In-hospital Substance Use Policies: An Opportunity to Advance Equity, Reduce Stigma, and Offer Evidence-based Addiction Care.

In-hospital substance use is common among patients with addiction because of undertreated withdrawal, undertreated pain, negative feelings, and stigma. Health care system responses to in-hospital substance use often perpetuate stigma and criminalization of people with addiction, long etched into our culture by the racist War on Drugs. In this commentary, we describe how our hospital convened an interprofessional workgroup to revise our in-hospital substance use policy. Our updated policy recommends health care workers respond to substance use concerns by offering patients adequate pain control, evidence-based addiction treatment, and supportive services instead of punitive responses. We provide best-practice recommendations for in-hospital substance use policies.

Responding to demands to change nursing education: use of curriculum mapping to assess curricular content.

Nurse educators are endeavoring to assess and revise their undergraduate curriculum for a variety of reasons. Legislation passed in California mandates that universities must offer more seamless associate degree-to-baccalaureate of science in nursing degree programs and must ensure that course content in their programs is not redundant across program types. A nursing education consortium, including a university, two community colleges, and four hospital partners, formed a working group to assess all undergraduate curricula. This working group included faculty from all three academic institutions and nurse educators from area service provider partners. This article describes the use of curriculum mapping using a tool formed based on the American Association of Colleges of Nursing's Essentials of Baccalaureate Education for Professional Nursing Practice to assess the three curricula and the outcomes and implications of the assessment.