Indiana University School of Nursing, Indianapolis, Indiana, USA.
Subst Abus. 2021;42(4):662-671. doi: 10.1080/08897077.2020.1823549. Epub 2020 Oct 12.
Screening, Brief Intervention, and Referral to Treatment (SBIRT) is an evidence-based intervention for patients with substance use disorders, but this intervention is under-utilized. Little is known about the implementation of SBIRT in acute care facilities. The purpose of this study is to describe implementation of SBIRT by nurses in acute care hospitals. : A qualitative descriptive design was used for this study. Registered nurses who agreed to participate in the study completed a 1:1 interview using a semi-structured interview guide. Interviews were audio recorded and transcribed and then data were analyzed using qualitative content analysis. : When implementing SBIRT in an acute care setting, participants identified several factors that affect implementation. Some nurses felt that it is "one more thing to do" but other nurses feel that it was a "good, simple" screening tool that does not take long to do and can "plant the seeds of change" for patients. Additionally, participants mentioned barriers and facilitators related to the patients' responses to SBIRT and organizational factors. : This study identified several barriers and facilitators to SBIRT implementation related to the nurses, patients, and organization. By understanding the factors that influence implementation, healthcare providers can develop strategies to support effective implementation of SBIRT.
筛查、简短干预和转介治疗（SBIRT）是一种针对物质使用障碍患者的循证干预措施，但这种干预措施的应用不足。关于 SBIRT 在急性护理机构中的实施情况知之甚少。本研究的目的是描述急性护理医院中护士实施 SBIRT 的情况。本研究采用定性描述设计。同意参与研究的注册护士使用半结构化访谈指南完成了 1:1 访谈。访谈进行了录音和转录，然后使用定性内容分析对数据进行分析。在急性护理环境中实施 SBIRT 时，参与者确定了影响实施的几个因素。一些护士认为这是“又要做的一件事”，但其他护士认为这是一个“简单、良好”的筛查工具，不会花费很长时间，并且可以为患者“播下改变的种子”。此外，参与者还提到了与患者对 SBIRT 的反应和组织因素相关的障碍和促进因素。本研究确定了与护士、患者和组织有关的 SBIRT 实施的几个障碍和促进因素。通过了解影响实施的因素，医疗保健提供者可以制定策略来支持 SBIRT 的有效实施。
