Miscommunication and misperceptions between health staff and Indigenous carers about raising smoking cessation in a paediatric ward in Australia: a qualitative study

Moyo, Sukoluhle; Hefler, Marita; Carson‐Chahhoud, Kristin; Thomas, D.

doi:10.1080/10376178.2020.1806090

Cited by 3 publications

(14 citation statements)

References 19 publications

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“…We found that smoking cessation was a low priority on the paediatric ward, similar to other research within paediatric settings where the presenting illness and other risk factors took precedence over the latent effects of smoking. Time pressures and lack of training were also barriers to screening for smoking and providing cessation support, in both our study and previous research [ 10 , 15 ]. However, there were opportunities to increase smoking cessation support through improvements to systems and policies for screening and referral of carers who are smokers.…”

Section: Discussionsupporting

confidence: 76%

“…This was a descriptive qualitative study using data collected as part of a larger PhD project undertaken by the first author that examined the role of health staff in delivering targeted smoking cessation programs in paediatric health care settings to reduce SHS exposure. One component of this project has already been published, examining miscommunication and misperceptions between health staff and Indigenous carers about raising the topic of smoking cessation in the paediatric ward [ 15 ]. A descriptive thematic analysis using an inductive approach, as described by Braun and Clarke [ 16 ], was used to explore barriers and enablers impacting health staff provision of smoking cessation support to patient carers in the paediatric ward.…”

Section: Methodsmentioning

confidence: 99%

“…The initial thematic analysis suggested that the data be described in two separate papers. The first paper was analysing data related to communication and has been published [ 15 ]. This paper analyses remaining data, not previously examined in the original publication.…”

Section: Methodsmentioning

confidence: 99%

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A qualitative exploration of the provision and prioritisation of smoking cessation support to patient carers in a paediatric ward in Australia

et al. 2022

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Background Hospitalisation of a child is a unique opportunity for health staff to offer smoking cessation support; that is screening for carer smoking status, discussing cessation and providing interventions to carers who smoke. This has the potential to reduce the child’s exposure to second-hand smoke, and in turn tobacco related illnesses in children. However, these interventions are not always offered in paediatric wards. The aim of this study was to explore the provision and prioritisation of smoking cessation support to patient carers in a paediatric ward with a high proportion of Aboriginal patients and carers in a regional area of Australia’s Northern Territory. Methods This is a qualitative descriptive study of data collected through semi-structured interviews with 19 health staff. The interviews were audio recorded and transcribed verbatim. Thematic analysis was performed on the transcripts. Results We found low prioritisation of addressing carer smoking due to, a lack of systems and procedures to screen for smoking and provide quitting advice and unclear systems for providing more detailed cessation support to carers. Staff were demotivated by the lack of clear referral pathways. There were gaps in skills and knowledge, and health staff expressed a need for training opportunities in smoking cessation. Conclusion Health staff perceived they would provide more cessation support if there was a systematic approach with evidence-based resources for smoking cessation. These resources would include guidelines and clinical record systems with screening tools, clear action plans and referral pathways to guide clinical practice. Health staff requested support to identify existing training opportunities on smoking cessation.

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Section: Discussionsupporting

confidence: 76%

Section: Methodsmentioning

confidence: 99%

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A qualitative exploration of the provision and prioritisation of smoking cessation support to patient carers in a paediatric ward in Australia

et al. 2022

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“…Our Cochrane reviews have demonstrated that delivering even brief 1‐hour training to health professionals in a primary care setting 51 and community pharmacists 52 can significantly increase the success of long‐term attempts to quit and result in sustained abstinence. Our own original research studies have also shown that existing evidence‐based treatments for smoking cessation are still highly effective in helping smokers quit 53–55 . For example, in our multi‐center randomized controlled trial (n = 392), among smokers who only received Quitline support, sustained smoking abstinence of 21.4% was observed after 12‐months 56 and 18.8% after 2 years 53 .…”

Section: Discussionmentioning

confidence: 76%

“…Our own original research studies have also shown that existing evidence‐based treatments for smoking cessation are still highly effective in helping smokers quit. 53 , 54 , 55 For example, in our multi‐center randomized controlled trial (n = 392), among smokers who only received Quitline support, sustained smoking abstinence of 21.4% was observed after 12‐months 56 and 18.8% after 2 years. 53 These studies clearly indicate that existing strategies for smoking cessation have not been exhausted and using these approaches will provide implementation ready approaches for nationwide, low‐cost cessation support.…”

Section: Discussionmentioning

confidence: 83%

Global, regional, and national burden of cancers attributable to tobacco smoking in 204 countries and territories, 1990–2019

et al. 2022

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Background Cancers are leading causes of mortality and morbidity, with smoking being recognized as a significant risk factor for many types of cancer. We aimed to report the cancer burden attributable to tobacco smoking by sex, age, socio‐demographic index (SDI), and cancer type in 204 countries and territories from 1990 to 2019. Methods The burden of cancers attributable to smoking was reported between 1990 and 2019, based upon the Comparative Risk Assessment approach used in the Global Burden of Disease (GBD) study 2019. Results Globally, in 2019 there were an estimated 2.5 million cancer‐related deaths (95% UI: 2.3 to 2.7) and 56.4 million DALYs (51.3 to 61.7) attributable to smoking. The global age‐standardized death and DALY rates of cancers attributable to smoking per 100,000 decreased by 23.0% (−29.5 to −15.8) and 28.6% (−35.1 to −21.5), respectively, over the period 1990–2019. Central Europe (50.4 [44.4 to 57.6]) and Western Sub‐Saharan Africa (6.7 [5.7 to 8.0]) had the highest and lowest age‐standardized death rates, respectively, for cancers attributable to smoking. In 2019, the age‐standardized DALY rate of cancers attributable to smoking was highest in Greenland (2224.0 [1804.5 to 2678.8]) and lowest in Ethiopia (72.2 [51.2 to 98.0]). Also in 2019, the global number of DALYs was highest in the 65–69 age group and there was a positive association between SDI and the age‐standardized DALY rate. Conclusions The results of this study clearly illustrate that renewed efforts are required to increase utilization of evidence‐based smoking cessation support in order to reduce the burden of smoking‐related diseases.

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Research translation to improve carer smoking cessation support in a paediatric ward of a regional hospital in the Northern Territory

Moyo

Hefler

Carson‐Chahhoud

et al. 2023

Health Prom J of Aust

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Issue addressedHealth professionals have described barriers to providing carer smoking cessation support in children's wards. This article reports the findings of a research translation process that explored opportunities and developed pathways for change.MethodsA facilitated discussion workshop and scheduled stakeholder meetings were used to evaluate research evidence and translate it to an evidence‐informed organisational change process, with actions for implementation. Workshop and meeting participants were senior health staff with either a pharmacist, personnel with expertise in alcohol and other drugs, medical or nursing backgrounds, and who held senior managerial roles who worked in a hospital in the Northern Territory. A qualitative approach was used. The data from the workshop were transcribed and analysed using thematic analysis. The first author took notes for meetings that were not recorded and analysed these alongside the transcripts.ResultsThe process was able to initiate change to overcome barriers to providing carer smoking cessation support. All participants agreed to prioritise and make carer smoking cessation everybody's responsibility and supported a systematic approach, including provision of nicotine replacement therapy, new record‐keeping systems, and training to address staff knowledge deficits and skills gaps. This movement to solution‐focused change continued after the workshop.ConclusionsWith some preparation, a research translation workshop and meetings with selected leaders can initiate organisational change in similar settings and is consistent with theories of planned change.So what?This article describes the use of a process to support health promotion through new policies and practices following research which identified barriers in a hospital ward.

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Miscommunication and misperceptions between health staff and Indigenous carers about raising smoking cessation in a paediatric ward in Australia: a qualitative study

Cited by 3 publications

References 19 publications

A qualitative exploration of the provision and prioritisation of smoking cessation support to patient carers in a paediatric ward in Australia

A qualitative exploration of the provision and prioritisation of smoking cessation support to patient carers in a paediatric ward in Australia

Global, regional, and national burden of cancers attributable to tobacco smoking in 204 countries and territories, 1990–2019

Research translation to improve carer smoking cessation support in a paediatric ward of a regional hospital in the Northern Territory

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