The knowledge, attitudes and behaviors of hospital nurses on smoking cessation interventions: a cross-sectional study.

Education Interventions Nurses Smoking cessation Tobacco smoking

Journal

BMC nursing
ISSN: 1472-6955
Titre abrégé: BMC Nurs
Pays: England
ID NLM: 101088683

Informations de publication

Date de publication:
03 Jul 2023
Historique:
received: 09 02 2023
accepted: 22 06 2023
medline: 3 7 2023
pubmed: 3 7 2023
entrez: 2 7 2023
Statut: epublish

Résumé

Smoking is a major public health problem in Croatia. It is unknown to what extent nurses in Croatia use interventions for smoking cessation to help their patients. This study aimed to analyze the knowledge, attitudes and behaviors of hospital nurses on smoking cessation interventions. We conducted a cross-sectional study in Zagreb, Croatia, in 2022 on a convenient sample of hospital nurses. We collected data with a questionnaire that included sociodemographic questions and questions about the frequency of implementation of 5 A's (Ask, Advise, Assess, Assist, Arrange) interventions for smoking cessation during their work using the Helping Smokers Quit (HSQ) survey, participants' attitudes and knowledge about smoking cessation skills and the smoking status of the nurses. There were 824 nurses employed in the targeted departments; 258 nurses participated in the study (response rate: 31%). Among them, 43% responded that they always ask patients about their use of tobacco products. Only 2.7% indicated that they always help the patient to stop smoking. Very few (2%) attended any training in the past two years about helping patients to quit smoking, and 82% never had such training. 44% of the included nurses were smokers. Nurses who smoked stated more frequently than nonsmokers they should not be role models for their patients by avoiding smoking (P 0.001). Additionally, patients were less frequently questioned about their inability to stop smoking by nurses who smoked than nurses who did not smoke (P = 0.010). Even though smoking cessation interventions delivered by nurses were proven effective, such interventions are used by a small number of surveyed nurses. A small number of nurses have received training to help them support smokers in quitting. The high smoking prevalence among nurses may impact their attitudes and the implementation of workplace smoking cessation efforts.

Sections du résumé

BACKGROUND BACKGROUND
Smoking is a major public health problem in Croatia. It is unknown to what extent nurses in Croatia use interventions for smoking cessation to help their patients. This study aimed to analyze the knowledge, attitudes and behaviors of hospital nurses on smoking cessation interventions.
METHODS METHODS
We conducted a cross-sectional study in Zagreb, Croatia, in 2022 on a convenient sample of hospital nurses. We collected data with a questionnaire that included sociodemographic questions and questions about the frequency of implementation of 5 A's (Ask, Advise, Assess, Assist, Arrange) interventions for smoking cessation during their work using the Helping Smokers Quit (HSQ) survey, participants' attitudes and knowledge about smoking cessation skills and the smoking status of the nurses.
RESULTS RESULTS
There were 824 nurses employed in the targeted departments; 258 nurses participated in the study (response rate: 31%). Among them, 43% responded that they always ask patients about their use of tobacco products. Only 2.7% indicated that they always help the patient to stop smoking. Very few (2%) attended any training in the past two years about helping patients to quit smoking, and 82% never had such training. 44% of the included nurses were smokers. Nurses who smoked stated more frequently than nonsmokers they should not be role models for their patients by avoiding smoking (P 0.001). Additionally, patients were less frequently questioned about their inability to stop smoking by nurses who smoked than nurses who did not smoke (P = 0.010).
CONCLUSION CONCLUSIONS
Even though smoking cessation interventions delivered by nurses were proven effective, such interventions are used by a small number of surveyed nurses. A small number of nurses have received training to help them support smokers in quitting. The high smoking prevalence among nurses may impact their attitudes and the implementation of workplace smoking cessation efforts.

Identifiants

pubmed: 37394472
doi: 10.1186/s12912-023-01394-7
pii: 10.1186/s12912-023-01394-7
pmc: PMC10316570
doi:

Types de publication

Journal Article

Langues

eng

Pagination

228

Informations de copyright

© 2023. The Author(s).

Références

Acta Med Croatica. 2014 Mar;68(1):65-9
pubmed: 24979900
Tob Control. 2018 Jan;27(1):50-57
pubmed: 27956650
Addiction. 2013 Aug;108(8):1476-84
pubmed: 23451932
PLoS One. 2022 Feb 10;17(2):e0263892
pubmed: 35143590
Res Nurs Health. 2012 Jun;35(3):250-64
pubmed: 22492474
J Cancer Educ. 2003 Fall;18(3):142-9
pubmed: 14512261
Cancer Nurs. 2015 Nov-Dec;38(6):E22-9
pubmed: 25730594
Tob Control. 2019 Jun;28(Suppl 2):s119-s128
pubmed: 29880598
Public Health Nurs. 2020 Mar;37(2):272-280
pubmed: 31957123
Cochrane Database Syst Rev. 2017 Dec 15;12:CD001188
pubmed: 29243221
Tob Induc Dis. 2022 Nov 25;20:105
pubmed: 36474605
Int Nurs Rev. 2017 Jun;64(2):263-275
pubmed: 27933638
Prev Med. 2005 Jun;40(6):888-95
pubmed: 15850892
Tob Induc Dis. 2021 Jul 14;19:58
pubmed: 34305504
Int J Nurs Stud. 2017 Feb;67:3-11
pubmed: 27880873
Nurs Rep. 2021 Feb 01;11(1):64-74
pubmed: 34968313
Cochrane Database Syst Rev. 2012 May 16;(5):CD001837
pubmed: 22592676
BMJ. 2004 Feb 14;328(7436):397-9
pubmed: 14962878
Coll Antropol. 2015 Sep;39(3):803-8
pubmed: 26898086
PLoS One. 2019 Jul 25;14(7):e0220168
pubmed: 31344083
Health Promot Int. 2013 Dec;28(4):490-501
pubmed: 22888155
J Nurs Scholarsh. 2014 Sep;46(5):314-21
pubmed: 24758571
Acta Clin Croat. 2022 Aug;61(2):273-283
pubmed: 36818939
Clin Epidemiol Glob Health. 2021 Oct-Dec;12:100838
pubmed: 34693078
J Adv Nurs. 2016 Jan;72(1):107-17
pubmed: 26411961
Int J Environ Res Public Health. 2009 Oct;6(10):2534-49
pubmed: 20054453
Am J Prev Med. 2008 Aug;35(2):158-76
pubmed: 18617085
Bull World Health Organ. 2010 Feb;88(2):83
pubmed: 20428359

Auteurs

Marta Čivljak (M)

Center for Evidence-Based Medicine and Health Care, Catholic University of Croatia, Ilica 242, Zagreb, 10000, Croatia.

Lovro Ačkar (L)

Center for Evidence-Based Medicine and Health Care, Catholic University of Croatia, Ilica 242, Zagreb, 10000, Croatia.

Livia Puljak (L)

Center for Evidence-Based Medicine and Health Care, Catholic University of Croatia, Ilica 242, Zagreb, 10000, Croatia. livia.puljak@unicath.hr.

Classifications MeSH