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Published VersionCC BY V4.0, Open Access
Journal article
Client and stakeholder perceptions of a novel, nurse practitioner-led alcohol and other drug ambulatory withdrawal service
Drug and Alcohol Review, Vol.43(7), pp.1787-1797
2024
Abstract
Introduction
Despite recommendations for ambulatory withdrawal programs appearing in many contemporary alcohol and other drug treatment guidelines, to date there have been few studies exploring such programs from client and service stakeholder perspectives. The aim of this study was to explore both individual and service stakeholder perceptions of a nurse practitioner-led ambulatory withdrawal service on the Gold Coast, Queensland, Australia.
Methods
Data were obtained from three groups: clinicians with knowledge of the service (n = 6); relatives of clients who had used the service (n = 2); and clients who had used the service (n = 10) using a Qualitative Descriptive design. Saldaña's (Saldaña, The coding manual for qualitative researchers. 2013) structural coding framework was used to analyse and code data into themes, with the study reported in accordance with the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist (Tong et al. Int J Qual Health Care 2017;19:349–57).
Results
Participants noted advantages of the nurse practitioner-led ambulatory withdrawal service, including rapid availability of admission to the service and a person-centred approach. Compared with other ambulatory withdrawal options, clients valued the ability to remain in their own environment, however participants suggested greater follow-up after withdrawal, with the potential of a home visiting service for greater client engagement and treatment retention.
Discussion and Conclusions
Findings provide evidence to suggest that nurse practitioner-led ambulatory withdrawal services are an acceptable option for a proportion of clients who need rapid access to services when they wish to make changes to their alcohol and/or other drug use. Furthermore, they can provide person-centred care for comorbid physical and mental ill health occurring in addition to psychosocial issues associated with alcohol and/or other drug use.
Details
- Title
- Client and stakeholder perceptions of a novel, nurse practitioner-led alcohol and other drug ambulatory withdrawal service
- Authors
- Adam Searby (Corresponding Author) - Deakin UniversityDianna Burr - Deakin UniversityCarol Reid - University of the Sunshine Coast, Queensland, School of Nursing, Midwifery and Paramedicine - LegacyDarren Smyth - Queensland Injection Health NetworkSean Hynes - Queensland Injection Health NetworkMary Fenech - Queensland Injection Health NetworkKatharina Merollini - University of the Sunshine Coast, Queensland, School of Health - Public HealthJeanine Young - University of the Sunshine Coast, Queensland, School of Health - Nursing
- Publication details
- Drug and Alcohol Review, Vol.43(7), pp.1787-1797
- Publisher
- Wiley-Blackwell Publishing Ltd.
- Date published
- 2024
- DOI
- 10.1111/dar.13870
- ISSN
- 1465-3362; 0959-5236
- Copyright note
- This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. © 2024 The Authors. Drug and Alcohol Review published by John Wiley & Sons Australia, Ltd on behalf of Australasian Professional Society on Alcohol and other Drugs.
- Grant note
- Funding to conduct this study was provided by the Queensland Injectors Health Network Gold Coast Primary Health Network.
- Organisation Unit
- School of Health - Nursing; Cancer Research Cluster; School of Health - Public Health
- Language
- English
- Record Identifier
- 991031498902621
- Output Type
- Journal article
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