Department of Care Science, Faculty of Health and Society, Malmö University, Malmö, Sweden.
J Clin Nurs. 2017 Dec;26(23-24):4777-4785. doi: 10.1111/jocn.13831. Epub 2017 Jun 20.
To describe how registered nurses having undergone a web-based learning activity perceive their self-efficacy and competence to support patients with smoking cessation in connection with surgery.
Smoking cessation in connection with surgery reduces postoperative complications, and the support patients get from registered nurses may be important in helping them become smoke-free in connection with their surgery. Therefore, registered nurses are in need of enhanced understanding about which kind of counselling is the most effective for smoking cessation. Educating large groups of registered nurses in a digital environment appears to be a flexible and cost-effective way.
A convergent mixed-method design with data collection was done using questionnaires (n = 47) and semistructured interviews (n = 11). Inclusion criteria were registered nurses in surgical wards. The samples were nonprobability and modified nested. Descriptive statistics and content analysis were used for data analysis.
After completing the web-based learning activity, the registered nurses perception was that of good self-efficacy and increased competence in supporting patients with smoking cessation in connection with surgery. They improved their understanding of how to talk about smoking cessation with patients in dialogue using open-ended questions. Nevertheless, the registered nurses requested opportunities for dialogue and interaction with colleagues or topic experts.
The results indicate that registered nurses can enhance their competence in supporting patients to embrace smoking cessation by learning in a digital environment. Self-efficacy and understanding of the topic seems to motivate registered nurses to counsel patients about smoking cessation.
Findings from this study will be of particular interest to educators in healthcare settings who can devise further development of web-based learning activities.
描述接受基于网络的学习活动的注册护士如何感知他们在支持手术相关戒烟患者方面的自我效能和能力。
手术相关的戒烟可以减少术后并发症，而注册护士为患者提供的支持可能对帮助他们在手术期间戒烟至关重要。因此，注册护士需要增强对哪种咨询方法对戒烟最有效的理解。在数字环境中教育大量注册护士似乎是一种灵活且具有成本效益的方法。
使用问卷调查（n=47）和半结构化访谈（n=11）进行了一种具有数据收集的收敛混合方法设计。纳入标准为外科病房的注册护士。样本是非概率和修改后的嵌套。采用描述性统计和内容分析进行数据分析。
完成基于网络的学习活动后，注册护士对支持手术相关戒烟患者的自我效能和能力增强有了良好的感知。他们提高了通过使用开放式问题与患者进行对话来谈论戒烟的理解。然而，注册护士要求有机会与同事或主题专家进行对话和互动。
结果表明，注册护士可以通过在数字环境中学习来提高支持患者戒烟的能力。自我效能感和对主题的理解似乎会激励注册护士对患者进行戒烟咨询。
本研究的结果将特别引起医疗保健环境中的教育工作者的兴趣，他们可以设计进一步开发基于网络的学习活动。
