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Open Access Registered Nurses' Perspectives on Tobacco Reduction: Views from Western Canada Points de vue des infirmières autorisées sur la réduction du tabagisme : enquête dans l'Ouest canadien

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Abstract:

Treatment of tobacco-related health conditions have increasingly become a significant part of nursing practice and nurses are being challenged to also provide cessation support as part of their care. This study describes nurses' views of and practice related to tobacco reduction. Registered nurses ( = 365) employed by 2 Western Canadian mid-sized hospitals were surveyed; response rates were 43% ( = 101) and 86% ( = 113). The respondents agreed that they had a role to play in tobacco reduction; however, beyond assessment of smoking status, best practice guideline activities had not been integrated into the practice of most nurses. Nurses' perspectives related to institutional support, self-efficacy, and perception of patient expectations, and their attitudes towards tobacco reduction, are described. The nurses candidly reported feeling unprepared and having limited institutional support for assisting with cessation. Additionally, response differences between hospital sites suggest that the integration of tobacco reduction into practice will require a commitment by both nurses and hospitals.

French
Le traitement des maladies associées au tabagisme prend une place de plus en plus importante en soins infirmiers, les infirmières étant appelées notamment à faire de l'accompagnement au sevrage. La présente étude rapporte les points de vue et les pratiques des infirmières relativement à la réduction du tabagisme. On a mené une enquête auprès des infirmières autorisées (N = 365) employées dans deux hôpitaux de taille moyenne situés dans l'Ouest canadien et obtenu un taux de réponse de 43 % (n = 101) et de 86 % (n = 113) respectivement. Les répondantes admettent qu'elles auraient un rôle à jouer dans la réduction du tabagisme; toutefois, hormis l'évaluation de l'usage du tabac chez les patients, la plupart n'ont adopté aucune des pratiques exemplaires recommandées à cet égard. Les auteures présentent les points de vue des infirmières sur le soutien organisationnel, l'autoefficacité, les attentes des patients et la réduction du tabagisme. Les répondantes ont ouvertement rapporté ne pas se sentir préparées à accompagner des patients en sevrage et ne jouir que d'un soutien organisationnel limité pour le faire. Par ailleurs, les différences dans les réponses entre les établissements indiquent qu'intégrer la réduction du tabagisme aux soins infirmiers exigera un engagement en ce sens de la part des infirmières comme des hôpitaux.

Keywords: CLINICAL NURSING RESEARCH; SMOKING CESSATION; TOBACCO USE

Document Type: Research Article

Publication date: December 1, 2006

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