The Development of a Clinical Nursing Practice Guideline for Motivational Enhancement to Change Alcohol Consumption Behavior in Alcohol Dependent Persons
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Date
2010-05-19
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Thailand Nursing and Midwifery Council
Abstract
The development of this clinical nursing practice guideline for motivational enhancement to change alcohol consumption behavior in alcohol dependent patients was based on the evidence-based practice model proposed by Polit and Beck which consists of four steps. This study covered only the first three steps. In step 1, selecting a topic, the issue or problem of patients being unable to quit or reduce alcohol consumption was selected. In step 2, assembling the evidence-based practice from literature, six studies were chosen including one meta–analysis, four randomized controlled trial, and one group time series design. After analyzing the studies, the proposed clinical nursing practice guideline was taken to three professional experts to verify the contents. The revised clinical nursing practice guideline outlines three necessary phases for motivational enhancement to change alcohol consumption behavior: phase I, building motivation for change, phase II, commitment strengthening and phase III, follow through and involving significant others. Step 3 was to assess the guideline, s readiness for implementation in organizations. The findings in this stage revealed that the guideline was appropriate for patients, personnel were ready to practice it and abstinence/reduction in alcohol use and re-addiction would be expected.The process and outcome evaluation of the guideline should be done in pilot settings before implementation in real situations.
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Thai Journal of Nursing Council; Vol 25, No. 1 January-March 2010; 15-26