Impact of Online Education on Nurses' Delivery of Smoking Cessation Interventions With Implications for Evidence-Based Practice
Impact of Online Education on Nurses' Delivery of Smoking Cessation Interventions With Implications for Evidence-Based Practice
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DOI：
10.1111/wvn.12197
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发表时间：
2017-10-01
影响因子：
4.3
通讯作者：
Przewozniak, Krzysztof
中科院分区：
文献类型：
--
作者：
Bialous, Stella A.;Sarna, Linda;Przewozniak, Krzysztof
在欧洲和世界范围内，烟草使用是可预防疾病和死亡的主要原因。护士如果受到适当的教育，可以通过帮助吸烟者戒烟，为减少该区域的烟草使用负担作出贡献。目的评估：(a)对捷克共和国和波兰护士进行基于证据的患者戒烟干预教育的在线计划的可行性；(b)在参与计划之前和之后3个月，自我报告在持续（通常或始终）向吸烟者提供戒烟干预方面的实践变化。方法前瞻性单组岗前设计。结果共有280名捷克护士和156名波兰护士完成了基线和随访调查。在3个月时，护士更有可能为吸烟的患者提供戒烟干预措施，并推荐患者戒烟服务（p < 0.01）。护士对护理参与控烟重要性的看法显著提高。对实践的启示关于烟草控制的教育可以对临床实践产生影响，但需要持续的支持来维持这些变化。卫生系统的变化也有助于实现这样一种期望，即提供循证戒烟干预措施应成为常规护理。将证据与行动联系起来对护士进行戒烟干预和烟草控制方面的教育，对于减少与烟草有关的差异、疾病和死亡至关重要。在线方法为接触到大量护士提供了一种方便的途径。
BackgroundTobacco use is the leading cause of preventable disease and death in Europe and worldwide. Nurses, if properly educated, can contribute to decreasing the burden of tobacco use in the region by helping smokers quit smoking.AimsTo assess: (a) the feasibility of an online program to educate nurses in Czech Republic and Poland on evidence-based smoking cessation interventions for patients and (b) self-reported changes in practices related to consistently (usually or always) providing smoking cessation interventions to smokers, before and 3 months after participation in the program.MethodsA prospective single-group pre-post design.ResultsA total of 280 nurses from Czech Republic and 156 from Poland completed baseline and follow-up surveys. At 3 months, nurses were significantly more likely to provide smoking cessation interventions to patients who smoke and refer patients for cessation services (p < .01). Nurses significantly improved their views about the importance of nursing involvement in tobacco control.Implications for PracticeEducation about tobacco control can make a difference in clinical practice, but ongoing support is needed to maintain these changes. Health system changes can also facilitate the expectation that delivering evidence-based smoking cessation interventions should be routine nursing care.Linking Evidence to ActionEducating nurses on cessation interventions and tobacco control is pivotal to decrease tobacco-related disparities, disease, and death. Online methods provide an accessible way to reach a large number of nurses.