Nurse-identified problems in the management of alcoholic patients

J. K. Bartek, M. Lindeman, M. Newton, A. P. Fitzgerald, J. H. Hawks

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

The purpose of this exploratory study was (1) to identify and rank the patient problems of hospitalized alcoholics that medical-surgical nurses view as difficult to manage, (2) to identify the factors that contribute to the difficulty in care, (3) to identify interventions used by nurses in an attempt to resolve patient problems and (4) to describe relationships between nurses and the identified patient problems. Subjects (N=83) completed and returned an open-ended questionnaire by listing the physiological and psychosocial patient problems, factors and interventions. Selected demographic and biographic data were also collected. A nursing diagnosis classification described by others served as a basis and was adapted for the nursing diagnosis categories. Nominal data were analyzed using frequency distributions and percentages. The most difficult physiological problems in caring for alcoholic persons were categorized from subjects' responses using the nursing diagnoses of 'potential for injury,' 'alterations in nutrition-elimination' and 'fluid volume deficit.' The nursing diagnosis categories of 'ineffective individual coping,' 'ineffective family coping' and 'noncompliance' comprised the most difficult psychosocial patient problems. A majority of subjects reported having limited classroom and clinical experience with alcoholism; 80% expressed a need for additional inservice education. It is recommended that nursing educational programs include didactic and clinical content about alcoholism, focusing on problem areas identified and on family dynamics, communication, coping strategies and time-management strategies.

Original languageEnglish (US)
Pages (from-to)62-70
Number of pages9
JournalJournal of Studies on Alcohol
Volume49
Issue number1
DOIs
StatePublished - Jan 1 1988

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Nursing
Nursing Diagnosis
Alcoholics
alcoholism
nurse
Nurses
nursing
management
Alcoholism
coping
Time Management
Family Relations
Nutrition
time management
frequency distribution
Education
Communication
Demography
educational program
didactics

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Psychology(all)

Cite this

Nurse-identified problems in the management of alcoholic patients. / Bartek, J. K.; Lindeman, M.; Newton, M.; Fitzgerald, A. P.; Hawks, J. H.

In: Journal of Studies on Alcohol, Vol. 49, No. 1, 01.01.1988, p. 62-70.

Research output: Contribution to journalArticle

Bartek, J. K. ; Lindeman, M. ; Newton, M. ; Fitzgerald, A. P. ; Hawks, J. H. / Nurse-identified problems in the management of alcoholic patients. In: Journal of Studies on Alcohol. 1988 ; Vol. 49, No. 1. pp. 62-70.
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