Acute (adult clinical inpatient) care nurses’ attitudes towards and knowledge of nationally endorsed 5As smoking cessation guidelines

Andrew Scanlon
Department of Neurosurgery, Austin Health; La Trobe University/Austin Health Clinical School of Nursing, Heidelberg VIC

Eileen Clark
Division of Nursing & Midwifery, La Trobe University, Wodonga, VIC

William McGuiness
Deputy Head; Senior Lecturer, Division of Nursing and Midwifery, La Trobe University, Melbourne VIC

PP: 80

Abstract

Nurses are expected to be involved in health promotion, including smoking cessation. This study aimed to assess nurses' knowledge, sense of responsibility and willingness to provide smoking cessation interventions as described in the national 5As guideline. Data were collected by a survey distributed to a convenience sample of nursing staff (n=162) from thirteen different adult acute care wards at a major metropolitan Melbourne hospital.

Nearly all respondents (87%) agreed that they had a responsibility to counsel patients, and 22% were already doing so, but only 22% (n=36) of respondents demonstrated an adequate level of knowledge of smoking cessation. Nurses were more likely to counsel patients on health conditions related to their area of practice than those that were not.

The findings indicate that greater emphasis is needed in undergraduate courses and in-service programs to increase nurses' awareness, and implementation of the 5As guideline for smoking cessation.

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Keywords

smoking cessation interventions, 5As, nurses, nursing role, survey


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References

Australian Government Department of Health and Ageing & Ministerial Council on Drug Strategy (Australia) (2005) National Tobacco Strategy, 2004-2009: the strategy. Ministerial Council on Drug Strategy, accessed at http://www.health.gov.au/internet/wcms/publishing.nsf/Content/phd-pub-tobacco-tobccstrat2-cnt.htm/$FILE/tobacco_services.pdf on 14 December 2007.

Australian Institute of Health and Welfare (2002) Chronic diseases and associated risk factors in Australia, 2001, Australian Institute of Health and Welfare, Canberra.

Australian Institute of Health and Welfare (2006) Chronic diseases and associated risk factors in Australia, 2006, Australian Institute of Health and Welfare, Canberra.

Australian Nursing and Midwifery Council (2002) Code of ethics for nurses in Australia, Australian Nursing and Midwifery Council Inc, Dickson ACT.

Burns I and Paterson IM (2005) Clinical practice and placement support: supporting learning in practice, Nurse Education in Practice 5(1): 3-9.

Clark E, McCann TV, Rowe K and Lazenbatt A (2004) Cognitive dissonance and undergraduate nursing students' knowledge of, and attitudes about, smoking, Journal of Advanced Nursing 46(6): 586-594.

Collins D and Lapsley H (2004) The social costs of smoking in Australia, New South Wales Public Health Bulletin 15(5-6): 92-94.

Conroy MB, Majchrzak NE, Regan S, Silverman CB, Schneider LI and Rigotti NA (2005) The association between patient-reported receipt of tobacco intervention at a primary care visit and smokers' satisfaction with their health care, Nicotine & Tobacco Research 7(Suppl 1): S29-34.

Cote MC (2000) Vascular nurse as a smoking cessation specialist, Journal of Vascular Nursing 18(2): 47-53.

Fiore MC, Bailey WC, Cohen SJ, Dorfman SF, Goldstein MG and Gritz ER (2000) Treating Tobacco Use and Dependence: A Public Health Service Clinical Practice Guideline. Department of Health and Human Services Public Health Service, Rockville MD.

Fonteyn ME (2004) A nurse led smoking cessation intervention increased cessation rates after hospital admission for coronary heart disease, Evidence-Based Nursing 7(2): 46.

Galavotti C, Cabral RJ, Lansky A, Grimley DM, Riley GE and Prochaska JO (1995) Validation of measures of condom and other contraceptive use among women at high risk for HIV infection and unintended pregnancy, Health Psychology 14(6): 570-578.

Gomm M, Lincoln P, Egeland P and Rosenberg M (2002) Helping hospitalised clients quit smoking: a study of rural nursing practice and barriers, Australian Journal of Rural Health 10(1): 26-32.

Gonzalez B, Lupon J, Herreros J, Urrutia A, Altimir S and Coll R (2005) Patient's education by nurse: what we really do achieve? European Journal of Cardiovascular Nursing 4(2): 107-111.

Gopalan PD and Burrows RC (2003) Critical care of the vascular surgery patient, Critical Care Clinics 19(1): 109-25.

Heart Foundation of Australia (1999) Heart, stroke and vascular diseases: Australian facts, accessed at http://www.aihw.gov.au/publications/index.cfm?type=list&id=4 on 5 July 2006.

Hopkins S (2000) Support for students, Nursing Management (London) 7(7): 36-37.

Houlihan GD (1999) The evaluation of the 'stages of change' model for use in counselling clients undergoing predictive testing for Huntington's disease, Journal of Advanced Nursing 29(5): 1137-1143.

Houston TK, Allison JJ, Person S, Kovac S, Williams OD and Kiefe CI (2005) Post-myocardial infarction smoking cessation counseling: associations with immediate and late mortality in older Medicare patients, American Journal of Medicine 118(3): 269-275.

Hurley SF (2005) Short-term impact of smoking cessation on myocardial infarction and stroke hospitalisations and costs in Australia, Medical Journal of Australia 183(1): 13-17.

Joanna Briggs Institute for Evidence Based Nursing and Midwifery (2001) Smoking cessation interventions and strategies, Best Practice 5(3): 1-6.

Jones H, Edwards L, Vallis TM, Ruggiero L, Rossi SR and Rossi JS (2003) Changes in diabetes self-care behaviors make a difference in glycemic control: the Diabetes Stages of Change (DiSC) study, Diabetes Care 26(3): 732-737.

Katz DA, Muehlenbruch DR, Brown RB, Fiore MC and Baker TB (2002) Effectiveness of a clinic-based strategy for implementing the AHRQ Smoking Cessation Guideline in primary care, Preventive Medicine 35(3): 293-302.

Kristeller JL, Rossi JS, Ockene JK, Goldberg R and Prochaska JO (1992) Processes of change in smoking cessation: a cross-validation study in cardiac patients, Journal of Substance Abuse 4(3): 263-276.

Lambert V and Glacken,M (2004) Clinical support roles: a review of the literature, Nurse Education in Practice 4(3):177-183.

Macdonald RL (2004) Advances in vascular surgery, Stroke 35(2): 375-380.

Miller M (2002) Smoking cessation interventions: review of evidence and implications for best practice in health care settings, Department of Health and Ageing, Canberra.

Miller M and Wood L (2002) Smoking cessation interventions: review of evidence and implications for best practice in health care settings, accessed at http://www.health.gov.au/internet/wcms/publishing.nsf/Content/health-pubhlth-publicat-document-smoking_ces-cnt.htm/$FILE/smoking_ces.pdf on 5 July 2006.

Mitchell P, Chapman S and Smith W (1999) Smoking is a major cause of blindness, Medical Journal of Australia 171(4): 173-174.

Nagle A, Schofield M and Redman S (1999) Australian nurses' smoking behaviour, knowledge and attitude towards providing smoking cessation care to their patients, Health Promotion International 14(2): 133-144.

Narsavage G and Idemoto BK (2003) Smoking cessation interventions for hospitalized patients with cardio-pulmonary disorders, Online Journal of Issues in Nursing 8(2): 8.

Nied RJ and Franklin B (2002) Promoting and prescribing exercise for the elderly, American Family Physician 65(3): 419-426.

Norcross JC, Prochaska JO and Hambrecht M (1991) Treating ourselves vs. treating our clients: a replication with alcohol abuse, Journal of Substance Abuse 3(1):123-129.

Ong KC, Cheong GN, Prabhakaran L and Earnest A (2005) Predictors of success in smoking cessation among hospitalized patients, Respirology 10(1): 63-69.

Prochaska JO and DiClemente CC (1983) Stages and processes of self-change of smoking: toward an integrative model of change, Journal of Consulting & Clinical Psychology 51(3): 390-395.

Rice VH and Stead LF (2006) Nursing interventions for smoking cessation, The Cochrane Library 1.

Richmond R, Zwar N, Borland R, Stillman S, Cunningham M and Litt J (2005) Smoking cessation for Australian general practice: evaluation of best practice guidelines, Australian Family Physician 34(6): 505-507.

Ridolfo B (2001) The quantification of drug-caused mortality and morbidity in Australia, accessed at http://www.aihw.gov.au/publications/phe/qdcmma98/index.html on 5 July 2006.

Rossi SR, Rossi JS, Rossi-DelPrete LM, Prochaska JO, Banspach SW and Carleton RA (1994) A processes of change model for weight control for participants in community-based weight loss programs, International Journal of the Addictions 29(2): 161-177.

Saarmann L, Daugherty J and Reigel B (2000) Patient teaching to promote behavioral change, Nursing Outlook 48(6): 281-287.

Scanlon A (2006) Nursing and the 5As guideline to smoking cessation interventions, Australian Nursing Journal 14(5): 25-28.

Shuttleworth A (2004) Clinical. The role of nurses in reducing the use of tobacco, Nursing Times 100(1): 26-28.

Snively CS and Gutierrez C (2004) Chronic kidney disease: prevention and treatment of common complications, American Family Physician 70(10): 1921-1928.

Snow MG, Prochaska JO and Rossi JS (1994) Processes of change in Alcoholics Anonymous: maintenance factors in long-term sobriety, Journal of Studies on Alcohol 55(3): 362-371.

Sohn M, Hartley C, Froelicher ES and Benowitz NL (2003) Tobacco use and dependence. [Review], Seminars in Oncology Nursing 19(4): 250-260.

Spooner LD (2005) Build a solid patient education program: people skills and timeliness prove helpful traits, Patient Education Management 12(2):17-18.

Vallis M, Ruggiero L, Greene G, Jones H, Zinman B and Rossi S (2003) Stages of change for healthy eating in diabetes: relation to demographic, eating-related, health care utilization, and psychosocial factors, Diabetes Care 26(5):1468-1474.

West R (2005) Time for a change: Putting the Transtheoretical (Stages of Change) Model to rest, Addiction 100(8):1036-1039.

West R, McNeill A and Raw M (2000) Smoking cessation guidelines for health professionals: an update, Thorax 55(12): 987-999.

Wetta-Hall R, Ablah E, Frazier LM, Molgaard CA, Berry M and Good MJ (2005) Factors influencing nurses' smoking cessation assessment and counseling practices, Journal of Addictions Nursing 16(3): 131-135.

Whyte RE, Watson HE and McIntosh,J (2006) Nurses' opportunistic interventions with patients in relation to smoking, Journal of Advanced Nursing 55(5): 568-577.

Wolfenden L, Freund M, Campbell E, Wiggers J, Paul C and Mitchell E (2004) Managing nicotine dependence in NSW hospital patients, New South Wales Public Health Bulletin 15(5-6): 98-101.

Zahner SJ and Gredig QB (2005) Improving public health nursing education: recommendations of local public health nurses, Public Health Nursing 22(5): 445-450.

Zwar N, Richmond R, Borland R, Stillman S, Cunningham M and Litt J (2005) Smoking Cessation Guidelines for Australian General Practice, Department of Health and Ageing, Canberra.



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