Tobacco use is considered to be the single most preventable cause of premature morbidity and mortality among men and women. It is well documented that tobacco cessation reduces the burden of disease significantly and is cost effective. Efficacious therapy for tobacco dependence exists, and nurses have been shown to be effective tobacco cessation interventionists. Given the large number of nurses in the United States, nurses can influence national health objectives of reduced tobacco use significantly and help to decrease the number of adults at risk for tobacco-attributable disease and death. The objectives of this presentation are to (a) describe the scientific evidence for tobacco cessation interventions, based on the U.S. clinical practice guideline Treating Tobacco Use and Dependence; (b) present the meta-analytic findings of the efficacy of nursing interventions for smoking cessation; (c) discuss barriers to nursing research and tobacco interventions; and (d) provide future directions for nursing intervention research.
"Given the tremendous global burden of tobacco-related death and disease and the unambiguous evidence that providing brief treatments is effective at improving cessation success, there are clear implications for policy and practice. Increasing the number of nurses who deliver these evidence-based interventions for tobacco use and dependence is likely to expose more tobacco users to evidence-based treatments, lead more tobacco users to quit and decrease the prevalence of tobacco use and tobacco-related disease (Wewers et al. 2006, Fiore et al. 2008). Given the reach of nurses into the population that uses tobacco, the potential impact of nurses systematically delivering brief interventions for tobacco use is enormous. "
[Show abstract][Hide abstract] ABSTRACT: This paper is a report of a study conducted to examine the effects of a brief training in the treatment of tobacco use and dependence on the tobacco use intervention-related knowledge and attitudes of nurses.
Nurses are the largest group of healthcare providers and they have an extended reach into the population of tobacco users. Thus, increasing the number of nurses who deliver brief evidence-based interventions for tobacco use and dependence, such as that prescribed by the Public Health Service Clinical Practice Guideline in the United States of America, is likely to expose more tobacco users to evidence-based treatments and lead to more successful quit attempts. Effective training is key to improving provider proficiency in delivering evidence-based interventions for tobacco use and dependence.
A 1-hour didactic training was delivered to 359 nurses from 2006 to 2007, including 54 Advanced Practice Nurses, 250 Registered Nurses and 55 Licensed Practical Nurses. Pre- and post-training tests assessed attitudes, knowledge and behaviours. Paired samples t-tests were used to compare pre- and post-test results.
Statistically significant increases on nearly all measures were achieved, with Registered Nurses and Licensed Practical Nurses realizing the largest gains.
Given the overwhelming impact of tobacco use on patients, all nurses should be provided with training in the delivery of brief, evidence-based interventions for tobacco use. As the most trusted healthcare provider group with an extended reach into the tobacco using population, nurses have a large potential impact on the prevalence of tobacco use.
"Similar to the USA, registered nurses comprise the largest group of healthcare professionals in England and are ideally placed to offer tobacco cessation interventions to patients throughout all clinical areas. As stated by Sarna et al. (2009), evidence does indicate that nurses are effective in providing cessation interventions (Sivarajan Froelicher et al. 2004, Persson & Hjalmarson 2006, Wewers et al. 2006, Rice & Stead 2008). In fact, providing advice to smokers to stop smoking more than doubles the cessation rate (Bao et al. 2006). "
[Show abstract][Hide abstract] ABSTRACT: Inequalities in cigarette smoking prevalence exist, with smokers more likely to be poor and less educated. Higher socioeconomic status (SES) is associated with higher quit rates. The overall relationship between low SES and poor health, as measured by morbidity and mortality, is well established. However, research indicates that inequalities in health are not explained by SES alone; other variables, such as psychosocial factors, may play a significant role. Williams has developed a conceptual framework to examine relationships among SES, psychosocial factors, and medical care related to health outcomes. According to Williams, the interrelationships among these factors have yet to be determined. As such, the pathways among the variables within psychosocial factors are explored and the authors discuss application to public health nursing practice and areas for future research. Further understanding of these relationships in the context of smoking may inform prevention and cessation strategies.
Public Health Nursing 07/2007; 24(4):361-71. DOI:10.1111/j.1525-1446.2007.00645.x · 0.83 Impact Factor
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