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Original scientific paper

Evaluation of Alcohol Screening and Brief Intervention in Routine Practice of Primary Care Nurses in Vhembe District, South Africa

Karl Peltzer orcid id ; Human Sciences Research Council, Pretoria, South Africa
Gladys Matseke ; Human Sciences Research Council, Pretoria, South Africa
Matevha Azwihangwisi ; Human Sciences Research Council, Pretoria, South Africa
Tom Babor ; Department of Community Health, University of Connecticut, Conn, USA

Full text: english pdf 472 Kb

page 392-401

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Aim To assess the implementation of the Alcohol Screening and Brief
Intervention (SBI) strategy as part of a routine practice of nurses in 18
primary health care services in Vhembe district, South Africa.
Method We performed a cross-sectional study to assess the success of implementation
of the SBI in 18 primary health care services. We examined
all anonymously completed questionnaires (n = 2670) collected from all
practices after a 6-month implementation period. Clinic managers were
interviewed on SBI implementation after 4 months of implementation.
The success of implementation was assessed on the basis of perceived benefits,
beliefs, values, past history, current needs, competing priorities, complexity
of innovation, trialability and observability, and feedback on SBI
Results In the 6-month period, nurses screened 2670 patients and found
that 648 (23.4%) patients (39.1% men and 13.8% women) were hazardous
or harmful drinkers. Nine clinics had good and 9 poor SBI implementation.
Factors discriminating the clinics with good or poor SBI implementation
included the percentage of nurses trained in SBI, support visits,
clinical workload, competing priorities, team work, innovation adoption
curve, perceived complexity of innovation, compatibility beliefs, trialability,
and observability of SBI.
Conclusion To improve SBI implementation as a routine practice, more
attention should be paid to training modalities, clinic organization, and
changes in the attitudes of nurses.


Screening and Brief alcohol intervention, implementation, routine practice, practice nurses, primary care, South Africa

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