Nurse provision of support to help inpatients quit smoking

Malone, Victoria; Ezard, Nadine; Hodge, Sianne; Ferguson, Laura; Schembri, Anthony; Bonevski, Billie

doi:10.1071/he16082

Cited by 7 publications

(5 citation statements)

References 10 publications

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“… 21 An apparent lack of clarity around whose role it is to provide smoking cessation care for inpatients was reflected in a study involving focus group discussions with 26 nurses. 19 The study also found that nurses expressed a lack of confidence about their knowledge in smoking cessation care which may prevent them from consistently addressing cessation with all patients. 19 Commitment and support from all clinical and administrative staff may require adjustment to existing roles to promote a multilevel approach to smoking cessation care across health services.…”

Section: Discussionmentioning

confidence: 92%

“… 19 The study also found that nurses expressed a lack of confidence about their knowledge in smoking cessation care which may prevent them from consistently addressing cessation with all patients. 19 Commitment and support from all clinical and administrative staff may require adjustment to existing roles to promote a multilevel approach to smoking cessation care across health services. 22 The development of smoking cessation clinical guidelines and protocols, supported by staff training and regular monitoring and evaluation, will facilitate implementation of smoking cessation care into routine practice.…”

Section: Discussionmentioning

confidence: 92%

“…10 Lack of knowledge and skills around smoking cessation care can affect staff's confidence to routinely provide best-practice cessation care to patients. 19 Challenges in providing smoking cessation care to patient groups with advanced illnesses were acknowledged. This observation correlates with a previous study using focus group discussions with 16 healthcare professionals caring for patients with advanced lung cancer.…”

Section: Discussionmentioning

confidence: 99%

“… 10 Lack of knowledge and skills around smoking cessation care can affect staff’s confidence to routinely provide best-practice cessation care to patients. 19 …”

Section: Discussionmentioning

confidence: 99%

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Hospital staff perspectives on the provision of smoking cessation care: a qualitative description study

et al. 2021

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ObjectiveTo explore the perspectives of hospital staff regarding the provision of smoking cessation care.Study designA qualitative description study using focus group discussions.Study settingData were collected across metropolitan regional and rural hospitals in Victoria, Australia, between November and December 2019.ParticipantsClinical and non-clinical hospital staff.ResultsFive focus groups were conducted across four hospitals. Staff (n=38) across metropolitan regional and rural hospitals shared similar views with regards to barriers and facilitators of smoking cessation care. Four themes were present: (1) Clinical Setting wherein views about opportunity and capacity to embed smoking cessation care, relevant policies and procedures and guidelines were discussed; (2) Knowledge consisted of the need for training on the provision of pharmacotherapy and behavioural interventions, and awareness of resources; (3) Consistency represented the need for a consistently applied approach to smoking cessation care by all staff and included issues of staff smoking; and (4) Appropriateness consisted of questions around how smoking cessation care can be safely delivered in the context of challenging patient groups and different settings.ConclusionsStaff across metropolitan regional and rural hospitals experience similar views and identified shared barriers in implementing smoking cessation care. Responding to staff concerns and providing support to address smoking with patients will help to foster a consistent approach to cessation care. Clear practice guidelines for multidisciplinary clinical roles need to underpin staff training in communication skills, include priorities around smoking cessation care, and provide the authorising environment in which clinical staff actively provide smoking cessation care.

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

“… 10 Lack of knowledge and skills around smoking cessation care can affect staff’s confidence to routinely provide best-practice cessation care to patients. 19 …”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Hospital staff perspectives on the provision of smoking cessation care: a qualitative description study

et al. 2021

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“…Moreover, the efficacy of training courses to motivate nurses and make them proactive in improving their knowledge about smoking cessation counselling is acknowledged. For this reason, it is strongly recommended that nurses' training includes time and incentive to undertake such activities (Malone et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

Knowledge and attitudes towards smoking cessation counselling: an Italian cross-sectional survey on tertiary care nursing staff

Maniscalco

Barretta

Pizzo

et al. 2021

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Background One of the most effective smoking cessation strategies involves care and advice from nurses due to their role in the front line of treatment. Lack of education on smoking cessation counselling may be detrimental, and adequate smoking cessation training during healthcare studies is needed. Objectives The study aimed to examine nurses’ attitudes, belief, and knowledge of smoking cessation counselling; knowledge of the health risks associated with smoking was also assessed. Design A cross-sectional survey on 77 nurses from the nursing staff of Cardiology, Cardiac Intensive Care and Surgical Oncology Units of two tertiary hospitals. Methods Cronbach’s alpha was calculated to assess the questionnaire’s internal consistency, and three composite indicators were computed to assess the three dimensions of the questionnaire (knowledge, attitude, belief). Furthermore, a stepwise linear regression model was used to predict the attitude to be engaged in smoking cessation counselling, related to demographic and behavioural variables, as well as knowledge and belief indicators. The analysis was stratified by Unit. Results Nurses from three Units had a significantly different attitude score (2.55 ± 0.93 for Cardiology, 2.49 ± 0.72 for Cardiac Intensive Care and 2.09 ± 0.59 for Surgical Oncology Unit) (P-value = 0.0493). Analogously, knowledge of smoking cessation counselling was reported to be higher for Cardiac Intensive Care Unit nurses (3.19 ± 0.70) compared to Surgical Oncology nurses (2.73 ± 0.74) (P-value = 0.021). At the multivariable analysis, attitude towards smoking cessation counselling was significantly related to the nurse’s belief about counselling, for Cardiology staff (coeff = 0.74, 95% CI [0.32–1.16], P-value = 0.002) and for Surgical Oncology staff (coeff = 0.37, 95% CI [0.01–0.72], P-value = 0.042). Conclusions Incorporation of smoking cessation interventions in nurses’ and nursing managers’ education could improve the nursing staff’s attitude, belief, and knowledge regarding smoking cessation counselling, which would lead to the inclusion of tobacco prevention and cessation as an integral part of patient care.

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