Between acute medicine and municipal alcohol treatment: Cross-sectoral collaborations regarding patients with alcohol problems

Author:

Sivertsen Ditte Maria1ORCID,Becker Ulrik2,Andersen Ove3,Kirk Jeanette Wassar4

Affiliation:

1. Copenhagen University Hospital, Denmark; Capital Region of Denmark Psychiatry, Denmark

2. National Institute of Public Health, University of Southern Denmark, Denmark

3. Copenhagen University Hospital Amager Hvidovre, Denmark; University of Copenhagen, Denmark

4. Copenhagen University Hospital, Denmark; National Institute of Public Health, University of Southern Denmark, Denmark

Abstract

Aim: The aim was to examine cross-sectoral collaborations of a Danish emergency department (ED) and two municipal treatment centres in the uptake area regarding patients with alcohol problems. Methods: The study was a qualitative exploratory study. We conducted individual interviews with ED nurses and secretaries ( n = 21) and group interviews ( n = 2) in municipal alcohol treatment centres with three and four participants, respectively. Interviews were analysed, first with qualitative content analysis, then by applying the analytical concept “boundary object”. Results: Three themes emerged: (1) Responsibilities in practice; (2) Professional contrasts; and (3) The social nurse in a unique position. Themes illuminated a low degree of collaboration characterising the intersectoral work. Blurred responsibilities, challenged communication and acute versus long-term focus were some of the factors not supporting cross-sector collaborations. However, the function of the social nurse was highly appreciated in both sectors and plays a central role. Nonetheless, implicit limitations of this function entail that not all patients with alcohol problems are referred and handled within an ED setting. Conclusions: Overall, we found a lack of collaborative work between healthcare professionals in ED and municipalities for patients with alcohol problems. However, the “social nurse” function was greatly valued in both sectors due to a mediating role, since healthcare professionals in both sectors experienced lack of organisational structures supporting collaborative network, perceived temporal barriers, limited knowledge exchange and differences in approaches to patients.

Funder

Amager Hvidovre Hospital strategic research funds

Capital Region of Denmark, Tvaerspuljen

Publisher

SAGE Publications

Reference77 articles.

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1. Consumption trends and policies under scrutinisation;Nordic Studies on Alcohol and Drugs;2024-08

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