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  3. Alcohol Withdrawal Assessment Instruments In Acute Care: An Integrative Review.
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  3. Alcohol Withdrawal Assessment Instruments In Acute Care: An Integrative Review.

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Alcohol Withdrawal Assessment Instruments in Acute Care: An Integrative Review.

Alyson Keen1, Carmen R Davis1, Jason Lilly1

  • 1Indiana University Health, Indianapolis, USA.

Journal of the American Psychiatric Nurses Association
|June 4, 2026

View abstract on PubMed

Summary
This summary is machine-generated.

This review evaluated 14 alcohol withdrawal assessment tools for hospital use. Findings help clinicians select instruments with strong psychometric properties and usability for better patient outcomes.

Keywords:
alcohol-related disordersnursing assessmentpsychometricssensitivity and specificitysubstance withdrawal syndrome

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Area of Science:

  • Nursing
  • Clinical Assessment
  • Pharmacology

Background:

  • Alcohol withdrawal is a common and serious hospital condition requiring early detection.
  • Effective assessment tools are crucial for nurses to manage patient withdrawal and prevent severe complications.
  • There is a need for evidence-based recommendations on reliable and valid alcohol withdrawal assessment instruments.

Purpose of the Study:

  • To conduct an integrative review of psychometric testing and usability of alcohol withdrawal assessment tools.
  • To summarize existing evidence on the reliability, validity, and usability of these instruments.
  • To inform clinical practice regarding the selection of appropriate assessment tools.

Main Methods:

  • Utilized the Whittemore & Knafl integrative review methodology.
  • Included studies published in English-speaking countries, involving adult hospital patients, and assessing alcohol withdrawal.
  • Focused on instruments tested for reliability, validity, and/or usability.

    • Main Results:

    • Reviewed 17 articles evaluating 14 distinct alcohol withdrawal assessment instruments.
    • Validity was the most frequently assessed psychometric property (14 studies), followed by reliability and usability (9 studies each).
    • Instruments were tested across various global regions, including the United States, Europe, Canada, and Australia.

    Conclusions:

    • This review provides a comprehensive analysis of the psychometric properties and usability of 14 alcohol withdrawal assessment tools.
    • The findings support informed decision-making for healthcare professionals in selecting instruments tailored to clinical needs.
    • Evidence-based selection of assessment tools can enhance the management of alcohol withdrawal in hospital settings.