The DOI matches its Crossref record; 67 of the 69 references it cites were found in a registry or an index.
A qualitative study of nurses' attitudes and practices regarding brief alcohol intervention in primary health care
Open accessAbstract
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.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“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 the citing paper
“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].”
In the citing paper
“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].”
Citations
Cites
The Discovery of Grounded Theory; Strategies for Qualitative Research
Glaser, B. G., Strauss, A. L., & Strutzel, E. (1968) · Nursing Research · doi:10.1097/00006199-196807000-00014 · Cited by 39,449
(1998) · Cited by 18,576
(2008) · Springer eBooks · doi:10.1007/978-0-387-77282-0_6 · Cited by 17,411
Phenomenological research methods
Moustakas, C. (1994) · doi:10.4135/9781412995658 · Cited by 13,919
Qualitative research in health care: Analysing qualitative data
Pope, C. (2000) · BMJ · doi:10.1136/bmj.320.7227.114 · Cited by 8,131
Qualitative research. Introducing focus groups.
Kitzinger, J. (1995) · BMJ · doi:10.1136/bmj.311.7000.299 · Cited by 6,939
Qualitative data analysis for applied policy research
(2002) · Analyzing Qualitative Data · doi:10.4324/9780203413081-14 · Cited by 4,964
Holstein, J. A., & Gubrium, J. F. (1995) · Sage eBooks · doi:10.4135/9781412986120 · Cited by 3,074
Introduction : Entering the field of qualitative research
Denzin, N. (1994) · Medical Entomology and Zoology · Cited by 2,910
Qualitative Research in Health Care
(2006) · Wiley eBooks · doi:10.1002/9780470750841 · Cited by 2,747
Social Research: Issues, Methods and Process.
Langford, I. H., & May, T. (1994) · Journal of the Royal Statistical Society Series D (The Statistician) · doi:10.2307/2348595 · Cited by 2,150
Qualitative research methods in health technology assessment: a review of the literature.
Murphy, Dingwall, Greatbatch, Parker, & Watson (1998) · Health Technology Assessment · doi:10.3310/hta2160 · Cited by 1,107
Fleming, M. F. (1997) · JAMA · doi:10.1001/jama.1997.03540370029032 · Cited by 538
Social research: Philosophy, politics and practice
Hammersley, M. (1992) · Cited by 440
Wood, D. A., Kinmonth, A. L., Davies, G. A., Yarwood, J., Thompson, S. G., Pyke, S. D. M., Kok, Y., Cramb, R., Guen, C. L. L., Marteau, T. M., et al. (1994) · BMJ · doi:10.1136/bmj.308.6924.313 · Cited by 378
Alcohol Consumption and the Preventive Paradox★
Kreitman, N. (1986) · British Journal of Addiction · doi:10.1111/j.1360-0443.1986.tb00342.x · Cited by 344
Qualitative methods for assessing health care.
Fitzpatrick, R., & Boulton, M. (1994) · Quality in Health Care · doi:10.1136/qshc.3.2.107 · Cited by 298
Sorrell, J. M., & Redmond, G. M. (1995) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.1995.21061117.x · Cited by 269
Anderson, P., Cremona, A., Paton, A., TURNER, C., & Wallace, P. (1993) · Addiction · doi:10.1111/j.1360-0443.1993.tb03135.x · Cited by 267
Kaner, E. F. S. (1999) · Alcohol and Alcoholism · doi:10.1093/alcalc/34.4.559 · Cited by 204
Self-citationWallace, P., Brennan, P. J., & Haines, A. (1987) · BMJ · doi:10.1136/bmj.294.6577.940 · Cited by 133
Detection of patients with high alcohol intake by general practitioners.
Reid, A. L. A., Webb, G. R., Hennrikus, D. J., Fahey, P. P., & Sanson‐Fisher, R. (1986) · BMJ · doi:10.1136/bmj.293.6549.735 · Cited by 126
Kaner, E., Lock, C. A., McAvoy, B., Heather, N., & Gilvarry, E. A. (1999) · Europe PMC (PubMed Central) · doi:10.25405/ncl.34594905 · Cited by 124
Self-citationManaging alcohol problems in general practice.
Anderson, P. (1985) · BMJ · doi:10.1136/bmj.290.6485.1873 · Cited by 122
A Difficult Business: detecting and managing alcohol problems in general practice
Thom, B., & TÉLLEZ, C. (1986) · British Journal of Addiction · doi:10.1111/j.1360-0443.1986.tb00347.x · Cited by 122
Screening for problem drinking and counseling by the primary care physician-nurse team
Israel, Y., Hollander, O., Sanchez‐Craig, M., Booker, S., Miller, V., Gingrich, R., & Rankin, J. G. (1996) · Alcoholism: Clinical and Experimental Research · doi:10.1111/j.1530-0277.1996.tb01147.x · Cited by 119
Brief interventions and alcohol use.
Freemantle, N., Gill, P., Godfrey, C., Long, A., Richards, C., Sheldon, T., Song, F., & Webb, J. (1993) · BMJ Quality & Safety · doi:10.1136/qshc.2.4.267 · Cited by 110
Detection of alcohol-related problems in general practice.
Rydon, P., Redman, S., Sanson‐Fisher, R., & Reid, A. L. A. (1992) · Journal of Studies on Alcohol · doi:10.15288/jsa.1992.53.197 · Cited by 110
General practitioner and health promotion: what patients think.
Wallace, P., & Haines, A. (1984) · BMJ · doi:10.1136/bmj.289.6444.534 · Cited by 105
Improving nurses' responses toward substance-misusing patients: a clinical evaluation project
Gerace, L. M., Hughes, T. L., & Spunt, J. (1995) · Archives of Psychiatric Nursing · doi:10.1016/s0883-9417(95)80048-4 · Cited by 81
Methodological Orthodoxy in Qualitative Nursing Research: Analysis of the Issues
Thorne, S. E. (1991) · Qualitative Health Research · doi:10.1177/104973239100100203 · Cited by 75
The role of the nurse in health promotion
GOTT, M., & O'BRIEN, M. (1990) · Health Promotion International · doi:10.1093/heapro/5.2.137 · Cited by 72
Getting evidence into practice
Godlee, F. (1998) · BMJ · doi:10.1136/bmj.317.7150.6 · Cited by 68
Drug and alcohol related health problems in primary care — what do GPs think?
Weller, D., Litt, J., Pols, R. G., Southgate, D., Harris, R. D., & Ali, R. L. (1992) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.1992.tb126383.x · Cited by 67
Prevention in general practice: the views of doctors in the Oxford region.
Coulter, A., & Schofield, T. (1991) · PubMed · Cited by 64
McDonnell, R., & Maynard, A. (1985) · British Journal of Addiction · doi:10.1111/j.1360-0443.1985.tb05286.x · Cited by 64
Early intervention for alcohol use: family physicians' motivations and perceived barriers.
(1995) · Europe PMC (PubMed Central) · Cited by 63
Nursing and health promotion: conceptual concerns
Delaney, F. (1994) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.1994.20050828.x · Cited by 63
RICHMOND, R. L., & Anderson, P. (1994) · Addiction · doi:10.1111/j.1360-0443.1994.tb00849.x · Cited by 54
Nursing and substance misuse: responding to the challenge
Rassool, G. H. (1993) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.1993.18091401.x · Cited by 52
Practice nurses' workload and consultation patterns.
Jeffreys, L. A., Clark, A., & Koperski, M. (1995) · Europe PMC (PubMed Central) · Cited by 52
Bruce, N., & Burnett, S. (1991) · Family Practice · doi:10.1093/fampra/8.4.373 · Cited by 51
The practice nurse: roles and perceptions
Mackereth, C. (1995) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.1995.21061110.x · Cited by 44
Detecting, preventing, and managing patients' alcohol problems.
(1994) · PubMed Central · Cited by 41
Deehan, A., Templeton, L. J., Taylor, C., Drummond, C., & Strang, J. (1998) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.1998.00694.x · Cited by 39
Clinical Method: A General Practice Approach.
(1988) · Annals of Internal Medicine · doi:10.7326/0003-4819-108-4-650_3 · Cited by 39
Involvement of the primary health care team in coronary heart disease prevention.
Calnan, M., Cant, S., Williams, S., & Killoran, A. (1994) · Europe PMC (PubMed Central) · Cited by 38
Cancer Prevention in Primary Care: Reducing alcohol intake
Austoker, J. (1994) · BMJ · doi:10.1136/bmj.308.6943.1549 · Cited by 37
Brief Nurse Consultations for Preventing Alcohol Use Among Urban School Youth
Werch, C. E., Carlson, J. M., Pappas, D. M., & DiClemente, C. C. (1996) · Journal of School Health · doi:10.1111/j.1746-1561.1996.tb03414.x · Cited by 36
General practice involvement in the management of alcohol misuse: dynamics and resistances
Durand, M. A. (1994) · Drug and Alcohol Dependence · doi:10.1016/0376-8716(94)90072-8 · Cited by 35
Evaluation of health promotion activities in community nursing practice
Nolan, P., Sourtzi, P., & Andrews, R. (1996) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.1996.tb01028.x · Cited by 35
Tolley, K. H., & Rowland, N. (1991) · British Journal of Addiction · doi:10.1111/j.1360-0443.1991.tb03420.x · Cited by 34
Incentives for general practitioners to provide brief interventions for alcohol problems.
Adams, P. J., Powell, A., McCormick, R., & Paton-Simpson, G. (1997) · PubMed · Cited by 33
Secondary prevention of excessive alcohol use: assessing the prospects of implementation
Botelho, R. J., & RICHMOND, R. L. (1996) · Family Practice · doi:10.1093/fampra/13.2.182 · Cited by 31
Lock, C. A., Kaner, E., Heather, N., McAvoy, B., & Gilvarry, E. A. (1999) · Europe PMC (PubMed Central) · doi:10.25405/ncl.34576104 · Cited by 28
Self-citationCoronary Heart Disease Prevention: The Role of the General Practitioner
Calnan, M., & Willams, S. (1993) · Family Practice · doi:10.1093/fampra/10.2.137 · Cited by 26
Health assessment, health promotion, and disease prevention services
Murphy, P. (1996) · Journal of Nurse-Midwifery · doi:10.1016/0091-2182(96)00010-9 · Cited by 25
Leppert, P. C., & Peipert, J. F. (1997) · Lippincott Williams & Wilkins eBooks · Cited by 23
Minimal interventions for problem drinkers: a review of the literature
Watson, H. E. (1999) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.1999.01107.x · Cited by 18
Nurses' confidence in caring for patients with alcohol-related problems.
Brown, C. A., Pirmohamed, M., & Park, B. K. (1997) · PubMed · Cited by 15
Health Promotion, Education, Counseling, and Coordination in Primary Health Care Nursing
Brown, M. A., & Waybrant, K. M. (1988) · Public Health Nursing · doi:10.1111/j.1525-1446.1988.tb00555.x · Cited by 15
The Active Interview in Perspective
Holstein, J. A., & Gubrium, J. F. (1995) · Sage eBooks · doi:10.4135/9781412986120.n2 · Cited by 13
Alcohol education for patients: some nurses need persuading
Rowland, N., & Maynard, A. (1989) · Nurse Education Today · doi:10.1016/0260-6917(89)90060-9 · Cited by 13
(2000) · Ambulatory Child Health · doi:10.1046/j.1467-0658.2000.0062b.x · Cited by 9
Alcohol early intervention: a nursing model for screening and intervention strategies.
Arthur, D. (1997) · PubMed · Cited by 7
Health Services Research – What it is, How to Do it, and Why it Matters
Lilford, R. J. (1994) · Health Services Management Research · doi:10.1177/095148489400700401 · Cited by 6
Research works printed but not linked: 8
- Alcohol Concern, 2000, Britain's Ruin
- Babor R., 1992, Project on Identification and Management of Alcohol‐Related Problems. Report on Phase II: A Randomised Clinical Trial of Brief Interventions in Primary Health Care
- Department of Health, 1999, Making A Difference: Strengthening the Nursing, Midwifery and Health Visiting Contribution to Health and Healthcare
- Fry J., 1980, Primary Care
- Le Touze S., 1996, The banding scheme for health promotion in general practice, Health Trends, 28, 100
- Ritchie J., 1994, Analysing Qualitative Data, Chapter 9
- Roman E., 1996, Primary Health Care Workers: Exploring Their Role in Sensible Alcohol Consumption
- Saunders J., 1990, Barriers to Effective Intervention for Alcohol and Drug Problems
Cited by
Sorted by citations
Hasin, D. S., Stinson, F. S., Ogburn, E., & Grant, B. F. (2007) · Archives of General Psychiatry · doi:10.1001/archpsyc.64.7.830 · Cited by 2,908
Johnson, M., Jackson, R., Guillaume, L., Meier, P., & Goyder, E. (2011) · Journal of Public Health · doi:10.1093/pubmed/fdq095 · Cited by 374
Rubio-Valera, M., Pons‐Vigués, M., Martínez-Andrés, M., Moreno-Peral, P., Berenguera, A., & Fernández, A. (2014) · PLoS ONE · doi:10.1371/journal.pone.0089554 · Cited by 229
Brief alcohol intervention—where to from here? Challenges remain for research and practice
Nilsén, P. (2010) · Addiction · doi:10.1111/j.1360-0443.2009.02779.x · Cited by 166
Rosário, F., Santos, M. I., Angus, K., Pas, L., Ribeiro, C., & Fitzgerald, N. (2021) · Implementation Science · doi:10.1186/s13012-020-01073-0 · Cited by 141
“Doctors and nurses own drinking habits UK(2); Norway(1) [77, 87, 89]”
BackgroundMethod
Metadata
- 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review