A qualitative study of nurses' attitudes and practices regarding brief alcohol intervention in primary health care
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Background. Excessive alcohol consumption causes significant mortality, morbidity, economic and social problems in the United Kingdom (UK). Despite strong evidence for the effectiveness of brief intervention to reduce excessive drinking in primary health care, there is little indication that such intervention routinely occurs. Aims. This study aimed to explore primary health care nurses' attitudes and practices regarding brief alcohol intervention in order to understand why it is underexploited. Methods. The study design was qualitative, using a grounded theory approach to data collection and analysis. Semi‐structured in‐depth interviews were conducted with 24 nurses from practices that had previously been involved in a General Practitioner (GP) led brief alcohol intervention trial in the North‐east of England. A combination of convenience and purposive sampling was used to recruit subjects and gain a broad range of perspectives on issues emerging from ongoing data‐analysis until data saturation occurred. Results. It was clear that although primary health care nurses have many opportunities to engage in alcohol intervention, most have received little or no preparation for this work. This has left nurses at a disadvantage as alcohol consumption is a confusing and emotive area for both health professionals and patients. An analysis of factors influencing nurse involvement in alcohol intervention outlined a requirement for clear health messages about alcohol, training in intervention skills, facilitation to enhance confidence regarding intervention and support to help deal with negative patient reactions. Conclusions. As current health policy is to encourage, sustain and extend the health promotion and public health role of primary care nurses, more attention should be given to providing them with better preparation and support to carry out such work.
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In 2 qualitative studies from the UK and the USA, nurses reported that societal acceptance of heavy drinking can make them hesitate to assess for alcohol in their patients.
“In 2 qualitative studies from the UK and the USA, nurses reported that societal acceptance of heavy drinking can make them hesitate to assess for alcohol in their patients [89, 115].”
In 10 qualitative studies, primary health care providers considered asking about alcohol a delicate task because alcohol is viewed as a sensitive issue, making them feel uncomfortable.
“In 10 qualitative studies, primary health care (PHC) providers considered asking about alcohol a delicate task because alcohol is viewed as a sensitive issue, making them feel uncomfortable [37, 41, 54, 77, 89, 91, 97, 99, 109, 115].”
Both GPs and nurses in 6 qualitative studies expressed concern about negative reactions from patients when discussing alcohol issues.
“Both GPs and nurses in 6 qualitative studies expressed their concern about negative reactions from patients when discussing alcohol issues [49, 84, 86, 89, 92, 105].”
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- Authors
- Lock, C. A., Kaner, E., Lamont, S., & Bond, S.
- Affiliations
- Newcastle University (GB)
- Corresponding author
- Lock, Catherine A.
- ORCID
- Kaner, Eileen
- Venue
- Journal of Advanced Nursing
- Publisher
- Wiley
- Published
- 2002-07-25
- Volume
- 39
- Issue
- 4
- Pages
- 333-342
- ISSN
- 0309-2402 (ISSN-L)
- 1365-2648
- OpenAlex
- W1985492534
- Cited by
- 162
- References
- 69
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 2 · 2021: 9 · 2020: 4 · 2019: 2 · 2018: 5 · 2017: 5 · 2016: 6 · 2015: 8 · 2014: 7 · 2013: 10 · 2012: 20
- FWCI
- 3.80
- Type
- journal article
- Language
- en
- Open access
- green
- doi.org
- Locations
- Journal of Advanced Nursing (publishedVersion)
- PubMed (publishedVersion)
- Newcastle University ePrints (Newcastle Univesity)
- Funders
- Alcohol Change UK
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Health Professions › General Health Professions › Nursing Roles and Practices
- Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
- Keywords
- brief alcohol intervention, primary care nurses, nurse attitudes, nursing practice, excessive alcohol consumption, alcohol-related harm, nurse training, intervention skills, health promotion
- MeSH terms
- Adult, Alcohol Drinking, Alcoholism, Attitude of Health Personnel, Female, Humans, Health Knowledge, Attitudes, Practice, Middle Aged, Nurses, Primary Health Care, Nurse's Role
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