Bassema Abufarsakh, MSN, BS, College of Nursing, University of Kentucky, Lexington, KY, USA.
Chizimuzo T.C. Okoli, PhD, MPH, MSN, PMHNP-BC, APRN, NCTTP, University of Kentucky, Lexington, KY, USA.
J Am Psychiatr Nurses Assoc. 2024 Jan-Feb;30(1):30-36. doi: 10.1177/10783903211045737. Epub 2021 Sep 18.
Although the nursing staff is fundamental in assisting individuals with mental illnesses (MI) to stop tobacco use, they often have mixed feelings about providing tobacco treatment (TT) services to people with MI in inpatient psychiatric settings.
Therefore, this study aimed to understand factors associated with nursing staff's intentions to provide TT interventions for individuals diagnosed with MI in a psychiatric facility using the constructs of the theory of planned behavior (TPB).
Secondary data analysis was performed using cross-sectional data collected from 98 nursing staff who worked in a state inpatient psychiatric facility. A 15-item questionnaire was used to assess nursing staff intentions to provide TT services based on TPB constructs, including attitudes (four items), subjective norms (four items), perceived behavioral controls (four items), and intentions (three items) toward providing TT. The mean scores of each subscale ranged from 1 to 7. A logistic regression analysis was used to examine the relationship between TBP constructs and nursing staff intentions to provide TT for people with MI.
Nursing staff had an acceptable mean score in the intentions subscale (4.34 ± 2.01). Only two constructs of TPB explained nursing staff intentions to provide TT: subjective norms (OR = 2.14, 95% CI [1.46, 3.13]) and perceived behavioral control (OR = 2.33, 95% CI [1.32, 4.12]).
The constructs of the TPB, the subjective norms, and the perceived behavior control were able to predict nurses' intentions to provide TT for inpatients in a psychiatric setting. Accordingly, we suggest implementing policies that make TT a normative practice while supporting the confidence and competence of nurses to deliver TT in psychiatric facilities.
尽管护理人员在协助患有精神疾病（MI）的个体戒烟方面起着至关重要的作用，但他们在为住院精神病患者提供烟草治疗（TT）服务时常常持矛盾态度。
因此，本研究旨在使用计划行为理论（TPB）的构念，了解与护理人员在精神病院为 MI 患者提供 TT 干预的意愿相关的因素。
使用横断面数据进行二次数据分析，该数据来自在州立住院精神病院工作的 98 名护理人员。使用 15 项问卷评估护理人员根据 TPB 构念提供 TT 服务的意愿，包括态度（四项）、主观规范（四项）、感知行为控制（四项）和提供 TT 的意图（三项）。每个分量表的平均得分为 1 到 7 分。使用逻辑回归分析检验 TPB 构念与护理人员为 MI 患者提供 TT 的意愿之间的关系。
护理人员在提供 TT 的意愿分量表上的平均得分可接受（4.34 ± 2.01）。只有 TPB 的两个构念解释了护理人员提供 TT 的意愿：主观规范（OR = 2.14，95%CI [1.46，3.13]）和感知行为控制（OR = 2.33，95%CI [1.32，4.12]）。
TPB 的构念、主观规范和感知行为控制能够预测护士在精神病院为住院患者提供 TT 的意愿。因此，我们建议实施使 TT 成为规范实践的政策，同时支持护士在精神病院提供 TT 的信心和能力。
