Barriers to tobacco cessation in clinical practice: Report from a national survey of oncology nurses

Sarna, Linda; Wewers, Mary Ellen; Brown, Jean K.; Lillington, Linda; Brecht, Mary‐Lynn

doi:10.1067/mno.2001.115448

Cited by 91 publications

(81 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Primary care providers who believe that their patients are not willing to quit are less inclined to offer cessation counselling to them [97,98]. The perceptions of nurses delivering smoking cessation counselling to home-bound medically ill patients about the relevance, effectiveness (quit attempts), and outcomes (successful quits) of cessation advice are found to be significantly correlated with their counselling behaviours.…”

Section: Perceived Lack Of Relevancementioning

confidence: 89%

“…Lack of motivation, opportunity, and capacity among healthcare staff are some of the barriers in delivering cessation interventions [97,100,101]. Nurses and doctors are often not motivated to deliver cessation interventions as they perceive it to be outside their roles.…”

Section: Just Focus On Treating the Conditionmentioning

confidence: 99%

“…Nurses, both in general and speciality care, who are themselves current smokers, are less likely to arrange follow-up discussions about quitting smoking with patients [97]. Self-efficacy (confidence in own ability to counsel patients who smoke) is also found to be higher among nonsmoking health providers and positively predicts arranging patient followup for smoking cessation advice [99].…”

Section: Own Smoking Behaviourmentioning

confidence: 99%

See 2 more Smart Citations

Smoking Cessation in Long-Term Conditions: Is There “An Opportunity in Every Difficulty”?

Siddiqi

Dogar

Siddiqi

2013

International Journal of Population Research

View full text Add to dashboard Cite

Introduction. Smoking plays a causal role in several long-term conditions and worsens their outcomes. Focusing on six such conditions, we present a narrative review of seminal studies on the prevalence and impact of continued tobacco use on these conditions; the effectiveness of cessation interventions; the extent to which patients receive these interventions, and barriers to providing and taking up these interventions. Methods. A conceptual framework was used to identify questions for a series of focused literature reviews. Findings were synthesized and the literature was examined to identify themes common across these conditions. Results. Smoking prevalence is either similar or higher in patients with established long-term conditions compared to the general population. Continued smoking accelerates disease progression, worsens outcomes, and risks poor treatment compliance or further complications. There is strong evidence for the effectiveness of cessation interventions in achieving smoking abstinence. Despite this, only a small proportion of patients receive such interventions. Important barriers to uptake include concerns about weight management and drug safety, higher nicotine dependency and codependency, comorbidity, and misperceptions about the benefits of cessation. Conclusion. The benefits of offering smoking cessation in patients with long-term conditions are far too great for it to remain of a low priority.

show abstract

Section: Perceived Lack Of Relevancementioning

confidence: 89%

Section: Just Focus On Treating the Conditionmentioning

confidence: 99%

Section: Own Smoking Behaviourmentioning

confidence: 99%

See 1 more Smart Citation

Smoking Cessation in Long-Term Conditions: Is There “An Opportunity in Every Difficulty”?

Siddiqi

Dogar

Siddiqi

2013

International Journal of Population Research

View full text Add to dashboard Cite

show abstract

“…From this list, it is apparent that some of the barriers are patient-dependent (lack of readiness to quit), whereas others are providerdependent (lack of skill to help patients quit). The fact that tobacco-dependent providers are less likely to offer smoking cessation counseling than nontobacco-dependent providers is a significant barrier [20,21]. Resources need to be made available to help providers quit smoking so that they can be more effective in helping their patients quit smoking.…”

Section: Synergistic Outcomes With Resource Availability and Advocacymentioning

confidence: 98%

Application of the Synergy Model with the Surgical Care of Smokers

Graham-Garcia¹,

George-Gay

Heater

et al. 2006

Critical Care Nursing Clinics of North America

View full text Add to dashboard Cite

“…Of physician members of the International Association for the Study of Lung Cancer, 48% cited lack of training or experience as a barrier to smoking cessation delivery 36 while 43% of Italian oncologists were willing to receive further training 40 . In a sample of oncology nurses from the United States defined as either having a high or low perception of barriers, 75.2% of the high barrier group reported lack of knowledge as impacting on their ability to engage in interventions while only 4.3% reported this as an issue in the low barrier group 25 . Meanwhile in a survey of 77 British oncology professionals only 35% agreed or strongly agreed they had the skills and expertise to discuss smoking cessation 39 .…”

Section: Lack Of Knowledgementioning

confidence: 99%

Attitudes of oncology healthcare practitioners towards smoking cessation: A systematic review of the facilitators, barriers and recommendations for delivery of advice and support to cancer patients

2017

View full text Add to dashboard Cite

This document is the author deposited version. You are advised to consult the publisher's version if you wish to cite from it. CONLON, Katy, PATTINSON, Laura and HUTTON, Daniel (2017). Attitudes of oncology healthcare practitioners towards smoking cessation: A systematic review of the facilitators, barriers and recommendations for delivery of advice and support to cancer patients. Radiography, 23 (3), 256-263. Published version Copyright and re-use policySee http://shura.shu.ac.uk/information.html Sheffield Hallam University Research Archivehttp://shura.shu.ac.uk TitleAttitudes of oncology healthcare practitioners towards smoking cessation: a systematic review of the facilitators, barriers and recommendations for delivery of advice and support to cancer patients. AbstractBackground: Patients who continue to smoke after a cancer diagnosis experience a worse quality of life and worse side-effects. It is important to establish the facilitators and barriers to cessation by looking at the attitudes and beliefs towards smoking cessation of healthcare practitioners.

show abstract

Barriers to tobacco cessation in clinical practice: Report from a national survey of oncology nurses

Cited by 91 publications

References 19 publications

Smoking Cessation in Long-Term Conditions: Is There “An Opportunity in Every Difficulty”?

Smoking Cessation in Long-Term Conditions: Is There “An Opportunity in Every Difficulty”?

Application of the Synergy Model with the Surgical Care of Smokers

Attitudes of oncology healthcare practitioners towards smoking cessation: A systematic review of the facilitators, barriers and recommendations for delivery of advice and support to cancer patients

Contact Info

Product

Resources

About