The knowledge, attitudes and behaviors of hospital nurses on smoking cessation interventions: a cross-sectional study

Abstract Background Smoking is a major public health problem in Croatia. It is unknown to what extent nurses in Croatia use interventions for smoking cessation to help their patients. This study aimed to analyze the knowledge, attitudes and behaviors of hospital nurses on smoking cessation intervent...

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Main Authors: Marta Čivljak, Lovro Ačkar, Livia Puljak
Format: Article
Language:English
Published: BMC 2023-07-01
Series:BMC Nursing
Subjects:
Online Access:https://doi.org/10.1186/s12912-023-01394-7
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author Marta Čivljak
Lovro Ačkar
Livia Puljak
author_facet Marta Čivljak
Lovro Ačkar
Livia Puljak
author_sort Marta Čivljak
collection DOAJ
description Abstract Background Smoking is a major public health problem in Croatia. It is unknown to what extent nurses in Croatia use interventions for smoking cessation to help their patients. This study aimed to analyze the knowledge, attitudes and behaviors of hospital nurses on smoking cessation interventions. Methods We conducted a cross-sectional study in Zagreb, Croatia, in 2022 on a convenient sample of hospital nurses. We collected data with a questionnaire that included sociodemographic questions and questions about the frequency of implementation of 5 A’s (Ask, Advise, Assess, Assist, Arrange) interventions for smoking cessation during their work using the Helping Smokers Quit (HSQ) survey, participants’ attitudes and knowledge about smoking cessation skills and the smoking status of the nurses. Results There were 824 nurses employed in the targeted departments; 258 nurses participated in the study (response rate: 31%). Among them, 43% responded that they always ask patients about their use of tobacco products. Only 2.7% indicated that they always help the patient to stop smoking. Very few (2%) attended any training in the past two years about helping patients to quit smoking, and 82% never had such training. 44% of the included nurses were smokers. Nurses who smoked stated more frequently than nonsmokers they should not be role models for their patients by avoiding smoking (P 0.001). Additionally, patients were less frequently questioned about their inability to stop smoking by nurses who smoked than nurses who did not smoke (P = 0.010). Conclusion Even though smoking cessation interventions delivered by nurses were proven effective, such interventions are used by a small number of surveyed nurses. A small number of nurses have received training to help them support smokers in quitting. The high smoking prevalence among nurses may impact their attitudes and the implementation of workplace smoking cessation efforts.
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spelling doaj.art-48137b5f70504ea38d20b02a659ef0312023-07-09T11:10:07ZengBMCBMC Nursing1472-69552023-07-0122111410.1186/s12912-023-01394-7The knowledge, attitudes and behaviors of hospital nurses on smoking cessation interventions: a cross-sectional studyMarta Čivljak0Lovro Ačkar1Livia Puljak2Center for Evidence-Based Medicine and Health Care, Catholic University of CroatiaCenter for Evidence-Based Medicine and Health Care, Catholic University of CroatiaCenter for Evidence-Based Medicine and Health Care, Catholic University of CroatiaAbstract Background Smoking is a major public health problem in Croatia. It is unknown to what extent nurses in Croatia use interventions for smoking cessation to help their patients. This study aimed to analyze the knowledge, attitudes and behaviors of hospital nurses on smoking cessation interventions. Methods We conducted a cross-sectional study in Zagreb, Croatia, in 2022 on a convenient sample of hospital nurses. We collected data with a questionnaire that included sociodemographic questions and questions about the frequency of implementation of 5 A’s (Ask, Advise, Assess, Assist, Arrange) interventions for smoking cessation during their work using the Helping Smokers Quit (HSQ) survey, participants’ attitudes and knowledge about smoking cessation skills and the smoking status of the nurses. Results There were 824 nurses employed in the targeted departments; 258 nurses participated in the study (response rate: 31%). Among them, 43% responded that they always ask patients about their use of tobacco products. Only 2.7% indicated that they always help the patient to stop smoking. Very few (2%) attended any training in the past two years about helping patients to quit smoking, and 82% never had such training. 44% of the included nurses were smokers. Nurses who smoked stated more frequently than nonsmokers they should not be role models for their patients by avoiding smoking (P 0.001). Additionally, patients were less frequently questioned about their inability to stop smoking by nurses who smoked than nurses who did not smoke (P = 0.010). Conclusion Even though smoking cessation interventions delivered by nurses were proven effective, such interventions are used by a small number of surveyed nurses. A small number of nurses have received training to help them support smokers in quitting. The high smoking prevalence among nurses may impact their attitudes and the implementation of workplace smoking cessation efforts.https://doi.org/10.1186/s12912-023-01394-7Tobacco smokingNursesSmoking cessationInterventionsEducation
spellingShingle Marta Čivljak
Lovro Ačkar
Livia Puljak
The knowledge, attitudes and behaviors of hospital nurses on smoking cessation interventions: a cross-sectional study
BMC Nursing
Tobacco smoking
Nurses
Smoking cessation
Interventions
Education
title The knowledge, attitudes and behaviors of hospital nurses on smoking cessation interventions: a cross-sectional study
title_full The knowledge, attitudes and behaviors of hospital nurses on smoking cessation interventions: a cross-sectional study
title_fullStr The knowledge, attitudes and behaviors of hospital nurses on smoking cessation interventions: a cross-sectional study
title_full_unstemmed The knowledge, attitudes and behaviors of hospital nurses on smoking cessation interventions: a cross-sectional study
title_short The knowledge, attitudes and behaviors of hospital nurses on smoking cessation interventions: a cross-sectional study
title_sort knowledge attitudes and behaviors of hospital nurses on smoking cessation interventions a cross sectional study
topic Tobacco smoking
Nurses
Smoking cessation
Interventions
Education
url https://doi.org/10.1186/s12912-023-01394-7
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