Beliefs and Practices of Pediatric Emergency Physicians and Nurses Regarding Counseling Alcohol-Using Adolescents

Abstract

Pediatric ED MDs/PAs/NPs differ significantly from PED RNs in their counseling training, experience, and practice. These findings have important implications for the training and support necessary to successfully implement PED counseling. Specifically, formal training in counseling during professional schooling and garnering counseling experience after completing training may be critical factors in promoting PED counseling.

Human Immunodeficiency Virus Testing Practices Among Buprenorphine-prescribing Physicians

“…First, as we collected a convenience sample of buprenorphine-prescribing physicians registered into the PCCS-B, our findings may not be generalized to all physicians involved in the PCCS-B(Egan et al, 2010) or all buprenorphine-prescribing physicians in general though our response rate is consistent with other internet-based surveys of physicians (Katz et al, 2009; Shirts et al, 2009; Chun et al, 2011). Regardless, our findings likely represent a conservative estimate of screening practices as physicians failing to perform routine screening may have been less likely to respond.…”

Impact of Case Exposures on Physician Behavior Responses in Childhood Poisoning

“…21 Counseling coupled with convenient access to reduced-cost products appears to be an effective strategy for promoting children's home safety. 23 Although counseling training and experience remained significant predictors of counseling practice in the PED, 24 the PM2C group in our study seemed more confident in their counseling skills from their responses when compared with P0-2C physicians. 23 Although counseling training and experience remained significant predictors of counseling practice in the PED, 24 the PM2C group in our study seemed more confident in their counseling skills from their responses when compared with P0-2C physicians.…”

Emergency Department Provider Preferences Related to Clinical Practice Guidelines for Tobacco Cessation: A Multicenter Survey

“…22,27,29,30 Design of an ED-based tobacco cessation intervention should take into account these barriers, the USPHS “5 As”, and the preferences of ED health care providers to maximize the likelihood of implementation. Advocates have long supported tobacco screening and counseling in the ED setting, 5,31,32 but no published study has described an effective ED clinician-delivered intervention.…”

“…14,[26][27][28][29] Barriers preventing ED health care providers from engaging in cessation interventions include a focus on acute care, a perceived lack of time and resources for counseling, inadequate knowledge of the different treatments and their effectiveness, limited training in smoking cessation interventions, limited or no reimbursement, a sense that patients will be resistant to interventions in the ED, and negative past experiences. 22,27,29,30 Design of an ED-based tobacco cessation intervention should take into account these barriers, the USPHS 5 As, and the preferences of ED health care providers to maximize the likelihood of implementation. Advocates have long supported tobacco screening and counseling in the ED setting, 5,31,32 but no published study has described an effective ED clinician-delivered intervention.…”