12. Resources

Glossary

Term	Definition
AUDIT-C	Alcohol Use Disorders Identification Test for Consumption, this is a commonly used alcohol screening tool.
ED	Emergency Department.
Health Improvement and Prevention	includes approaches which look to reduce health problems or increase wellbeing in the future and potentially reduce need for services.
UEC	Urgent and Emergency Care settings, such as emergency departments (ED), trauma units, urgent care centres, minor injury units and walk in centres.
Wider determinants of health	a diverse range of social, economic, environmental factors which impact on people’s health
Risk factors	something that increases your chance of getting a disease
Teachable moment	an opportunity during an interaction with a patient that can be used to promote healthier lifestyle behaviours.
SBIRT	Screening, Brief Intervention, Referral to Treatment.

Resources

We hope that you found this session informative, and you now have a greater understanding of the impact that integration of Health Improvement and Prevention can have in UECs.

Resource Title
DREEAM (2023) Health Improvement https://www.dreeam.ac.uk/health-improvement (Accessed: 16th October 2023).
APUEC - Structured Conversations about Lifestyle in Emergency Settings (SCALES 2022) https://www.nottingham.ac.uk/helmopen/rlos/practice-learning/public-health/apuec/apuec1/index.html (Accessed: 16th October 2023).
Alcohol Use Screening Tests: Office for Health Improvement and Disparities (2017) Alcohol use screening tests, GOV.UK. Available at: https://www.gov.uk/government/publications/alcohol-use-screening-tests (Accessed: 16th October 2023).
Sentinel Event: Boudreaux ED, Bock B, O'Hea E. (2012) When an event sparks behaviour change: an introduction to the sentinel event method of dynamic model building and its application to emergency medicine. Academic Emergency Medicine Mar 19(3): 329-35. doi: 10.1111/j.1553-2712.2012.01291.x. https://pubmed.ncbi.nlm.nih.gov/22435866/ Accessed: 16th October 2023).

References

Reference Titles
NHS Digital (2022) New figures released for A&E attendances in 2020-2, Available online at - New figures released for A&E attendances in 2020-21 - NDRS (digital.nhs.uk), Accessed 15/12/2023.
Meader, N., King, K.A., Byrne, T.M., Wright, K., Graham, H.M., Petticrew, M., et al. (2016) A systematic review on the clustering and co-occurrence of multiple risk behaviours BMC Public Health 16 (657).
Hood, C. M., K. P. Gennuso, G. R. Swain, and B. B. Catlin. (2016) County health rankings: Relationships between determinant factors and health outcomes. American Journal of Preventive Medicine 50(2):129-135.
Office for Health Improvement and Disparities (OHID) (2022), Wider Determinants of Health. Available at: Wider Determinants of Health - OHID (phe.org.uk). Accessed 15/12/2023.
Dahlgren, G., and Whitehead, M., 1992. Policies and strategies to promote social equity in health. (Background document to WHO - Strategy paper for Europe.) Copenhagen: World Health Organization.
NHS (2019), The NHS long term plan. Available at: https://www.longtermplan.nhs.uk/. Accessed 15/12/2023.
Schofield, B., Rolfe, U., McClean, D. et al. (2022) What are the barriers and facilitators to effective health promotion in urgent and emergency care? A systematic review. BMC Emergency Medicine 22 (95).
Keyworth, C., Epton, T., Goldthorpe, J. et al. (2020) Perceptions of receiving behaviour change interventions from GPs during routing consultations: A qualitative study. Plos One 15(5) e0233399.
Boudreaux, E., Bock, B. and O’Hea, E. (2012) When an event sparks behaviour change: an introduction to the sentinel event method of dynamic model building and its application to emergency medicine. Academic Emergency Medicine. 19(3), pp 329-35.

Learning outcomes

By completing this resource you will be able to:

1. Explain the role of Urgent and Emergency Care Services (UECs) in health improvement and prevention.
2. Describe the wider determinants of health.
3. Describe key modifiable risk factors.
4. Define Screening, Brief Intervention and Referral to Treatments (SBIRT).
5. Describe how to complete a brief intervention using the SBIRT tool.

This resource was developed by:

DREEAM, Nottingham University Hospitals Trust: Laura Walker, Lucy Morris and Frank Coffey.

University of Nottingham: Holly Blake.

Health e-Learning & Media (HELM) team: Gill Langmack, Michael Taylor and Lydia Jones
This resource was developed using HELM’s ASPIRE methodology. Content was developed in consultation with, and peer reviewed by, experts in several areas of health and care, including nursing, medicine, public health or emergency medicine research.

Citation: This learning resource has been developed by DREEAM (Department of Research and Education: Emergency Medicine, Acute Medicine, Major Trauma) at Nottingham University Hospitals NHS Trust in partnership with the University of Nottingham. If you distribute this resource, or refer to information within it, please attribute this to the developers and use the following citation:

Walker, L., Morris, L., Coffey, F. and Blake, H. Integrating Health Improvement and Prevention in Urgent and Emergency Care (UEC) Nottingham University Hospitals NHS Trust and The University of Nottingham Version 1. [14/02/2024]

Technical development: Technical development was carried by Mike Taylor with pedagogical input from Gill Langmack from the Health e-Learning and Media Team (HELM) at the University of Nottingham.

Narration: Sala Kamkosi Khulumula, Registered Nurse.

Videos and Podcasts:

• Lucy Morris, Nurse, Nottingham University Hospitals NHS Trust, UK
• Chris White, Nurse, Nottingham University Hospitals NHS Trust, UK
• Dolly Yadav, Doctor, Nottingham University Hospitals NHS Trust, UK
• Cecilia Peters, Nurse, Nottingham University Hospitals NHS Trust, UK
• Technical team: Lydia Jones and Mike Taylor, HELM Team.

Peer-review panel:

• Cecilia Peters, Research Nurse Manager, Nottingham University Hospitals NHS Trust, UK
• Leon Wood, Nurse and Education Fellow, Nottingham University Hospitals NHS Trust, UK
• Helen Johnson-Kolb, Nurse and Education Fellow, Nottingham University Hospitals NHS Trust, UK
• Joanne Lamb, Consultant Anaesthetist and ICS Clinical Lead for Early Screening and Optimisation for Elective Care, Nottingham University Hospitals NHS Trust, UK
• Dr Andrew Beckham, Undergraduate Education Programme Lead, Nottingham University Hospitals NHS Trust, UK

Funding: Funding to support the development of this resource was provided by Nottingham Hospitals Charity.

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