Are nurses prepared to curb the tobacco epidemic in China? A questionnaire survey of schools of nursing

Department of Nursing Studies, The University of Hong Kong, Hong Kong SAR, China.
International Journal of Nursing Studies (Impact Factor: 2.9). 06/2008; 45(5):706-13. DOI: 10.1016/j.ijnurstu.2006.12.008
Source: PubMed


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.
Cross-sectional survey.
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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    • "Knowledge on the basic, community based and clinical science related to tobacco use, attitudes and behaviours are minimal skills that should be core graduation requirement for nursing students. In the USA, it has been suggested that nursing students lack training on how to implement tobacco cessation techniques and that increased instructional efforts concerning the clinical treatment of tobacco dependence would be critical in order to achieve a decrease in smoking rates [18,20]. Nursing students' knowledge of intervention techniques and methods to help people give up smoking was found to be poor overall, indicating the need to improve the content of current nursing degrees on the prevention and treatment of tobacco use [21]. "
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    ABSTRACT: Within the healthcare system, nurses have the ability to influence their patients' smoking habits through counselling. Therefore, it is of great importance to appropriately train health professionals on smoking cessation strategies with the aim to help them provide advice to their patients. In light of the above, the objective of this study was to assess the association between Greek nursing students' beliefs towards tobacco control/smoking cessation and the professional training received. During February 2009, we conducted a cross sectional national survey among all 3rd year nursing students of the two university based nursing departments in Greece (University of Athens, University of the Peloponnese). The Global Health Professional Student Survey (GHPSS) questionnaire was applied and following written informed consent 73% provided a completed questionnaire (n = 192/263 enrolled students). Overall, 33% were current active smokers, while 74% reported ever to experiment smoking. In regards to their beliefs towards tobacco control policies, non smokers were more positive in regards to banning smoking in restaurants (94% vs. 61%, p < 0.001), in bars and cafes (82% vs. 34%, p < 0.001), and all public places (93% vs. 51%, p < 0.001) when compared to current smokers. In comparison with students who had not received training on the importance of asking patients about their smoking habits, those that did were more likely to believe that nurses should have a role in smoking cessation and should act as role models for their patients. Resources should be invested in improving the quality of undergraduate education in nursing departments in Greece with respect to tobacco control and smoking cessation.
    Full-text · Article · May 2011 · Tobacco Induced Diseases
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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.
    No preview · Article · Jan 2009 · Journal of Comparative Asian Development
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