{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T18:16:57Z","timestamp":1791569817639,"version":"4.3.4"},"reference-count":46,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,3,18]],"date-time":"2025-03-18T00:00:00Z","timestamp":1742256000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Mental Health Nurs"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Alternative to discipline programs, defined as programs for nurses \u2018impaired\u2019 by issues such as alcohol and\/or drug use, provide treatment and support to return to the profession. This paper aims to explore alternative to discipline programs for nurses to determine whether these programs are relevant to other geographical contexts. A scoping review was conducted in accordance with the JBI methodology. The PRIMSA\u2010ScR checklist was used in this scoping review. The databases searched included MEDLINE (PubMed), Embase (Elsevier), Cumulative Index to Nursing and Allied Health Literature (EBSCOhost), and ProQuest Dissertations and Theses Global (ProQuest) from 1984 to 2024. Title and abstract screening was conducted on 1622 papers, resulting in 90 papers for full\u2010text screening. After full\u2010text screening, 19 papers met the inclusion criteria for this scoping review. Issues related to the cost of programs, strict requirements for abstinence, and a lack of \u2018bespoke\u2019 options that address participant needs were identified in this review and need to be addressed prior to global implementation of these programs. Impairment of nurses due to alcohol and\/or drug use threatens workforce sustainability, and without \u2018alternatives to discipline\u2019, can mean experience nurses are lost to the profession, often without treatment. Exploration of alterative to discipline programs is essential to ensure that nurses with alcohol and other drug challenges are retained in the profession and receive the treatment required to remain safe practitioners. Likewise, the perception that programs were punitive in nature should be addressed to ensure acceptability of these programs as an alternative to the loss of employment.<\/jats:p>","DOI":"10.1111\/inm.70024","type":"journal-article","created":{"date-parts":[[2025,3,19]],"date-time":"2025-03-19T04:24:18Z","timestamp":1742358258000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Are \u201cAlternative to Discipline\u201d Programs for Nurses With Alcohol and Other Drug Challenges Relevant to Global Contexts? A Scoping Review"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7457-3221","authenticated-orcid":false,"given":"Adam","family":"Searby","sequence":"first","affiliation":[{"name":"Monash University School of Nursing and Midwifery  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8353-3838","authenticated-orcid":false,"given":"Rachel","family":"Shuster","sequence":"additional","affiliation":[{"name":"Highmark Inc.  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leila S.","family":"Ledbetter","sequence":"additional","affiliation":[{"name":"Duke University Medical Center Library &amp; Archives  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marissa D.","family":"Abram","sequence":"additional","affiliation":[{"name":"Duke University School of Nursing  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,3,18]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/inm.13436"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.46658\/JBIMES-20-01"},{"key":"e_1_2_12_4_1","volume-title":"Impaired Nursing Practice: Discipline and Alternatives to Discipline. 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