing headlines about drug addiction and prescription drug abuse, this book is a timely revelation of how the nursing profession is also impacted by substance abuse. It allows nurses, who are the most trusted profession in society, who have been hidden within their profession and living with substance use disorders, to openly voice their personal experiences with addiction. Seven nurses detail their journey through family dynamics, early use as nursing students and later career nurses as they traveled deeper and deeper into their addiction. They discuss their shame, humiliation and dejection under the throes of the compelling forces of drugs and alcohol. They also describe how their family, other nurses, the healthcare system, and society assisted them in perpetuating their deception and denial about their disease. They explain how they lied, stole and cheated those around them to maintain their addiction. Each explains in detail the confrontations and the “jolt” and “wake up call” it took for them to awaken, become sober and truly enter recovery. They are all candid and forthright in order to help others that are impacted by this horrific and complex disease. They each share how recovery is possible when appropriate attitudes and tools are put in place to support nurses suffering from the devastation of addiction. Their stories bring attention to the importance of intervention, treatment, and recovery communities within the nursing profession. Recovery is emphasized as a “gift” by each of these nurses. The nurses and the researcher provide suggestions and recommendations to assist the healthcare community in addressing addiction in nursing. This book reveals how recovery for nurses is a major public health benefit.

This book is a summary of my life. Sounds simple enough, but it was not simple to write. I am an alcoholic and a drug addict, I am also a nurse. I lost everything to my drug addiction. I stole my drugs from the hospital where I worked and when they found out my downfall began. But that is only the beginning. My recovery is the real story. There is a huge and growing problem of alcohol and drug addiction among healthcare professionals. It's time we started talking about it. We put our patients and coworkers at risk. We put ourselves at risk. The problem is taboo and nobody wants to talk about it. I want to talk about it. I want to help stop this insidious disease from continuing to infect our entire healthcare system.

People do not set out to become addicts. They start to use the drug or medication for a purpose. Maybe it is to relieve pain or to be social. As they continue to use, they cross a line. Crossing this line means that the body and mind have adjusted to having this chemical present. When this chemical is not present, an intense craving takes place which often leads the person to use again. Addiction has become more common in our society and it is time for nurses to respond. This book serves as a resource for any nurse who is interested in assisting patients who are trying to stop using/abusing a drug. It is time for all nurses to rise to the occasion and learn about this growing problem.

Substance abuse is a crisis of international concern.Substance Abuse Education in Nursing, Volume IIIexpands upon the content in Volume II, and is particularly suited to the advanced baccalaureate level of education. Volume III offers nurse educators - as well as educators preparing physicians, social workers, teachers, and counselors - the most current information on the recognition and treatment of this tragic disease. As a comprehensive resource, educators will find this book indispensable when updating existing curricula, developing learner objectives, and assessing educational outcomes.Substance Abuse Education in Nursingis reader friendly with easily removable pages for convenient reorganization.