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Open Access Tobacco Intervention Practices of Postsecondary Campus Nurses in Ontario Les interventions de lutte au tabagisme pratiquées par les infirmières des écoles postsecondaires en Ontario

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Abstract:

Cessation interventions offered by nurses to postsecondary students could represent an important strategy for reducing smoking among young adults. This study examines how nurses working in campus health clinics identify smokers and provide cessation support. Of 108 nurses working at 16 universities in the Canadian province of Ontario, 83 completed a researcher-designed questionnaire. Of these, 8.2% asked almost all patients about their tobacco use and 27.4% asked almost none; 83.1% advised identified smokers to quit, 63.9% offered them assistance, and 59.0% arranged follow-up visits. Smoking was most often assessed during patient visits for respiratory or cardiovascular concerns. Assistance most often involved referral of smokers to other professionals or services. A government-funded tobacco control initiative implemented on 10 of the 16 campuses had limited influence on whether nurses assessed tobacco use and advised cessation. Education and support may be needed to improve the frequency and quality of tobacco interventions provided by nurses working on postsecondary campuses.

French
Les interventions de cessation faites par les infirmières auprès d'étudiants de niveau postsecondaire pourraient s'avérer une stratégie efficace dans le cadre des efforts pour réduire le tabagisme chez les jeunes adultes. Cette étude se penche sur les méthodes que les infirmières œuvrant dans le milieu de l'enseignement utilisent pour identifier les fumeurs et offrir un soutien au sevrage tabagique. Des 108 infirmières travaillant dans 16 universités ontariennes, 83 ont rempli un questionnaire conçu par les chercheuses. De ce nombre : 8,2 pour cent ont interrogé presque tous leurs patients sur leur consommation de tabac; 27,4 pour cent ont posé très peu de questions; 83,1 pour cent ont conseillé aux fumeurs identifiés de cesser de fumer; 63,9 pour cent leur ont offert de l'aide; et 59 pour cent ont fixé des rendez-vous de suivis. La consommation de tabac était le plus souvent évaluée à l'occasion de consultations pour des problèmes respiratoires ou cardiovasculaires. Le plus souvent, l'aide aux fumeurs prenait la forme d'un aiguillage vers d'autres professionnels ou services. La mise en place d'une initiative de surveillance tabagique sur 10 des 16 campus, financée par le gouvernement, n'a exercé qu'une influence limitée sur les infirmières pour ce qui est de l'évaluation de la consommation de tabac et l'invitation à cesser de fumer. L'amélioration de la fréquence et de la qualité des interventions en matière de tabagisme faites par les infirmières d'établissements postsecondaires nécessitera peut-être un travail de sensibilisation et de soutien.

Keywords: CLINICAL NURSING RESEARCH; SMOKING CESSATION; YOUNG ADULT

Document Type: Research Article

Publication date: 2012-12-01

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