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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.
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.
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.
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