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Published on: January 5, 2018

Simple advice for injured hazardous drinkers: an implementation study.

Alicia Rodríguez-Martos1, Yolanda Castellano, Joan M Salmerón

  • 1Agència de Salut Pública de Barcelona, Pl Lesseps 1, Barcelona, Spain. amartos@aspb.es

Alcohol and Alcoholism (Oxford, Oxfordshire)
|August 4, 2007
PubMed
Summary

Implementing hazardous drinker screening in emergency departments (EDs) showed good nurse compliance but low patient identification rates. The program was perceived as a work overload, highlighting barriers to brief interventions in emergency settings.

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Area of Science:

  • Emergency Medicine
  • Public Health
  • Addiction Science

Background:

  • Screening for hazardous alcohol consumption is crucial for early intervention.
  • Emergency departments (EDs) are potential settings for identifying at-risk individuals.
  • Integrating new procedures into routine ED practice without additional staff presents challenges.

Purpose of the Study:

  • To assess the feasibility of implementing a hazardous drinker screening and intervention protocol in an ED setting.
  • To evaluate the process without increasing emergency department staffing levels.

Main Methods:

  • A four-stage implementation process (exploration, adoption, installation, initial implementation) was used in two hospitals.
  • Emergency nurses screened male patients over 15 with traffic injuries using a 5-question tool (AUDIT-C plus recent drinking).
  • Hazardous drinkers and intoxicated drivers received brief advice; implementation was evaluated via patient forms and staff surveys.

Main Results:

  • The 27-week study found good nurse knowledge and compliance, but only 25% of eligible patients were identified.
  • Brief advice was delivered to 94.7% of identified hazardous drinkers.
  • While nurses were comfortable with interventions, 75% found it a work overload, and only 21% deemed it feasible for the ED.

Conclusions:

  • The ED environment presents significant obstacles to the successful implementation of brief alcohol interventions.
  • Further strategies are needed to overcome barriers and improve the identification and intervention rates for hazardous drinkers in emergency settings.