Barriers to helping patients quit smoking: Lack of knowledge about cessation methods, E-cigarettes, and why nurse practitioners and physician assistants can help.
Cessation
E-cigarettes
Health care professionals
Nurse practitioners
Oncology
Physician assistants
Smoking
Journal
Public health in practice (Oxford, England)
ISSN: 2666-5352
Titre abrégé: Public Health Pract (Oxf)
Pays: England
ID NLM: 101774776
Informations de publication
Date de publication:
Dec 2023
Dec 2023
Historique:
received:
17
10
2022
revised:
06
06
2023
accepted:
18
07
2023
medline:
9
8
2023
pubmed:
9
8
2023
entrez:
9
8
2023
Statut:
epublish
Résumé
Health care settings are ideal for addressing patients' smoking and quitting, but barriers may limit providers' assistance with cessation, including lack of knowledge about newer devices being used by some smokers to quit (e.g., e-cigarettes). Cessation practices among nurse practitioners (NPs) and physician assistants (PAs) are also unknown. Cross-sectional. Participants (N = 459) were 151 oncologists, 150 primary care physicians (PCPs), 98 nurse practitioners (NPs), and 60 physician assistants (PAs) recruited from a national online panel who completed an online survey. Four barriers were common across specialties: "patient doesn't want to quit, and it is their decision," "smoking is not reason for patient's visit; must treat the immediate problem first," "patient wants to quit on their own," and "lack of effective methods available." While a majority of oncologists (58%) were aware of free telephone counseling for cessation, only 29% of NPs were aware. Perceived knowledge of e-cigarettes was low. Greater comfort treating patients' smoking predicted greater frequency of engagement in 4 of 5 general cessation practices ( NPs and PAs may be uniquely positioned to provide cessation assistance, but providers need more education on currently available, effective cessation methods, and about e-cigarettes. Addressing patient resistance to offers of cessation services and improving clinical workflows to enhance cessation service provision should be investigated in future research.
Identifiants
pubmed: 37554288
doi: 10.1016/j.puhip.2023.100409
pii: S2666-5352(23)00055-1
pmc: PMC10405087
doi:
Types de publication
Journal Article
Langues
eng
Pagination
100409Informations de copyright
© 2023 American Cancer Society.
Déclaration de conflit d'intérêts
No conflicts of interest are declared by any authors.
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