Assessing for Alcohol Use Disorders in Women: Experiences of Advanced Practice Nurses in Primary Care Settings

Vandermause, Roxanne K.

doi:10.1080/10884600701699347

Cited by 18Substance Abuse Treatment and OutcomesPatient-Provider Communication in HealthcareNursing Roles and Practices

Assessing for Alcohol Use Disorders in Women: Experiences of Advanced Practice Nurses in Primary Care Settings

Vandermause, Roxanne K.·2007·Journal of Addictions Nursing

DOI 10.1080/10884600701699347

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Abstract

Alcohol use disorders (AUD) in women patients are frequently missed in primary care settings. This study explores common assessment practices by advanced practice nurses prescribers (APNPs) in one Midwestern state. Transcribed, in-depth interviews with 23 APNPs were analyzed using Heideggerian hermeneutic research methods. Two patterns emerged from an overarching idea of Becoming Aware: 1) Recognizing Alcohol in Everyday Life and 2) Attending to HERStory. The first pattern revealed ways nurses approach and think about assessing for AUD in women. The second pattern revealed practices of listening and responding to women's unique and complex stories. Findings inform education and practice by raising new questions and suggesting possibilities for education and research.

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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].”
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 [115]
Six pieces of data from 3 qualitative, 1 quantitative and 1 mixed methods studies alluded that both GPs' and nurses' screening activities were influenced by patients' characteristics.
“Six pieces of data from 3 qualitative, 1 quantitative and 1 mixed methods studies alluded that both GPs and nurses screening activities were influenced by patients’ characteristics [41, 51, 74, 105, 115].”
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 [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].”
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 [115]

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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
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 · see citing works
“Richmond [106] 1998 Australia English Post-intervention questionnaire with no control group 272 Poor Roche [107] 1991 Australia English Focus groups 44 Fair Rush [108] 1994 Canada English Cross-sectional 1235 Good Rush [109] 1995 Canada English Focus groups Semi-structured interviews 12 Good Segnan [110] 1992 Italy En…”
BackgroundInfluential

Authors: Vandermause, R. K.
Affiliations: University of Wisconsin–Madison (US)
Corresponding author: Vandermause, Roxanne K.
ORCID: Vandermause, Roxanne K.
Venue: Journal of Addictions Nursing
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2007
Volume: 18
Issue: 4
Pages: 187-198
ISSN: 1088-4602 (ISSN-L)
DOI: 10.1080/10884600701699347
OpenAlex: W2041099102
Cited by: 18
References: 62
Citations by year: 2021: 6 · 2016: 1 · 2012: 3
FWCI: 1.60
Type: journal article
Language: en
Open access: closed
Locations: Journal of Addictions Nursing (publishedVersion)
Topics: Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
Health Sciences › Health Professions › General Health Professions › Nursing Roles and Practices
Keywords: alcoholism, women, alcohol screening, primary care, nurse prescribers, listening and responding, women's health, nursing education

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Assessing for Alcohol Use Disorders in Women: Experiences of Advanced Practice Nurses in Primary Care Settings

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