scholarly journals Impeding and facilitating factors for the implementation of alcohol interventions in hospitals: a qualitative and exploratory study among Dutch healthcare professionals

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Nathalie Kools ◽  
Ien van de Goor ◽  
Rob H. L. M. Bovens ◽  
Dike van de Mheen ◽  
Andrea D. Rozema
Keyword(s):  
Alcohol Use ◽  
Healthcare Professionals ◽  
Patient Characteristics ◽  
Alcohol Problems ◽  
General Hospitals ◽  
Knowledge And Skills ◽  
Telephone Interviews ◽  
Facilitating Factors ◽  
Alcohol Interventions ◽  
Repeated Training

Abstract Background Non-moderated alcohol use is more prevalent among hospitalized patients compared to the general population. However, many hospitals fail to find and intervene with people with alcohol problems. We aimed to conduct an exploration of impeding and facilitating factors experienced by healthcare professionals in implementation of alcohol interventions in Dutch general hospitals. In addition, we explored the alcohol interventions used in the selected hospitals and involved stakeholders. Methods Through a qualitative study, semi-structured telephone interviews were conducted with twenty healthcare professionals working in or in collaboration with six different general hospitals. Results Healthcare professionals indicated impeding and facilitating factors in the areas of motivation, knowledge and skills, patient characteristics, protocol, internal and external collaboration/support, resources, role suitability and societal support. Five different categories of approaches to identify and intervene with non-moderated alcohol use and 18 involved stakeholders from both inside and outside the hospital were found. Conclusions Implementation of alcohol interventions for patients in Dutch general hospitals still seems to be in its infancy. Respondents emphasized the importance of one clear protocol on how to tackle alcohol problems within their hospital, repeated training on alcohol-related knowledge and skills, (clinical) “champions” that support healthcare professionals and developing and maintaining collaborations with stakeholders within and outside the hospital.

scholarly journals ‘It’s not one size fits all’: a qualitative study of patients’ and healthcare professionals’ views of self-management for bronchiectasis

2021 ◽  
Vol 8 (1) ◽  
pp. e000862
Author(s):  
Carol Ann Kelly ◽  
Anthony Tsang ◽  
Dave Lynes ◽  
Sally Spencer
Keyword(s):  
Healthcare Professionals ◽  
Psychosocial Support ◽  
Personal Characteristics ◽  
Patient Characteristics ◽  
Healthcare Services ◽  
Self Management ◽  
North West ◽  
Face To Face ◽  
Telephone Interviews ◽  
Key Aspects

BackgroundBronchiectasis is a chronic respiratory condition that impacts significantly on individuals and healthcare services. Self-management is recommended in clinical guidelines for bronchiectasis as an intervention to enable patients to manage their condition, yet there is little evidence to support it.MethodsThree face to face focus groups (17 adults with bronchiectasis) were conducted at three National Health Service (NHS) sites in North West England. Additionally, semi-structured telephone interviews were undertaken with 11 healthcare professionals (HCPs), including doctors, nurses and physiotherapists. Thematic analysis identified common themes and occurrences verified by independent audit.FindingsFour common overarching themes were identified: the meaning of self-management; benefits; barriers and influencers to self-management; subthemes varied. Both groups recognised component interventions. Patients highlighted that self-management enabled them to learn what works and moderate behaviour. Aspects of delivery and structure were important to HCPs but a ‘make do’ culture was evident. Benefits for both groups included empowering patients. Common barriers for patients were time, mood and lack of access to support which could mitigate engagement with self-management. HCPs identified barriers including patient characteristics and lack of resources. Influencers for patients were peer, carer and psychosocial support, for HCPs influencers were individual patient attributes, including ability and motivation, and HCP characteristics such as knowledge and understanding about bronchiectasis.SummaryThis is the first study to explore patients’ and HCPs’ views of self-management for bronchiectasis. The need for an individual, flexible and responsive self-management programme specific to bronchiectasis was evident. Personal characteristics of patients and HCPs could affect the uptake and engagement with self-management and HCPs knowledge of the disease is a recognised precursor to effective self-management. The study identified key aspects for consideration during development, delivery and sustainability of self-management programmes and findings suggest that patients’ psychosocial and socioeconomic circumstances may affect adoption and activation of self-management behaviours.

Sleep Problems During the Preschool Years and Beyond as a Marker of Risk and Resilience in Substance Use

2018 ◽  
Author(s):  
Maria M. Wong
Keyword(s):  
Substance Use ◽  
Alcohol Use ◽  
Sleep Problems ◽  
Problem Drinking ◽  
Alcohol Problems ◽  
Risk And Resilience ◽  
Regulatory Processes ◽  
Sleep Physiology ◽  
Before And After

Individuals with alcohol problems have well-described disturbances of sleep, but the development of these disturbances both before and after the onset of problem drinking is poorly understood. This chapter first discusses sleep physiology and its measurement in humans. It then examines the functions of sleep and its role in development. Next, it reviews recent research on the relationship between sleep and alcohol use and related problems. Whereas sleep problems (e.g., difficulties falling or staying asleep) increase the risk of early onset of alcohol use and related problems, sleep rhythmicity promotes resilience to the development of alcohol use disorder and problem substance use. Based on existing research, this chapter proposes a theoretical model of sleep and alcohol use, highlighting the role of self-regulatory processes as mediators of this relationship.

Unhealthy alcohol use independently associated with unfavorable TB treatment outcomes among Indian men

2021 ◽  
Vol 25 (3) ◽  
pp. 182-190
Author(s):  
S. R. Cox ◽  
A. N. Gupte ◽  
B. Thomas ◽  
S. Gaikwad ◽  
V. Mave ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Treatment Outcomes ◽  
Unfavorable Outcome ◽  
Unhealthy Alcohol Use ◽  
Unhealthy Alcohol ◽  
Tb Treatment ◽  
Alcohol Interventions ◽  
Increased Risk ◽  
Adjusted Incidence Rate ◽  
Indian Men

BACKGROUND: Approximately 10% of incident TB cases worldwide are attributable to alcohol. However, evidence associating alcohol with unfavorable TB treatment outcomes is weak.METHODS: We prospectively evaluated men (≥18 years) with pulmonary TB in India for up to 24 months to investigate the association between alcohol use and treatment outcomes. Unhealthy alcohol use was defined as a score of ≥4 on the Alcohol Use Disorders Identification Test-Concise (AUDIT-C) scale at entry. Unfavorable TB treatment outcomes included failure, recurrence, and all-cause mortality, analyzed as composite and independent endpoints.RESULTS: Among 751 men, we identified unhealthy alcohol use in 302 (40%). Median age was 39 years (IQR 28–50); 415 (55%) were underweight (defined as a body mass index [BMI] <18.5 kg/m2); and 198 (26%) experienced an unfavorable outcome. Unhealthy alcohol use was an independent risk factor for the composite unfavorable outcome (adjusted incidence rate ratio [aIRR] 1.47, 95% CI 1.05–2.06; P = 0.03) and death (aIRR 1.90, 95% CI 1.08–3.34; P = 0.03), specifically. We found significant interaction between AUDIT-C and BMI; underweight men with unhealthy alcohol use had increased risk of unfavorable outcomes (aIRR 2.22, 95% CI 1.44–3.44; P < 0.001) compared to men with BMI ≥18.5 kg/m2 and AUDIT-C <4.CONCLUSION: Unhealthy alcohol use was independently associated with unfavorable TB treatment outcomes, highlighting the need for integrating effective alcohol interventions into TB care.

scholarly journals Examining the Attitudes of Non-Psychiatric Practicing Healthcare Workers Towards Patients With Alcohol Problems in General Hospital Setting

2022 ◽  
Vol 16 ◽  
pp. 117822182110657
Author(s):  
Ho Teck Tan ◽  
Yit Shiang Lui ◽  
Lai Huat Peh ◽  
Rasaiah Munidasa Winslow ◽  
Song Guo
Keyword(s):  
Alcohol Use ◽  
Hospital Setting ◽  
Well Being ◽  
Alcohol Problems ◽  
Alcohol Intervention ◽  
Screening And Brief Intervention ◽  
Daily Work ◽  
Problematic Alcohol ◽  
Problematic Alcohol Use ◽  
Doctors And Nurses

Background and objectives: Problematic alcohol-use affect the physical and mental well-being of hospitalised individuals and may receive screening and brief-intervention during treatment. Non-psychiatric doctors and nurses might respond inadequately due to negative attitudes and beliefs. This study aimed to examine these attitudes of non-psychiatric workers in the medical and surgical wards. Methods: A total of 457 doctors and 1643 nurses were recruited from the medical, surgical and orthopaedic disciplines over a period of 4 months. Three questionnaires were administered: demographics, Alcohol & Alcohol-Problems Perceptions Questionnaire (AAPPQ) and Staff Perception of Alcohol Treatment Resources. Results: About 128 doctors and 785 nurses responded. Around 75.5% doctors and 51.9% nurses endorsed role-legitimacy in the AAPPQ. Both the doctor (86.7%) and nurse (77.6%) groups agreed on the importance to initiate intervention for patients with problematic alcohol-use in daily work. Both groups were sceptical and negative towards these patients endorsing low-level role-adequacy (41.2%), role-support (36.9%), motivation (36.5%), task-specific self-esteem (25.1) as well as work satisfaction (20.5%). Conclusion/discussion: Doctors and nurses demonstrated low levels of therapeutic commitments towards patients with problematic alcohol-use thereby necessitating the introduction of in-house programmes to educate, empower and emphasise the importance of therapeutic contact with patients for alcohol intervention. Scientific significance: The prompt identification and treatment of patients with alcohol problems are contingent on the workers’ attitudes towards them. This study’s results should spark a nation-wide interest to improve the training and recognition of such patients and providing adequate educational resources.

A Preliminary Study Examining Self-Reported Invincibility, Alcohol Problems, and the Nonmedical Use of Prescription Stimulants in College Students

2021 ◽  
pp. 002204262110372
Author(s):  
Susan Kennedy ◽  
Paula Millin ◽  
Gary J. Kennedy
Keyword(s):  
College Students ◽  
Alcohol Use ◽  
Structural Equation ◽  
Alcohol Problems ◽  
Equation Modeling ◽  
Prescription Stimulants ◽  
Significant Relationships ◽  
Nonmedical Use ◽  
Preliminary Study ◽  
Alcohol Related Problems

The nonmedical use of prescription stimulants (NMUPS) is becoming more common among college students. Identifying the variables associated with NMUPS is important for educational efforts and to promote wellness in vulnerable students. The present study examined the relationships between self-reported invincibility, alcohol problems, and NMUPS in 175 college students. Path analysis tested the hypotheses that males would report higher invincibility that would be related to alcohol use and alcohol problems. Using structural equation modeling, significant relationships were found between invincibility and alcohol-related problems. Alcohol problems may be related to NMUPS. A total effect of invincibility, mediated by alcohol use, may be a path whereby invincibility positively influences NMUPS. Students reporting high levels of invincibility may be at risk for the NMUPS and might benefit from efforts regarding the potential harmful consequences of taking these substances without a prescription.

scholarly journals Association of Problematic Alcohol Use and Food Insecurity among Homeless Men and Women

2020 ◽  
Vol 17 (10) ◽  
pp. 3631 ◽  
Author(s):  
Lorraine R. Reitzel ◽  
Surya Chinamuthevi ◽  
Sajeevika S. Daundasekara ◽  
Daphne C. Hernandez ◽  
Tzu-An Chen ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Alcohol Dependence ◽  
Food Insecurity ◽  
Short Form ◽  
Heavy Drinking ◽  
Alcohol Problems ◽  
Future Research ◽  
Homeless Adults ◽  
Problematic Alcohol ◽  
Problematic Alcohol Use

Food insecurity results from unreliable access to affordable and nutritious food. Homeless adults are particularly vulnerable to both food insecurity and problematic alcohol use. The current study examined the link between problematic alcohol use and food insecurity among homeless adults. Participants (N = 528; 62.7% men; Mage = 43.6 ± 12.2) were recruited from homeless-serving agencies in Oklahoma City. Problematic alcohol use was measured using the Alcohol Quantity and Frequency Questionnaire and the Patient Health Questionnaire. The latter used DSM-IV diagnostic criteria to assess probable alcohol use dependence/abuse. Heavy drinking was considered >7 drinks (women) and >14 drinks (men) per week. Food insecurity was measured with the USDA Food Security Scale-Short Form. The link between alcohol problems and food insecurity was examined with logistic regression analyses controlling for sex, age, education, income, and months homeless. Overall, 28.4% of the sample had probable alcohol dependence, 25% were heavy drinkers, and 78.4% were food insecure. Probable alcohol dependence and heavy drinking were correlated at 0.53 (p < 0.001). Results indicated that heavy drinking (OR = 2.12, CI.95 = 1.21, 3.73) and probable alcohol dependence/abuse (OR = 2.72, CI.95 = 1.55, 4.77) were each associated with increased odds of food insecurity. Food insecurity and problematic alcohol use are major issues among homeless populations; this study suggests they are associated. Future research is needed to shed light on potential causal mechanisms and on whether alcohol may take precedence over eating or food purchases.

scholarly journals Gender Informed or Gender Ignored? Opportunities for Gender Transformative Approaches in Brief Alcohol Interventions on College Campuses

2020 ◽  
Vol 17 (2) ◽  
pp. 396 ◽  
Author(s):  
Lindsay Wolfson ◽  
Julie Stinson ◽  
Nancy Poole
Keyword(s):  
Alcohol Use ◽  
Gender Equity ◽  
Scoping Review ◽  
College Campuses ◽  
Sex And Gender ◽  
Specific Population ◽  
Alcohol Interventions ◽  
Risky Alcohol ◽  
And Gender ◽  
Multiple Health

Brief alcohol interventions are an effective strategy for reducing harmful and risky alcohol use and misuse. Many effective brief alcohol interventions include information and advice about an individual’s alcohol use, changing their use, and assistance in developing strategies and goals to help reduce their use. Emerging research suggests that brief interventions can also be expanded to address multiple health outcomes; recognizing that the flexible nature of these approaches can be helpful in tailoring information to specific population groups. This scoping review synthesizes evidence on the inclusion of sex and gender in brief alcohol interventions on college campuses, highlighting available evidence on gender responsiveness in these interventions. Furthermore, this scoping review offers strategies on how brief alcohol interventions can be gender transformative, thereby enhancing the effectiveness of brief alcohol interventions as harm reduction and prevention strategies, and in promoting gender equity.

How can healthcare professionals address poor health service utilisation among refugees after resettlement in Australia? A narrative systematic review of recent evidence

2019 ◽  
Vol 25 (3) ◽  
pp. 205
Author(s):  
Jamuna Parajuli ◽  
Dell Horey
Keyword(s):  
Health Service ◽  
Health Services ◽  
Cultural Competency ◽  
Communication Skills ◽  
Healthcare Professionals ◽  
Qualitative Studies ◽  
Service Utilisation ◽  
Knowledge And Skills ◽  
Service Barriers ◽  
Synthesis Approach

This systematic narrative review of qualitative studies examined health service barriers and facilitators in Australia for refugees after resettlement. Twelve qualitative studies published between 2006 and 2017 involving more than 500 participants were included in the review. Approximately half of all participants were healthcare professionals. A meta-synthesis approach was used to compare and combine findings from across studies. Few facilitators were identified. Barriers to accessing health services were commonly attributed to refugees, but several barriers were associated with healthcare professionals and health services. Barriers attributed to healthcare professionals included gaps in knowledge and skills; poor cultural competency; poor communication skills; and time constraints. Understanding such barriers is the first step in developing strategies to overcome them. The skills and knowledge of healthcare professionals are important to facilitating access to healthcare among this vulnerable population.

scholarly journals A survey of general hospital in-patients detained under Section 5(2) of the 1983 Mental Health Act

1996 ◽  
Vol 20 (12) ◽  
pp. 733-735 ◽  
Author(s):  
Christopher Buller ◽  
David Storer ◽  
Rachel Bennett
Keyword(s):  
Mental Health ◽  
General Hospital ◽  
Conversion Rate ◽  
Psychiatric Hospitals ◽  
Patient Characteristics ◽  
Rare Occurrence ◽  
General Hospitals ◽  
Code Of Practice ◽  
Mental Health Act

Detention of general hospital in-patients under Section 5(2) is a rare occurrence. This study of the use of Section 5(2) in general hospitals uncovered a frequent neglect in following the guidelines of The Mental Health Act and The Code of Practice. Surprisingly the conversion rate of Section 5(2) to Section 2 or 3 was similar to that seen in a number of other studies conducted in the quite different setting of large psychiatric hospitals. A number of patient characteristics were identified that appeared to influence whether 5(2)s were converted to an admission Section. Each general hospital needs to develop guidelines to be followed when staff feel that a patient should be detained under Section 5(2) – an example of such a policy is included.

Sign in / Sign up

Export Citation Format

Share Document