Lenz Brenda K
Department of Nursing Science, St. Cloud State University, St. Cloud, Minnesota 56301, USA.
Am J Prev Med. 2008 Dec;35(6 Suppl):S494-500. doi: 10.1016/j.amepre.2008.09.004.
Evidence-based clinical interventions for smoking cessation have proven to be effective in reducing smoking rates among patients who use tobacco. Ensuring that registered nurses (RNs) are knowledgeable and have the self-efficacy to provide such clinical interventions can contribute to declines in tobacco use among their patients who smoke. The aim of this study was to determine if baccalaureate nursing (BSN) students in Minnesota received training in the clinical treatment of tobacco dependence and to identify perceived barriers that may limit their ability to intervene with their patients.
Quantitative descriptive, with data collected in spring of 2007. The sample was 675 senior BSN students enrolled in ten Minnesota private and public institutions. The survey questionnaire included demographics, knowledge about tobacco treatment, personal tobacco-use history, beliefs about smoking, self-efficacy, and behavioral application of cessation intervention.
BSN students generally reported that they were comfortable assessing tobacco use among their patients and referring tobacco users to cessation resources. Nursing students who considered themselves smokers (7.9%) and who reported using tobacco in the last 30 days but did not consider themselves smokers (17.5%) indicated more agreement regarding the positive aspects of smoking, and were less likely to view it as their professional responsibility to help smokers quit, than did non-smoking nursing students (74.6%).
Nursing students' personal smoking behaviors affected their beliefs about smoking and their view about the professional role in helping smokers quit. These findings have implications for undergraduate nursing programs regarding professional role socialization and education about clinical smoking cessation interventions.
基于证据的戒烟临床干预措施已被证明在降低吸烟患者的吸烟率方面是有效的。确保注册护士（RN）具备相关知识并有自我效能感来提供此类临床干预措施，有助于降低其吸烟患者的烟草使用率。本研究的目的是确定明尼苏达州的护理学学士（BSN）学生是否接受过烟草依赖临床治疗方面的培训，并找出可能限制他们对患者进行干预能力的认知障碍。
采用定量描述性研究方法，于2007年春季收集数据。样本为明尼苏达州10所私立和公立机构的675名护理学学士高年级学生。调查问卷包括人口统计学信息、烟草治疗知识、个人吸烟史、对吸烟的看法、自我效能感以及戒烟干预措施的行为应用情况。
护理学学士学生普遍表示，他们在评估患者的烟草使用情况以及将吸烟患者转介至戒烟资源方面感到得心应手。自认为是吸烟者的护理学学生（7.9%）以及那些报告在过去30天内使用过烟草但不认为自己是吸烟者的学生（17.5%），与非吸烟的护理学学生（74.6%）相比，对吸烟的积极方面表示更多认同，并且不太可能将帮助吸烟者戒烟视为自己的职业责任。
护理学学生的个人吸烟行为影响了他们对吸烟的看法以及对帮助吸烟者戒烟的职业角色的看法。这些发现对本科护理项目在职业角色社会化和临床戒烟干预教育方面具有启示意义。
