Heath Janie, Kelley Frances J, Andrews Jeannette, Crowell Nancy, Corelli Robin L, Hudmon Karen Suchanek
School of Nursing and Health Studies, Georgetown University, Washington, DC, USA.
Am J Crit Care. 2007 May;16(3):284-9.
In 2002, a report indicated that tobacco-related curricular content in educational programs for acute care nurse practitioners was insufficient. To provide healthcare professionals with the necessary knowledge and skills to intervene with patients who smoke tobacco, the Summer Institute for Tobacco Control Practices in Nursing Education was implemented at Georgetown University in Washington, DC.
To evaluate the impact of a train-the-trainer program in which the Rx for Change: Clinician-Assisted Tobacco Cessation curriculum was used among faculty members of acute care nurse practitioner programs.
Thirty faculty members participated in the 2-day train-the-trainer program. Surveys were administered at baseline and 12 months after training to examine perceived effectiveness for teaching tobacco content, the value of using an evidence-based national guideline, and the number of hours of tobacco content integrated in curricula.
The percentage of faculty members who devoted at least 3 hours to tobacco education increased from 22.2% to 74.1% (P<.001). Perceived effectiveness in teaching tobacco cessation also increased (P < .001), as did mean scores for the perceived value of using an evidence-based national guideline (P<.001).
Use of the Rx for Change train-the-trainer program can enhance the level of tobacco education provided in acute care nurse practitioner programs. Widespread adoption of an evidence-based tobacco education in nursing curricula is recommended to help decrease tobacco-related morbidity and mortality.
2002年,一份报告指出,急性护理执业护士教育项目中与烟草相关的课程内容不足。为了让医疗保健专业人员具备必要的知识和技能,以便对吸烟患者进行干预,华盛顿特区乔治敦大学实施了护理教育烟草控制实践暑期学院项目。
评估一种培训培训师项目的影响,该项目在急性护理执业护士项目的教员中使用了“变革处方:临床医生辅助戒烟”课程。
30名教员参加了为期两天的培训培训师项目。在基线时和培训后12个月进行调查,以检查对烟草内容教学的感知有效性、使用基于证据的国家指南的价值以及课程中整合的烟草内容的小时数。
将至少3小时用于烟草教育的教员比例从22.2%增至74.1%(P<0.001)。对戒烟教学的感知有效性也有所提高(P<0.001),使用基于证据的国家指南的感知价值的平均得分也有所提高(P<0.001)。
使用“变革处方”培训培训师项目可以提高急性护理执业护士项目中提供的烟草教育水平。建议在护理课程中广泛采用基于证据的烟草教育,以帮助降低与烟草相关的发病率和死亡率。