Treatment Of Alcohol Use Problems Discussion
Alcoholism is a chronic disease characterized by uncontrolled drinking and a preoccupation with alcohol. The chronic disease is characterized by an inability to control alcohol consumption and has far-reaching medical, social, and psychological consequences on both the individual and their family. It not only affects the physical and mental health of the person who has alcoholism but also disrupts family dynamics, leading to financial difficulties, emotional stress, and strained relationships (Nehring & Freeman, 2020). According to the National Institute on Alcohol Abuse and Alcoholism (NIAAA), approximately 29.5 million adults in the United States had Alcohol Use Disorder (AUD) in 2021, which demonstrates the prevalence and severity of the issue (National Institute on Alcohol Abuse and Alcoholism, 2023)Treatment Of Alcohol Use Problems Discussion. It is a pervasive issue that requires comprehensive strategies for management and treatment. This paper aims to define and assess alcoholism as a family health problem, exploring it from a leadership, collaboration, communication, change management, and policy perspective.
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Patient Identification
Through familial ties, I chose the Bricker family. The family of four includes the head of the family, Mr. Bricker, his wife, and the two children, 12 and 15. Mr. Bricker is a forty-five-year-old construction worker who has been battling alcohol-use disorder for over ten years. The disease has caused him to develop liver-related complications as well as hypertension. In addition, alcoholism has caused tension within the family, the loss of multiple jobs, and, therefore, the lack of adequate financial stability. Mrs. Bricker, a schoolteacher, has been struggling with her husband’s addiction, trying to both maintain the economic stability of the family and look after the children.
Significance of the problem to family
The effects of alcoholism are no secret to society, especially the terrible impact it has on families. Research has further pointed out that more conflicts, lesser emotional support, and more cases of family violence characterize families that have a member with this disorder (Jokinen et al., 2020). According to the CDC, several studies suggest that the risks associated with consuming more than safe drinking levels are responsible for more than 178,307 deaths each year in the United States (CDC, 2024; Esser, 2024)Treatment Of Alcohol Use Problems Discussion. The effects of Mr. Bricker’s addiction were numerous for the family; they have experienced many emergencies that often require hospitalization, debts accrued from payment bills, and wages lost due to the illness and stress.
Relevance to Nursing Practice
As a baccalaureate-prepared nurse, it is imperative to address the multifaceted impacts of alcoholism not only on the individual but also on the family unit. Nurses play a crucial role in identifying and managing substance use disorders through screening, patient education, and coordination of care. Nurses often encounter patients and families affected by alcoholism in various healthcare settings, necessitating knowledge of effective interventions and support mechanisms. This approach aligns with holistic nursing practices considering health’s physical, emotional, and social dimensions. By focusing on the Bricker family, I can implement evidence-based interventions and collaborate with multidisciplinary teams to improve their overall well-being. The aim is to develop a comprehensive care plan that includes medical treatment for Mr. Bricker, emotional support for Mrs. Bricker and the children, and community resources to aid in recovery and stabilization. Addressing this problem aligns with nursing competencies related to patient-centered care, health promotion, and collaboration with other healthcare professionals. This experience will enhance my skills in managing chronic conditions and supporting families in crisis, which are essential competencies in nursing practice Treatment Of Alcohol Use Problems Discussion.
Analysis of Evidence from Peer-Reviewed Literature and Professional Sources
Evidence from Literature
Peer-reviewed literature provides substantial evidence on nursing actions related to managing alcoholism. In the study conducted by Almansour et al. (2023), motivational interviewing (MI) is regarded as a useful tool for patients with alcohol use disorder (AUD). The study points to the possibilities of the use of MI as a strategy for curbing alcohol intake and improving compliance to therapy in tandem with the practices learned in clinical settings that have embraced the use of MI to effect behavioral change among the affected individuals. Likewise, McCrady (2021) points out the importance of the family therapy approach in treating AUD. According to their findings, the inclusion of family members in therapy sessions leads to better treatment outcomes due to an intervention focus on the patterns within the family that contribute to alcoholism. These findings align with my observations in nursing practice, where integrating family therapy and motivational interviewing has shown positive outcomes. For instance, patients participating in family-inclusive programs often demonstrate better adherence to treatment plans and report higher levels of support, which is crucial for recovery Treatment Of Alcohol Use Problems Discussion.
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Assessing Data Reliability
The reliability of data depends on the method used in the research, sample size, and the possibility of different biases. Reliable studies incorporate large and diverse sample populations and use sound methodological approaches such as randomized controlled trials (RCT) or systematic reviews. For instance, the works discussed above employ large sample sizes and control groups that suggest high reliability of the conclusions. On the other hand, a larger impact of bias may be expected with studies of low methodological quality, small sample size, or the presence of a conflict of interest.
Barriers to Evidence-Based Practice
Implementing evidence-based practices (EBPs) in managing alcoholism encounters several barriers. One is social gaps, particularly the social stigmatization of alcoholism, that may dissuade people from receiving the much-needed help and sticking to treatment plans (Farhoudian et al., 2022). Furthermore, there are few resources and practice support for healthcare providers by which EBPs could be integrated proficiently. According to Nadkarni et al. (2022)Treatment Of Alcohol Use Problems Discussion, a lack of training in some forms of treatment, particularly motivational interviewing and family therapy, could decrease the use of these methodologies in clinical practice settings.
Effectiveness of Nursing Standards and Policies
Research has shown that nursing standards and policies can significantly improve outcomes for families dealing with alcoholism. Green et al. (2022) evaluated the impact of standardized screening and brief intervention (SBI) protocols in primary care settings. The findings indicate that these protocols lead to early identification and intervention, reducing the severity of AUD and its associated complications. Furthermore, policies that support continuous professional development and training for nurses enhance their ability to deliver effective care.
Role of Nurses in Policy Making
The available literature indicates that nursing is key to policy development regarding enhancing health systems. Overall, it can be noted that the participation of nurses in policy advocacy should enhance policy advancement aimed at concocting meaningful public health approaches in the fight against alcoholism. For instance, Chiu et al. (2021) described how nurses use their knowledge and power of persuasion concerning the care of substance users to shape policies regarding the treatment and prevention of the disease. This involvement also ensures that policies developed are politically palatable, clinically feasible, supportive of patients, and clinically relevant.
Theoretical Frameworks
Several nursing theories and conceptual frameworks can guide nursing actions during the practicum. The Chronic Care Model (CCM) is mostly appropriate, following a patient-oriented, preventive approach to chronic diseases such as AUD. Community resource integration, self-management, and ongoing care are all part of the CCM framework, essential for alcoholism treatment plans (Grudniewicz et al., 2023)Treatment Of Alcohol Use Problems Discussion. Moreover, by introducing Orem’s Self-Care Deficit Nursing Theory (SCDNT), one can supplement the intervention strategies and focus on supporting patients and their families in achieving the best possible care and improving their general health outlook.
Impact of Nursing Practice Standards and Policies
Effectiveness of Standards and Policies
State board nursing practice standards and organizational or governmental policies play a crucial role in addressing alcoholism within families. Nursing boards’ mandated standard screening and brief intervention (SBI) policies have proven successful in the early identification and treatment of alcohol use disorders. Green et al. (2022) conducted a study showing that SBI techniques in primary care environments drastically cut alcohol consumption and associated risks among consumers. This study emphasizes the need for such criteria to enhance patient outcomes by utilizing early identification and quick intervention, supporting timely intervention.
Role of Nurses in Policy Making
The current body of research emphasizes how important nurses are to policy-making to lower hospital readmissions, enhance health outcomes, and prevent disease. By bringing useful clinical insights and patient advocacy to the policy-making process, nurses help guarantee that policies are practical and patient-centered. For example, a study by Benton et al. (2020) found that nurse-led policy initiatives resulted in the creation of thorough community-based alcohol prevention programs, notably lowering alcohol-related hospital admissions. This participation shows how nurses can affect policies to establish encouraging surroundings for the management of alcoholism.
Effects of Local, State, and Federal Policies
Local, state, and federal policies significantly impact the nursing scope of practice, particularly in managing alcoholism. For example, the Affordable Care Act (ACA) has expanded access to substance abuse treatment services by mandating insurance coverage. According to a study by Mulia et al. (2022), the ACA’s expansion of Medicaid improved access to treatment for alcohol use disorders, resulting in better patient outcomes and reduced healthcare costs. Thanks to this policy, nurses can offer patients complete treatment free from financial restrictions. Policies supporting nurse practitioner (NP) autonomy have improved nurses’ ability to effectively treat patients with alcohol use disorders at the state level. States allowing NPs to practice independently have reported better management of chronic diseases, including alcoholism (Mulia et al., 2022) and better access to care. These laws enable nurses to apply their whole scope of practice, so improving the quality of treatment given to patients and families coping with alcoholism Treatment Of Alcohol Use Problems Discussion.
Leadership Strategies to Improve Outcomes, Patient-Centered Care, and Patient Experience
Leadership Strategies and Role of Leadership
Research highlights the effectiveness of transformational leadership in improving healthcare outcomes. Transformational leaders inspire and motivate their teams, creating a supporting environment that improves patient care and outcomes, claims Cummings et al. (2018). This method is especially successful for managing chronic diseases like alcoholism, where recovery depends on ongoing support and drive. By fostering an open and supportive culture, leadership has to be important in combating alcoholism. Leaders should support laws that lower stigma, give medical professionals evidence-based intervention training, and guarantee that resources are ready for all-encompassing treatment (Davis & O’Neill, 2022)Treatment Of Alcohol Use Problems Discussion. Good leadership calls for well-defined objectives, ongoing education, and easy access to support systems.
Collaboration and Communication Strategies
Collaboration among multidisciplinary teams is essential. This includes collaborating closely with social workers, mental health experts, and addiction experts to offer comprehensive treatment. Good communication techniques guarantee flawless coordination of treatment using frequent team meetings and the application of shared electronic health records (Almansour et al., 2023). Support for the patient’s recovery also depends on including family members in treatment plans via family therapy sessions.
Change Management Strategies
The implementation of change management strategies is essential for the surmounting of obstacles to evidence-based practices. Necessary steps include engaging stakeholders, providing training, and establishing a sense of urgency. Implementing new practices can be guided by Kotter’s 8-Step Change Model, which provides empowering action and creating a vision for change (Miles et al., 2023)Treatment Of Alcohol Use Problems Discussion. Changes are sustained and effective through continuous monitoring and feedback.
Conclusion
Addressing alcoholism requires a comprehensive approach that considers the multifaceted impacts on both the individual and their family. This paper has examined the issue from leadership, collaboration, communication, change management, and policy perspectives. Through the implementation of evidence-based practices, collaboration among multidisciplinary teams, and effective leadership strategies, it is feasible to enhance patient-centered care and improve outcomes. This project emphasizes the significance of patient-centered, holistic care and demonstrates the critical role of nurses in managing chronic conditions such as alcoholism by concentrating on the Bricker family. This experience will improve nursing practice by fostering individuals’ well-being and assisting families in crisis.
References
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CDC. (2024, May 15). Alcohol Use. https://www.cdc.gov/alcohol/index.html
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Esser, M. B. (2024). Deaths from excessive alcohol use — United States, 2016–2021. MMWR. Morbidity and Mortality Weekly Report, 73(8). https://doi.org/10.15585/mmwr.mm7308a1
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National Institute on Alcohol Abuse and Alcoholism. (2023). Alcohol use disorder (AUD) in the United States: Age groups and demographic characteristics. Accessed 18th June 2024 from www.niaaa.nih.gov. https://www.niaaa.nih.gov/alcohols-effects-health/alcohol-topics/alcohol-facts-and-statistics/alcohol-use-disorder-aud-united-states-age-groups-and-demographic-characteristics
Nehring, S. M., & Freeman, A. M. (2020). Alcohol use disorder. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK436003/ Treatment Of Alcohol Use Problems Discussion
