ERIC Number: EJ857108
Record Type: Journal
Publication Date: 2009
Pages: 7
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-0889-7077
EISSN: N/A
Project Integrate: Translating Screening and Brief Interventions for Alcohol Problems to a Community Hospital Emergency Department
Mello, Michael J.; Baird, Janette; Nirenberg, Ted D.; Smith, Jennifer C.; Woolard, Robert H.; Dinwoodie, Robert G.
Substance Abuse, v30 n3 p223-229 2009
Screening and brief intervention (SBI) for alcohol problems in the emergency department (ED) is effective. The objective of this study was to examine the translation of SBI into a busy community ED environment. The authors assessed key stakeholders views of SBI delivery model, then utilized feedback to adapt model. Adoption of SBI was recorded, with data collected on use of screening tool, and referral for a BI. Model was modified due to physicians' and nursing resistance; physicians only screened and a research assistant (RA) delivered the BI. When the RA was present, screening by ED staff increased from 50% to 71% but returned to 50% after the RA left. An identified opportunity was increased nursing interest after observation of SBI, with 15 nurses trained in SBI after ED intervention concluded. Important barriers to translating SBI to community ED clinical practice exist. However, with additional staff present, high levels of SBI can occur. (Contains 1 figure.)
Descriptors: Research Assistants, Intervention, Physicians, Nurses, Alcoholism, Screening Tests, Medical Services, Stakeholders, Feedback (Response), Referral, Models, Counseling, Hospitals
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Publication Type: Journal Articles; Reports - Evaluative
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Grant or Contract Numbers: N/A