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Sökning: onr:"swepub:oai:DiVA.org:liu-91000" > Feasibility of alco...

  • Welfordsson, PaulDepartment of Global Public Health, Karolinska Institutet , Solna , Sweden (författare)

Feasibility of alcohol interventions in cardiology: A qualitative study of clinician perspectives in Sweden

  • Artikel/kapitelEngelska2024

Förlag, utgivningsår, omfång ...

  • 2024
  • Oxford Academic,2024
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:hig-43883
  • https://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-43883URI
  • https://doi.org/10.1093/eurjcn/zvae033DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:238445448URI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:155216855URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • Aim:To identify barriers and facilitators to implementing alcohol screening and brief interventions (SBI) in cardiology services.Methods and results:Qualitative study. Individual, semi-structured interviews were conducted with 24 clinical cardiology staff (doctors, nurses, assistant nurses) of varying experience levels, and from various clinical settings (high dependency unit, ward, outpatient clinic), in three regions of Sweden. Reflexive thematic analysis was used, with deductive coding applying the Capability, Opportunity, Motivation (COM-B) theoretical framework. A total of 41 barriers and facilitators were identified, including twelve related to capability, nine to opportunity, and 20 to motivation. Four themes were developed: 1. Uncharted territory, where clinicians expressed a need to address alcohol use but lacked knowledge and a roadmap for implementing SBI; 2. Cardiology as a cardiovascular specialty, where tasks were prioritized according to established roles; 3. Alcohol stigma, where alcohol was reported to be a sensitive topic that staff avoid discussing with patients; 4. Window of opportunity, where staff expressed potential for implementing SBI in routine cardiology care.Conclusion:Findings suggest that opportunities exist for early identification and follow-up of hazardous alcohol use within routine cardiology care. Several barriers, including low knowledge, stigma, a lack of ownership, and a greater focus on other risk factors must be addressed prior to the implementation of SBI in cardiology. To meet current clinical guidelines, there is a need to increase awareness and to improve pathways to addiction care. In addition, there may be a need for clinicians dedicated to alcohol interventions within cardiology services.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Danielsson, Anna-KarinKarolinska Institutet (författare)
  • Björck, CarolineHögskolan i Gävle,Med-Vårdvetenskap,Department of Women's and Children's Health, Akademiska sjukhuset, Uppsala University , Uppsala , Sweden;Centre for Research and Development, Region Gävleborg , Gävle , Sweden(Swepub:hig)caebjk (författare)
  • Grzymala-Lubanski, BartoszCentre for Research and Development, Region Gävleborg , Gävle , Sweden;Department of Public Health and Clinical Medicine, Umeå University , Umeå , Sweden;Department of Cardiology, Gävle Hospital , Gävle , Sweden (författare)
  • Hambraeus, KristinaDepartment of Cardiology, Falun Hospital , Falun, Dalarna , Sweden (författare)
  • Lidin, MatthiasDepartment of Medicine Solna, Karolinska Institutet , Stockholm , Sweden;Department of Cardiology, Heart and Vascular Center, Karolinska University Hospital , Stockholm , Sweden (författare)
  • Haugen Löfman, IdaDepartment of Cardiology, Heart and Vascular Center, Karolinska University Hospital , Stockholm , Sweden;Department of Medicine Huddinge, Karolinska Institutet , Stockholm , Sweden (författare)
  • Scheffel Birath, ChristinaStockholm Centre for Dependency Disorders , Sweden (författare)
  • Nilsson, OlgaKarolinska Institutet (författare)
  • Braunschweig, FriederDepartment of Cardiology, Heart and Vascular Center, Karolinska University Hospital , Stockholm , Sweden;Department of Medicine Huddinge, Karolinska Institutet , Stockholm , Sweden (författare)
  • Wallhed Finn, SaraDepartment of Global Public Health, Karolinska Institutet , Solna , Sweden;Stockholm Centre for Dependency Disorders , Sweden;Unit of Clinical Alcohol Research, Institute of Clinical Research, University of Southern Denmark , Odense , Denmark (författare)
  • Karolinska InstitutetDepartment of Global Public Health, Karolinska Institutet , Solna , Sweden (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:European Journal of Cardiovascular Nursing: Oxford Academic1474-51511873-1953

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