Smoking Cessation Counseling for Parents During Child Hospitalization: A National Survey of Pediatric Nurses

Geller, Alan C.; Brooks, Daniel R.; Woodring, Barbara C.; Oppenheimer, Sarah C.; McCabe, Margaret; Rogers, Jayne; Timm, Alison; Resnick, Elissa A.; Winickoff, Jonathan P.

doi:10.1111/j.1525-1446.2011.00954.x

Cited by 27 publications

(27 citation statements)

References 19 publications

(25 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[19][20][21][22] Although national respiratory and nursing associations and others have long advocated for regular provision of tobacco cessation interventions by their members, [26][27][28][29][30][31][32][33] pediatric RTs and RNs still do not use their patients' visits to motivate parents to quit smoking. [23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38] Our study provides additional evidence to support this claim. It also showed that, before enrolling in WeBREATHe, participating RTs and RNs asked parents about their tobacco use only some of the time and almost never provided any type of assistance.…”

Section: Discussionsupporting

confidence: 82%

“…[26][27][28][29][30][31][32] Although RTs, RNs, and NPs are interested in addressing tobacco use with patients, few incorporate cessation into routine care. 23,29,[33][34][35][36][37][38] Many lack confidence in providing cessation advice and fear that they may antagonize and alienate the smoker. 36,39 Provision of tobacco cessation intervention training and self-help materials can offset these concerns.…”

mentioning

confidence: 99%

“…23,29,[33][34][35][36][37][38] Many lack confidence in providing cessation advice and fear that they may antagonize and alienate the smoker. 36,39 Provision of tobacco cessation intervention training and self-help materials can offset these concerns. After training and provision of patient materials, health care professionals in our previous work reported increased confidence in addressing tobacco use.…”

mentioning

confidence: 99%

See 2 more Smart Citations

A Randomized Clinical Trial of a Web-Based Tobacco Cessation Education Program

et al. 2013

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 82%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

A Randomized Clinical Trial of a Web-Based Tobacco Cessation Education Program

et al. 2013

View full text Add to dashboard Cite

show abstract

“…These barriers include lack of visit time and reimbursement for these services, lack of infrastructure for parental tobacco screening and counseling, and most notably, lack of practitioner comfort in counseling adult smokers. 16,17 …”

mentioning

confidence: 99%

Parental Tobacco Screening and Counseling in the Pediatric Emergency Department: Practitioners’ Attitudes, Perceived Barriers, and Suggestions for Implementation and Maintenance

Mahabee‐Gittens

Dixon

Vaughn

et al. 2014

Journal of Emergency Nursing

View full text Add to dashboard Cite

Objective The pediatric emergency department (PED) is a venue that underutilizes parental tobacco screening and brief cessation counseling. We sought to explore PED practitioners’ attitudes and perceived barriers regarding the implementation and adoption of tobacco screening/cessation counseling of parental smokers in the PED setting, and to solicit suggestions for improving the sustainability and maintenance of such practices. Methods We conducted an exploratory, qualitative study of a convenience sample of PED practitioners using the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework. Individual, focused interviews were conducted to determine factors that would maximize the implementation and maintenance of parental tobacco screening and intervention counseling as standard PED practice. Results Thirty interviews were conducted from which relevant data, patterns, and themes were identified. Reach factors included targeting parental smokers with children with respiratory diseases, having adequate training of practitioners, and providing “pre-arranged” counseling packages. Effectiveness factors included practitioner desire for outcome data about intervention effectiveness (e.g., changes in children’s secondhand smoke exposure and parental quit rates). Solutions to increase intervention adoption included quick electronic health record prompts and the provision of on-site tobacco cessation experts. Implementation suggestions emphasized the importance of financial support and the alignment of tobacco screening/counseling with strategic plans. Maintenance factors included institutional and technical support, and the importance of intervention “champions” in the PED. Conclusions By highlighting important viewpoints of practitioners regarding tobacco screening and counseling, the findings can help guide and direct the development and evaluation of sustainable interventions to facilitate tobacco use treatment in the PED.

show abstract

“…7 Using nursing staff has been shown to be feasible and effective in both adult and pediatric inpatient settings. [7][8][9][10][11] Quitlines are a key component of tobacco control by providing telephone counseling, nicotine replacement therapy, and Webbased resources and support. Quitlines have been shown to be a highly costeffective intervention, delivering high value relative to cost when compared with other common disease prevention interventions and medical treatments.…”

mentioning

confidence: 99%

Implementation of an Inpatient Electronic Referral System (Opt-to-Quit) From the Electronic Health Record to the New York State Smokers’ Quitline: First Steps

Boykan

Milana

Propper

et al. 2016

Hospital Pediatrics

View full text Add to dashboard Cite

A B S T R A C T OBJECTIVES:(1) To implement a new policy-driven referral program, Opt-to-Quit, using electronic data transfer from the electronic health record (EHR) to the New York State Smokers' Quitline (NYSSQL) and (2) to improve referrals to the NYSSQL for smoking caregivers of children admitted to a children's hospital. METHODS:Smoking caregivers of pediatric patients were referred to the NYSSQL through a standardized template built into the EHR, during the child's hospitalization or emergency department encounter. Direct data exchange was based on a point-to-point protocol, without dependence on any external centralized processing service. Input and oversight were provided by a multidisciplinary task force, which included physician and nursing leadership, information technology specialists, Health Insurance Portability and Accountability Act compliance personnel and legal counsel, and NYSSQL staff. The process was refined through several iterative plan-dostudy-act cycles, using a single-armed, prospective cohort study design, including surveys of nursing staff and continued input of information technology experts on both hospital and Quitline sides. RESULTS:In 2013, 193 smokers were identified in 2 pilot units; 62% (n5 119) accepted referral to the NYSSQL. In 2014, after expansion to all inpatient units and the emergency department, 745 smokers were identified, and 36% (n 5 266) accepted referral. Over the 2 years, overall increase in referrals was 124%; as of the first quarter of 2015, referral rate was sustained at 34%. CONCLUSIONS:Hospital-wide implementation of the Opt-to-Quit program through our EHR was feasible and sustainable and has significantly improved referrals to the NYSSQL. POTENTIAL CONFLICT OF INTEREST:The authors have indicated they have no potential conflicts of interest to disclose.Dr Boykan initiated the implementation of the Opt-to-Quit program at Stony Brook Children' s Hospital, oversaw data collection and analyses, and contributed to, reviewed, and revised the manuscript; Dr Milana oversaw data collection and analyses and contributed to, reviewed, and revised the manuscript; Ms Propper oversaw data collection and analyses, directed process change at Stony Brook Children' s at all stages of this initiative, and contributed to, reviewed, and revised the manuscript; Ms Bax and Ms Celestino directed the implementation and all process changes at the New York State Smoker' s Quitline and contributed to, reviewed, and revised the manuscript; and all authors approved the manuscript as submitted.HOSPITAL PEDIATRICS Volume 6, Issue 9, September 2016 545by guest on May 10, 2018 http://hosppeds.aappublications.org/ Downloaded from Smoking rates have significantly decreased over the past 20 years. Despite advances, 14.5% of adults in New York State are smokers, and more than 1 000 000 children are exposed to secondhand smoke (SHS) each year.1,2 Physicians and other health care workers play an important role in promoting evidence-based smoking cessation treatments, such as motivational intervi...

show abstract

Smoking Cessation Counseling for Parents During Child Hospitalization: A National Survey of Pediatric Nurses

Abstract: Future research should test the efficacy of developing comprehensive hospital-wide policies to deliver smoking cessation for parents during a child's hospitalization.

Cited by 27 publications

References 19 publications

A Randomized Clinical Trial of a Web-Based Tobacco Cessation Education Program

A Randomized Clinical Trial of a Web-Based Tobacco Cessation Education Program

Parental Tobacco Screening and Counseling in the Pediatric Emergency Department: Practitioners’ Attitudes, Perceived Barriers, and Suggestions for Implementation and Maintenance

Implementation of an Inpatient Electronic Referral System (Opt-to-Quit) From the Electronic Health Record to the New York State Smokers’ Quitline: First Steps

Contact Info

Product

Resources

About