Halcomb Elizabeth J, Furler John S, Hermiz Oshana S, Blackberry Irene D, Smith Julie P, Richmond Robyn L, Zwar Nicholas A
School of Nursing, University of Wollongong, Wollongong, New South Wales,
Department of General Practice, University of Melbourne, Carlton, Victoria.
Fam Pract. 2015 Aug;32(4):468-73. doi: 10.1093/fampra/cmv041. Epub 2015 May 29.
Support in primary care can assist smokers to quit successfully, but there are barriers to general practitioners (GPs) providing this support routinely. Practice nurses (PNs) may be able to effectively take on this role.
The aim of this study was to perform a process evaluation of a PN-led smoking cessation intervention being tested in a randomized controlled trial in Australian general practice.
Process evaluation was conducted by means of semi-structured telephone interviews with GPs and PNs allocated in the intervention arm (Quit with PN) of the Quit in General Practice trial. Interviews focussed on nurse training, content and implementation of the intervention.
Twenty-two PNs and 15 GPs participated in the interviews. The Quit with PN intervention was viewed positively. Most PNs were satisfied with the training and the materials provided. Some challenges in managing patient data and follow-up were identified.
The Quit with PN intervention was acceptable to participating PNs and GPs. Issues to be addressed in the planning and wider implementation of future trials of nurse-led intervention in general practice include providing ongoing mentoring support, integration into practice management systems and strategies to promote greater collaboration in GPs and PN teams in general practice. The ongoing feasibility of the intervention was impacted by the funding model supporting PN employment and the competing demands on the PNs time.
初级保健中的支持可帮助吸烟者成功戒烟，但全科医生（GP）常规提供这种支持存在障碍。执业护士（PN）或许能够有效承担这一角色。
本研究的目的是对一项由PN主导的戒烟干预措施进行过程评估，该干预措施正在澳大利亚全科医疗的一项随机对照试验中进行测试。
通过对分配到“全科医疗戒烟试验”干预组（“与PN一起戒烟”）的GP和PN进行半结构化电话访谈来进行过程评估。访谈重点关注护士培训、干预措施的内容和实施情况。
22名PN和15名GP参与了访谈。“与PN一起戒烟”干预措施得到了积极评价。大多数PN对培训和提供的材料感到满意。在管理患者数据和随访方面发现了一些挑战。
“与PN一起戒烟”干预措施为参与的PN和GP所接受。在全科医疗中护士主导干预措施未来试验的规划和更广泛实施中需要解决的问题包括提供持续的指导支持、融入实践管理系统以及促进全科医疗中GP和PN团队加强协作的策略。该干预措施的持续可行性受到支持PN就业的资金模式以及PN时间的竞争性需求的影响。
