Peer-Reviewed Journal Details
Mandatory Fields
Ni Neachtain, E; Conway, Y
International Emergency Nursing
Alcohol misusers and the Emergency Department views of nursing and medical staff
Optional Fields
Alcohol misuse Emergency Department Opinions Attitudes Nurses
‘‘Alcohol misusers and the emergency department- views of nursing and medical staff’’E. Ni Neachtain, Y. ConwayNational University of Ireland Galway, IrelandIntroduction: It is suggested that between 20% and 50% of all presentations to Irish Emergency Departments (ED) are alcohol related, with the figure rising to over 80% at peak weekend periods. An understanding of the views and attitudes of ED staff towards this cohort of patients can lead to improvements in the care provided.Aim and objectives: The aim of this research study was to explore the views of nursing and medical staff towards alcohol misusers who attend the ED of a large regional teaching hospital in the West of Ireland. Methods: A descriptive qualitative approach was selected as the research methodology. Three focus group interviews wereconducted among the nursing and medical staff. Along with demographic data, six pre-set questions were presented to participants on the day of the interviews. The focus group interviews were tape-recorded, transcribed and analysed using Braun and Clarkes (2004) thematic analysis framework. Analysis and results: Three core themes emerged – ED staff perceptions and attitudes towards intoxicated patients, the impact of limited resources on the management of alcohol misusers in the ED and the specific educationalrequirements of staff. Key findings from the study suggest that ED staff have a negative attitude towards this group of patients and feel they draw heavily on staff time and department resources. Nursing staff appeared to consider the impact of alcohol misusers in the ED to be of a greater concern than their medical colleagues. There was concern expressed with regard to the care these clients receive in an ED setting and participants believed that a more holistic and evidence– based approach was required. They proposed the use of Screening and Brief Intervention (SBI) tools, the introduction of alcohol nurse specialists or alcohol liaison nurses, and specialist educationaland training programmes for staff.
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