Advertisement

Alcohol guideline awareness and beliefs among Australian nurses: A mixed-methods study

Published:November 25, 2022DOI:https://doi.org/10.1016/j.colegn.2022.11.003

      Abstract

      Background

      Nurses have an important role in detection and intervention for those with problematic alcohol consumption. To reduce the societal burden of alcohol consumption, the Australian guidelines to reduce the health risks from drinking alcohol were revised in 2020.

      Aim

      To report on nurse awareness of the revised alcohol guidelines and explore nurses’ beliefs around the revised alcohol guidelines.

      Methods

      A sequential mixed-methods approach used convenience sampling to recruit a national sample of Australian nurses to complete an online survey to assess guideline awareness. Qualitative in-depth interviews (n = 42) were used to explore nurses’ education, beliefs, and awareness of the revised alcohol guidelines. Descriptive statistics were used to analyse survey responses, and qualitative data were analysed using structural coding.

      Findings

      Only 8.8% (n = 101) of 1,145 nurse respondents correctly selected the current alcohol guidelines from four choices. Qualitative analyses suggest nurses poor understanding of the revised guidelines can be attributed to deficiencies in education and training on the new guidelines.

      Discussion

      Responses reflect those of the general community, indicating poor awareness of the 2020 revised alcohol consumption guidelines. Beliefs that guidelines were too strict were mentioned by nurses. Mapping findings to the Theoretical Domains Framework Behaviour Change Taxonomy suggested strategies to implement the guidelines into clinical practice include education and training, organisational support, and role modelling.

      Conclusion

      Nurses must use contemporary guidelines and practices to reduce the health risks from alcohol. We suggest tailored education strategies for nurses including role modelling of guidelines in clinical practice, organisational support, and education to improve awareness and application.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Collegian
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Ashley C.
        • Halcomb E.
        • James S.
        • Calma K.
        • Stephen C.
        • McInnes S.
        • et al.
        The impact of COVID-19 on the delivery of care by Australian primary health care nurses.
        Health & Social Care in the Community. 2022; 30: e2670-e2677https://doi.org/10.1111/hsc.13710
        • Atkins L.
        • Francis J.
        • Islam R.
        • O'Connor D.
        • Patey A.
        • Ivers N.
        • et al.
        A guide to using the Theoretical Domains Framework of behaviour change to investigate implementation problems.
        Implementation Science. 2017; 12: 77https://doi.org/10.1186/s13012-017-0605-9
      1. Australian Bureau of Statistics. (2022). Sample Size Calculator. Retrieved 4/5/2022 from https://www.abs.gov.au/websitedbs/d3310114.nsf/home/sample+size+calculator

      2. Australian Government Department of Health. (2022). Health Workforce Data: National Health Workforce Dataset. http://hwd.health.gov.au

      3. Australian Institute of Health and Welfare. (2020a). Alcohol, Tobacco and Other Drugs in Australia: Impacts of COVID-19 on Alcohol and Other Drug Use. https://www.aihw.gov.au/reports/alcohol/alcohol-tobacco-other-drugs-australia/contents/impact-of-covid-19-on-alcohol-and-other-drug-use

      4. Australian Institute of Health and Welfare. (2020b). Australia's Health: 2020 Data Insights. AIHW. https://www.aihw.gov.au/reports/australias-health/australias-health-2020-data-insights/contents/summary

        • Babor T.F.
        • Higgins-Biddle J.C.
        • Saunders J.B.
        • Monteiro M.G.
        AUDIT: The alcohol use disorders identification test.
        World Health Organization, 2001
        • Bade R.
        • Simpson B.S.
        • Ghetia M.
        • Nguyen L.
        • White J.M.
        • Gerber C.
        Changes in alcohol consumption associated with social distancing and self-isolation policies triggered by COVID-19 in South Australia: a wastewater analysis study.
        Addiction. 2021; 116: 1600-1605https://doi.org/10.1111/add.15256
        • Bowring A.L.
        • Gold J.
        • Dietze P.
        • Gouillou M.
        • Van Gemert C.
        • Hellard M.E.
        Know your limits: awareness of the 2009 Australian alcohol guidelines among young people.
        Drug and Alcohol Review. 2012; 31: 213-223https://doi.org/10.1111/j.1465-3362.2011.00409.x
        • Callinan S.
        • Mojica-Perez Y.
        • Wright C.J.C.
        • Livingston M.
        • Kuntsche S.
        • Laslett A.-M.
        • et al.
        Purchasing, consumption, demographic and socioeconomic variables associated with shifts in alcohol consumption during the COVID-19 pandemic.
        Drug and Alcohol Review. 2021; 40: 183-191https://doi.org/10.1111/dar.13200
        • Callinan S.
        • Smit K.
        • Mojica-Perez Y.
        • D'Aquino S.
        • Moore D.
        • Kuntsche E.
        Shifts in alcohol consumption during the COVID-19 pandemic: early indications from Australia.
        Addiction. 2021; 116: 1381-1388https://doi.org/10.1111/add.15275
        • Cane J.
        • O'Connor D.
        • Michie S.
        Validation of the theoretical domains framework for use in behaviour change and implementation research.
        Implementation Science. 2012; 7: 37https://doi.org/10.1186/1748-5908-7-37
        • Conigrave K.M.
        • Ali R.L.
        • Armstrong R.
        • Chikritzhs T.N.
        • d'Abbs P.
        • Harris M.F.
        • et al.
        Revision of the Australian guidelines to reduce health risks from drinking alcohol.
        Medical Journal of Australia. 2021; 215: 518-524https://doi.org/10.5694/mja2.51336
        • Corder G.W.
        • Foreman D.I.
        Nonparametric statistics for non-statisticians: a step-by-step approach. Wiley, New Jersey2011https://doi.org/10.1002/9781118165881
        • Crosland P.
        • Ananthapavan J.
        • Davison J.
        • Lambert M.
        • Carter R.
        The health burden of preventable disease in Australia: a systematic review.
        Australian and New Zealand Journal of Public Health. 2019; 43: 163-170https://doi.org/10.1111/1753-6405.12882
        • Gerrish K.
        • McDonnell A.
        • Nolan M.
        • Guillaume L.
        • Kirshbaum M.
        • Tod A.
        The role of advanced practice nurses in knowledge brokering as a means of promoting evidence-based practice among clinical nurses.
        Journal of Advanced Nursing. 2011; 67: 2004-2014https://doi.org/10.1111/j.1365-2648.2011.05642.x
        • Gray-Phillip G.
        • Huckle T.
        • Callinan S.
        • Parry C.D.H.
        • Chaiyasong S.
        • Cuong P.V.
        • et al.
        Availability of alcohol: Location, time and ease of purchase in high- and middle-income countries: data from the International Alcohol Control Study.
        Drug and Alcohol Review. 2018; 37: S36-S44https://doi.org/10.1111/dar.12693
        • Haber P.S.
        • Riordan B.C.
        • Winter D.T.
        • Barrett L.
        • Saunders J.
        • Hides L.
        • et al.
        New Australian guidelines for the treatment of alcohol problems: an overview of recommendations.
        Medical Journal of Australia. 2021; 215: S3-S32https://doi.org/10.5694/mja2.51254
        • Halcomb E.
        • Fernandez R.
        • Ashley C.
        • McInnes S.
        • Stephen C.
        • Calma K.
        • et al.
        The impact of COVID-19 on primary health care delivery in Australia.
        Journal of Advanced Nursing. 2021; 78: 1327-1336https://doi.org/10.1111/jan.15046
        • Indig D.
        • Copeland J.
        • Conigrave K.M.
        • Rotenko I.
        Attitudes and beliefs of emergency department staff regarding alcohol-related presentations.
        International Emergency Nursing. 2009; 17: 23-30https://doi.org/10.1016/j.ienj.2008.08.002
        • Lekan D.
        • Hendrix C.C.
        • McConnell E.S.
        • White H.
        The Connected Learning Model for disseminating evidence-based care practices in clinical settings.
        Nurse Education in Practice. 2010; 10: 243-248https://doi.org/10.1016/j.nepr.2009.11.013
        • Lunnay B.
        • Foley K.
        • Meyer S.B.
        • Warin M.
        • Wilson C.
        • Olver I.
        • et al.
        Alcohol consumption and perceptions of health risks during COVID-19: a qualitative study of middle-aged women in South Australia.
        Frontiers in Public Health. 2021; 9: 616870https://doi.org/10.3389/fpubh.2021.616870
        • Michie S.
        • Richardson M.
        • Johnston M.
        • Abraham C.
        • Francis J.
        • Hardeman W.
        • et al.
        The behavior change technique taxonomy (v1) of 93 hierarchically clustered techniques: building an international consensus for the reporting of behavior change interventions.
        Annals of Behavioral Medicine. 2013; 46: 81-95https://doi.org/10.1007/s12160-013-9486-6
        • Namey E.
        • Guest G.
        • Thairu L.
        • Johnson L.
        Data reduction techniques for large qualitative data sets.
        in: Macqueen K. Guest G. Handbook for team-based qualitative research. AltaMira Press, 2008: 137-161
        • National Health and Medical Research Council
        Australian guidelines to reduce health risks from drinking alcohol.
        Commonwealth of Australia, 2009
      5. National Health and Medical Research Council. (2020). Australian Guidelines to Reduce Health Risks from Drinking Alcohol. https://www.nhmrc.gov.au/about-us/publications/australian-guidelines-reduce-health-risks-drinking-alcohol#block-views-block-file-attachments-content-block-1

        • New South Wales Ministry of Health
        Handbook for nurses and midwives: Responding effectively to people who use alcohol and other drugs.
        New South Wales Government, 2021
        • Rahman M.A.
        • Hoque N.
        • Alif S.M.
        • Salehin M.
        • Islam S.M.S.
        • Banik B.
        • et al.
        Factors associated with psychological distress, fear and coping strategies during the COVID-19 pandemic in Australia.
        Globalization and Health. 2020; 16: 95https://doi.org/10.1186/s12992-020-00624-w
        • Riordan B.C.
        • Winter D.T.
        • Haber P.S.
        • Day C.A.
        • Morley K.C.
        What are people saying on social networking sites about the Australian alcohol consumption guidelines?.
        Medical Journal of Australia. 2021; 214: 105-107.e101https://doi.org/10.5694/mja2.50902
        • Saldaña J.
        The coding manual for qualitative researchers.
        SAGE, 2013
        • Schoonenboom J.
        • Johnson R.B.
        How to construct a mixed methods research design.
        Kolner Zeitschrift fur Soziologie und Sozialpsychologie. 2017; 69: 107-131https://doi.org/10.1007/s11577-017-0454-1
        • Searby A.
        • Burr D.
        • McGrath I.
        The demographic profile of alcohol and other drug (AOD) nurses in Australia: experienced, highly qualified… and endangered?.
        Collegian. 2022; 29: 22-30https://doi.org/10.1016/j.colegn.2021.03.006
      6. Searby, A., Burr, D., Taylor, G., Aitken, M., & Redley, B. (2022). Alcohol consumption among Australian nurses: a cross-sectional national survey study [Manuscript submitted for publication]. Institute for Health Transformation, School of Nursing and Midwifery, Deakin University.

        • Smyth D.
        • Wilson C.
        • Searby A.
        Undergraduate nursing student knowledge and attitudes of healthcare consumers with problematic alcohol and other drug use: a scoping review.
        International Journal of Mental Health Nursing. 2021; 30: 1293-1309https://doi.org/10.1111/inm.12923
        • Tudehope L.
        • Lee P.
        • Wiseman N.
        • Dwirahmadi F.
        • Sofija E.
        The effect of resilience on the relationship between perceived stress and change in alcohol consumption during the COVID-19 pandemic in Queensland, Australia.
        Journal of Health Psychology. 2021; 27: 2696-2713https://doi.org/10.1177/13591053211062351