Alcohol-intoxicated patients in the emergency department (ED) can be very challenging. That is why nursing staff need different kind of skills to promote effective healthcare to these patients. The aim was to describe nursing staff's self-assessed skills concerning the care of acutely ill alcohol-intoxicated patients in EDs. A descriptive quantitative survey was used to measure Finnish ED nursing staff's ( N = 1220, n = 252) skills in this area. The data were analysed statistically. The staff had the best skills in the care of acutely ill alcohol-intoxicated patients in security and safety issues. The skills related to follow-up treatment were the poorest area. The background factors that had a statistically significant association with the skills were work experience in psychiatric nursing or intoxicant care as well as alcohol use related training. Work experience increases ED staff's skills in alcohol intoxicant care, but with updating education these skills would possibility be better to acquire earlier in a nurse's working career.

Caring for alcohol-intoxicated patients in an emergency department from the nurses' point of view focus on attitudes and skills Background: Healthcare professionals have a key role in detecting health risks from alcohol use. The earlier the alcohol misuse is identified and addressed, the lower the risk of harm and the need for actual drug treatment. Positive attitudes and high motivation on the part of nurses are needed for achieving success in the care of intoxicated patients. Aim: The aim of the study was to describe nurses' skills to care for and attitudes towards the care of patients with alcohol intoxication in emergency departments (EDs). Method: The data were collected from nursing staff who participated in online training related to the care of alcohol-intoxicated patients in the EDs (N = 20, n = 17). As part of the training, nurses wrote two essays. The essays made up the data of this study which were analysed using inductive content analysis. Results: Three main categories emerged from the nurses' descriptions of their skills in caring for and attitudes towards the care of patients with alcohol intoxication: nurse's lack of commitment to intoxicated patient care; nurse's commitment to intoxicated patient care; and nurse's skills in intervention methods. Conclusion: Many different factors influence nurses' commitment or lack of commitment in the care of intoxicated patients. Nurses' attitudes and skills are linked to the success of care of intoxicated patients in ED. Implications for nursing of alcohol-intoxicated patients: Increasing awareness of alcohol-related issues seems to help nurses to understand better the situation of a patient with alcohol intoxication, make their attitudes more positive and help them to use the intervention methods.

The aim of this study was to measure the effectiveness of a web-based education program for nurses’ self-assessed skills concerning the care of alcohol-intoxicated patients in an emergency department. A quasi-experimental design with an intervention and comparison group was used. A quantitative approach was utilized to describe the nurses’ self-assessed skills before and after a web-based education program. Within the resources of the organization that participated in this study, it was possible to deliver the intervention to 20 nurses during one year. All ninety nurses working in the emergency department of one central hospital in Finland were randomly assigned to either the intervention group (n=20) or comparison group (n=25); in both groups, baseline (November 2017) and follow-up (December 2018) surveys were conducted before and after the intervention. The intervention group members showed a statistically significant increase in their self-assessed skills in several sections of the competence scale that was used. This may indicate that the web-based education program had a positive effect on the intervention group’s knowledge and improved their skills to care for alcohol-intoxicated patients.

Aim To report the development and validation of the Nurses’ Skills to Care for Alcohol-Intoxicated Patients in Emergency Department instrument, shortened NSCAIP-ED. Methods: A mixed-methods design was used to develop the instrument. It was used to conduct a survey where ED nurses self-evaluated their skills to care for acutely ill alcohol-intoxicated patients (N = 1220, n = 252). The data were utilised to perform instrument validation using confirmatory factor analysis (CFA) and Cronbach's alpha. Results: The construct validity was tested statistically. The CFA model fit indicators showed mostly acceptable fit (chi-square test p < 0.001; RMSEA 0.079; CFI 0.923; TLI 0.918; SRMR 0.084) and instruments’ scales had well acceptable Cronbach's alpha values (all alphas were in the range of 0.866–0.912). Conclusions: The NSCAIP-ED is a feasible and reliable instrument that can be used when measuring nurses’ skills to care for alcohol-intoxicated patients in the ED. This instrument could be useful for nursing managers in EDs for evaluating their nursing staff's skills in the care area in question, but also for designing continuing education based on the results.