Nursing Education to Reduce Use of Tobacco and Alternative Tobacco Products: Change Is Imperative (original) (raw)
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Aims and objectives. To determine (1) factors associated with nurses' perceived confidence in and importance of delivering cessation interventions to patients after receiving the Tobacco Tactics educational module, and (2) whether self-reported delivery of smoking cessation services increased after the Tobacco Tactics educational programme was implemented. Background. Intensive nurse-based inpatient smoking cessation interventions are effective; however, due to a lack of nurse confidence, training and time, nurseadministered cessation interventions are seldom implemented. Design. Two cross-sectional surveys among staff trained in the Tobacco Tactics programme, conducted at two months and 15 months post-training. Methods. Surveys were conducted to determine whether self-reported delivery of smoking cessation services by nursing staff increased after delivery of the Tobacco Tactics training at a Midwestern Veterans Affairs Medical Center. All staff members who attended the training were eligible to complete the surveys at two and 15 months post-training. Results. Having a good understanding of the elements of smoking cessation interventions and satisfaction with training were associated with perceived confidence and importance of delivering smoking cessation interventions. Additionally, 86% of participants reported delivering cessation interventions 15 months post-training compared with 57% prior to training (p < 0Á0001).
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Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing / Sigma Theta Tau, 2016
The purpose of the study was to assess nursing students' knowledge, beliefs, behaviors, and social norms regarding use of alternative tobacco products (ATPs). This anonymous online survey was conducted with all students enrolled in a college of nursing. The survey utilized measures from several national tobacco studies to assess knowledge and beliefs about ATPs (hookahs, cigars or cigarillos, bidis, kreteks, smokeless tobacco, electronic cigarettes) compared to cigarettes, health effects of ATPs, personal use of ATPs, and social norms. Data were analyzed in SPSS 22.0 (SPSS Inc., Chicago, IL, USA). Descriptive statistics and frequencies were performed for basic sociodemographic data. Paired samples t tests were performed to determine differences for scaled measures. Nursing students demonstrated very low levels of knowledge about ATPs and their health consequences, despite high rates of ATP personal use. About 76% of participants reported use of one or more ATPs once or more in t...
Journal of Professional Nursing, 2007
We report on the findings of a national survey that examined factors that influence faculty's intentions to integrate tobacco education in their advanced practice nursing curricula. The addiction component of tobacco use is taking its toll on the health of 48 million smokers in the United States. Several national health authorities recommend and/or mandate that tobacco prevention and tobacco cessation be addressed at every point of entry in the health care delivery system. However, there is increasing evidence that health care providers may not be adequately prepared to meet national goals and/or standards. One hundred sixty-one advanced practice nursing faculty in the United States completed an 88-item survey regarding external factors (e.g., personal history of tobacco use, clinical practice, and current tobacco topics taught) and components of the Theory of Reasoned Action model (including perceived selfefficacy, behavioral beliefs, subjective norms, and control beliefs related to tobacco education). Descriptive statistics, c 2 analysis, Pearson correlation, and linear regression were used to analyze the data. The findings revealed that sex (c 2 = 7.949, P = .024), level of education (c 2 = 26.853, P = .0005), years of academic teaching (c 2 = 19.418, P = .013), and combined clinical and course responsibility (c 2 = 10.430, P = .0236) were significant external (demographic) factors and that behavioral beliefs (attitude about tobacco education) demonstrated the strongest relationship with intention scores (r = 0.876, P b .0005). Overall, 62.7% of nurse practitioners reported high scores (z5, on a scale of 1-7) for intentions to integrate tobacco education, as compared with 37.5% of nurse midwives, 30.3% of clinical nurse specialists, and 8.7% of nurse anesthetists. This study adds to the growing body of evidence that nursing curricular gaps with tobacco education exist and that national efforts are needed to ensure that widespread changes occur to help reduce the morbidity and mortality related to tobacco use. (
Tobacco Intervention Training in American College of Nurse-Midwives Accredited Education Programs
Journal of Midwifery & Womens Health, 2008
The objective of this study was to assess the content, amount of time, and educational techniques used in tobacco intervention training in American College of Nurse-Midwives (ACNM) accredited programs. All 43 ACNM-accredited programs were surveyed; 34 (79%) responded. Almost one in three programs (29%) offered fewer than 3 hours of instruction in tobacco education. The programs were more likely to offer training in the clinical science areas and least likely to offer training in the sociopolitical areas. Few programs (38%) required students to be taught smoking cessation techniques with patients in a clinical setting. The main barriers to teaching more (Ͼ3 h) tobacco education were not enough time in the curriculum (28%) and not having staff who are adequately trained (15%). Midwife education programs need to increase their instructional efforts, especially in the clinical science and sociopolitical areas, if midwives are to meet their goals of keeping women healthy, and in the case of pregnancies, making it a healthy experience for the woman and her newborn. This may require the development of a model core tobacco curriculum for all ACNM-accredited programs.