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Are nurse-conducted brief interventions (NCBIs) efficacious for hazardous or
harmful alcohol use? A systematic review.
Int Nurs Rev. 2014 Jun;61(2):203-10
Authors: Joseph J, Basu D, Dandapani M, Krishnan N
Abstract
AIM: The aim of this study was to compare the efficacy of nurse-conducted brief
interventions in reducing alcohol consumption, by looking at with treatment as
usual compared with other treatments and general physician-delivered brief
interventions within the literature.
BACKGROUND: Globally, the consumption of alcohol is at a worrying level and has
significant effects on health when consumed to excess. Numerous studies have
reported that brief intervention is effective in reducing excessive drinking.
However, evidence on the efficacy of such interventions by nurses is still
inconclusive.
METHODS: We included randomized controlled trials of brief interventions in
which nurses were primarily involved as therapists, and were designed to
achieve a reduction in alcohol consumption and related problems. We used online
searches to locate randomized controlled trials in this area published from
1995 till 2012.
FINDINGS: Eleven trials were found meeting inclusion criteria, comparing
nurse-conducted brief interventions with a control group or with other
treatments. Five trials reported a statistically significant reduction in
alcohol consumption in the intervention group with 6-12-month follow-up period
and two trials concluded that brief interventions delivered by nurses was as
efficacious as by physicians.
IMPLICATIONS FOR NURSING POLICY: The findings of the review have important
policy implications for the preparation of nurses as therapists for brief
interventions to reduce excessive drinking in a broad range of settings such as
primary healthcare and hospital settings. The adoption of this intervention
into contemporary nursing practice should be considered by the International
Council of Nurses and nurses around the world as, according to the literature,
it provides an evidence base for the independent functioning of nurses within
the realms of nursing profession and addiction medicine.
CONCLUSION: The results of the review suggest that nurse-conducted brief
interventions are an effective strategy for reducing alcohol consumption. We
advocate more rigorous randomized controlled trials to underpin its efficacy in
both research and real life scenario.
PMID: 24645911 [PubMed - indexed for MEDLINE]
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Dette abstract er hentet via PubMed fra National Library of Medicine, USA
(http://www.ncbi.nlm.nih.gov/About/disclaimer.html).
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Se abstractet i PubMed: http://evidens.link/1Q2uxJW
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