The peers and units wherethese nurses reside should also be viewed as affected by thenurses’ SU. Nurses’ SU must be in the context of a systemsperspective; that is, in identification of impaired nurses,policies that support rapid intervention and support, includ-ing removal or limited practice, debriefing of peers andcolleagues and open discussions of the impact to the unit,and diligent efforts to create an environment where nursingcare is rendered with appropriate staffing, prevention ofworkplace violence, and supportive leadership
This part of the study answers the question, "How does the study outcome affect future research or clinical practice?" It emphasizes a systems-based approach to addressing nurses' substance use, highlighting the need for policies that support early intervention, peer support, and open discussion of unit impact. It suggests future research and clinical practice should focus on organizational factors like staffing, leadership, and workplace safety to prevent and manage impairment effectively.