Tranzo Scientific Center for Care and Wellbeing, Tilburg School of Social and Behavioral Sciences, Tilburg University, PO box 90153, 5000 LE, Tilburg, The Netherlands.
BMC Health Serv Res. 2022 Jan 2;22(1):6. doi: 10.1186/s12913-021-07412-1.
Non-moderated alcohol use is more prevalent among hospitalized patients compared to the general population. However, many hospitals fail to find and intervene with people with alcohol problems. We aimed to conduct an exploration of impeding and facilitating factors experienced by healthcare professionals in implementation of alcohol interventions in Dutch general hospitals. In addition, we explored the alcohol interventions used in the selected hospitals and involved stakeholders.
Through a qualitative study, semi-structured telephone interviews were conducted with twenty healthcare professionals working in or in collaboration with six different general hospitals.
Healthcare professionals indicated impeding and facilitating factors in the areas of motivation, knowledge and skills, patient characteristics, protocol, internal and external collaboration/support, resources, role suitability and societal support. Five different categories of approaches to identify and intervene with non-moderated alcohol use and 18 involved stakeholders from both inside and outside the hospital were found.
Implementation of alcohol interventions for patients in Dutch general hospitals still seems to be in its infancy. Respondents emphasized the importance of one clear protocol on how to tackle alcohol problems within their hospital, repeated training on alcohol-related knowledge and skills, (clinical) "champions" that support healthcare professionals and developing and maintaining collaborations with stakeholders within and outside the hospital.
与普通人群相比，住院患者中非适量饮酒更为普遍。然而，许多医院未能发现并干预有饮酒问题的人群。我们旨在探索荷兰综合医院的医疗保健专业人员在实施酒精干预措施时所面临的阻碍和促进因素。此外，我们还探讨了选定医院中使用的酒精干预措施以及相关利益相关者。
通过定性研究，对六家不同综合医院的二十名从事或与医院合作的医疗保健专业人员进行了半结构式电话访谈。
医疗保健专业人员在动机、知识和技能、患者特征、方案、内部和外部协作/支持、资源、角色适宜性和社会支持等方面指出了阻碍和促进因素。发现了五种不同类别的识别和干预非适量饮酒的方法，以及来自医院内外的 18 个相关利益相关者。
荷兰综合医院为患者实施酒精干预措施似乎仍处于起步阶段。受访者强调了在医院内制定一个明确的处理酒精问题方案、对酒精相关知识和技能进行反复培训、（临床）“拥护者”支持医疗保健专业人员以及发展和维持医院内外利益相关者之间的合作的重要性。
