Nursing interventions for smoking cessation

Vh, Rice; Stead, Lindsay F

doi:10.1002/14651858.cd001188.pub2

Cited by 231 publications

(235 citation statements)

References 61 publications

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“…It has been found, for example, that healthcare providers who receive formal smoking cessation training are more likely to intervene with patients who use tobacco than those who are not formally trained 25 26. Research suggests that simple advice from doctors or nurses during routine care primary care, hospital wards, outpatient clinics and industrial clinics can significantly increase smoking cessation rates 27 28. The number of people in the present study who reported receiving formal training in tobacco cessation counselling varied substantially, ranging from 10.9% among nursing students to 51.1% among medical students.…”

Section: Discussionmentioning

confidence: 99%

Cross-sectional survey: smoking among medical, pharmacy, dental and nursing students, University of Health Sciences, Lao PDR

et al. 2013

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ObjectivesTo investigate the prevalence of and attitudes to smoking among third year medical, pharmacy, dentistry and nursing students in Lao People’s Democratic Republic (PDR).DesignA cross-sectional survey conducted among third year university level, health professional students. The survey used a self-administered questionnaire which was originally developed by WHO, and modified to suit the setting.SettingThe setting was the University of Health Sciences in Vientiane, the capital of Lao PDR. Participants were recruited from the Faculties of Medicine, Pharmacy, Dentistry and Nursing. At the time of the survey, 521 third year students were enrolled.Primary and secondary outcome measuresThe primary outcome measure was prevalence of current cigarette smoking and other tobacco use. Smoking status was categorised as: current smoker, ex-smoker and non-smoker with current smokers defined as those who had smoked cigarettes or used other tobacco on one or more days during the previous 30 days.ResultsIn total, 506 respondents completed the questionnaire, giving a response rate of 97.1% to 98.5% across the different faculties. Overall smoking prevalence was 5.07% (95% CI 3.2% to 7.1%), which is lower than previously reported national prevalence rates. Women reported smoking less than men did (OR=0.56, 95% CI=0.013 to 0.242; p=0.003). The majority of students supported tobacco control measures. The number of people who reported receiving formal training in tobacco cessation counselling ranged from 10.9% (95% CI 5.3% to 19.1%) among nursing students to 51.1% (95% CI 40.4% to 61.7%) among medical students.ConclusionsSmoking prevalence among this cohort was relatively low. Students were supportive of tobacco control policies. Further research is needed to understand what is working in this context, in order to apply lessons learnt in similar settings. In the meantime, health professional students should be provided health education to discourage tobacco use. Information on tobacco control policies needs to be more widely disseminated.

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Section: Discussionmentioning

confidence: 99%

Cross-sectional survey: smoking among medical, pharmacy, dental and nursing students, University of Health Sciences, Lao PDR

et al. 2013

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“…The respective differences in continuous validated abstinence at 12 months were 11%, 4%, 8% (p=0. 25). There was no significant difference between counselling alone and usual care, or in reduction in cigarette consumption between the treatment groups.…”

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confidence: 80%

Clinical trial comparing nicotine replacement therapy (NRT) plus brief counselling, brief counselling alone, and minimal intervention on smoking cessation in hospital inpatients

Molyneux

Lewis

Leivers³

et al. 2003

Thorax

100

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Background: Guidelines recommend that smoking cessation interventions are offered in all clinical settings to all smokers willing to make a quit attempt. Since the effectiveness of routine provision of behavioural counselling and nicotine replacement therapy (NRT) to smokers admitted to hospital has not been established, a randomised controlled trial of these interventions given together compared with counselling alone or minimal intervention was performed in hospital inpatients. Methods: Medical and surgical inpatients who were current smokers at the time of admission were randomised to receive either usual care (no additional advice at admission), counselling alone (20 minute intervention with written materials), or NRT plus counselling (counselling intervention with a 6 week course of NRT). Continuous and point prevalence abstinence from smoking (validated by exhaled carbon monoxide <10 ppm) was measured at discharge from hospital and at 3 and 12 months, and self-reported reduction in cigarette consumption in smokers was assessed at 3 and 12 months. Results: 274 inpatient smokers were enrolled. Abstinence was higher in the NRT plus counselling group (n=91) than in the counselling alone (n=91) or usual care (n=92) groups. The difference between the groups was significant for validated point prevalence abstinence at discharge (55%, 43%, 37% respectively, p=0.045) and at 12 months (17%, 6%, 8%, p=0.03). The respective differences in continuous validated abstinence at 12 months were 11%, 4%, 8% (p=0.25). There was no significant difference between counselling alone and usual care, or in reduction in cigarette consumption between the treatment groups. Conclusions: NRT given with brief counselling to hospital inpatients is an effective routine smoking cessation intervention.

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“…2 This issue is of particular relevance to nurses working in direct patient care since they are the largest health practitioner group in these settings and have the most amount of contact with patients. [3][4][5][6][7] While health practitioners claim to have positive attitudes towards providing cessation support [8][9][10][11] and agree tobacco use is an important health issue, [9][10][11][12] missed opportunities to provide this support have been the reported practice norm. 9 11 13-15 The World Health Organization's Framework Convention on Tobacco Control recommends that tobacco reduction interventions be available in hospitals.…”

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confidence: 99%

An ethnographic study of tobacco control in hospital settings

Schultz

Bottorff²,

Johnson³

2006

Tob Control

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Background: Tobacco control in hospital settings is characterised by a focus on protection strategies and an increasing expectation that health practitioners provide cessation support to patients. While practitioners claim to have positive attitudes toward supporting patient cessation efforts, missed opportunities are the practice norm. Objective: To study hospital workplace culture relevant to tobacco use and control as part of a mixedmethods research project that investigated hospital-based registered nurses' integration of cessation interventions. Design: The study was conducted at two hospitals situated in British Columbia, Canada. Data collection included 135 hours of field work including observations of ward activities and designated smoking areas, 85 unstructured conversations with nurses, and the collection of patient-care documents on 16 adult inpatient wards.Results: The findings demonstrate that protection strategies (for example, smoking restrictions) were relatively well integrated into organisational culture and practice activities but the same was not true for cessation strategies. An analysis of resources and documentation relevant to tobacco revealed an absence of support for addressing tobacco use and cessation. Nurses framed patients' tobacco use as a relational issue, a risk to patient safety, and a burden. Furthermore, conversations revealed that nurses tended to possess only a vague awareness of nicotine dependence. Conclusion: Overcoming challenges to extending tobacco control within hospitals could be enhanced by emphasising the value of addressing patients' tobacco use, raising awareness of nicotine dependence, and improving the availability of resources to address addiction issues.

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Nursing interventions for smoking cessation

Cited by 231 publications

References 61 publications

Cross-sectional survey: smoking among medical, pharmacy, dental and nursing students, University of Health Sciences, Lao PDR

Cross-sectional survey: smoking among medical, pharmacy, dental and nursing students, University of Health Sciences, Lao PDR

Clinical trial comparing nicotine replacement therapy (NRT) plus brief counselling, brief counselling alone, and minimal intervention on smoking cessation in hospital inpatients

An ethnographic study of tobacco control in hospital settings

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