|
(1)
|
Tell me about what you have experienced with respect to alcohol use in your patients.
|
| |
Probes:
|
|
- What are the biggest issues and needs?
|
|
(2)
|
How is unhealthy alcohol use typically addressed on your units?
|
| |
Probes:
|
|
- What formal protocols/procedures/pathways are currently in place? Do other informal processes/practices exist?
|
|
(3)
|
Who currently bears responsibility for addressing unhealthy alcohol use? What is nursing’s current role and set of responsibilities?
|
|
Introducing the idea of alcohol screening, brief intervention (BI), and referral to treatment (RT)
|
|
Viewing of 6-minute BI demonstration video [36]
|
|
(4)
|
Is there a role for this type of alcohol screening and intervention in the inpatient care setting?
|
| |
Probes:
|
|
- What would it look like?
|
|
- How could it be incorporated into the inpatient setting?
|
|
--How might it need to be tailored/modified?
|
|
(5)
|
What do you see as the nurse’s role in alcohol screening, intervention, and referral?
|
|
Facilitators & barriers to performing alcohol screening, BI, and RT in the inpatient care setting
|
|
(6)
|
What are some of the potential facilitators of nurses doing alcohol screening in the inpatient setting, i.e., features of the inpatient setting, the nurse-patient relationship, your particular unit, or the VA in general that lend themselves well to alcohol screening for hospital inpatients?
|
|
(7)
|
What are some of the major barriers facing nurses when it comes to doing alcohol screening in the inpatient setting?
|
|
(8)
|
Let’s think about the facilitators and barriers to the next dimension of care, that is, brief interventions. What are the facilitators of nurses conducting brief interventions in the inpatient setting?
|
|
(9)
|
And what are some of the major barriers facing nurses when it comes to potentially doing brief interventions in the inpatient setting?
|
| |
Probes:
|
|
- Other providers in other settings have reported:
|
|
Lack of knowledge, skills, training, experience
|
|
Lack of time, resources
|
|
Role responsibility issues (not my role/job)
|
|
Lack of role support
|
|
Lack of colleague, administrative, institutional, clerical support
|
|
Potential privacy issues/threat to patient-provider relationship
|
|
Don’t like these patients
|
|
(10)
|
Finally, are there certain facilitators and barriers to nurses making referrals to treatment in the inpatient setting?
|
|
Concluding questions
|
|
(11)
|
Is there anything else that we didn’t talk about today that you think is important for us to know? Is there anything you would like to add?
|
