Frequency of nurses’ smoking cessation interventions: report from a national survey

Sarna, Linda; Bialous, Stella Aguinaga; Wells, Marjorie; Kotlerman, Jenny; Wewers, Mary Ellen; Froelicher, Erika Sivarajan

doi:10.1111/j.1365-2702.2009.02796.x

Cited by 75 publications

(104 citation statements)

References 50 publications

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“…Of these, 708 completed the questionnaire. This gives a response rate of 22.6 per cent, which matches that of other comparable studies (48). In 2014, a total of 4 368 public health nurses were working in Norway.…”

Section: Implications the Trainingsupporting

confidence: 68%

Hvordan helsesøstre bruker kunnskapskilder

Weum¹,

Bragstad²,

Glavin³

2017

Sykepleien

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Background: Public health nursing is constantly evolving; the profession must adjust to new focus areas, new professional demands, new tasks and more responsibilities.Objectives: The study's objectives were to identify 1) the sources of knowledge that public health nurses use in practice, 2) what skills enable public health nurses to nd and assess research and national guidelines, 3) what barriers public health nurses encounter as they endeavour to nd and assess research and national guidelines, and 4) in uences that impact on their skills in assessing research-based knowledge.Method: This is a cross-sectional study which involved 708 public health nurses completing an online questionnaire. We used statistical analyses to investigate their use of sources of knowledge and the factors that may in uence their skills in assessing research-based knowledge. PEER-REVIEWED RESEARCH AuthorsResults: National guidelines, knowledge acquired while training as a public health nurse, personal experience and guidelines issued by local authorities were the most commonly used sources of knowledge. The most signi cant barriers reported were a shortage of time to nd research, and the challenge of understanding articles written in English. The public health nurses considered that they were generally adept at nding and assessing national guidelines, but that they were less pro cient at assessing research-based knowledge. The odds were signi cantly greater that public health nurses with a Master's degree, and public health nurses in fulltime employment, would consider themselves adept at assessing research. Conclusion:National guidelines constitute the source of knowledge most frequently used by public health nurses. In order to implement evidence-based professional practice, public health nurses must be pro cient at assessing the recommendations set out in national guidelines in combination with other sources of knowledge. A future national competence and development centre for services provided at community and school health care centres may come to play an important role in implementing national guidelines and safeguarding the quality of procedures issued by local authorities.The general population's access to research is ever-increasing. Public health nurses and other nurses must therefore be prepared to answer questions and to discuss findings from research. In line with the requirements for safety and high standards, the objective set out in the consultation draft of the new national professional guidelines for community and school health care centres is to offer health promotional and preventive services (1).Evidence-based practice involves making decisions in a professional capacity based on a combination of systematically obtained research-based knowledge, evidence-based knowledge and the patient's wishes and needs in the given situation (2-4). It is an important principle in evidence-based practice to search for research summaries and evidence-based reference works and guidelines before looking for single studies (5), as sh...

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Section: Implications the Trainingsupporting

confidence: 68%

Hvordan helsesøstre bruker kunnskapskilder

Weum¹,

Bragstad²,

Glavin³

2017

Sykepleien

View full text Add to dashboard Cite

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“…Even though 70% of cancer patients who smoke are motivated to quit smoking, only 56% of physicians recommend that their cancer patients who smoke stop smoking 52 and most oncology providers do not provide smoking interventions beyond advice to quit. 53 Our work 54 and the work of others [55][56][57][58][59] have shown that the major barriers to providers implementing smoking cessation services included lack of expertise and time. Education programs for health care providers as well as dedicated smoking cessation programs would improve tobacco treatment for cancer patients.…”

Section: Discussionmentioning

confidence: 94%

Does Quitting Smoking Make a Difference Among Newly Diagnosed Head and Neck Cancer Patients?

Choi

Terrell

Bradford

et al. 2016

NICTOB

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Introduction: To determine if smoking after a cancer diagnosis makes a difference in mortality among newly diagnosed head and neck cancer patients. Methods: Longitudinal data were collected from newly diagnosed head and neck cancer patients with a median follow-up time of 1627 days (N = 590). Mortality was censored at 8 years or September 1, 2011, whichever came first. Based on smoking status, all patients were categorized into four groups: continuing smokers, quitters, former smokers, or never-smokers. A broad range of covariates were included in the analyses. Kaplan-Meier curves, bivariate and multivariate Cox proportional hazards models were constructed. Results: Eight-year overall mortality and cancer-specific mortality were 40.5% (239/590) and 25.4% (150/590), respectively. Smoking status after a cancer diagnosis predicted overall mortality and cancer-specific mortality. Compared to never-smokers, continuing smokers had the highest hazard ratio (HR) of dying from all causes (HR = 2.71, 95% confidence interval [CI] = 1.48-4.98). Those who smoked at diagnosis, but quit and did not relapse-quitters-had an improved hazard ratio of dying (HR = 2.38, 95% CI = 1.29-4.36) and former smokers at diagnosis with no relapse after diagnosis-former smokers-had the lowest hazard ratio of dying from all causes (HR = 1.68, 95% CI = 1.12-2.56). Similarly, quitters had a slightly higher hazard ratio of dying from cancer-specific reasons (HR = 2.38, 95% CI = 1.13-5.01) than never-smokers, which was similar to current smokers (HR = 2.07, 95% CI = 0.96-4.47), followed by former smokers (HR = 1.70, 95% CI = 1.00-2.89). Conclusions: Compared to never-smokers, continuing smokers have the highest HR of overall mortality followed by quitters and former smokers, which indicates that smoking cessation, even after a cancer diagnosis, may improve overall mortality among newly diagnosed head and neck cancer patients. Health care providers should consider incorporating smoking cessation interventions into standard cancer treatment to improve survival among this population. Implications: Using prospective observational longitudinal data from 590 head and neck cancer patients, this study showed that continuing smokers have the highest overall mortality relative to never-smokers, which indicates that smoking cessation, even after a cancer diagnosis, may have beneficial effects on long-term overall mortality. Health care providers should consider incorporating smoking cessation interventions into standard cancer treatment to improve survival among this population.

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“…Nurses would be well situated to assess and assist with smoking cessation. However, a survey of nurses at 35 magnet-designated hospitals found that cessation interventions were suboptimal (Sarna et al, 2009). …”

Section: Discussionmentioning

confidence: 99%

“…Addressing smoking cessation among current smokers in the survivor population is an important but challenging task (Gritz et al, 2006;McBride & Ostroff, 2003;Patsakham, RipleyMoffitt, & Goldstein, 2009;Sarna et al, 2009). Using the 2005 NHIS, 1,825 cancer survivors responded to questions about smoking status and cessation efforts.…”

Section: Discussionmentioning

confidence: 99%