Final answer:
Most impaired nurses begin their use and abuse of substances prior to entering the nursing profession, often during adolescence or early adulthood. Factors such as a history of being mistreated as a child, low parental education, social isolation, and depression can contribute to substance abuse.
Step-by-step explanation:
Substance abuse among impaired nurses can begin at various times in their lives. However, research suggests that most impaired nurses begin their use and abuse of substances prior to entering the nursing profession. According to a longitudinal study, many individuals who struggle with drug and alcohol use disorders started using substances at a young age, often during adolescence or early adulthood.
The study also found that factors such as a history of being mistreated as a child, low parental education, social isolation, and depression can contribute to substance abuse. These risk factors, in combination with exposure to drugs or alcohol, can lead to the development of addiction and impaired functioning.
It is important to note that each individual's journey with substance abuse is unique, and not all impaired nurses fit this pattern. However, understanding the potential risk factors and early onset of substance use can help healthcare professionals develop effective prevention and intervention strategies.