Schultz Annette S H, Johnson Joy L, Bottorff Joan L
Faculty of Nursing, University of Manitoba, Winnipeg, Canada.
Can J Nurs Res. 2006 Dec;38(4):192-211.
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 (N = 365) employed by 2 Western Canadian mid-sized hospitals were surveyed; response rates were 43% (n = 101) and 86% (n = 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.
烟草相关健康状况的治疗日益成为护理工作的重要组成部分，护士们也面临着提供戒烟支持作为护理一部分的挑战。本研究描述了护士对减少烟草使用的看法及相关实践。对加拿大西部两家中型医院雇佣的注册护士（N = 365）进行了调查；回复率分别为43%（n = 101）和86%（n = 113）。受访者一致认为他们在减少烟草使用方面可以发挥作用；然而，除了评估吸烟状况外，大多数护士的实践中尚未融入最佳实践指南活动。描述了护士在机构支持、自我效能、对患者期望的认知以及他们对减少烟草使用的态度等方面的观点。护士们坦率地表示感觉没有准备好，且在协助戒烟方面获得的机构支持有限。此外，不同医院地点之间的回复差异表明，将减少烟草使用融入实践需要护士和医院双方的共同努力。
