Screening and Following Up Harmful Alcohol Use “… is Not Necessarily Your Primary Focus”: A Qualitative Study Exploring Health Professionals’ Experiences Addressing Harmful Alcohol Use in a Norwegian Hospital
Thomas Tjelta,1 Stig Tore Bogstrand,2– 4 Anners Lerdal,5,6 Linda Elise Couëssurel Wüsthoff,7,8 Hilde Marie Erøy Edvardsen,2 Aud Johannessen1,9 1Faculty of Health and Social Sciences, University of South-Eastern Norway, Porsgrunn, Norway; 2Section of Drug Abuse Research, Department of Forensic Scienc...
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Dove Medical Press
2024-11-01
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| Series: | Journal of Multidisciplinary Healthcare |
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| _version_ | 1846167486626529280 |
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| author | Tjelta T Bogstrand ST Lerdal A Wüsthoff LEC Edvardsen HME Johannessen A |
| author_facet | Tjelta T Bogstrand ST Lerdal A Wüsthoff LEC Edvardsen HME Johannessen A |
| author_sort | Tjelta T |
| collection | DOAJ |
| description | Thomas Tjelta,1 Stig Tore Bogstrand,2– 4 Anners Lerdal,5,6 Linda Elise Couëssurel Wüsthoff,7,8 Hilde Marie Erøy Edvardsen,2 Aud Johannessen1,9 1Faculty of Health and Social Sciences, University of South-Eastern Norway, Porsgrunn, Norway; 2Section of Drug Abuse Research, Department of Forensic Science, Oslo University Hospital, Oslo, Norway; 3Faculty of Health Sciences, Department of Nursing and Health Promotion, Acute and Critical Illness, Oslo Metropolitan University, Oslo, Norway; 4Department of Public Health Science, Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway; 5Department of Interdisciplinary Health Sciences, Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway; 6Department of Research, Lovisenberg Diaconal Hospital, Oslo, Norway; 7Unit for Clinical Research on Addictions, Oslo University Hospital, Oslo, Norway; 8Norwegian Centre for Addiction Research, Institute of Clinical Medicine, University of Oslo, Oslo, Norway; 9The Norwegian National Centre for Ageing and Health, Vestfold Hospital Trust, Tønsberg, NorwayCorrespondence: Thomas Tjelta, Faculty of Health and Social Sciences, University of South-Eastern Norway, Kjølnes Ring 56, Porsgrunn, 3918, Norway, Tel +47 35 95 29 44, Email Thomas.Tjelta@usn.noIntroduction: Alcohol use remains a leading cause of excess mortality and morbidity worldwide, and identifying and following up harmful alcohol use represents a key component of alcohol harm reduction policies. This article explores health professionals’ experiences implementing these policies in a Norwegian hospital.Aim: To explore health professionals’ views and experiences of systematic screening and tailored follow-up of harmful and hazardous alcohol use in a Norwegian hospital.Methods: We conducted semi-structured interviews with 13 specialty registrars and nurses working in the emergency department and observation ward of a hospital in Oslo, Norway. Interviews were carried out between May and December 2022, coded using NVivo v.14 and analyzed thematically.Results: We identified three themes: (i) standardized and clinical assessment, referring to tensions between standardized and clinical alcohol risk assessment; (ii) formal and informal treatment guidelines, encompassing the informal patient care practices enacted in the emergency department and on the wards, and; (iii) training delivery and barriers to implementation, referring to the training penetration rate and identified need for “clear and simple” alcohol treatment guidelines.Conclusion: This study highlights tensions between alcohol-related harm and alcohol-related norms as these pertain to screening and following up harmful and hazardous alcohol use in a Norwegian hospital. Results suggest training should focus on zero alcohol recommendations, the use of assessment tools, the acceptability of screening to patients and “clear and simple” patient follow-up procedures.Keywords: alcohol, brief intervention, health policy, health promotion, screening |
| format | Article |
| id | doaj-art-c4ea51094dff44c28a173a031efa0f45 |
| institution | Kabale University |
| issn | 1178-2390 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Journal of Multidisciplinary Healthcare |
| spelling | doaj-art-c4ea51094dff44c28a173a031efa0f452024-11-14T17:37:43ZengDove Medical PressJournal of Multidisciplinary Healthcare1178-23902024-11-01Volume 175189519897275Screening and Following Up Harmful Alcohol Use “… is Not Necessarily Your Primary Focus”: A Qualitative Study Exploring Health Professionals’ Experiences Addressing Harmful Alcohol Use in a Norwegian HospitalTjelta TBogstrand STLerdal AWüsthoff LECEdvardsen HMEJohannessen AThomas Tjelta,1 Stig Tore Bogstrand,2– 4 Anners Lerdal,5,6 Linda Elise Couëssurel Wüsthoff,7,8 Hilde Marie Erøy Edvardsen,2 Aud Johannessen1,9 1Faculty of Health and Social Sciences, University of South-Eastern Norway, Porsgrunn, Norway; 2Section of Drug Abuse Research, Department of Forensic Science, Oslo University Hospital, Oslo, Norway; 3Faculty of Health Sciences, Department of Nursing and Health Promotion, Acute and Critical Illness, Oslo Metropolitan University, Oslo, Norway; 4Department of Public Health Science, Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway; 5Department of Interdisciplinary Health Sciences, Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway; 6Department of Research, Lovisenberg Diaconal Hospital, Oslo, Norway; 7Unit for Clinical Research on Addictions, Oslo University Hospital, Oslo, Norway; 8Norwegian Centre for Addiction Research, Institute of Clinical Medicine, University of Oslo, Oslo, Norway; 9The Norwegian National Centre for Ageing and Health, Vestfold Hospital Trust, Tønsberg, NorwayCorrespondence: Thomas Tjelta, Faculty of Health and Social Sciences, University of South-Eastern Norway, Kjølnes Ring 56, Porsgrunn, 3918, Norway, Tel +47 35 95 29 44, Email Thomas.Tjelta@usn.noIntroduction: Alcohol use remains a leading cause of excess mortality and morbidity worldwide, and identifying and following up harmful alcohol use represents a key component of alcohol harm reduction policies. This article explores health professionals’ experiences implementing these policies in a Norwegian hospital.Aim: To explore health professionals’ views and experiences of systematic screening and tailored follow-up of harmful and hazardous alcohol use in a Norwegian hospital.Methods: We conducted semi-structured interviews with 13 specialty registrars and nurses working in the emergency department and observation ward of a hospital in Oslo, Norway. Interviews were carried out between May and December 2022, coded using NVivo v.14 and analyzed thematically.Results: We identified three themes: (i) standardized and clinical assessment, referring to tensions between standardized and clinical alcohol risk assessment; (ii) formal and informal treatment guidelines, encompassing the informal patient care practices enacted in the emergency department and on the wards, and; (iii) training delivery and barriers to implementation, referring to the training penetration rate and identified need for “clear and simple” alcohol treatment guidelines.Conclusion: This study highlights tensions between alcohol-related harm and alcohol-related norms as these pertain to screening and following up harmful and hazardous alcohol use in a Norwegian hospital. Results suggest training should focus on zero alcohol recommendations, the use of assessment tools, the acceptability of screening to patients and “clear and simple” patient follow-up procedures.Keywords: alcohol, brief intervention, health policy, health promotion, screeninghttps://www.dovepress.com/screening-and-following-up-harmful-alcohol-use--is-not-necessarily-you-peer-reviewed-fulltext-article-JMDHalcoholbrief interventionhealth policyhealth promotionscreening |
| spellingShingle | Tjelta T Bogstrand ST Lerdal A Wüsthoff LEC Edvardsen HME Johannessen A Screening and Following Up Harmful Alcohol Use “… is Not Necessarily Your Primary Focus”: A Qualitative Study Exploring Health Professionals’ Experiences Addressing Harmful Alcohol Use in a Norwegian Hospital Journal of Multidisciplinary Healthcare alcohol brief intervention health policy health promotion screening |
| title | Screening and Following Up Harmful Alcohol Use “… is Not Necessarily Your Primary Focus”: A Qualitative Study Exploring Health Professionals’ Experiences Addressing Harmful Alcohol Use in a Norwegian Hospital |
| title_full | Screening and Following Up Harmful Alcohol Use “… is Not Necessarily Your Primary Focus”: A Qualitative Study Exploring Health Professionals’ Experiences Addressing Harmful Alcohol Use in a Norwegian Hospital |
| title_fullStr | Screening and Following Up Harmful Alcohol Use “… is Not Necessarily Your Primary Focus”: A Qualitative Study Exploring Health Professionals’ Experiences Addressing Harmful Alcohol Use in a Norwegian Hospital |
| title_full_unstemmed | Screening and Following Up Harmful Alcohol Use “… is Not Necessarily Your Primary Focus”: A Qualitative Study Exploring Health Professionals’ Experiences Addressing Harmful Alcohol Use in a Norwegian Hospital |
| title_short | Screening and Following Up Harmful Alcohol Use “… is Not Necessarily Your Primary Focus”: A Qualitative Study Exploring Health Professionals’ Experiences Addressing Harmful Alcohol Use in a Norwegian Hospital |
| title_sort | screening and following up harmful alcohol use ldquo hellip is not necessarily your primary focus rdquo a qualitative study exploring health professionals rsquo experiences addressing harmful alcohol use in a norwegian hospital |
| topic | alcohol brief intervention health policy health promotion screening |
| url | https://www.dovepress.com/screening-and-following-up-harmful-alcohol-use--is-not-necessarily-you-peer-reviewed-fulltext-article-JMDH |
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