Home » JAS4QoL » JAS4QoL – Volume 1(4) (December, 2015) » Nurses’ perception of promoting and impairing factors in intervention for smoking cessation program in a hospital

Nurses’ perception of promoting and impairing factors in intervention for smoking cessation program in a hospital

OUCHI Yuri,1* MIKAMI Hiroshi2

1Faculty of Nursing, Takarazuka University
2Health Promotion System Science, Osaka University

Article first published online: December 31, 2015
Full Article (PDF)

Abstract

Aim: An analysis of opinions from nurses on factors relevant to issues related to the intervention for smoking cessation (ISC) program (ISCP). Methods: A voluntary questionnaire concerning the ISCP was distributed to 689 nurses, and they were asked to fill in the responses with their names, genders, and smoking status noted (response rate: 74.6%). Written informed consent for participation in the survey was obtained from the participants. Results: Of the female (n=488) and male (n=12) nurses with mean age of 32.7±9.5 years, 5.8% (n=28) were current smokers. The mean smoking rate of the current smokers was 10.6±7.5 cigarettes per day, their starting smoking age was 18.6±4.2 years, and the precontemplation period relatively high (35.7%). On factor-categorization, the promoting and impairing factors accounted for 350 (24 category items) and 393 (25 category items) registration units, respectively. Special features of the 3 major categories in a descending order were: personal reasons of the patients per se > personal reasons of nurses per se > environment surrounding nurses. Personal factors for the patients per se included: 1) treatment and surgery to alleviate disease exacerbation of patients, 2) high levels of desire/awareness of quit smoking in patents, 3) low levels of desire/awareness of smoking cessation in patients, and 4) smoking serves as the relieving method for stress of patients. Factors for nurses per se included: 1) adequate knowledge and skills/techniques of nurses, and 2) inadequate knowledge and skills/techniques of nurses. With regard to the environment surrounding nurses: overworked with limited time and staff was given as necessary factors for supporting the current work environment of nurses. Discussion: In the ISCP, when patients were hospitalized, a smoke-free environment was confirmed. Nicotinereplacement therapy, psychological and behavior therapies were introduced beginning with the first hospital visit, and relevant educational support to promote smoking cessation was continued after discharge. In addition, it is necessary to educate nurses via on-the-job training (OJT) about information and techniques related to ISC and ISCP