Effectiveness of a clinical practice change intervention in increasing the provision of nicotine dependence treatment in inpatient psychiatric facilities: an implementation trial

Wye, Paula; Stockings, Emily; Bowman, Jenny; Oldmeadow, Christopher; Wiggers, John

doi:10.1186/s12888-017-1220-7

Cited by 20 publications

(22 citation statements)

References 48 publications

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“…At 6‐month follow‐up, the intervention increased documentation of smoking status assessment (36–52% of records), nicotine dependence assessment (5–11%), provision of advice to quit (1–9%), prescription of NRT (8–26%), and treatment of smoking at discharge (9–13%; Wye et al . ). In the second study, Williams et al .…”

Section: Discussionmentioning

confidence: 97%

“…), and a medical record audit ( N = 1054) of psychiatric inpatients discharged between June and October 2009 (Wye et al . ). The patient survey revealed that 31% received brief advice to quit, and while 75% used NRT, only 44% of those patients reported the NRT was sufficient to reduce nicotine withdrawal symptoms (Stockings et al .…”

Section: Introduction/backgroundmentioning

confidence: 97%

“…The audit study reported that 36% and 5% of patients had their smoking status and nicotine dependence assessed, respectively, 1% were provided with advice to quit, and 8% and 9% were prescribed NRT during hospitalization or provided NRT at discharge, respectively (Wye et al . ).…”

Section: Introduction/backgroundmentioning

confidence: 97%

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Patient receipt of smoking cessation care in four Australian acute psychiatric facilities

Metse

Wiggers

Wye

et al. 2018

Int J Mental Health Nurs

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This study aimed to report the receipt of smoking care, and associated clinical and smoking characteristics among smokers admitted to four public psychiatric inpatient facilities in New South Wales, Australia. Between October 2012 and July 2014, adult smokers (N = 236) were surveyed during admission to and 1 month following discharge from the facilities. Measures of smoking care receipt were reported descriptively, and logistic regression analyses were used to explore characteristics associated with care receipt. The majority of participants were offered (78%) and used (78%) nicotine replacement therapy (NRT), with 66% of NRT-users reporting the amount provided was sufficient to reduce cravings. A minority of participants (16%) received information or advice to quit smoking, and 60% reported smoking throughout their admission. Patients not contemplating quitting and those with non-psychotic disorders were more likely to receive an offer of NRT. The findings suggest the provision of smoking care in Australian acute psychiatric units is sub-optimal overall, with an indication that care may be provided selectively to certain patients, rather than systematically to all. Development and dissemination of interventions to increase smoking care provision in inpatient psychiatry are needed.

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Section: Discussionmentioning

confidence: 97%

Section: Introduction/backgroundmentioning

confidence: 97%

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Patient receipt of smoking cessation care in four Australian acute psychiatric facilities

Metse

Wiggers

Wye

et al. 2018

Int J Mental Health Nurs

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“…; Wye et al . , ). Consideration can also be given to piloting community programmes that educate family and carers on how to support quitting. Key messages of these programmes may include reiteration of the importance of supportive language to encourage quitting and information about existing and emerging smoking cessation resources (Patten et al .…”

Section: Discussionmentioning

confidence: 99%

Are Australian smokers with mental illness receiving adequate smoking cessation and harm reduction information?

Kumar

Ford

Beere

et al. 2018

Int J Mental Health Nurs

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Provision of smoking cessation support in the form of advice and information is central to increasing quit rates, including among people with mental illness (MI), who have 3-5 times higher odds of smoking than those without MI. This study investigated the extent and perceived utility of quit smoking advice and information available to Australian smokers with MI through face-to-face, semi-structured, in-depth interviews with 29 current smokers with MI. Qualitative analysis identified four major sources of quit smoking advice and information: (i) mental health practitioners; (ii) Quitline; (iii) social networks; and (iv) Internet and media. All identified sources, including formal sources (mental health practitioners and Quitline), were perceived as providing inadequate information about quitting smoking, particularly regarding optimal usage of nicotine replacement therapy (NRT). Social networks emerged as a substantial source of quit smoking advice and information, especially for nontraditional methods such as vaping. Participants showed high interest in receiving support from peer-led smoking cessation groups. A minority of participants reported that they had received quit smoking information from Internet and media; this was largely restricted to negative reports about e-cigarettes and short advertisements for nicotine replacement therapy. Our findings suggest that more can be done to provide smokers with MI with practical smoking cessation advice and support. Comprehensive information resources tailored for smokers with MI should be developed and disseminated via multiple pathways. We also recommend a number of policy and practice reforms to promote smoking cessation among those with MI.

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“…Finally, although the number of patients who received both teaching and nicotine gum was not statistically significant, there was a marked increase of 20.0%; 0 pre-intervention patients received both, while six post-intervention patients were in this category. Wye, Stockings, Bowman, Oldmeadow, and Wiggers (2017) demonstrated that provision of training, education and feedback to clinical staff resulted in long-term practice changes in terms of tobacco use assessment, provision of advice on cessation and prescribing of NRT to psychiatric inpatients both during admission and at discharge. Their study included a practice change support officer who managed the implementation of project strategies and resources (Wye et al, 2017), suggesting that staff asked to add new tasks to their practice may be most successful with structure and support beyond what we were able to provide.…”

Section: Discussionmentioning

confidence: 99%

Improving patient education about tobacco withdrawal and nicotine gum use by registered nurses in inpatient psychiatry: A feasibility study

Muladore

Brown

Haefner

et al. 2018

Psychiatric Ment Health Nurs

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Introduction Tobacco use is prohibited in most psychiatric facilities in the United States, yet many psychiatric inpatients are tobacco users. Psychiatric nurses have reported inadequate education about best practices for managing tobacco dependence. Aim To explore the feasibility of an educational intervention for psychiatric nurses designed to improve their ability to educate patients about best practices for managing tobacco dependence, as well as effective use of nicotine gum. Method Fourteen nurses on a psychiatric inpatient unit at a community hospital were educated about the targeted topics. Chart reviews of nonequivalent pre-intervention and post-intervention patient groups were conducted to explore the outcomes of the intervention. Results Patients received more teaching, and used nicotine gum more often, following the intervention. However, no statistically significant differences between the pre-intervention and post-intervention patient groups were found. Discussion Educating nurses about best practices for managing tobacco withdrawal symptoms may have positive outcomes. Existing research suggests that such interventions may be most effective when support and structure are provided to ensure long-term practice changes. Implications for practice This feasibility study demonstrates that a brief nurse education intervention has the potential to improve the experience of tobacco withdrawal for psychiatric inpatients. Future research that expands upon the current project is warranted.

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Effectiveness of a clinical practice change intervention in increasing the provision of nicotine dependence treatment in inpatient psychiatric facilities: an implementation trial

Cited by 20 publications

References 48 publications

Patient receipt of smoking cessation care in four Australian acute psychiatric facilities

Patient receipt of smoking cessation care in four Australian acute psychiatric facilities

Are Australian smokers with mental illness receiving adequate smoking cessation and harm reduction information?

Improving patient education about tobacco withdrawal and nicotine gum use by registered nurses in inpatient psychiatry: A feasibility study

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