Improving smoking cessation outcomes in secondary care: Predictors of hospital staff willingness to provide smoking cessation referral

Chang, Yin-Yu; Yu, Shu-Man; Lai, Yun‐Ju; Wu, Ping-Lun; Huang, Kuo‐Chin; Huang, Hsien‐Liang

doi:10.1016/j.pmedr.2016.02.002

Cited by 11 publications

(14 citation statements)

References 16 publications

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“…Interns accumulated more knowledge about tobacco cessation than on-campus students [43] but they still knew little about the smoking quit hotline, smoking cessation drugs and tobacco cessation guidelines. Studies report that the enhancement of behaviors that help others quit smoking requires knowledge and skills of tobacco cessation, as well as the recognition and effective utilization of related resources [44]. This suggests that future education needs to instruct students about how to access tobacco cessation resources and how to be well-prepared with the corresponding knowledge, awareness and competencies.…”

Section: Discussionmentioning

confidence: 99%

The Perception and Intervention of Internship Nursing Students Helping Smokers to Quit: A Cross-Sectional Study in Chongqing, China

Zhang

Chen

et al. 2019

IJERPH

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Background: Smoking is among the most preventable causes of death globally. Tobacco cessation can lessen the number of potential deaths. The China Tobacco Cessation Guidelines encourage medical staff to perform the 5As (Ask, Advise, Assess, Assist, Arrange) when delivering tobacco dependence treatments to patients. Nursing students will develop to be nurses in the future and they have to finish 9 months of clinical practicum study in the last year at hospitals or care centers. However, the frequency of behaviors used to help smokers quit among Chinese nursing internship students is unclear. This study analyzed the rate of nurse interns’ performance of the 5As and which demographic characteristics, perceptions of smoking and knowledge predicted higher performance of the 5As. Methods: The cluster sampling method was used to select 13 teaching hospitals among 29. All nursing intern students were expected to finish the questionnaire about their 5As behaviors to help patients quit smoking. Their 5As performances were scored from one to five with 5 being the best and scores were summed. A multivariate linear mixed-effect model was employed to test the differences between their 5As. Results: Participating in the survey were 1358 interns (62.4% response rate). The average scores were as follows—Ask—3.15, Advise—2.75, Assess—2.67, Assist—2.58 and Arrange—2.42. A total of 56.3% students perceived that medical staff should perform the 5As routinely to help patients quit smoking. On the other hand, 52.1% viewed clinical preceptors as role models of the 5As. School education regarding tobacco control, smoking dependence treatment, self-efficacy and positive intentions were predictors of higher performance of the 5As (p < 0.001). Conclusions: Nursing internship students seldom administered tobacco dependence treatments to patients. It is essential to improve the corresponding education, skills and self-efficacy of the 5As. Meanwhile, clinical preceptors should procure more training in the responsibilities and skills related to tobacco cessation. In this way, clinical preceptors can be role models of the 5As and impart positive influences on interns.

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Section: Discussionmentioning

confidence: 99%

The Perception and Intervention of Internship Nursing Students Helping Smokers to Quit: A Cross-Sectional Study in Chongqing, China

Zhang

Chen

et al. 2019

IJERPH

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“…Such infrastructure has been shown to influence the integration of tobacco reduction activities (Freund et al, 2009; Schultz, Johnson, & Bottorff, 2006), enhance perceived ability to provide tobacco dependence treatment (Schultz, Johnson, & Bottorff, 2006), and produce more favorable patient outcomes (Rigotti et al, 2012; Stockings et al, 2014). Despite the positive influence these systems can have on tobacco dependence treatment delivery for patients while in hospital, commonly reported shortfalls of these systems in continuity of care have still been identified (Chang et al, 2016; Freund et al, 2008; Freund et al, 2009; Schultz et al, 2011). This was consistent with the findings of this study, including limited follow-up and access to medications and cessation resources for discharged patients and out-patients.…”

Section: Discussionmentioning

confidence: 99%

What Are the Perceptions, Experiences, and Behaviors of Health Care Providers After Implementation of a Comprehensive Smoke-Free Hospital Policy?

Luck

Doucet

2018

Global Qualitative Nursing Research

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The aim of this study was to explore the perceptions, experiences, and behaviors of health care providers (HCPs) after the implementation of a comprehensive smoke-free policy. This qualitative descriptive study, using semi-structured interviews, was conducted with 28 HCPs working in a Canadian hospital. Four overarching themes emerged from the analysis including (a) greater support for tobacco reduction, (b) enhanced patient care and interactions, (c) improved staff morale, and (d) some barriers still exist. The main findings suggest a comprehensive smoke-free hospital environment can strengthen the tobacco-free workplace culture within a hospital setting among HCPs where support for tobacco reduction is amplified, patient care and interactions regarding tobacco dependence are improved, and staff morale is enhanced. While there are still some challenging barriers as well as opportunities for improvements, the implementation of a comprehensive smoke-free policy heightened the call-to-action among HCPs to take a more active role in tobacco reduction.

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“…Smoking cessation resources could provide assurance for students to implement 5As behaviors. Literature reported that [26] : smoking cessation resources were important factors that in uenced medical professionals to offer smoking-quit assistance. Therefore, the establishment of professional tobacco cessation website, the construction of smoking cessation clinic, the research and invention of drugs to control smoking, the development and promotion of appropriate skills of smoking cessation, provided available resources for medical professionals and conditions for interns to implement smoking cessation behavior.…”

Section: Develop More Effective Smoking Cessation Resourcesmentioning

confidence: 99%

The study of the impact factors of behaviors of nursing intern students: PRECEDE-based structural equation modeling analysis

Zhang

Luo

Chen

2020

Preprint

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BackgroundTobacco hazard is known as one of the most critical public health problems. Nurses could and should help patients to quit smoking. However, the lack of tobacco cessation education of nurses at medical school leads to the absence of behaviors helping smokers to quit. The analysis of the factors that influencing the nursing interns to help smokers to quit provide evidence for nursing school to administer tobacco cessation education to facilitate more behaviors of smoking cessation in future nurses.ObjectTo explore the interaction and the effect coefficient among the influencing factors of the 5As behaviors of nursing interns in helping smokers to quit provide and to provide evidences for the tobacco cessation education. Method: Based on the PRECEDE theory, a questionnaire was developed with consideration of predisposing factor, enabling factor and reinforcing factor. Random Cluster Sampling was used to conduct a survey in 13 teaching hospitals selected from 29 in Chongqing to assess the 5As behaviors of all nursing interns. A structural equation model was established to test the path and effect coefficient of their 5As behaviors.ResultsThe survey investigated 1358 nurses, and the model fitted well with the data. The tobacco cessation education, one of the enabling factors, imposed max effect on the 5As of nursing interns directly（β=0.542，p<0.001） and indirectly（β=0.38，p<0.001）through self-efficacy. The reinforcing factors ( smoking cessation environment) imposed direct effect（β=0.305，p<0.001）and indirect effect on the 5As of nursing interns through attitude changes. Predisposing factors including self-efficacy influenced the 5As directly, while attitude（β=0.001，p<0.05）and knowledge（β=0.008，p<0.05）of tobacco cessation implied indirect influence on the 5As through self-efficacy change. ConclusionTobacco cessation education was the major factor that influenced the nursing interns’ behaviors of helping patients to quit smoking. Enhanced responsibility of smoking cessation education and skills training of clinical teachers can prompt them to actively help patients to quit smoking, actively instruct students the knowledge and skills of smoking quit to increase students' behavior of helping smokers to quit.

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Improving smoking cessation outcomes in secondary care: Predictors of hospital staff willingness to provide smoking cessation referral

Cited by 11 publications

References 16 publications

The Perception and Intervention of Internship Nursing Students Helping Smokers to Quit: A Cross-Sectional Study in Chongqing, China

The Perception and Intervention of Internship Nursing Students Helping Smokers to Quit: A Cross-Sectional Study in Chongqing, China

What Are the Perceptions, Experiences, and Behaviors of Health Care Providers After Implementation of a Comprehensive Smoke-Free Hospital Policy?

The study of the impact factors of behaviors of nursing intern students: PRECEDE-based structural equation modeling analysis

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