Smoking and Nurses in NEW ZEALAND - ASH

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Respondents reported receiving training from a wide range of providers including the National Heart Foundation,Education for Change (Smokechange), District Health Board training, Pegasus Health and ‘basic training’ (n=55).There were two written requests for special support for working with youth and smoking in schools.4.1.6 Practice and smoking cessationEighty four percent of respondents reported that they ask their patients if they smoke, and 83% stated thesmoking status is routinely record in the patients’ records. When asked about advice 80% stated that theyadvised their patients about the risks of smoking, and 68% advised people who smoke to quit or cut down(71%). Thirty nine percent of nurses said that they provided smoking cessation counseling although the natureor type or counseling is unknown (see Table 3).✜ Table 3: Nurse smoking cessation practiceStrongly Agree Neutral/ Disagree Stronglyagree Don’t disagreeknow% % % % %I ask my patients if they smoke cigarettes (N=363) 27 57 4 11 1Smoking status is routinely recorded on the patients’ 33 50 7 9 1record (N=365)I advise my patients about the health risks of smoking (N=364) 24 56 9 10 1I advise my patients who smoke to quit (N=363) 20 48 13 18 1I advise my patients who smoke to cut down (N=363) 18 53 10 17 2I provide smoking cessation counselling to patients who 11 28 19 35 8smoke (N=361)Respondents were most likely to refer smokers to the Quitline (78%) for smoking cessation support. This wasfollowed by referrals to practice nurses (46%). Referral to specialist smoking cessation providers (e.g. Maori andPacific providers, and programmes such as Smokechange 1 and that offered by the Seventh-Day AdventistChurch) was less likely and many did not know of the existence of these programmes. (see Appendix E).1Smokechange is a free, motivational intervention provided under contract to the Ministry of Health in Auckland, Christchurch and Invercargill. It aimsto improve protection from tobacco for the developing child – during pregnancy and in families. For further information see: Education for Change(http://www.efc.co.nz/).20ASH-KAN AOTEAROA: ASSESSMENT OF SMOKING HISTORY, KNOWLEDGE AND ATTITUDES OF NURSES IN NEW ZEALAND
For nurses who have contact with pregnant women (up to 290 respondents answered these questions) 83%stated that they ask those who smoke if they would like to stop. However only (53%) advise pregnant womenwho smoke to stop altogether, 31% advise cutting down initially with a view to stopping later, and 6% justadvise cutting down. Twenty nine percent of nurses reported seeing women to confirm pregnancy.4.1.7 Treatments for smoking cessationForty five percent of the respondents were aware of the New Zealand Smoking Cessation Guidelines,although only 25% had ever read them.Nurses were asked to state which of a list of smoking cessation treatments they believed were effective inaiding smoking cessation. These results are shown in Table 4. The majority identified nicotine patches andgum as effective treatments. Acupuncture, hypnosis and Nicobrevin (treatments without proven effectiveness)were the next most likely to be indicated.✜ Table 4: Percentage of nurses who believe in the effectiveness of proven andunproven smoking cessation treatments for smoking cessationTreatments with % of respondents Treatments with % of respondentsproven efficacy who believe that unproven efficacy who believe thattreatment is effectivetreatment is effectiveNicotine patch 79% Acupuncture 30%Nicotine gum 56% Hypnosis 40%Nicotine inhaler 14% Nicobrevin 33%Nicotine microtab 11% St Johns Wort 4%Nicotine lozenge 12%Bupropion 22%Nortriptyline 8%1% (n=4) thought none of the above16% did not knowASH-KAN AOTEAROA: ASSESSMENT OF SMOKING HISTORY, KNOWLEDGE AND ATTITUDES OF NURSES IN NEW ZEALAND 21
Page 4: ForewordNurses make an essential co
Page 7 and 8: Summary✜ BackgroundCigarette smok
Page 9 and 10: Recommendations✜ Recommendations
Page 11 and 12: 1. IntroductionThis report describe
Page 13 and 14: There have been calls for nurses to
Page 15 and 16: 3. MethodsOne thousand questionnair
Page 17 and 18: 4. Results✜ 4.1 Survey results4.1
Page 19: 4.1.4 Attitudes and beliefs about s
Page 23 and 24: ✜ Figure 1: Nurse smoking status
Page 25 and 26: 5. LimitationsData were self-report
Page 27 and 28: that is primarily responsible for s
Page 29 and 30: smoking (Lawn & Pols, 2005). Resour
Page 31: ReferencesAbbot, N.C., Stead, L.F.,
Page 34 and 35: The Nursing Council of New Zealand
Page 36 and 37: Appendix B36ASH-KAN AOTEAROA: ASSES
Page 38 and 39: 38ASH-KAN AOTEAROA: ASSESSMENT OF S
Page 40 and 41: 40ASH-KAN AOTEAROA: ASSESSMENT OF S
Page 42 and 43: Appendix C✜ Nurses’ knowledge o
Page 44 and 45: Appendix E✜ Likelihood of nurse r
Page 46: ISBN No: 978-0-473-12559-2

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