Nurses trying to quit smoking using the Internet
ABSTRACT Nurses QuitNet, an Internet-based smoking cessation program, was created to support nurses' quit attempts. The purposes of this study were to evaluate quit attempts at 3, 6, and 12 months after the use of the program and to determine differences in demographic, professional, and smoking characteristics by smoking status. Differences in the use of quit methods, barriers, and facilitators to quitting also were assessed. Data among 246 smokers who responded to at least 1 follow-up email at 3, 6, or 12 months after registration were analyzed. Quit rates among respondents were 43% (3 months), 45% (6 months), and 53% (12 months). Total time on the website was significantly higher for those who quit. Barriers to quitting included lack of support from colleagues, stress, lack of cessation services, and fear of not getting a work-break. Facilitators included working in a smoke-free facility, support from colleagues, and workplace cessation services. The use of Nurses QuitNet demonstrated promise in supporting quit attempts. Quitting was influenced by workplace factors.
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ABSTRACT: The aim of this study was to provide a summary of the existing published knowledge on the possible relationship between the workplace as a stressor factor and nurses' tobacco use. A systematic review of the literature from 1995 to 2009, using the MEDLINE database took place. Studies, that referred to nurses' smoking habit exclusively or as a part of the study, were included in the review. 491 studies were retrieved and their titles/abstracts were examined systematically. Twenty one studies were retrieved for further consideration by a comprehensive literature review. Ten studies fulfilled the eligibility criteria and they were examined further. There is a conflict on the possible relationship between workplace as a stressor factor and nurses' smoking habits, because there is no evidence on if the nurses' work environment causes smoking initiation.International Journal of Environmental Research and Public Health 05/2010; 7(5):2362-75. DOI:10.3390/ijerph7052362 · 1.99 Impact Factor
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ABSTRACT: Smoking is a significant women's health issue. Examining smoking behaviors among occupational groups with a high prevalence of women may reveal the culture of smoking behavior and quit efforts of female smokers. The purpose of this study was to examine how smoking and quitting characteristics (i.e., ever and recent quit attempts) among females in the occupation of nursing are similar or different to those of women in the general population. Cross-sectional data from the Tobacco Use Supplement of the Current Population Survey 2006/2007 were used to compare smoking behaviors of nurses (n = 2, 566) to those of non-healthcare professional women (n = 93, 717). Smoking characteristics included years of smoking, number of cigarettes, and time to first cigarette with smoking within the first 30 minutes as an indicator of nicotine dependence. Logistic regression models using replicate weights were used to determine correlates of ever and previous 12 months quit attempts. Nurses had a lower smoking prevalence than other women (12.1% vs 16.6%, p < 0.0001); were more likely to have ever made a quit attempt (77% vs 68%, p = 0.0002); but not in the previous 12 months (42% vs 43%, p = 0.77). Among those who ever made a quit attempt, nurses who smoked within 30 minutes of waking, were more likely to have made a quit attempt compared to other women (OR = 3.1, 95% CI: 1.9, 5.1). When considering quit attempts within the last 12 months, nurses whose first cigarette was after 30 minutes of waking were less likely to have made a quit attempt compared to other females (OR = 0.69, 95% CI: 0.49, 0.98). There were no other significant differences in ever/recent quitting. Smoking prevalence among female nurses was lower than among women who were not in healthcare occupations, as expected. The lack of difference in recent quit efforts among female nurses as compared to other female smokers has not been previously reported. The link between lower level of nicotine dependence, as reflected by the longer time to first cigarette, and lower quit attempts among nurses needs further exploration.BMC Women's Health 03/2012; 12:4. DOI:10.1186/1472-6874-12-4 · 1.66 Impact Factor
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ABSTRACT: Introduction: Smoking remains the leading cause of preventable death in the United States. The purpose of this investigation was to systematically analyze smoking cessation interventions conducted in worksite settings. Methods: Three researchers conducted a search of CINAHL, MEDLINE, ERIC and Psychology and Behavioral Sciences Collection databases, independently. Eligibility of articles was evaluated by the following criteria: (1) primary research; (2) tobacco/smoking treatment interventions; (3) implemented in worksite settings; (4) conducted in the United States and abroad; (5) used a quantitative design; (6) published between March 2009 and January 2013 (based on articles published after a similar review). Results: A total of 12 articles satisfied the inclusion criteria. Nine programs reported a positive effect on tobacco/smoking treatment. Seven of the interventions were theory-based, with six of these applying the transtheoretical stages of change model. Four of the programs included pharmacotherapy and six incorporated incentives. Conclusions: Worksite smoking treatment intervention design can be improved by incorporation of more robust designs with extended follow-up measures, explicit operationalization of theoretical frameworks, inclusion of ecological theory-based frameworks and integration of fidelity process evaluation. Pharmacotherapy in conjunction with behavior modification appears efficacious; however, the ability of financial incentives to motivate behavior change is still unconfirmed.Journal of Substance Use 07/2013; 19(4). DOI:10.3109/14659891.2013.799240 · 0.48 Impact Factor