Is provider training effective? Changes in attitudes towards smoking cessation counseling and counseling behaviors of home health care nurses
Is provider training effective? Changes in attitudes towards smoking cessation counseling and counseling behaviors of home health care nurses
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DOI：
10.1016/j.ypmed.2007.09.001
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发表时间：
2008-04-01
影响因子：
5.1
通讯作者：
Novak, Scott
中科院分区：
文献类型：
--
作者：
Borrelli, Belinda;Lee, Christina;Novak, Scott
objective.我们前瞻性地研究了培训家庭保健护士是否与戒烟咨询态度和咨询行为的变化有关。我们培训了98名家庭保健护士，为他们的病人提供戒烟咨询。在训练前、训练后和6个月后进行测量。这是在美国罗德岛州普罗维登斯进行的一项更大规模研究（1998 - 2002）的一部分。与培训前相比，在培训后，护士报告的自我效能的咨询，积极的结果期望，乐观的病人会遵循他们的建议，吸烟咨询的价值，戒烟的重要性，和感知组织支持的显着更高的水平。这些训练效果在6个月后仍然保持。在培训结束和6个月的随访期间，护士报告说，他们对吸烟者的咨询效果和鼓励行为改变的信心显着增加。与培训前相比，在6个月的随访中，护士更有可能询问吸烟状况，评估戒烟准备，建议戒烟，协助戒烟和安排随访。护士在6个月时比培训前花费更多的时间为吸烟者提供咨询，并且不太可能选择性地提供咨询。简短的培训有助于护士对戒烟咨询的态度和行为的短期和长期变化。(C)2007爱思唯尔公司All rights reserved.
Objective. We prospectively examined whether training home health care nurses is associated with changes in attitudes towards smoking cessation counseling and counseling behaviors.Methods. We trained 98 home health care nurses to deliver cessation counseling to their patients. Measures were administered at pre-training, post-training, and 6 months later. This was part of a larger study conducted in Providence, RI, USA (1998-2002).Results. Compared with pre-training, at post-training, nurses reported significantly higher levels of self-efficacy to counsel, positive outcome expectations, optimism that patients would follow their advice, perceived worth of smoking counseling, perceived importance of quitting smoking, and perceived organizational support. These training effects were maintained 6 months later. Between the end of training and the 6-month follow-up, nurses reported significant increases in their perceived effectiveness to counsel smokers and confidence to encourage behavior change. Compared with pre-training, at 6 months of follow-up, nurses were significantly more likely to ask about smoking status, assess readiness to quit, advise to quit, assist with quitting, and arrange follow-up. Nurses spent significantly more time counseling smokers at 6 months than at pre-training, and were less likely to selectively counsel.Conclusions. Brief training facilitates both short- and long-term changes in nurse attitudes and behaviors regarding smoking cessation counseling. (C) 2007 Elsevier Inc. All rights reserved.