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Feasibility of alco...
Feasibility of alcohol interventions in cardiology : a qualitative study of clinician perspectives in Sweden
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- Welfordsson, Paul (author)
- Karolinska Institutet,Department of Global Public Health, Karolinska Institutet, Solna, Sweden
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- Danielsson, Anna-Karin (author)
- Karolinska Institutet,Department of Global Public Health, Karolinska Institutet, Solna, Sweden
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- Björck, Caroline (author)
- Högskolan 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; Department of Caring Sciences, University of Gävle, Gävle, Sweden
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- Grzymala-Lubanski, Bartosz (author)
- Umeå universitet,Institutionen för folkhälsa och klinisk medicin,Centre 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
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- Hambraeus, Kristina (author)
- Department of Cardiology, Falun Hospital , Falun, Dalarna , Sweden
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- Lidin, Matthias (author)
- Karolinska Institutet,Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden; Department of Cardiology, Heart and Vascular Center, Karolinska University Hospital, Stockholm, Sweden
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- Haugen Löfman, Ida (author)
- Karolinska Institutet,Department of Cardiology, Heart and Vascular Center, Karolinska University Hospital, Stockholm, Sweden; Department of Medicine Huddinge, Karolinska Institutet, Stockholm, Sweden
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- Scheffel Birath, Christina (author)
- Centre for Dependency Disorders, Stockholm, Sweden
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- Nilsson, Olga (author)
- Karolinska Institutet,Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden; Department of Vascular Surgery, Karolinska University Hospital, Stockholm, Sweden
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- Braunschweig, Frieder (author)
- Karolinska Institutet,Department of Cardiology, Heart and Vascular Center, Karolinska University Hospital, Stockholm, Sweden; Department of Medicine Huddinge, Karolinska Institutet, Stockholm, Sweden
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- Wallhed Finn, Sara (author)
- Karolinska Institutet,Department of Global Public Health, Karolinska Institutet, Solna, Sweden; Centre for Dependency Disorders, Stockholm, Sweden; Unit of Clinical Alcohol Research, Institute of Clinical Research, University of Southern Denmark, Odense, Denmark
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(creator_code:org_t)
- 2024
- 2024
- English.
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In: European Journal of Cardiovascular Nursing. - : Oxford University Press. - 1474-5151 .- 1873-1953.
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Abstract
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- Aims: This study aimed to identify barriers and facilitators to implementing alcohol screening and brief interventions (SBI) in cardiology services.Methods and results: This was a qualitative study. Individual, semi-structured interviews were conducted with 24 clinical cardiology staff (doctors, nurses, and assistant nurses) of varying experience levels and from various clinical settings (high-dependency unit, ward, and 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 12 related to capability, 9 to opportunity, and 20 to motivation. Four themes were developed: (i) uncharted territory, where clinicians expressed a need to address alcohol use but lacked knowledge and a roadmap for implementing SBI; (ii) cardiology as a cardiovascular specialty, where tasks were prioritized according to established roles; (iii) alcohol stigma, where alcohol was reported to be a sensitive topic that staff avoid discussing with patients; and (iv) 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.Registratio:n OSF (osf.io/hx3ts).
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Keyword
- Alcohol
- Cardiology
- Feasibility
- Implementation
- Intervention
- Screening
Publication and Content Type
- ref (subject category)
- art (subject category)
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Welfordsson, Pau ...
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Danielsson, Anna ...
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Björck, Caroline
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Grzymala-Lubansk ...
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Hambraeus, Krist ...
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Lidin, Matthias
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Haugen Löfman, I ...
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Scheffel Birath, ...
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Nilsson, Olga
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Braunschweig, Fr ...
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Wallhed Finn, Sa ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cardiac and Card ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Public Health Gl ...
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European Journal ...
- By the university
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Umeå University
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University of Gävle
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Karolinska Institutet