A survey exploring the practices of smoking cessation support among hospital-based healthcare providers
Abstract Background Hospital visits constitute a ‘window of opportunity’ for initiating smoking cessation attempts, and healthcare providers (HCPs) play an important role in supporting patients to stop smoking. Yet, the current practices of supporting smoking cessation in the hospital setting are la...
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| Format: | Article |
| Language: | English |
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BMC
2023-06-01
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| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-023-09657-4 |
| _version_ | 1797801511385825280 |
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| author | Ingeborg Farver-Vestergaard Peter Hjorth Charlotta Pisinger Pia Veldt Larsen Anders Løkke |
| author_facet | Ingeborg Farver-Vestergaard Peter Hjorth Charlotta Pisinger Pia Veldt Larsen Anders Løkke |
| author_sort | Ingeborg Farver-Vestergaard |
| collection | DOAJ |
| description | Abstract Background Hospital visits constitute a ‘window of opportunity’ for initiating smoking cessation attempts, and healthcare providers (HCPs) play an important role in supporting patients to stop smoking. Yet, the current practices of supporting smoking cessation in the hospital setting are largely unexplored. The aim of this study was to explore practices of smoking cessation support among hospital-based HCPs. Methods HCPs working in a large hospital in the secondary care sector completed an online, cross-sectional survey, including sociodemographic and work-related factors as well as 21 questions assessing practices of smoking cessation support based on the “five As” framework. Descriptive statistics were computed, and predictors of HCPs giving patients advice to stop smoking were explored using logistic regression analysis. Results All employees (N = 3998) in the hospital received a survey link; 1645 (41.1%) HCPs with daily patient contact completed the survey. Smoking cessation support in the hospital setting was limited with regard to assessment of smoking; providing information and advice; planning and referral for further support; and follow-up on smoking cessation attempts. Almost half (44.8%) of participating HCPs with daily patient contact never or rarely advise their patients to stop smoking. Physicians were more likely than nurses to advice patients to stop smoking, and HCPs in outpatient clinics were more likely to give advice than inpatient clinic HCPs. Conclusion Smoking cessation support is very limited in the hospital-based healthcare setting. This is problematic, as hospital visits can be windows of opportunity to help patients change their health behaviour. An intensified focus on the implementation of hospital-based smoking cessation support is needed. |
| first_indexed | 2024-03-13T04:51:35Z |
| format | Article |
| id | doaj.art-7d34361fcba849b28565d23aa119c367 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-03-13T04:51:35Z |
| publishDate | 2023-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-7d34361fcba849b28565d23aa119c3672023-06-18T11:10:13ZengBMCBMC Health Services Research1472-69632023-06-0123111010.1186/s12913-023-09657-4A survey exploring the practices of smoking cessation support among hospital-based healthcare providersIngeborg Farver-Vestergaard0Peter Hjorth1Charlotta Pisinger2Pia Veldt Larsen3Anders Løkke4Department of Medicine, Lillebaelt HospitalDepartment of Regional Health Research, University of Southern DenmarkCenter for Clinical Research and Prevention, Capital Region of Denmark, Bispebjerg-Frederiksberg University HospitalMental Health Services, Region of Southern DenmarkDepartment of Medicine, Lillebaelt HospitalAbstract Background Hospital visits constitute a ‘window of opportunity’ for initiating smoking cessation attempts, and healthcare providers (HCPs) play an important role in supporting patients to stop smoking. Yet, the current practices of supporting smoking cessation in the hospital setting are largely unexplored. The aim of this study was to explore practices of smoking cessation support among hospital-based HCPs. Methods HCPs working in a large hospital in the secondary care sector completed an online, cross-sectional survey, including sociodemographic and work-related factors as well as 21 questions assessing practices of smoking cessation support based on the “five As” framework. Descriptive statistics were computed, and predictors of HCPs giving patients advice to stop smoking were explored using logistic regression analysis. Results All employees (N = 3998) in the hospital received a survey link; 1645 (41.1%) HCPs with daily patient contact completed the survey. Smoking cessation support in the hospital setting was limited with regard to assessment of smoking; providing information and advice; planning and referral for further support; and follow-up on smoking cessation attempts. Almost half (44.8%) of participating HCPs with daily patient contact never or rarely advise their patients to stop smoking. Physicians were more likely than nurses to advice patients to stop smoking, and HCPs in outpatient clinics were more likely to give advice than inpatient clinic HCPs. Conclusion Smoking cessation support is very limited in the hospital-based healthcare setting. This is problematic, as hospital visits can be windows of opportunity to help patients change their health behaviour. An intensified focus on the implementation of hospital-based smoking cessation support is needed.https://doi.org/10.1186/s12913-023-09657-4Change managementHealth and safetyOrganisation of health servicesQuality in health carePublic health |
| spellingShingle | Ingeborg Farver-Vestergaard Peter Hjorth Charlotta Pisinger Pia Veldt Larsen Anders Løkke A survey exploring the practices of smoking cessation support among hospital-based healthcare providers BMC Health Services Research Change management Health and safety Organisation of health services Quality in health care Public health |
| title | A survey exploring the practices of smoking cessation support among hospital-based healthcare providers |
| title_full | A survey exploring the practices of smoking cessation support among hospital-based healthcare providers |
| title_fullStr | A survey exploring the practices of smoking cessation support among hospital-based healthcare providers |
| title_full_unstemmed | A survey exploring the practices of smoking cessation support among hospital-based healthcare providers |
| title_short | A survey exploring the practices of smoking cessation support among hospital-based healthcare providers |
| title_sort | survey exploring the practices of smoking cessation support among hospital based healthcare providers |
| topic | Change management Health and safety Organisation of health services Quality in health care Public health |
| url | https://doi.org/10.1186/s12913-023-09657-4 |
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