Helping smokers quit: behaviours and attitudes of Chinese Registered Nurses. (28th September 2015)

• Record Type: Journal Article
• Authors: Sarna, Linda; Bialous, Stella Aguinaga; Zou, Xiao Nong; Wang, Weili; Hong, Jingfang; Chan, Sophia; Wells, Marjorie J.; Brook, Jenny
• Is Part Of: Journal of advanced nursing. Volume 72:Number 1(2016:Jan.)
• Page Start: 107
• Page End: 117
• Publication Date: 2015-09-28
• Subjects: attitudes -- China -- hospitalized smokers -- interventions -- nurses -- nursing -- smoking cessation -- tobacco use; Nursing -- Periodicals; 610.7305
• DOI: 10.1111/jan.12811
• Languages: English
• ISSNs: 0309-2402

Abstract

Abstract: Aims: To describe the self‐reported frequency of Chinese nurses' interventions to help smokers quit, using the 5 As (i.e. Ask, Advise, Assess, Assist, Arrange), attitudes towards tobacco control and differences in consistency interventions by demographic and professional characteristics prior to an educational intervention to increase nurses' support for quit efforts. Background: Tobacco use is the leading cause of preventable death in China; quitting smoking reduces health risks and premature death. The China Tobacco Cessation Treatment Guideline supports the 5 As model for intervention, but nurses' frequency of delivering smoking cessation interventions is unknown. Design: Descriptive survey using a convenience sample. Methods: Nurses from eight hospitals in Beijing and Hefei, China completed a web‐based survey in 2012. Differences in consistency of the 5 As by nurse characteristics were determined using multivariate logistic regression. Overall importance of nurses in tobacco control was evaluated on a 1‐5 scale (5 = most important). Results: Nurses ( N = 2440; 1404 Beijing, 1036 Hefei) participated. 64% consistently asked about smoking status, 85% advised patients to quit, 52% assessed readiness to quit and assisted with smoking cessation and 17% arranged for follow‐up. Interventions varied by nurses' education and clinical setting. Nurses positively viewed involvement in tobacco control (4·3/5) and thought nurses should be smoke‐free role models (4·8/5·0). Conclusions: This study demonstrates that the majority of nurses asked about smoking status, but few assisted patients with quitting. Further efforts are needed to help nurses actively promote smoking cessation interventions.