Client engagement with a specialist nurseled alcohol service in primary care

Fernandez, Jeff

doi:10.7748/phc2007.02.17.1.22.c4383

“…A total of 36 studies were agreed upon for inclusion in the literature review (Figure 1). Overall, the final group of publications included nine Randomised Control Trials (Bleijenberg et al., 2016; Harrison et al., 2008; Houweling et al., 2011; Imhof et al., 2012; Jacobs et al., 2007; Murchie et al., 2003; Salisbury et al., 2002; Sande et al., 2020; Williams et al., 2005), nine qualitative studies (Clendon & White, 2001; Lindsay, 2001; Marshall et al., 2011; McNeal, 2019; Mills et al., 2012; Minstrell et al., 2015; Nymberg & Drevenhorn, 2016; Pritchard‐Jones et al., 2015; Sullivan et al., 2022), three evaluation studies (Coddington et al., 2011; Dalton et al., 2023; Fernandez, 2007), four cross sectional studies (Fuller et al., 2020; Kor et al., 2022; Krothe & Clendon, 2006; Miles et al., 2003). In addition, four mixed methods studies were included (Frasso et al., 2017; Hammersley et al., 2022; Hegney et al., 2013; Wong & Chung, 2006), along with two cohort studies (Barello et al., 2022; Harvey et al., 2018), two multi‐methods studies (Hegarty et al., 2013), a needs analysis (Clendon & White, 2001), a case study (Callaghan et al., 2012), a secondary analysis (Bleijenberg et al., 2017) and an action research study (Mills & Fitzgerald, 2008).…”

Section: Resultsmentioning

confidence: 99%

“…Conversely, the term ‘nurse‐led’ has been suggested to be nurses who provide care or perform certain health care actions that others may not be able, do not feel comfortable, or do not want to do. In addition, nurses may ‘absorb’ or take on key elements of other health professional work (Fernandez, 2007; Karimi‐Shahanjarini et al., 2019; Miles et al., 2003; Moulton et al., 2022).…”

Section: Introductionmentioning

confidence: 99%

Nurse‐led clinics in primary health care: A scoping review of contemporary definitions, implementation enablers and barriers and their health impact

Terry,

Hills,

Bradley

et al. 2024

Journal of Clinical Nursing

0

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AimsTo define nurse‐led clinics in primary health care, identify barriers and enablers that influence their successful implementation, and understand what impact they have on patient and population health outcomes.BackgroundNurse‐led clinics definitions remain inconsistent. There is limited understanding regarding what enablers and barriers impact successful nurse‐led clinic implementation and their impact on patient health care.DesignScoping review using narrative synthesis.MethodsPubMed, MEDLINE, Web of Science, Scopus, CINAHL and PsycINFO were searched to identify nurse‐led clinic definitions and models of care between 2000 and 2023. Screening and selection of studies were based on eligibility criteria and methodological quality assessment. Narrative synthesis enabled to communicate the phenomena of interest and follows the PRISMA for Scoping Reviews (PRISMA‐ScR) checklist.ResultsAmong the 36 identified studies, key principles of what constitutes nurse‐led clinics were articulated providing a robust definition. Nurse‐led clinics are, in most cases, commensurate with standard care, however, they provide more time with patients leading to greater satisfaction. Enablers highlight nurse‐led clinic success is achieved through champions, partners, systems, and clear processes, while barriers encompass key risk points and sustainability considerations.ConclusionThe review highlights several fundamental elements are central to nurse‐led clinic success and are highly recommended when developing interventional nurse‐led strategies. Nurse‐led clinics within primary health care seek to address health care through community driven, health professional and policy supported strategies. Overall, a robust and contemporary definition of nurse‐led care and the clinics in which they operate is provided.Relevance to Clinical PracticeThe comprehensive definition, clear mediators of success and the health impact of nurse‐led clinics provide a clear framework to effectively build greater capacity among nursing services within primary health care. This, in addition, highlights the need for good health care policy to ensure sustainability.Patient or Public ContributionNo Patient or Public Contribution.

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Alcohol brief interventions in general practice

Clossick

¹

,

Woodward

²

2014

British Journal of Healthcare Management

0

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Harmful levels of alcohol consumption are a longstanding but continually growing health concern affecting individuals, and consequently populations. Through personalised advice, alcohol brief interventions (ABIs) target drinking habits, which are deemed damaging to health. They are not targeted at dependent drinkers for whom a more intensive and specialist service would be better suited. In response to recent shifts in public-health strategy away from ABIs, and the publication of new trials into their effectiveness, this article evaluates the value of ABIs through the review of eleven relevant studies. Findings suggest that hazardous drinkers did reduce their drinking patterns following ABI, but not more so than control participants who were given standard treatment. The evolution of standard treatment to include thorough screening, non-personalised advice and sometimes literature on alcohol intake delivers an intervention, that is effective in reducing drinking. Therefore, future research and practice should focus on screening methods and quality of standard care rather than on brief interventions.

show abstract

Effectiveness of alcohol brief interventions in general practice

Clossick

¹

,

Woodward

²

2014

View full text Add to dashboard Cite

Harmful levels of alcohol consumption are a longstanding but continually growing health concern affecting individuals, and consequently populations. Through personalised advice, alcohol brief interventions (ABIs) target drinking habits, which are deemed damaging to health. They are not targeted at dependent drinkers for whom a more intensive and specialist service would be better suited. In response to recent shifts in public-health strategy away from ABIs, and the publication of new trials into their effectiveness, this article evaluates the value of ABIs through the review of eleven relevant studies. Findings suggest that hazardous drinkers did reduce their drinking patterns following ABI, but not more so than control participants who were given standard treatment. The evolution of standard treatment to include thorough screening, non-personalised advice and sometimes literature on alcohol intake delivers an intervention, that is effective in reducing drinking. Therefore, future research and practice should focus on screening methods and quality of standard care rather than on brief interventions.

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Client engagement with a specialist nurseled alcohol service in primary care

Cited by 3 publications

References 0 publications

Nurse‐led clinics in primary health care: A scoping review of contemporary definitions, implementation enablers and barriers and their health impact

Nurse‐led clinics in primary health care: A scoping review of contemporary definitions, implementation enablers and barriers and their health impact

Alcohol brief interventions in general practice

Effectiveness of alcohol brief interventions in general practice

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