TY - JOUR
T1 - A Feasibility Study to Direct System Level Change for Hospital Patients with Alcohol Use Disorder
AU - Golden, Amber
AU - Buchanan, Lynne
N1 - Publisher Copyright:
© Lippincott Williams & Wilkins.
PY - 2021
Y1 - 2021
N2 - Purpose/Background/Significance The purpose of this feasibility study was to make system level change using motivational interviewing (MI), tailored discharge education, and electronic medical record (EMR) flow sheet intervention in patients with alcohol use disorder (AUD). Alcohol is known to be one of the most commonly misused addictive substances. Methods It is a feasibility study with a descriptive exploratory design of an intervention with MI, tailored discharge education, and EMR flow sheet documentation. Participants were patients with AUD chosen over 3 months from two medical surgical floors. Instruments used were the readiness and confidence rulers (reliability/validity =.84 and.77, respectively). Analysis included descriptive statistics, estimation of effect size, and hypothesis generation. Results Of 14 participants, EMR flow sheet documentation was completed and the mean post readiness and confidence scores were 8.86 (1.167) and 8.07 (1.639), respectively. Conclusion The pre/post confidence scores were statistically significant (p =.095) using the.10 significance level, indicating the intervention was effective in raising the confidence level for behavior change. High scores indicated patients were in contemplation and intending to change. Seven scores increased postintervention suggesting a future hypothesis that MI, tailored education, and EMR flow sheet documentation intervention is feasible for patients with AUD contemplating change in the near future.
AB - Purpose/Background/Significance The purpose of this feasibility study was to make system level change using motivational interviewing (MI), tailored discharge education, and electronic medical record (EMR) flow sheet intervention in patients with alcohol use disorder (AUD). Alcohol is known to be one of the most commonly misused addictive substances. Methods It is a feasibility study with a descriptive exploratory design of an intervention with MI, tailored discharge education, and EMR flow sheet documentation. Participants were patients with AUD chosen over 3 months from two medical surgical floors. Instruments used were the readiness and confidence rulers (reliability/validity =.84 and.77, respectively). Analysis included descriptive statistics, estimation of effect size, and hypothesis generation. Results Of 14 participants, EMR flow sheet documentation was completed and the mean post readiness and confidence scores were 8.86 (1.167) and 8.07 (1.639), respectively. Conclusion The pre/post confidence scores were statistically significant (p =.095) using the.10 significance level, indicating the intervention was effective in raising the confidence level for behavior change. High scores indicated patients were in contemplation and intending to change. Seven scores increased postintervention suggesting a future hypothesis that MI, tailored education, and EMR flow sheet documentation intervention is feasible for patients with AUD contemplating change in the near future.
KW - Alcohol Use Disorder
KW - Motivational Interviewing
KW - Self-Efficacy
KW - Tailored Discharge Education
KW - Transtheoretical Model
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U2 - 10.1097/JAN.0000000000000395
DO - 10.1097/JAN.0000000000000395
M3 - Article
C2 - 34060760
AN - SCOPUS:85107425955
SN - 1088-4602
VL - 32
SP - 95
EP - 106
JO - Journal of Addictions Nursing
JF - Journal of Addictions Nursing
IS - 2
ER -