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Screening and brief interventions for hazardous and harmful use of alcohol and other psychoactive substances: How are nurses and midwives involved?

Journal Name:

  • International Journal of Nursing

Publication Year:

  • 2013

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Abstract (Original Language): 
Background: Globally, about two billion people use alcohol and between 172 and 250 million people used illicit drugs at least once in 2007. Harmful alcohol use accounts for 4.5% of the global burden of disease and is responsible for 3.8% of all deaths. Hazardous and harmful drinkers may constitute up to 20% of patients in primary health care in some countries. Given the extent of the problem and the risks of hazardous and harmful substance use to health, nurses and midwives who are the largest group of frontline health workers, are best placed to deliver brief interventions. Methods: This literature review focused on the role of nurses and midwives in both screening and delivering brief interventions. Reviewed were articles published English in data bases British Nursing Index, CINAHL, Medline, PsychInfo and Cochrane databases. Results: The majority of the published literature are reports on participation of nurses and midwives in interventions in study settings. The review showed that nurses and midwives participate in implementing brief interventions and these take place in a broad range of settings such as, in-patient hospitals, obstetrical and sexual health services settings, workplaces, schools and community settings. Furthermore, prospective studies show the effectiveness of nurses and midwives-led interventions. However, there is a lack of evidence of nurses participating in interventions involving older people. Conclusion: The findings provide an important reference point for developing strategies for maximizing the role of nurses and midwives in prevention and treatment of harmful alcohol use and other substances. Priority should be given to training nurses and midwives to using existing tools for screening and implementing interventions. This can be achieved through capacity building during basic and in-service training.
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REFERENCES

References: 

1. World Health Organization (WHO) Global Status Report on Alcohol. World Health Organization, Geneva, 2004. Available from URL: http://www.who.int/substance_abuse/publications/global_status_report_200.... Accessed March 2011.
2. World Health Organization (WHO) Global Health Risks: Mortality and burden of disease attributable to selected major risks. World Health Organization, Geneva, 2009. Available from URL: http://whqlibdoc.who.int/publications/2009/9789241563871_eng.pdf Accessed March 2013.
3. World Health Organization (WHO) Expert Committee on Problems Related to Alcohol Consumption. 2nd report. Technical Report Series 944, World Health Organization, Geneva, 2007.
4. United Nations Office on Drugs and Crime (UNODC).World Health Organization. Principles of Drug Dependence Treatment: Discussion Paper. Geneva: World Health Organization, Geneva, 2008. Available from URL: http://www.who.int/substance_abuse/publications/principles_drug_dependen.... Accessed March 2013.
5. United Nations Office on Drugs and Crime (UNODC). World Drug Report 2009. Available from URL: http://www.unodc.org/documents/wdr/WDR_2008/WDR_2008_eng_web.pdf, Accessed March 2013.
6. European Monitoring Center for Drugs and Drug Addiction (EMCDDA). The state of the drugs problem. Annual Report 2008, Luxembourg
7. Seivewright N, Iqbal M, Bourne H. Treating patients with comorbidities. Bean P & Nemitz (eds), Drug treatment: what works? Cornwall, UK: Routledge, 2004.
8. World Health Organization (WHO) The World Health Report 2006 − Working Together for Health. World Health Organization, Geneva, 2006. Available from URL : http://www.who.int/whr/2006/06_chap1_eng.pdf. Accessed March 2011.
9. Erwing JA. Detecting Alcoholism: The CAGE Questionnaire. Journal of the American Medical Association 1984; 252: 1905-1907.
10. Gavin DR, Ross HE, Skinner HA. Diagnostic Validity of the Drug Abuse Screening Test in the Assessment of DSM-III Drug Disorders. British Journal of The Addiction 1989; 84: 301-307.
11. Babor TF, Higgins-Biddle JC. Brief Intervention for Hazardous and Harmful Drinking. A Manual for Use in Primary Care 2001. World Health Organization, Department of Mental Health and Substance Dependence.
12. Hodgson R, Alwyn T, John B, Thom B, Smith A. The FAST Alcool Screening Test. Alcohol and Alcoholism 2001; 37(1): 61-66.
13. Miller WR, Rollnick S. Motivational interviewing: Preparing people for Change. 2nd edition. New York, NY: Guilford Press, 2002.
14. Littlejohn C, Holloway A. Nursing interventions for preventing alcohol-relatedharm. British Journal of Nursing 2008; 17(1): 53-59.
15. Babor TF, Higgins-Biddle JC, Saunders JB, Montiero MG. AUDIT: The Alcohol Use Disorders Identification Test. 2nd edition 2001. World Health Organization, Department of Mental Health and Substance Dependence.
16. Aalto M, Mattila P, Mustonen H, Ruuth KH, Pulkkinen H, Alho H. Brief intervention for male heavy drinkers in routine general practice: A three-year randomized controlled study. Alcohol and Alcoholism 2001; 36(3): 224-230.
Nkowane AM et al.| Screening and brief interventions for hazardous and harmful use of alcohol and other
psychoactive substances: How are nurses and midwives involved?
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17. Lock CA, Kaner E, Lamont S, Bond S. A qualitative study of nurses’ attitudes and practices regarding brief alcohol intervention in primary health care. Journal of Advanced Nursing 2002; 39(4): 333-342.
18. Holmqvist M, Bendtsen P, Spak F, Rommelsjö A, Geirsson M, Nilsen P. Asking patients about their drinking: A national survey among primary health care physicians and nurses in Sweden. Addictive Behaviors, 2008; 33; 301-314.
19. Karlsson A, Johansson K, Nordqvist C, Bendtsen P. Feasibility of a computerised alcohol screening and personalised written advice in the ED: opportunities and obstacles. Accident and Emergency Nursing 2005; 13(1): 44-53.
20. Nordqvist C, Johansson K, Lindqvist K, Bendtsen P. Attitude changes among emergency department triage staff after conducting routine alcohol screening. Addictive Behaviors 2006; 31(2): 191-202
21. Bendtsen P, Holmqvist M, Johansson K. Implementation of computerisedalcohol screening and advice in an emergency department − a nursing staffperspective. Accident and Emergency Nursing 2007; 15(1): 3-9.
22. Caulker-Burnett I. Primary care screening for substance abuse. Nurse Practitioner 1994; 19(6): 42-48.
23. McPherson TL, Hersch RK. Brief substance use screening instruments for primary care settings: a review. Journal of Substance Abuse Treatment 2000; 18(2): 193-202.
24. Israel Y, Hollander O, Sanchez-Craig M, Booker S. Screening for problem drinking and counseling by the primary care physician nurse team. Alcoholism:Clinical and Experimental Research 1996; 20(8): 1443-1450.
25. McIntosh MC, Leigh G, Baldwin NJ, Marmulak J. Reducing alcohol consumption. Comparing three brief methods in family practice. Canadian Family Physician / Médecin de Famille Canadien1997; 43: 1959.
26. Tomson Y, Romelsjo A, Aberg H. Excessive drinking − Brief intervention by a primary health care nurse: A randomized controlled trial. Scandinavian Journal of Primary Health Care 1998; 16(3): 188-192.
27. Lock CA, Kaner E, Heather N, Doughty J, Crawshaw A, McNamee P et al. Effectiveness of nurse-led brief alcohol intervention: a cluster randomized controlled trial. Journal of Advanced Nursing 2006; 54(4): 426-439.
28. Smith AJ, Hodgson RJ, Bridgeman K, Shepherd JP. A randomized controlled trial of a brief intervention after alcohol-related facial injury. Addiction 2003; 98(1): 43-
29. Goodall CA, Ayoub AF, Crawford A, Smith I, Bowman A, Koppel D. Nurse delivered brief interventions for hazardous drinkers with alcohol-related facial trauma: a prospective randomised controlled trial. The British Journal of Oral and Maxillofacial Surgery 2008; 46(2): 96-101.
30. Oakley F, Ayoub AF, Goodall CA, Crawford A, Smith I, Russell A et al. Delivery of a brief motivational intervention to patients with alcohol-related facial injuries: role for a specialist nurse. The British Journal of Oral and Maxillofacial Surgery 2008; 46(2): 102-106.
31. Daeppen J, Gaume J, Bady P, Yersin B, Calmes J, Givel J et al. Brief alcohol intervention and alcohol assessment do not influence alcohol use in injured patients treated in the emergency department: A randomized controlled clinical trial. Addiction 2007; 102(8): 1224-1233.
32. Dent AW, Weiland TJ, Phillips GA, Lee NK. Opportunistic screening and clinician-delivered brief intervention for high-risk alcohol use among emergency department attendees: a randomized controlled trial. Emergency Medicine Australasia 2008; 20(2): 121-128.
33. Cummings GE, Francescutti LH, Predy G, Cummings G. Health promotion and disease prevention in the emergency department: a feasibility study. Journal of the Canadian Association of Emergency Physicians 2006; 8(2): 100-105.
34. Ragaisis KM. Alcohol screening in the acute care hospital. Journal of Addictions Nursing 2004; 15(4): 171-175.
35. Watson HE (1999) A study of minimal interventions for problem drinkers in acute care settings. International Journal of Nursing Studies; 36(5): 425-434.
36. McManus S, Hipkins J, Haddad P, Guthrie E, Creed F. Implementing an effective intervention for problem drinkers on medical wards. General Hospital Psychiatry 2003; 25(5): 332-337.
37. Holloway AS, Watson HE, Arthur AT, Starr G, McFadyen AK,McIntosh J. The effect of brief interventions on alcohol consumption among heavy drinkers in a general hospital setting. Addiction 2007; 102(11): 1762-1770.
38. Lopez-Bushnell K, Fassler C. Nursing Care of Hospitalized Medical Patients with Addictions. Journal of Addictions Nursing 2004; 15(4): 177-182.
39. Chang G, McNamara TK, Orav EJ, Koby D, Lavigne A, Ludman B. et al. Brief intervention for prenatal alcohol use: a randomized trial. Obstetrics and Gynecology 2005; 105(5): 991-998.
40. Bragg EJ. Pregnant adolescents with addictions. Journal of Obstetric, Gynecologic, and Neonatal Nursing 1997; 26(5): 577-584.
41. Richardson KK. Adolescent pregnancy and substance use. Journal of Obstetric, Gynecologic, and Neonatal Nursing 1999; 28(6): 623-627.
42. Doggett C, Burrett S, Osborn DA. Home visits during pregnancy and after birth for women with an alcohol or drug problem. Cochrane Database of Systematic Reviews 2005; Issue 4, Art CD004456. DOI:10.1002/14651858.CD004456.pub2.
43. Lane J, Proude EM, Conigrave KM, de Boer JP, Haber PS. Nurse-provided screening and brief intervention for risky alcohol consumption by sexual health clinic patients. Sexually Transmitted Infections 2008; 84: 524-527
44. Werch CE, Owen DM, Carlson JM, DiClemente CC, Edgemon P, Moore M. One-year follow-up results of the STARS for Families alcohol prevention program. Health Education Research 2003; 18(1): 74-87
45. Pirskanen M, Laukkanen E, Pietilä A. A formative evaluation to develop a school health nursing early intervention model for adolescent substance use.Public Health Nursing 2007: 24(3): 256-256.
46. Watson HE, Godfrey C, McFadyen A, McArthur K, Stevenson M. Reducingalcohol-related harm in the workplace: a feasibility study of screening and brief interventions for hazardous drinkers. Alcohol Education and Research Council, 2009. Available from URL:http://www.aerc.org.uk/documents/pdfs/finalReports/AERC_FinalReport_0052pdf
Accessed March 2013.
47. Baker A, Kochan N, Dixon J, Heather N, Wodak A. Controlled evaluation of a brief intervention for HIV prevention among injecting drug users not in treatment. AIDS Care 1994; 6(5): 559-570.

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