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Feasibility of alcohol interventions in cardiology: a qualitative study of clinician perspectives in Sweden.
Welfordsson, Paul; Danielsson, Anna-Karin; Björck, Caroline; Grzymala-Lubanski, Bartosz; Hambraeus, Kristina; Lidin, Matthias; Haugen Löfman, Ida; Scheffel Birath, Christina; Nilsson, Olga; Braunschweig, Frieder; Wallhed Finn, Sara.
Afiliación
  • Welfordsson P; Department of Global Public Health, Karolinska Institutet, 113 65 Solna, Sweden.
  • Danielsson AK; Department of Global Public Health, Karolinska Institutet, 113 65 Solna, Sweden.
  • Björck C; Department of Women's and Children's Health, Akademiska sjukhuset, Uppsala University, 752 37 Uppsala, Sweden.
  • Grzymala-Lubanski B; Centre for Research and Development, Region Gävleborg, 801 88 Gävle, Sweden.
  • Hambraeus K; Department of Caring Sciences, University of Gävle, 801 76 Gävle, Sweden.
  • Lidin M; Centre for Research and Development, Region Gävleborg, 801 88 Gävle, Sweden.
  • Haugen Löfman I; Department of Public Health and Clinical Medicine, Umeå University, 907 37 Umeå, Sweden.
  • Scheffel Birath C; Department of Cardiology, Gävle Hospital, 801 88 Gävle, Sweden.
  • Nilsson O; Department of Cardiology, Falun Hospital, 791 82 Falun, Sweden.
  • Braunschweig F; Department of Medicine Solna, Karolinska Institutet, 171 64 Stockholm, Sweden.
  • Wallhed Finn S; Department of Cardiology, Heart and Vascular Center, Karolinska University Hospital, 171 76 Stockholm, Sweden.
Eur J Cardiovasc Nurs ; 23(6): 668-674, 2024 Sep 05.
Article en En | MEDLINE | ID: mdl-38445448
ABSTRACT

AIMS:

This study aimed to identify barriers and facilitators to implementing alcohol screening and brief interventions (SBI) in cardiology services. METHODS AND

RESULTS:

This was a qualitative study. Individual, semi-structured interviews were conducted with 24 clinical cardiology staff (doctors, nurses, and assistant nurses) of varying experience levels and from various clinical settings (high-dependency unit, ward, and outpatient clinic), in three regions of Sweden. Reflexive thematic analysis was used, with deductive coding applying the Capability, Opportunity, Motivation (COM-B) theoretical framework. A total of 41 barriers and facilitators were identified, including 12 related to capability, 9 to opportunity, and 20 to motivation. Four themes were developed (i) uncharted territory, where clinicians expressed a need to address alcohol use but lacked knowledge and a roadmap for implementing SBI; (ii) cardiology as a cardiovascular specialty, where tasks were prioritized according to established roles; (iii) alcohol stigma, where alcohol was reported to be a sensitive topic that staff avoid discussing with patients; and (iv) window of opportunity, where staff expressed potential for implementing SBI in routine cardiology care.

CONCLUSION:

Findings suggest that opportunities exist for early identification and follow-up of hazardous alcohol use within routine cardiology care. Several barriers, including low knowledge, stigma, a lack of ownership, and a greater focus on other risk factors, must be addressed prior to the implementation of SBI in cardiology. To meet current clinical guidelines, there is a need to increase awareness and to improve pathways to addiction care. In addition, there may be a need for clinicians dedicated to alcohol interventions within cardiology services. REGISTRATION OSF (osf.io/hx3ts).
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Estudios de Factibilidad / Investigación Cualitativa Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: Eur J Cardiovasc Nurs Asunto de la revista: ANGIOLOGIA / CARDIOLOGIA / ENFERMAGEM Año: 2024 Tipo del documento: Article País de afiliación: Suecia Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Estudios de Factibilidad / Investigación Cualitativa Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: Eur J Cardiovasc Nurs Asunto de la revista: ANGIOLOGIA / CARDIOLOGIA / ENFERMAGEM Año: 2024 Tipo del documento: Article País de afiliación: Suecia Pais de publicación: Reino Unido