Project integrate: translating screening and brief interventions for alcohol problems to a community hospital emergency department.
Screening and brief intervention (SBI) for alcohol problems in the emergency department (ED) is effective. The objective of this study was to examine the translation of SBI into a busy community ED environment. The authors assessed key stakeholders views of SBI delivery model, then utilized feedback to adapt model. Adoption of SBI was recorded, with data collected on use of screening tool, and referral for a BI. Model was modified due to physicians' and nursing resistance; physicians only screened and a research assistant (RA) delivered the BI. When the RA was present, screening by ED staff increased from 50% to 71% but returned to 50% after the RA left. An identified opportunity was increased nursing interest after observation of SBI, with 15 nurses trained in SBI after ED intervention concluded. Important barriers to translating SBI to community ED clinical practice exist. However, with additional staff present, high levels of SBI can occur.
Mello
Michael J
MJ
Injury Prevention Center, Rhode Island Hospital, Department of Emergency Medicine, Providence, RI 02903, USA. mjmello@lifespan.org
Baird
Janette
J
Nirenberg
Ted D
TD
Smith
Jennifer C
JC
Woolard
Robert H
RH
Dinwoodie
Robert G
RG
D000437:Alcoholism / Q000175:diagnosis* / Q000628:therapy*; D001291:Attitude of Health Personnel; D004636:Emergency Service, Hospital; D006764:Hospitals, Community; D006801:Humans; D016730:Program Development / Q000706:statistics & numerical data*; D011614:Psychotherapy, Brief / Q000379:methods*