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Evaluation of a Training Program for Nurse Supervisors Who Monitor Nurses in an Alternative-to-Discipline Program

Cadiz, David PhD; Truxillo, Donald PhD; O'Neill, Chris DMin, RN

doi: 10.1097/ANS.0b013e31824fe6e0
Health & Human Rights

Nurse alternative-to-discipline programs aim to protect the public from the harm of impaired practice and to support nurses in early recovery from substance use disorders. Supervisor observation of work behavior is one key monitoring activity that protects the public. We evaluate a supervisory training called “Fit to Perform” for nurse managers to help them monitor and manage nurses enrolled in an alternative-to-discipline program. We observed significant mean changes in knowledge, training utility, self-efficacy, and substance abuse stigma. The results suggest that the training positively affects knowledge about substance use disorders, confidence to supervise nurses enrolled in an alternative-to-discipline program, and reduces stigma, which may create a supportive workplace for nurses in recovery.

Oregon Nurses Foundation, Tualatin, Oregon (Drs Cadiz and O'Neill); and Portland State University, Portland, Oregon (Dr Truxillo).

Correspondence: David Cadiz, PhD, Oregon Nurses Foundation, 18765 SW Boones Ferry Rd, Ste 200, Tualatin, OR 97062 (

Funding for the development and evaluation of the Fit to Perform training was provided to Drs Cadiz and O'Neill by the Oregon Health Authority. The views expressed in this article do not reflect the official policies of the funders.

The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

Copyright © 2012 Wolters Kluwer Health, Inc. All rights reserved.