Cent Eur J Public Health 2016, 24(4):272-275
Nurses' Attitudes toward Intervening with Smokers: Their Knowledge, Opinion and E-Learning Impact
- 1 Centre for Tobacco-Dependent, 3rd Department of Medicine, 1st Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic
- 2 Institute of Hygiene and Epidemiology, 1st Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic
- 3 Society for Treatment of Tobacco Dependence, Prague, Czech Republic
- 4 Radiotherapy and Oncology Clinic, Faculty Hospital Královské Vinohrady, Prague, Czech Republic
- 5 School of Nursing, University of California, San Francisco, California, USA
- 6 David Geffen School of Medicine, University of California, Los Angeles, California, USA
- 7 School of Nursing, University of California, Los Angeles, California, USA
Background: Numbering about 90,000, nurses represent the largest group of health care providers in the Czech Republic. Therefore, nurses can make a significant impact in the treatment of tobacco dependence, particularly in applying brief interventions to smokers.
Methods: During 2014, 279 nurses from the Czech Republic participated in an e-learning education programme consisting of two Webcasts with additional web-based resources about smoking cessation in relation to health and treatment options in daily clinical practice, particularly regarding brief intervention methods. Before viewing the e-learning programme, and three months after viewing it, the nurses completed a questionnaire documenting their interventions with smokers and their knowledge, attitudes and opinions regarding nurses' roles in smoking cessation.
Results: The responses in all of the following categories significantly improved: usually/always asking patients about smoking from 58% to 69% (OR 1.62, CI=1.14-2.29, p=0.007); recommendations to stop smoking from 56% to 66% (OR 1.46, CI=1.03-2.06, p=0.03); assessing willingness to quit from 49% to 63% (OR 1.72, CI=1.23-2.42, p=0.002); assisting with cessation from 21% to 33% (OR 1.85, CI=1.26-2.71, p=0.002); and recommending a smoke-free home from 39% to 58% (OR 2.16, CI=1.54-3.04, p<0.001). The increase in arranging follow-up from 7% to 10% did not constitute a statistically significant improvement, however, this finding is understandable in relation to the status of nurses in the Czech Republic. However, nurses' confidence in helping smokers to quit smoking, their senses of responsibility and determining the appropriateness of these interventions remains inadequate.
Conclusion: The nurses' brief intervention skills improved significantly after the completion of the e-learning programme, even though reservations remain among this group. The systematic education of nurses aimed at smoking cessation intervention and analyzing their motivation for treatment may contribute to improved nursing care, and thus lead to a reduction of smoking prevalence in the general population.
Keywords: nurses, smoking cessation, education, e-learning, Czech Republic, attitude, opinion
Received: December 8, 2015; Revised: October 26, 2016; Accepted: October 26, 2016; Published: December 1, 2016 Show citation
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References
- Peto R, Lopez AD, Boreham J, Thun M. Mortality from smoking in developed countries 1950-2005 (or later), update March 2012 [Internet]. Oxford: Oxford University Press; 2012 [cited 2016 Mar 21]. Available from: http://www.ctsu.ox.ac.uk/~tobacco/.
- Sovinová H, Csémy L. The use of tabacco in the Czech Republic 2015 [Internet]. Prague: National Institute of Public Health; 2016 [cited 2016 Mar 21]. Available from: http://www.szu.cz/uploads/documents/czzp/zavislosti/Uzivani_tabaku_2015.pdf. (In Czech.)
- World Health Organization. WHO Report on the Global Tobacco Epidemic, 2008: the MPOWER package. Geneva: WHO; 2008.
- Králíková E. Smoking of health care professionals. In: Králíková E, editor. Tobacco dependence - epidemiology, prevention and treatment. Breclav: Adamira; 2013. p. 63-64. (In Czech.)
- Sarna L, Bialous SA, Nandy K,AntonioAL,Yang Q. Changes in smoking prevalences among health care professionals from 2003 to 2010-2011. JAMA. 2014 Jan 8;311(2):197-9.
Go to original source...
- Fiore MC, Jaén CR, Baker TB, Bailey WC, Benowitz NL, Curry SJ, et al. Treating tobacco use and dependence: 2008 update. Clinical practice guideline. Rockville (MD): U.S. Department of Health and Human Services; 2008.
- Malá K, Felbrová V, Kulovaná S, Nohavová I. Tobacco dependence: information and intervention guidelines for nurses. Prague: SLZT; 2015. (In Czech.)
- Sarna LP, Brown JK, Lillington L, Rose M, Wewers ME, Brecht ML. Tobacco interventions by oncology nurses in clinical practice: report from a national survey. Cancer. 2000 Aug 15;89(4):881-9.
Go to original source...
- Browning KK, Wewers ME. Smoking cessation and cancer. Semin Oncol Nurs. 2003 Nov;19(4):268-75.
Go to original source...
Go to PubMed...
- Sarna L, Bialous SA, Wells M, Kotlerman J, Wewers ME, Froelicher ES. Frequency of nurses' smoking cessation interventions: report from a national survey. J Clin Nurs. 2009 Jul;18(14):2066-77.
Go to original source...
Go to PubMed...
- Sarna LP, Bialous SA, Kraliková E, Kmetova A, Felbrová V, Kulovaná S, et al. Impact of a smoking cessation educational program on nurses' interventions. J Nurs Scholarsh. 2014 Sep;46(5):314-21.
Go to original source...
Go to PubMed...
- Sarna LP, Bialous SA, Králíková E, Kmetova A, Felbrová V, Kulovaná S, et al. Tobacco cessation practices and attitudes among nurses in the Czech Republic. Cancer Nurs. 2015 Nov-Dec;38(6):E22-9.
Go to original source...
Go to PubMed...