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