Coming Out of Hiding: One State’s Experience in Providing Peer Support for Nurses with SUD IntNSA 41st Annual Educational Conference Orlando Florida: October 18 - 21, 2017 Deborah Matthias-Anderson, PhD, RN, CNE Ruth Conoryea, RN Marie Manthey, PhD (hon), MNA, FRCN, FAAN (in abstentia) October 21, 2017 Minnesota’s Past, Present and Future in Providing Peer Support to Nurses with Substance Use Disorder A force in Minnesota nursing peer support • Originator of “primary nursing” model of nursing care delivery • Passionate advocate and leader of relationship-based nursing care • Founder and president emeritus of “Creative Health Care Management” • At age 82 is still a sought after speaker about nursing (thus, her absence today) • Has been a nurse in recovery for 39 years: See “Marie’s Story,” https://youtu.be/DafQHiJHPQY Marie Manthey, President of the Board of Directors of the Minnesota Nurses Peer Support Network (NPSN) Origins of Peer Support Identifying the Need & Forming Important Alliances Minnesota’s Alternative to Discipline Minnesota Board of Nursing Monitoring Program Provides monitoring services to members of 17 Protects the public's health and safety different regulated health care professions whose through regulation of nursing education, illnesses may impact their ability to practice licensure and practice. safely. Formative Processes: Informal gathering in Marie’s home of nurses with SUD • Nurses desperate to be heard; to share personal & professional stories re: SUD • Expressions of pain related to shame, stigma, & discriminatory treatment by other nurses / staff • Identified needs; set goals (Free web photo – not Marie’s home or the related to support actual participants) A year of planning, . .resulted in the formation of a 501(c) 3 non-profit organization: First steps: 3 Convener Support Groups formed • Saint Paul • Minneapolis • Mankato NPSN Peer Support Groups “Finally there is a place…” (Participant Quote) • Grown to 7 statewide peer support groups meeting across the state • Provide a safe forum for support to overcome stigma & shame: • “Heal the healers” • Practice mutual respect & hope • Honestly face issues / concerns • Face work re-entry issues • Learn about self-care strategies and new ways of coping (healthy recovery) Minnesota Nurses Peer Support Network: Mission: • Meaningful peer support for nurses with substance use disorder in a safe environment with the purpose of giving hope and healing the individual nurse • Education and outreach about substance use disorder in nursing to promote safety to the public Vision: All nurses in Minnesota will have access to a community-based peer support for substance use disorder Website: NPSNetwork Educational Focus & Research Recovery and Re-entry for Nurses: • Curriculum Development for A Qualitative Doctoral Research Study by Academic Settings: a Minnesota Nurse Educator • PARRS at the University of Minnesota (Manthey et. al) • Concept based curricular approach for Minnesota State MANE curriculum (Matthias-Anderson) • Multiple educational presentations to nurse leaders, nurse educators, nursing organizations, etc. (Matthias-Anderson, 2015) Lessons Learned • Nurses are enormously interested in learning about this topic; it’s timely and critical to our profession • Autonomy of our organization’s non- profit structure has many ‘pros;’ a few ‘cons’ • Little is known about other states’ experience with peer support (other than FLORIDA!); wider dissemination / sharing is needed What’s Ahead… • “Pathways to Re-employment” • Educate healthcare system managers about advantages of hiring nurses in recovery • Strategies for work re-entry support • Outstate Minnesota expansion • Support for nurses in rural areas • Volunteer NPSN contacts across state • Capacity building for the future • Financial needs & goals • Disseminate experiences in the nursing literature; connect with other states.