Under what circumstances are nurses willing to engage in brief alcohol interventions?
Abstract
To improve alcohol prevention in primary health care, it has been suggested that primary care nurses are an under-utilised resource. The aim of this study was to identify under what circumstances primary care nurses in Sweden are willing to engage in alcohol prevention. All nurses at three primary health care centres in Ostergötland, Sweden were invited to participate in focus group interviews; 26 nurses participated. The nurses considered primary health care to be just one among other sectors within the community with responsibility for alcohol prevention. The role of health care in alcohol prevention was perceived to be important but mainly secondary preventive. The nurses felt justified screening all patients' alcohol habits only when they could refer to an obligation or a time-limited project. Otherwise, they mainly wanted to engage in screening patients with alcohol-related symptoms or diagnoses and other risk groups. Reasons for refraining from alcohol screening and intervention included lack of self-efficacy, time consumption and fear of harming their relationship with the patient. New strategies for alcohol prevention in primary care are discussed.
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For some doctors and nurses, alcohol SBI was too time-consuming and they were already too busy dealing with other problems.
“For some doctors and nurses, alcohol SBI was too time-consuming [72, 95, 106] and they were already too busy dealing with other problems [23, 47, 78, 83, 92, 106].”
Data mainly from qualitative studies suggested that GPs and nurses do not screen systematically for alcohol but only when they suspected heavy consumption or when the patient's complaint was likely to be alcohol-related.
“Data, mainly from qualitative studies, suggested that GPs and nurses do not screen systematically for alcohol but only when they suspected heavy consumption, or when the patient’s complaint was likely to be alcohol-related [41, 42, 58, 67, 72–74, 88].”
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- Authors
- Johansson, K., Åkerlind, I., & Bendtsen, P.
- Affiliations
- Linköping University (SE)
- Corresponding author
- Johansson, Kjell
- Venue
- Addictive Behaviors
- Publisher
- Elsevier BV
- Published
- 2005-06
- Volume
- 30
- Issue
- 5
- Pages
- 1049-1053
- ISSN
- 0306-4603 (ISSN-L)
- OpenAlex
- W1519283616
- Cited by
- 45
- References
- 20
- Citations by year
- 2026: 2 · 2021: 7 · 2020: 1 · 2019: 1 · 2017: 3 · 2016: 2 · 2015: 2 · 2014: 5 · 2013: 2 · 2012: 6
- FWCI
- 0.24
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Addictive Behaviors (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
- Health Sciences › Health Professions › General Health Professions › Nursing Roles and Practices
- Keywords
- brief alcohol intervention, alcohol screening, primary care nurses, alcohol prevention, secondary prevention, self-efficacy, patient relationships, primary care, risk groups
- MeSH terms
- Alcohol Drinking, Alcoholism, Attitude of Health Personnel, Humans, Nurse-Patient Relations, Nursing Care, Primary Health Care, Sweden, Time Factors, Focus Groups, Self Efficacy
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