Registered nurses’ perception of self‐efficacy and competence in smoking cessation after participating in a web‐based learning activity

Rosvall, Annica; Carlson, Elisabeth

doi:10.1111/jocn.13831

Cited by 15 publications

(20 citation statements)

References 33 publications

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“…After web‐based cessation training, previous studies showed an increase in healthcare provider self‐efficacy, competency, skill, and smoking cessation guideline adherence when it came to providing cessation services to the patients (Bialous et al, 2017; De Ruijter, Candel, Smit, De Vries, & Hoving, 2018; Rosvall & Carlson, 2017; Sarna et al, 2016). The current study demonstrated that implementing an evidenced‐based, e‐learning education program has a positive impact on the healthcare provider’s knowledge and confidence in helping oncology patients quit smoking.…”

Section: Discussionmentioning

confidence: 99%

Implementation of a Smoking Cessation e‐Learning Education Program for Oncology Clinic Healthcare Providers: Evaluation With Implications for Evidence‐Based Practice

Chase

Zurmehly

Amaya

et al. 2020

Worldviews Ev Based Nurs

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Background: Continued smoking after a cancer diagnosis increases the risk for treatment complications, primary cancer recurrence, and secondary malignancy development, while also reducing treatment efficacy, survival, and overall health. The lack of formal evidence-based smoking cessation education programs for oncology healthcare providers is a barrier to smoking cessation practices. Purpose: To evaluate the use of an evidence-based, smoking cessation e-learning education program for oncology healthcare providers. Methods: A single group, pre-and post-test, nonexperimental design was used in this evidence-based quality improvement project. To assess the provider's knowledge in smoking cessation, a baseline assessment, a post-test, and an online survey were completed by the providers. A telephone survey was conducted to assess the patients' perception of cessation services received. Results: The healthcare providers' (N = 58) test scores on smoking cessation knowledge increased significantly (p < .0001) after completing the e-learning education program. A majority of the providers reported that the education program increased their confidence (86%) in successfully helping the patient to quit smoking and agreed to make smoking cessation a priority (89%) in their practice. A majority of the patients (85%) were satisfied or extremely satisfied with the smoking cessation services received. Many patients (71%) self-reported having tried to quit smoking. Conclusion: An evidence-based e-learning education program is effective in increasing oncology healthcare providers' knowledge and confidence in tobacco dependence treatment practices. The program also has a positive impact on oncology patients' perception of cessation services received. Linking Evidence to Action: A self-paced e-learning program is a feasible and effective way to educate healthcare providers in smoking cessation treatment. Incorporating evidence-based tobacco dependence treatment into their daily oncology practice is warranted.

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Section: Discussionmentioning

confidence: 99%

Implementation of a Smoking Cessation e‐Learning Education Program for Oncology Clinic Healthcare Providers: Evaluation With Implications for Evidence‐Based Practice

Chase

Zurmehly

Amaya

et al. 2020

Worldviews Ev Based Nurs

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“…The analysis also suggested that pharmacy staff (including those without NCSCT training) were using consultation skills and appropriate words and phrases which were taught in their STOP intervention training. From a social cognitive theoretical perspective,36 this potentially demonstrates improved knowledge through vicarious learning and increased self-efficacy to provide basic SSS information to clients.…”

Section: Discussionmentioning

confidence: 99%

Evaluating NHS Stop Smoking Service engagement in community pharmacies using simulated smokers: fidelity assessment of a theory-based intervention

et al. 2019

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ObjectivesSmokers are more likely to quit if they use the National Health Service (NHS) Stop Smoking Service (SSS). However, community pharmacies experience low service uptake. The Smoking Treatment Optimisation in Pharmacies (STOP) programme aims to address this problem by enhancing staff training using a theory-based intervention. In this study, we evaluated intervention fidelity using simulated smokers (actors) to assess smoker engagement and enactment of key intervention components by STOP trained staff.DesignAn observational pilot study.SettingsFive community pharmacies in North East London with an NHS SSS.MethodsSix actors, representative of East London’s population, were recruited and trained to complete intervention fidelity assessments. Consenting pharmacy staff from five participating pharmacies received STOP Intervention training. Four weeks after the staff training, the actors visited the participating pharmacies posing as smokers eligible for smoking cessation support. Engagement behaviour by pharmacy staff and enactment of intervention components was assessed using a scoring tool derived from the STOP logic model (scoring range of 0–36), and contemporaneous field notes taken by actors.Results18 of 30 completed assessments were with STOP trained staff (10/18 were counter assistants). Mean score for smoker engagement was 24.4 (SD 9.0) points for trained and 16.9 (SD 7.8) for untrained staff, respectively. NHS SSS leaflets (27/30) were the most common smoking cessation materials seen on pharmacy visits. Most trained counter staff engaged with smokers using leaflets and a few proactively offered appointments with their cessation advisors. Appropriate use of body language was reported on 26/30 occasions alongside the use of key phrases from the STOP training session (n=8). Very few pharmacy staff wore STOP promotional badges (4/30).ConclusionsSTOP training may change client engagement behaviour in pharmacy staff and could improve the uptake of the NHS SSS. A cluster randomised controlled trial is currently in progress to evaluate its effectiveness and cost-effectiveness.Trial registration numberISRCTN16351033.

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“…The 15 articles reviewed and analyzed included nine quantitative cross-sectional studies (Chatdokmaiprai et al, 2017; Choi & Kim, 2016; Connolly et al, 2013; Fore et al, 2013; Ganz et al, 2015; Leitlein et al, 2013; Smit et al, 2013; Taniguchi et al, 2016), one quantitative prospective design (Sarna et al, 2014), three mixed-method qualitative–quantitative research designs (Guo et al, 2015; Katz et al, 2016; Rosvall & Carlson, 2017), and two qualitative interview designs (Ostlund et al, 2015; Schwindt et al, 2016).…”

Section: Characteristics Of the Studiesmentioning

confidence: 99%

“…Two of the research designs used pre-and post-surveys to evaluate educational programs and outcomes of training (Fore et al, 2013; Sarna et al, 2014). Mixed-method studies interviewed volunteers from larger surveys for closer examination (Guo et al, 2015; Katz et al, 2016; Rosvall & Carlson, 2017). Two studies used semi-structured interviews for content analysis (Ostlund et al, 2015) and audiotaped interviews for theme analysis (Schwindt et al, 2016).…”

Section: Characteristics Of the Studiesmentioning

confidence: 99%

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Occupational Health Nurses’ Self-Efficacy in Smoking Cessation Interventions: An Integrative Review of the Literature

Thornberry

Garcia

Peck

et al. 2020

Workplace Health Saf

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Background: Effective smoking cessation interventions (SCIs) are indicated, particularly among the working population, where a higher than expected prevalence of smoking continues. Occupational health nurses’ (OHN) self-efficacy can affect SCI but current scientific literature is limited. The purpose of this integrative literature review was to determine factors that affect OHN self-efficacy and motivation for providing SCI and to guide research needed to enhance SCI programs. Methods: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines, we conducted an integrative literature review. The strategy was an electronic data search of PubMed conducted between 2013 and 2018 and included peer-reviewed manuscripts written in English that addressed self-efficacy and its relationship to SCI. Findings: In total, 15 research articles met the inclusion criteria and two referred specifically to OHNs. Common themes revealed factors which positively and negatively influenced nurses’ self-efficacy, including training, academic preparation, as well as nurse attitudes and personal/social influence. Studies specific to OHNs identify self-efficacy as the most influential factor affecting nurse implementation of SCI. Organizational support and theory-based training are more effective in overcoming personal and social barriers affecting OHN self-efficacy. Conclusion/Application to Practice: The results of this review revealed attitude, innovation, perceived social influence, and self-efficacy were factors for nurses’ intention to implement SCI. Changes in the organizational environment supporting cessation programs and educational development, particularly theory-based training, should be further studied. Our findings suggest that designing programs utilizing these research findings to improve OHN self-efficacy could guide changes in clinical practice for motivating smokers to quit.

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Registered nurses’ perception of self‐efficacy and competence in smoking cessation after participating in a web‐based learning activity

Abstract: Findings from this study will be of particular interest to educators in healthcare settings who can devise further development of web-based learning activities.

Cited by 15 publications

References 33 publications

Implementation of a Smoking Cessation e‐Learning Education Program for Oncology Clinic Healthcare Providers: Evaluation With Implications for Evidence‐Based Practice

Implementation of a Smoking Cessation e‐Learning Education Program for Oncology Clinic Healthcare Providers: Evaluation With Implications for Evidence‐Based Practice

Evaluating NHS Stop Smoking Service engagement in community pharmacies using simulated smokers: fidelity assessment of a theory-based intervention

Occupational Health Nurses’ Self-Efficacy in Smoking Cessation Interventions: An Integrative Review of the Literature

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