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Primary health care nurses' and physicians' attitudes, knowledge and beliefs regarding brief intervention for heavy drinkers
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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In the citing paper
“Several studies on both GPs and nurses reported availability of educational and training programmes as an important facilitator [23, 36, 55, 73, 78, 84].”
In the citing paper
“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.”
In the citing paper
“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].”
In the citing paper
“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].”
In the citing paper
“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.”
In the citing paper
“however, only 24% of the GPs and nurses in 2 survey studies from the Nordic countries agreed with this [20, 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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Metadata
- 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
- 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
- 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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