Tjelta Thomas, Bogstrand Stig Tore, Lerdal Anners, Wüsthoff Linda Elise Couëssurel, Edvardsen Hilde Marie Erøy, Johannessen Aud
Faculty of Health and Social Sciences, University of South-Eastern Norway, Porsgrunn, Norway.
Section of Drug Abuse Research, Department of Forensic Science, Oslo University Hospital, Oslo, Norway.
J Multidiscip Healthc. 2024 Nov 14;17:5189-5198. doi: 10.2147/JMDH.S475750. eCollection 2024.
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.
To explore health professionals' views and experiences of systematic screening and tailored follow-up of harmful and hazardous alcohol use in a Norwegian hospital.
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.
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.
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.
在全球范围内，饮酒仍然是导致过高死亡率和发病率的主要原因，识别并跟踪有害饮酒行为是减少酒精危害政策的关键组成部分。本文探讨了卫生专业人员在挪威一家医院实施这些政策的经验。
探讨挪威一家医院的卫生专业人员对有害及危险饮酒行为进行系统筛查和针对性跟踪的看法与经验。
我们对挪威奥斯陆一家医院急诊科和观察病房的13名专科住院医生和护士进行了半结构化访谈。访谈于2022年5月至12月期间进行，使用NVivo v.14进行编码并进行主题分析。
我们确定了三个主题：（i）标准化与临床评估，指标准化酒精风险评估与临床酒精风险评估之间的紧张关系；（ii）正式与非正式治疗指南，涵盖急诊科和病房实施的非正式患者护理实践；（iii）培训提供与实施障碍，指培训普及率以及对 “清晰简单” 的酒精治疗指南的明确需求。
本研究凸显了与酒精相关的危害和规范之间的紧张关系，这些关系涉及挪威一家医院对有害及危险饮酒行为的筛查和跟踪。结果表明，培训应侧重于零酒精建议、评估工具的使用、筛查对患者的可接受性以及 “清晰简单 ” 的患者跟踪程序。
