| Smoking Cessation Treatment Practices: Recommendations for Improved Adoption on Cardiology Wards. | |
| | |
MedLine Citation:
|
PMID: 22048618 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
BACKGROUND AND OBJECTIVES:: Smoking cessation treatment practices described by the 5 A's (ask, advise, assess, assist, arrange) are not well applied at cardiology wards because of various reasons, such as a lack of time and appropriate skills of the nursing staff. Therefore, a simplified guideline proposing an ask-advise-refer (AAR) strategy was introduced in Dutch cardiac wards. This study aimed to identify factors that determine the intentions of cardiac ward heads in adopting the simplified AAR guideline, as ward heads are key decision makers in the adoption of new guidelines. Ward heads' perceptions of current smoking cessation practices at the cardiac ward were also investigated. METHODS:: A cross-sectional survey with written questionnaires was conducted among heads of cardiology wards throughout the Netherlands, of whom 117 (64%) responded. RESULTS:: According to the heads of cardiac wards, smoking cessation practices by cardiologists and nurses were mostly limited to brief practices that are easy to conduct. Only a minority offered intensive counseling or arranged follow-up contact. Heads with strong intentions of adopting the AAR guideline differed significantly on motivational and organizational attributes and perceived more smoking cessation assistance by other health professionals than did heads with weak intentions of adopting. Positive attitudes, social support toward adoption, and perception of much assistance at the ward were significantly associated with increased intentions to adopt the AAR guideline. CONCLUSIONS:: Brief smoking cessation practices are adequately performed at cardiac wards, but the most effective practices, offering assistance and arranging for follow-up, are less than optimal. The AAR guideline offers a more feasible approach for busy cardiology wards. To ensure successful adoption of this guideline, the heads of cardiac wards should be convinced of its advantages and be encouraged by a supportive work environment. Policies may also facilitate the adoption of the AAR guideline. |
| | |
Authors:
|
Nadine C Berndt; Catherine Bolman; Hein de Vries; Dewi Segaar; Irene van Boven; Lilian Lechner |
Related Documents
:
|
22115518 - Expert knowledge-based assessment of farming practices for different biotic indicators ... 22267818 - Variation in colorectal cancer-screening steps in primary care: basis for practice impr... 21635318 - Representation, interaction, and intersubjectivity. 22187588 - Ethical quandaries in spiritual healing and herbal medicine: a critical analysis of the... 21992448 - Blending critical realist and emancipatory practice development methodologies: making c... 20372688 - Optimising the medical care of doctors - part 3 - during the consultation. |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-11-1 |
Journal Detail:
|
Title: The Journal of cardiovascular nursing Volume: - ISSN: 1550-5049 ISO Abbreviation: - Publication Date: 2011 Nov |
Date Detail:
|
Created Date: 2011-11-3 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8703516 Medline TA: J Cardiovasc Nurs Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
Nadine C. Berndt, MS PhD Student in Health Psychology, Department of Psychology, Open University of the Netherlands, Heerlen. Catherine Bolman, PhD Associate Professor in Health Psychology, Department of Psychology, Open University of the Netherlands, Heerlen. Hein de Vries, PhD Professor in Health Communication, Department of Health Promotion, Faculty of Health, Medicine and Life Sciences, Maastricht University, the Netherlands. Dewi Segaar, PhD Head, Dutch Expert Center on Tobacco Control, STIVORO for a Smoke Free Future, Den Haag, the Hague, the Netherlands. Irene van Boven, MS Health Psychologist and Cardiac Nurse, Alysis zorgroep, Rijnstate Hospital, Arnhem, the Netherlands. Lilian Lechner, PhD Professor in Health Psychology, Department of Psychology, Open University of the Netherlands, Heerlen. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: An erythromycin process improvement using the diethyl methylmalonate-responsive (Dmr) phenotype of t...
Next Document: Supportive Relationships, Self-care Confidence, and Heart Failure Self-care.