Issues in Cardiovascular NursingFactors determining cardiac nurses' intentions to continue using a smoking cessation protocol*,**
Section snippets
Respondents
The present study involved nurses (N = 164) who worked in cardiology wards in the 5 hospitals that participated as the experimental group in a smoking cessation effectiveness study. The present cross-sectional survey took place 1 week after the effectiveness study had been concluded. All nurses who worked in the ward at the time of the survey were eligible for enrollment, except those doing internships and those in training to obtain their nursing degree. Within these criteria, nurses' levels
Characteristics of respondents
A total of 164 nurses received a questionnaire, of whom 85 (52%) returned it. The final sample consisted of 21 men (25%) and 63 women (74%); 1 nurse did not answer the question on gender. The mean age was 36.7 years (SD, 8.44). Nurses had already worked an average of 8.35 years (SD, 5.94) in their current ward and worked an average of 31.9 hours (SD, 7.46) per week. Data revealed that 54% (n = 46) had never smoked, 26% (n = 22) had smoked at some stage, and 19% (n = 16) were smokers; the
Discussion
The present study analyzed nurses' intentions to continue using a protocol to assist cardiac inpatients in smoking cessation. Nurses who did or did not intend to continue using the smoking cessation protocol were compared using their scores on the individual attitudinal, social influence, and self-efficacy expectation beliefs with regard to the protocol. It was also assessed whether nurses' intentions could be predicted by the ASE model.
Nurses' perceptions of the protocol's simplicity and its
Acknowledgements
The study was made possible through the collaboration of the following Dutch hospitals: University Hospital Rotterdam, Bosch Medical Center, St Franciscus Hospital, Westfries Hospital, and Medical Center Alkmaar. We thank the nurses of these hospitals for participating in the present study. Special thanks to Math Candel of the Department of Methodology and Statistics at Maastricht University (The Netherlands) for his useful comments on the statistical aspects of the article.
References (56)
- et al.
Smokers who are hospitalized: a window of opportunity for cessation interventions
Prev Med
(1992) - et al.
Self-efficacy as an important determinant of quitting among pregnant women who smoke: the eu-pattern
Prev Med
(1994) The theory of planned behavior
Organ Behav Hum Decis Process
(1991)Promoting health and preventing disease in health care settings: an analysis of barriers
Prev Med
(1987)- et al.
Nurses' smoking worldwide: a review of 73 surveys on nurses' tobacco consumption in 21 countries in the period 1959-1988
Int J Nurs Stud
(1991) - et al.
Attitudes and practices for smoking cessation counseling by provider type and patient age
Prev Med
(1995) - et al.
A hospital quit-smoking consult service: clinical report and intervention guidelines
Prev Med
(1990) - et al.
Smoking cessation after acute myocardial infarction: effects of a nurse-managed intervention
Ann Intern Med
(1990) - et al.
Risk factor modification through nonpharmacological interventions in patients with coronary heart disease
J Psychosom Res
(2000) - et al.
Secondary prevention in acute myocardial infarction
BMJ
(1998)
The challenge of risk reduction therapy for cardiovascular disease
Am Fam Physician
Quitting smoking in patients with recently established coronary artery disease reduces mortality by over 40%: results of a meta-analysis
Eur Heart J
The health benefits of smoking cessation: a report of the Surgeon General's office on smoking & health
Australian nurses' smoking behaviour, knowledge and attitude towards providing smoking cessation care to their patients
Health Promot Int
Smoking and attitudes toward smoking among clinical nurse specialists, critical care nurses, and medical–surgical nurses
Oncol Nurs Forum
Treating tobacco use and dependence: a clinical practice guideline
Quick reference guide for clinicians—Smoking cessation: information for specialists
J Am Acad Nurse Pract
Smoking cessation: information for specialists
Clinical Practice Guideline
Agency for Health Care Policy and Research Smoking Cessation Clinical Practice Guideline
JAMA
Health promotion research and the diffusion and institutionalization of interventions
Health Educ Res
Planning and evaluating health promotion
Diffusion of innovations
Nationwide implementation of guided supermarket tours in The Netherlands: a dissemination study
Health Educ Res
Intervention mapping: a process for developing theory- and evidence-based health education programs
Health Educ Behav
Diffusion of innovations
The role of the medical profession in reducing smoking [De rol van de medische professie bij het terugdringen van het roken]
Med Contact [Medisch Contact]
Hospital nurse counseling of patients who smoke
Am J Public Health
NIPO-survey aimed at the smoking habits of medical doctors and nurses [Enquete naar rookgewoonten van specialisten en verpleegkundigen]
Cited by (0)
- *
Funded by The Netherlands Heart Foundation and the Dutch Foundation on Smoking and Health.
- **
Reprint requests: Catherine Bolman, PhD, Department of Social Sciences, Netherlands Open University, Valkenburgerweg 177, Post Box 2960, 6401 DL Heerlen, The Netherlands. e-mail: [email protected]