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Health Promotion Journal of Australia Health Promotion Journal of Australia Society
Journal of the Australian Health Promotion Association
RESEARCH ARTICLE

Nurse provision of support to help inpatients quit smoking

V. Malone A F , N. Ezard A B , S. Hodge C , L. Ferguson A , A. Schembri A B D and B. Bonevski E
+ Author Affiliations
- Author Affiliations

A Level 2, The O’Brien Centre, St Vincent’s Hospital, 390 Victoria Street, Darlinghurst, Sydney, NSW 2010, Australia.

B University of NSW, Faculty of Medicine, UNSW Australia, NSW 2052, Australia.

C Network of Alcohol and Other Drugs Agencies, PO Box 2345, Strawberry Hills, NSW 2012, Australia.

D Australian Catholic University, PO Box 968, North Sydney, NSW 2059, Australia.

E University of Newcastle, 5014 Level 5, McAuley Centre, Calvary Mater Hospital, Edith Street, Waratah, NSW 2298, Australia.

F Corresponding author. Email: victoria.malone@svha.org.au

Health Promotion Journal of Australia 28(3) 251-254 https://doi.org/10.1071/HE16082
Submitted: 18 July 2016  Accepted: 13 October 2016   Published: 19 December 2016

Abstract

Issue addressed: Identification of the factors that facilitate nurses to provide smoking cessation advice to hospitalised patients.

Method: Six semistructured focus groups with 26 nurses were conducted in June 2015. Participants completed a structured survey to collect patient demographic data and assess attitudes towards their role in addressing smoking cessation among inpatients.

Results: Important themes that emerged from the qualitative data were: nurses’ negative perceptions of smokers, nurses’ confidence in their knowledge of smoking cessation care and nurses’ uncertainty around whose role it is to provide smoking cessation care.

Conclusion: Nurses require training in order to confidently and competently address smoking among inpatients as part of routine care. Formal ways to document the smoking status of inpatients and the offer of smoking cessation support from a nurse to an inpatient would enhance the communication between nurses around which inpatients had been asked about their smoking status and which had not. For patients who are resistant to conventional cessation strategies, innovative ways are needed to reduce the harm caused to them by tobacco use.

So what?: Nurses need to be provided with education and training around smoking cessation to increase their confidence and skills to provide smoking cessation care to inpatients.

Key words: health education, qualitative methods, smoking cessation, tobacco use.


References

[1]  Halpern MT, Schmier JK, Ward KD, Klesges RC (2000) Smoking cessation in hospitalized patients. Respir Care 45, 330–6.

[2]  Lee DJ, Knuckey S, Cook GA (2014) Changes in health promotion practice in hospitals across England: the National Health Promotion in Hospital Audit 2009 and 2011. J Public Health (Oxf) 36, 651–7.
Changes in health promotion practice in hospitals across England: the National Health Promotion in Hospital Audit 2009 and 2011.Crossref | GoogleScholarGoogle Scholar |

[3]  Whitehead D (2005) Health promoting hospitals: the role and function of nursing. J Clin Nurs 14, 20–7.
Health promoting hospitals: the role and function of nursing.Crossref | GoogleScholarGoogle Scholar |

[4]  Fiore MC, Bailey WC, Cohen SJ, Dorfman SF, Goldstein MG, Gritz ER, et al. Treating tobacco use and dependence: a clinical practice guideline. Washington, DC: US Department of Health and Human Services, Public Health Service; 2000.

[5]  Freund M, Campbell E, Paul C, McElduff P, Walsh RA, Sakrouge R, et al (2008) Smoking care provision in hospitals: a review of prevalence. Nicotine Tob Res 10, 757–74.
Smoking care provision in hospitals: a review of prevalence.Crossref | GoogleScholarGoogle Scholar |

[6]  Nagle A, Schofield M, Redman S (1999) Australian nurses’ smoking behaviour, knowledge and attitude towards providing smoking cessation care to their patients. Health Promot Int 14, 133–44.
Australian nurses’ smoking behaviour, knowledge and attitude towards providing smoking cessation care to their patients.Crossref | GoogleScholarGoogle Scholar |

[7]  Robinson OC (2014) Sampling in interview-based qualitative research: a theoretical and practical guide. Qual Res Psychol 11, 25–41.
Sampling in interview-based qualitative research: a theoretical and practical guide.Crossref | GoogleScholarGoogle Scholar |

[8]  Coleman T, Wilson A (1996) Anti-smoking advice in general practice consultations: general practitioners’ attitudes, reported practice and perceived problems. Br J Gen Pract 46, 87–91.

[9]  Keller E (2010) Known fact: electronic cigarettes deliver nicotine more slowly. Tob Control 19,

[10]  Cahn Z, Siegel M (2011) Electronic cigarettes as a harm reduction strategy for tobacco control: a step forward or a repeat of past mistakes&quest. J Public Health Policy 32, 16–31.
Electronic cigarettes as a harm reduction strategy for tobacco control: a step forward or a repeat of past mistakes&quest.Crossref | GoogleScholarGoogle Scholar |

[11]  Bonevski B, Baker A (2012) Tobacco smoking as a social justice issue: advances in research. Drug Alcohol Rev 31, 599–601.
Tobacco smoking as a social justice issue: advances in research.Crossref | GoogleScholarGoogle Scholar |

[12]  Baker AL, Callister R, Kelly PJ, Kypri K (2012) ‘Do more, smoke less!’ Harm reduction in action for smokers with mental health/substance use problems who cannot or will not quit. Drug Alcohol Rev 31, 714–7.
‘Do more, smoke less!’ Harm reduction in action for smokers with mental health/substance use problems who cannot or will not quit.Crossref | GoogleScholarGoogle Scholar |

[13]  Ziedonis DM, Zammarelli L, Seward G, Oliver K, Guydish J, Hobart M, et al (2007) Addressing tobacco use through organizational change: a case study of an addiction treatment organization. J Psychoactive Drugs 39, 451–9.
Addressing tobacco use through organizational change: a case study of an addiction treatment organization.Crossref | GoogleScholarGoogle Scholar |

[14]  Franco L, Welsby D, Eccleston P, Furber S (2011) A qualitative study about smoking cessation with clients of community service organisations that work with disadvantaged families. Health Promot J Austr 22, 153–5.