Screening, brief intervention and referral to treatment (SBIRT) training for nurses in acute care settings: Lessons learned

Schwindt, Rhonda; Agley, Jon; Newhouse, Robin; Ferren, Melora

doi:10.1016/j.apnr.2019.05.014

Cited by 5 publications

(5 citation statements)

References 15 publications

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“…The bMI applied in this study is easily integrated into clinical practice. The application of this intervention by nursing and midwifery through its integration into the usual care of mothers and babies could be feasible and easily achievable since it only requires an investment in the specific training of professionals 73 . Increasing the duration of BF could have an important impact on public health due to the associated benefits, such as the reduction in infant and female morbidity and mortality 22 , 23 , to which could be added a reduction in the burden of disease associated with PPD.…”

Section: Discussionmentioning

confidence: 99%

“…Increasing the duration of BF could have an important impact on public health due to the associated benefits, such as the reduction in infant and female morbidity and mortality 22 , 23 , to which could be added a reduction in the burden of disease associated with PPD. This approach could make the widespread implementation of programs to promote BF through bMI a cost–benefit practice, as has occurred in other clinical settings 73 .…”

Section: Discussionmentioning

confidence: 99%

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A randomised controlled trial evaluating the effect of a brief motivational intervention to promote breastfeeding in postpartum depression

Franco‐Antonio

Santano‐Mogena

Chimento‐Díaz

et al. 2022

Sci Rep

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Postpartum depression (PPD) is the most frequent psychiatric complication during the postnatal period. According to existing evidence, an association exists between the development of PPD and the maintenance of breastfeeding. A brief motivational intervention (bMI), based on the motivational interview, seems effective in promoting breastfeeding. The objective of this study was to analyse the impact of a bMI aiming to promote breastfeeding on the development of PPD and explore the mediating/moderating roles of breastfeeding and breastfeeding self-efficacy in the effect of the intervention on developing PPD. Eighty-eight women who gave birth by vaginal delivery and started breastfeeding during the immediate postpartum period were randomly assigned to the intervention group (bMI) or control group (breastfeeding education). Randomisation by minimisation was carried out. The breastfeeding duration was longer in the intervention group (11.06 (± 2.94) weeks vs 9.02 (± 4.44), p = 0.013). The bMI was associated with a lower score on the Edinburgh Postnatal Depression Scale, with a regression β coefficient of − 2.12 (95% CI − 3.82; − 0.41). A part of this effect was mediated by the effect of the intervention on the duration of breastfeeding (mediation/moderation index β = − 0.57 (95% CI − 1.30; − 0.04)). These findings suggest that a bMI aiming to promote breastfeeding has a positive impact preventing PPD mainly due to its effectiveness in increasing the duration of breastfeeding.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A randomised controlled trial evaluating the effect of a brief motivational intervention to promote breastfeeding in postpartum depression

Franco‐Antonio

Santano‐Mogena

Chimento‐Díaz

et al. 2022

Sci Rep

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“…SCs completed an eight-hour training session focused on SBIRT delivery and implementation strategies. (16) Within the context of the larger parent study, a semi-structured interview guide was used to capture the 14 SCs' experiences pertaining to barriers, facilitators, and outcomes of SBIRT implementation. The SQUIRE 2.0 Revised Standards for Quality Improvement Reporting Excellence were used for reporting.…”

Section: Methodsmentioning

confidence: 99%

Perceptions of the Barriers, Facilitators, Outcomes, and Helpfulness of Strategies to Implement Screening, Brief Intervention, and Referral to Treatment in Acute Care

Keen

Thoele

Oruche

et al. 2021

Preprint

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Background: Screening, Brief Intervention, and Referral to Treatment (SBIRT) is an evidence-based clinical intervention used to reduce alcohol and illicit drug use. SBIRT use has resulted in positive health and social outcomes; however, SBIRT implementation remains low. Research on implementing evidence-based interventions, such as SBIRT, lacks information about challenges and successes related to implementation. The Expert Recommendations for Implementing Change (ERIC) provides a framework to guide comprehension, clarity, and relevance of strategies available for implementation research. This framework was applied to qualitative feedback gathered from site coordinators (SCs) leading SBIRT implementation. The purpose of this study was to describe the SCs’ experiences pertaining to SBIRT implementation across a health system. Methods: Within the context of a larger parent study, a semi-structured interview guide was used to capture 14 SCs’ perceptions of the barriers, facilitators, and outcomes pertaining to SBIRT implementation. This qualitative data was analyzed using standard content analytic procedures. A follow-up survey was developed based on 14 ERIC strategies identified from qualitative data and was administered electronically to determine the SC’s perceptions of the most helpful implementation strategies on a scale of 1 (least helpful) to 5 (most helpful). Results: All 14 invited SCs participated in the SBIRT implementation interview, and 11 of 14 (79%) responded to the follow-up survey. Within the categories of barriers, facilitators, and outcomes, 25 subthemes emerged. The most helpful ERIC implementation strategies were purposely reexamining the implementation (M=4.38; n=8), providing ongoing consultation (M=4.13; n=8), auditing and providing feedback (M=4.1; n=10), developing education materials (M=4.1; n=10), identifying and preparing champions (M=4; n=7), and tailoring strategies (M=4; n=7). Conclusion: SCs who led implementation efforts within a large healthcare system identified several barriers and facilitators to the implementation of SBIRT. Additionally, they identified clinician-related outcomes associated with SBIRT implementation into practice as well as strategies that were helpful in the implementation process. This information can inform the implementation of SBIRT and other interventions in acute care settings.

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“…Additionally, nurses are taught to screen for TUD, provide a brief intervention, and refer the patient to treatment (i.e., screening, brief intervention, and referral to treatment [SBIRT]; Schwindt et al, 2019). The TF discussed the possible unintended outcomes of this approach.…”

Section: Processesmentioning

confidence: 99%

Developing Competency-Based Nursing Treatment for Persons With Tobacco Use Disorder

Essenmacher

Baird²,

Houfek

et al. 2021

J Am Psychiatr Nurses Assoc

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Background: Tobacco continues to have a deleterious impact on health outcomes in the United States. Professional nurses at all levels of practice have an opportunity to be a part of the solution. The development of nurse-specific competencies for treating tobacco use disorder (TUD) disorder is long overdue. A task force of American Psychiatric Nurses Association (APNA) subject matter experts was assembled to engage in the process of reviewing the available peer-reviewed literature and additional evidence-based resources (e.g., professional organization position statement, toolkits, national survey results) to create the Nursing Competencies for Treating Tobacco Use Disorders. Objective: The aim of this article is ultimately to improve patient access to quality, evidence-based TUD nursing care by all nurses who are competent, full partners in TUD multidisciplinary care. Method: Search terms were defined and a scoping search and review of the TUD literature and resources was performed from November 2018 to November 2020. Results: Over 300 articles and evidence-based resources (e.g., professional organization position statements, toolkits, etc.) were discovered. Thirteen competencies were developed and were internally and externally reviewed prior to APNA Board of Director’s approval. Conclusion: TUD competencies have the potential to guide nursing education, practice, and research, allowing nurses to be full partners in the design, development, and implementation of effective TUD treatment.

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Screening, brief intervention and referral to treatment (SBIRT) training for nurses in acute care settings: Lessons learned

Cited by 5 publications

References 15 publications

A randomised controlled trial evaluating the effect of a brief motivational intervention to promote breastfeeding in postpartum depression

A randomised controlled trial evaluating the effect of a brief motivational intervention to promote breastfeeding in postpartum depression

Perceptions of the Barriers, Facilitators, Outcomes, and Helpfulness of Strategies to Implement Screening, Brief Intervention, and Referral to Treatment in Acute Care

Developing Competency-Based Nursing Treatment for Persons With Tobacco Use Disorder

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