Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Nov 19:5:2333393618810655.
doi: 10.1177/2333393618810655. eCollection 2018 Jan-Dec.

" A Two Glass of Wine Shift": Dominant Discourses and the Social Organization of Nurses' Substance Use

Charlotte A Ross  1   2 , Sonya L Jakubec  3 , Nicole S Berry  1 , Victoria Smye  4
Affiliations

" A Two Glass of Wine Shift": Dominant Discourses and the Social Organization of Nurses' Substance Use

Charlotte A Ross et al. Glob Qual Nurs Res. .

Abstract

We undertook an institutional ethnography utilizing the expert knowledge of nurses who have experienced substance-use problems to discover: (a) What are the discourses embedded in the talk among nurses in their everyday work worlds that socially organize their substance-use practices and (b) how do those discourses manage these activities? Data collection included interviews, researcher reflexivity, and texts that were critically analyzed with a focus on institutional features. Analysis revealed dominant moralistic and individuated discourses in nurses' workplace talk that socially organized their substance-use practices, subordinated and silenced experiences of work stress, and erased employers' roles in managing working conditions. Conclusions included that nurses used substances in ways that enabled them to remain silent and keep working. Nurses' education did not prepare them regarding nurses' substance-use problems or managing emotional labor. Nurses viewed alcohol as an acceptable and encouraged coping strategy for nurses to manage emotional distress.

Keywords: addiction / substance use; health care; health care professionals; nurses; nurses’ work life; qualitative research; work environment.

PubMed Disclaimer

Conflict of interest statement

Declaration of Conflicting Interests: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Similar articles

See all similar articles

Cited by

References

    1. Bell D. M., McDonough J. P., Ellison J. S., Fitzhugh E. C. (1999). Controlled drug misuse by certified registered nurse anesthetists. AANA Journal, 7, 133–140. - PubMed
    1. Benner P., Tanner C., Chesla C. (2009). Expertise in nursing practice: Caring, clinical judgment, and ethics (2nd ed.). New York: Springer.
    1. Burton K. L. (2014). Emerging from the darkness and stepping into the light: Implementing an understanding of the experience of nurse addiction into nursing education. Journal of Nursing Education and Practice, 4, 152–164. doi:10.5430/jnep.v4n4p151 - DOI
    1. Campbell M. L. (1994). The structure of stress in nurses’ work. In Singh B. B., Dickinson H. (Eds.), Health, illness & health care in Canada (2nd ed., pp. 393–405). Toronto: Harcourt Brace.
    1. Campbell M. L., Gregor F. (2002). Mapping social relations: A primer in doing institutional ethnography. Walnut Creek, CA: AltaMira Press.

LinkOut - more resources