Staff Knowledge, Attitudes, and Practices Regarding Nicotine Dependence Differ by Setting.
Staff Knowledge, Attitudes, and Practices Regarding Nicotine Dependence Differ by Setting.
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DOI：
10.1177/002204260903900208
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发表时间：
2009
影响因子：
1.7
通讯作者：
Moore M
中科院分区：
文献类型：
--
作者：
Tajima B;Guydish J;Delucchi K;Passalacqua E;Chan M;Moore M
本研究调查了劳动力样本中与吸烟相关的知识、信念、自我效能、戒烟实践以及提供戒烟服务的障碍。 11 家参与诊所（N = 335 名员工）包括药物滥用治疗和艾滋病毒护理诊所，分为三类：退伍军人事务医疗中心 (VAMC) 诊所、医院诊所和社区诊所。 VAMC 和医院环境中的工作人员具有共同的特征，这些特征可以预测与吸烟相关的知识、信仰和实践（教育水平较高、吸烟率较低、康复中的工作人员较少以及位于更加重视身体健康的医院附属环境中）。然而，VAMC 机构的工作人员在吸烟相关知识、信念、自我效能和实践方面的表现均优于医院和社区诊所机构的工作人员。支持 VAMC 临床医生解决吸烟问题的完善程序可能是这些发现的原因。研究结果表明，需要减少工作人员吸烟以及制定和实施吸烟政策，以支持工作人员更好地解决社区治疗环境中的尼古丁依赖问题。
This study examined smoking-related knowledge, beliefs, self-efficacy, smoking cessation practices, and barriers to providing smoking cessation services in a workforce sample. The 11 participating clinics (N=335 staff) included substance abuse treatment and HIV care clinics categorized into three types: Veterans Affairs Medical Center (VAMC) clinics, hospital-based clinics, and community-based clinics. Staff in both VAMC and hospital-based settings shared characteristics that may predict smoking-related knowledge, beliefs, and practices (higher education level, low smoking rates, fewer staff in recovery, and location in hospital-affiliated environments where there was greater emphasis on physical health). However, staff in VAMC settings outperformed those in both hospital-based and community-based clinic settings on measures of smoking-related knowledge, beliefs, self-efficacy, and practices. Well-developed procedures to support VAMC clinicians in addressing smoking may account for these findings. Findings suggest that both reductions in staff smoking, and development and implementation of smoking policy are needed to support staff in better addressing nicotine dependence in community-based treatment settings.
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