前线工作人员对在急诊室分发匿名酒精调查的接受度:一项混合方法研究
Journal of addictions nursing
|September 5, 2023
概括
丹麦紧急服务部门的前线工作人员由于道德问题而对分发匿名酒精调查的接受度较低. 这种不情愿可能会阻碍识别患有酒精使用障碍的患者,因为只有15%的调查被返回.
科学领域:
- 公共卫生 公共卫生
- 医疗保健管理的管理
- 药物滥用研究 药物滥用研究
背景情况:
- 紧急诊所 (ED) 是医疗保健的关键接入点,但丹麦对患者的饮酒习惯和工作人员对其进行查的意愿的数据有限.
- 前线医疗保健专业人员,包括注册护士和医务秘书,在ED内患者互动中发挥着至关重要的作用.
研究的目的:
- 确定在丹麦EDS分发的匿名酒精调查的响应率.
- 通过使用酒精使用障碍识别测试 (AUDIT) 来评估ED患者中酒精使用障碍的患病率.
- 探讨在前线ED工作人员中分发调查的可接受性.
主要方法:
- 在2019年3月期间,在两个丹麦ED中采用了一种解释性,顺序性的混合方法设计.
- 基于AUDIT的调查是针对所有符合条件的患者 (≥18岁).
- 描述性统计数据和员工采访的演性内容分析 (n=31) 用于分析.
主要成果:
- 总共有15% (n=1,305) 符合条件的患者返回了调查.
- 23%的受访者在AUDIT中得分≥8,表明潜在的酒精使用障碍.
- 由于对患者匿名性,选择自由和保持非判断性方法的伦理担忧,工作人员表示不愿意.
结论:
- 前线工作人员对患者饮酒的认识似乎不足,可能受到他们对调查分布的担忧的影响.
- 在ED工作人员中,提供匿名酒精调查的接受度很低,反映了ED环境中先前识别的查障碍.
- 调查结果强调了在急诊室实施常规酒精查方面的挑战,并表明需要解决工作人员的担忧,并改善患者对酒精使用障碍的识别.
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