Are nurses prepared to curb the tobacco epidemic in China? A questionnaire survey of schools of nursing
ABSTRACT Smoking prevalence among Chinese males is the highest in the world and its morbidity and mortality is growing. Previous studies suggested nurses are inadequately prepared to treat tobacco use and dependence.
To examine the inclusion and organization of tobacco control content in the undergraduate nursing curriculum of Hong Kong and Mainland China; and the smoking status of faculty and students.
Deans of 32 nursing schools in Hong Kong and China with an undergraduate programme (representing over 12000 students) completed a self-administered questionnaire.
Most schools included the health hazards of tobacco (56.3-100%), but few covered tobacco cessation theory (31.3-62.5%), or behavioural (9.4-56.3%) and pharmacological (3.1-34.4%) interventions in the curriculum. Most curricula covered less than 1h of tobacco content per year of study. Nearly all schools (93.1%) reported smoking among faculty but only half reported access to smoking cessation programmes.
This is the first known study to examine the extent of tobacco control education in the nursing curriculum in China. Results suggested deficiencies in the coverage and clinical practice in smoking and smoking cessation, and recommendations were made to strengthen the curriculum.
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ABSTRACT: China is the largest consumer of tobacco in the world and there are currently 360 million smokers in China. Smoking cessation is critical in fighting the tobacco epidemic, and nurses, the largest group of health care providers, play an important role in smoking cessation. China now is only at its early stage in capacity building for smoking cessation counsellors and the experience of Hong Kong, 20 years ahead in tobacco control, in developing nurses in smoking cessation counselling might be useful for reference. The study aimed to compare the differences between 1,541 Guangzhou and 1,843 Hong Kong nurses' knowledge, attitudes and practices with regard to tobacco control and smoking cessation, and the predictors of practising smoking cessation intervention. We found that nurses in both Guangzhou and Hong Kong showed inadequate knowledge on tobacco control and smoking cessation counselling, and in particular, are insufficient in providing “initiation and advice” and “follow-through” actions based on the 5As (Ask, Advise, Assess, Assist, Arrange) framework. Multivariate linear regressions revealed that the specific knowledge was positively associated with both “initiation and advice” and “follow-through” interventions in both regions; while the attitude towards the banning of tobacco promotion was positively associated with both actions in Hong Kong nurses but was negatively associated with the “follow-through” action in smoking cessation intervention in Guangzhou nurses; and the attitude towards their own responsibility in smoking cessation was only positively associated with the “initiation and advice” smoking cessation interventions among Hong Kong nurses. The findings suggested that basic and continuing education and training in smoking cessation should emphasize the specific health hazards of smoking, its risks and mortality. Moreover, the nursing curriculum should include programmes to cultivate a sense of responsibility among the nurses.01/2009; 8(1):179-205. DOI:10.1080/15339114.2009.9678478
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ABSTRACT: The Nursing Global Health Professions Student Survey (GHPSS) has been conducted in schools in 39 countries and the Gaza Strip/West Bank (identified as "sites" for the remainder of this paper). In half the sites, over 20% of the students currently smoked cigarettes, with males having higher rates than females in 22 sites. Over 60% of students reported having been exposed to secondhand smoke in public places in 23 of 39 sites. The majority of students recognized that they are role models in society, believed they should receive training on counseling patients to quit using tobacco, but few reported receiving any formal training. Tobacco control efforts must discourage tobacco use among health professionals, promote smoke free workplaces, and implement programs that train health professionals in effective cessation-counseling techniques.International Journal of Environmental Research and Public Health 10/2009; 6(10):2534-49. DOI:10.3390/ijerph6102534