Primary health care nurses' and physicians' attitudes, knowledge and beliefs regarding brief intervention for heavy drinkers

Aalto, Mauri; Pekuri, Petteri; Seppä, Kaija

doi:10.1046/j.1360-0443.2001.96230514.x

Cited by 117Substance Abuse Treatment and OutcomesHealth Policy Implementation ScienceAlcohol Consumption and Health Effects

Primary health care nurses' and physicians' attitudes, knowledge and beliefs regarding brief intervention for heavy drinkers

Aalto, Mauri, Pekuri, Petteri, Seppä, Kaija·2001·Addiction

DOI 10.1046/j.1360-0443.2001.96230514.x

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Abstract

Aims. To identify barriers to healthcare providers carrying out competent brief interventions to help heavy drinkers to reduce their drinking. Design and participants. A questionnaire on attitudes, skills, knowledge, training needs and suggestions for implementation of brief interventions was mailed to all nurses and physicians working in primary health care in two Finnish cities. One hundred and sixty‐seven primary health care nurses and 84 physicians returned the questionnaire. Findings and conclusions. The response rates among nurses varied between 66 and 99% and among physicians between 76 and 95% depending on the issue. Factors related to knowledge seem to be a barrier to the adoption of brief intervention: only 18% of respondents reported having enough knowledge to provide competent brief intervention and half of the respondents reported wanting more training. Contrary to expectations, physicians consider themselves to be better equipped to do brief intervention than nurses. Practical training in using alcohol questionnaires and on the content of brief intervention would help promote it. Such training was seen as important by 90% of the respondents. Giving more information on the evidence in favour of brief intervention would also be useful.

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Several studies on both GPs and nurses reported availability of educational and training programmes as an important facilitator.
“Several studies on both GPs and nurses reported availability of educational and training programmes as an important facilitator [23, 36, 55, 73, 78, 84].”
From Factors influencing the implementation of screening and brief interventions for alcohol use in primary care practices: a systematic review using the COM-B system and Theoretical Domains Framework (2021) · cites this paper as [36]
The majority of GPs in 14 studies and of nurses in 2 quantitative studies reported the opposite, that they felt skilled enough to deliver alcohol SBI.
“on the other hand, the majority of the GPs in 14 [16, 20, 23, 36, 52, 62, 64, 70, 78, 83, 95, 106, 108, 111], and of the nurses in 2 quantitative studies [36, 70] reported the opposite.”
From Factors influencing the implementation of screening and brief interventions for alcohol use in primary care practices: a systematic review using the COM-B system and Theoretical Domains Framework (2021) · cites this paper as [36]
In 1 of 3 studies involving nurses, a majority of nurses believed they were confident in their abilities.
“Twenty-three studies reported on how GPs felt about their abilities for screening and advising at-risk drinkers, of which 16 found a majority of GPs believed they were confident in their abilities [20, 36, 40, 44–47, 50, 52, 59–62, 64, 65, 67, 78, 81, 83, 104, 106, 108, 111] compared with 1 of 3 studies involving nurses [20, 36, 59].”
From Factors influencing the implementation of screening and brief interventions for alcohol use in primary care practices: a systematic review using the COM-B system and Theoretical Domains Framework (2021) · cites this paper as [36]
Of 23 studies, 16 found that a majority of GPs believed they were confident in their abilities to screen and advise at-risk drinkers.
“Twenty-three studies reported on how GPs felt about their abilities for screening and advising at-risk drinkers, of which 16 found a majority of GPs believed they were confident in their abilities [20, 36, 40, 44–47, 50, 52, 59–62, 64, 65, 67, 78, 81, 83, 104, 106, 108, 111] compared with 1 of 3 studies involving nurses [20, 36, 59].”
From Factors influencing the implementation of screening and brief interventions for alcohol use in primary care practices: a systematic review using the COM-B system and Theoretical Domains Framework (2021) · cites this paper as [36]
More information about the effectiveness of brief interventions and feedback on successful cases were identified as implementation facilitators.
“More information about the effectiveness of brief interventions [23, 36, 39, 47, 78, 84, 87, 92] and feedback on successful cases [71, 109] were identified as implementation facilitators.”
From Factors influencing the implementation of screening and brief interventions for alcohol use in primary care practices: a systematic review using the COM-B system and Theoretical Domains Framework (2021) · cites this paper as [36]

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“Several studies on both GPs and nurses reported availability of educational and training programmes as an important facilitator [23, 36, 55, 73, 78, 84].”
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Authors: Aalto, M., Pekuri, P., & Seppä, K.
Affiliations: Tampere University Hospital (FI)
ORCID: Aalto, Mauri
Venue: Addiction
Publisher: Wiley
Published: 2001-02
Volume: 96
Issue: 2
Pages: 305-311
ISSN: 0965-2140 (ISSN-L)
1360-0443
DOI: 10.1046/j.1360-0443.2001.96230514.x
OpenAlex: W2010240338
Cited by: 117
References: 0
Citations by year: 2024: 1 · 2022: 2 · 2021: 7 · 2020: 2 · 2019: 3 · 2018: 5 · 2017: 3 · 2016: 5 · 2015: 8 · 2014: 6 · 2013: 5 · 2012: 7
FWCI: 5.57
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor, 456 d)
Locations: Addiction (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
Keywords: brief intervention, heavy drinking, alcohol consumption, primary care nurses, physicians, provider attitudes, knowledge and belief, implementation barriers, training needs
MeSH terms: Adult, Alcoholism, Clinical Competence, Female, Finland, Health Personnel, Humans, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Nurses, Physicians, Family, Psychotherapy, Brief, Surveys and Questionnaires

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Primary health care nurses' and physicians' attitudes, knowledge and beliefs regarding brief intervention for heavy drinkers

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