Liberty University, Lynchburg, VA, United States.
West Virginia State Department of Health and Human Resources, Charleston, WV, United States.
Front Public Health. 2022 Apr 6;10:811397. doi: 10.3389/fpubh.2022.811397. eCollection 2022.
Emergency room nurses have a strong influence on the population of smokeless tobacco users. If healthcare providers address patient's tobacco use by using a brief intervention strategy (one minute or less), it increases the quit attempt rate threefold. The object of this study is to assess the effectiveness of asynchronous internet based brief tobacco intervention training with rural emergency room nurses.
A 1-h asynchronous training session on smokeless tobacco use and the 2-A and 1-R (Ask, Advise, and Refer) brief tobacco intervention strategy were given to 13 emergency room nurses at a rural acute care hospital in West Virginia. Paired sample -tests were used to compare the pre-and post-test results.
The 1-h training session produced significant and positive increases in all items measured: increased motivation to assist patients in quitting; increased knowledge of smokeless tobacco use, its dangers, and cessation processes; increased self-efficacy in implementing brief interventions; increased perception of tobacco cessation as important; increased perception of the effectiveness of tobacco cessation interventions; and increased acknowledgment of barriers and an awareness of how to deal with them.
The results suggest that there is a significant potential benefit from training emergency room nurses. Brief tobacco interventions should be conducted by clinical staff during the medical history check, physical examination, or discharge phases of the emergency room visit.
急诊室护士对无烟气烟草使用者群体有很大的影响。如果医疗保健提供者通过使用简短干预策略（一分钟或更短时间）来解决患者的烟草使用问题，那么戒烟尝试率将增加三倍。本研究的目的是评估基于互联网的异步简短烟草干预培训对农村急诊室护士的有效性。
在西弗吉尼亚州的一家农村急症护理医院，对 13 名急诊室护士进行了 1 小时的异步培训课程，内容涉及无烟烟草使用以及 2-A 和 1-R（询问、建议和转介）简短烟草干预策略。采用配对样本检验比较了前后测试的结果。
1 小时的培训课程在所有测量项目中都产生了显著的积极增加：增加了帮助患者戒烟的动机；增加了对无烟烟草使用、其危害和戒烟过程的了解；在实施简短干预方面的自我效能感增强；增加了对戒烟的重要性的认识；增加了对戒烟干预措施有效性的认识；并认识到了障碍，并意识到如何应对这些障碍。
结果表明，对急诊室护士进行培训有显著的潜在益处。简短的烟草干预措施应由临床工作人员在急诊室就诊的病史检查、体检或出院阶段进行。
