A1 Vertaisarvioitu alkuperäisartikkeli tieteellisessä lehdessä
The Care of the Patients With Alcohol Intoxication in the Emergency Department of a Central Hospital Nurses' Skills, Knowledge, and Attitudes
Tekijät: Hakala Tiina, Kylmä Jari, Paavilainen Eija, Koivunen Marita
Kustantaja: LIPPINCOTT WILLIAMS & WILKINS
Julkaisuvuosi: 2020
Journal: Journal of Addictions Nursing
Tietokannassa oleva lehden nimi: JOURNAL OF ADDICTIONS NURSING
Lehden akronyymi: J ADDICT NURS
Vuosikerta: 31
Numero: 3
Aloitussivu: 146
Lopetussivu: 152
Sivujen määrä: 7
ISSN: 1088-4602
eISSN: 1548-7148
DOI: https://doi.org/10.1097/JAN.0000000000000345
Tiivistelmä
Aim The aim of the study was to describe nurses' skills, knowledge of care, and attitudes toward the care of patients with alcohol intoxication in the emergency department. Method The data were collected using theme interviews in 2016. The study participants were nurses working in the emergency department (n= 6) that has a sobering unit. The data were analyzed using inductive content analysis. Results On the basis of the interviewees' descriptions, five main categories were formed: the skills to discuss the use of alcohol on arrival, safety skills, teamwork skills, the skills to organize follow-up care, and nurses' attitudes and ethics in patients' care. Asking about the use of alcohol as well as the use of a screening tool varied. The interviewees emphasized the skills to anticipate the risk of violence as well as ensuring the safety of the working environment. Nurses' attitudes were seen as the ability to regulate negative emotions raised by the patient. Factors related to nurses' attitudes emerged in patients' behavioral disorders and commitment to treatment. Despite some negative feelings toward patients, nurses thought that it is important to ensure ethicality in patients' care. Conclusions The nurses' skills and knowledge of care and attitudes toward patients with alcohol intoxication varied. There is a need for additional training on issues relating to the treatment of patients with alcohol intoxication.
Aim The aim of the study was to describe nurses' skills, knowledge of care, and attitudes toward the care of patients with alcohol intoxication in the emergency department. Method The data were collected using theme interviews in 2016. The study participants were nurses working in the emergency department (n= 6) that has a sobering unit. The data were analyzed using inductive content analysis. Results On the basis of the interviewees' descriptions, five main categories were formed: the skills to discuss the use of alcohol on arrival, safety skills, teamwork skills, the skills to organize follow-up care, and nurses' attitudes and ethics in patients' care. Asking about the use of alcohol as well as the use of a screening tool varied. The interviewees emphasized the skills to anticipate the risk of violence as well as ensuring the safety of the working environment. Nurses' attitudes were seen as the ability to regulate negative emotions raised by the patient. Factors related to nurses' attitudes emerged in patients' behavioral disorders and commitment to treatment. Despite some negative feelings toward patients, nurses thought that it is important to ensure ethicality in patients' care. Conclusions The nurses' skills and knowledge of care and attitudes toward patients with alcohol intoxication varied. There is a need for additional training on issues relating to the treatment of patients with alcohol intoxication.
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