Research paper
 
CC-BY-NC 4.0
 
 

Irish Healthcare staff- Smoking, training and activity in treatment of tobacco dependence -an online survey

Sheila Keogan 1  ,  
Annette Burns 1,  
Kate Babineau 1,  
 
1
TobaccoFree Research Institute Ireland, Dublin
Tob. Prev. Cessation 2016;2(September):71
Publish date: 2016-09-01
KEYWORDS:
TOPICS:
 
ABSTRACT:
Introduction:
Ireland has strong tobacco control legislation but must get smokers to stop if the national plan of having a smoking prevalence of 5% by the year 2025 is possible. Involving all healthcare staff in this effort is regarded as important. We surveyed the present situation.

Methods:
An online survey was conducted of 1257 healthcare staff, 520 nurses, 440 doctors, 297 dentists in . 2014. The sample was accessed with the help of the Irish Nurses and Midwifes Organisation (INMO), Irish Medical Organisation (IMO) and the Irish Dental Association (IDA). The questionnaire addressed individual smoking habits and attitudes, training and practise with regard to smoking cessation

Results:
The prevalence in our sample was 8.5%. Nurses had the highest prevalence. Doctors has the highest never smoked rate. Smoking was related to age. Attitudes to treating smoking were positive among all HCP groups. 96.4% of HCPs agreed that they should routinely ask patients about smoking and 94% agreed that they should advise all smokers to quit. 20.4 % of HCPs had formal training in smoking cessation and this was correlated to asking or giving advice. 42.9% with training while only 7.6% without training felt well prepared to assist smokers quit P <.001. Time, work priorities and lack of training were identified as the main barriers by all HCPs. Doctors particularly reported time problems (χ2 = 158.021, p<.001).

Conclusions:
Prevalence of smoking is low in HCPs, formal training in SC is low but the need for HCPs to be involved in SC is widely accepted.



CORRESPONDING AUTHOR:
Sheila Keogan   
TobaccoFree Research Institute Ireland, Dublin, Focas Research Institute, D.I.T Kevin Street, D8 Dublin, Ireland
 
REFERENCES:
1. Fiore MC, Jaen CR, Baker TB, Bailey WC, Bennett G, Benowitz NL, et al. A clinical practice guideline for treating tobacco use and dependence: 2008 update. A US Public Health Service report. Am J Prev Med. 2008;35(2):158-76. doi: 10.1016/j.amepre.2008.04.009.
2. Stead LF, Bergson G, Lancaster T. Physician advice for smoking cessation. Cochrane Database Syst Rev. 2008;2(2). doi: 10.1002/14651858.CD000165.pub3.
3. Carson KV, Verbiest ME, Crone MR, Brinn MP, Esterman AJ, Assendelft WJ, et al. Training health professionals in smoking cessation. Cochrane Database Syst Rev. 2012;5:Cd000214. doi: 10.1002/14651858.CD000214.pub2.
4. Squier C, Hesli V, Lowe J, Ponamorenko V, Medvedovskaya N. Tobacco use, cessation advice to patients and attitudes to tobacco control among physicians in Ukraine. European journal of cancer prevention : the official journal of the European Cancer Prevention Organisation (ECP). 2006;15(5):458-63.
5. Pizzo AM, Chellini E, Grazzini G, Cardone A, Badellino F. Italian general practitioners and smoking cessation strategies. Tumori. 2003;89(3):250-4.
6. Parna K, Rahu K, Barengo NC, Rahu M, Sandstrom PH, Jormanainen VJ, et al. Comparison of knowledge, attitudes and behaviour regarding smoking among Estonian and Finnish physicians. Sozial- und Praventivmedizin. 2005;50(6):378-88. Doi: 10.1007/s00038-005-4089-z
7. Nardini S, Bertoletti R, Rastelli V, Ravelli L, Donner CF. Personal smoking habit and attitude toward smoking among the health staff of a general hospital. Monaldi archives for chest disease = Archivio Monaldi per le malattie del torace / Fondazione clinica del lavoro, IRCCS [and] Istituto di clinica tisiologica e malattie apparato respiratorio, Universita di Napoli, Secondo ateneo. 1998;53(1):74-8.
8. Nardini S, Bertoletti R, Rastelli V, Donner CF. The influence of personal tobacco smoking on the clinical practice of Italian chest physicians. The European respiratory journal. 1998;12(6):1450-3. doi:10.1183/09031936.98.12061450.
9. Barengo NC, Sandstrom HP, Jormanainen VJ, Myllykangas MT. Attitudes and behaviours in smoking cessation among general practitioners in Finland 2001. Sozial- und Praventivmedizin. 2005;50(6):355-60. doi: 10.1007/s00038-005-4097-z
10. Polyzos A, Gennatas C, Veslemes M, Daskalopoulou E, Stamatiadis D, Katsilambros N. The smoking-cessation promotion practices of physician smokers in Greece. Journal of cancer education : the official journal of the American Association for Cancer Education. 1995;10(2):78-81.
11. Kawakami M, Nakamura S, Fumimoto H, Takizawa J, Baba M. Relation between smoking status of physicians and their enthusiasm to offer smoking cessation advice. Internal medicine (Tokyo, Japan). 1997;36(3):162-5. doi: 10.2169/internalmedicine.36.162
12. Kawahara K, Ohida T, Osaki Y, Mochizuki Y, Minowa M, Yamaguchi N, et al. Study of the smoking behavior of medical doctors in Fukui, Japan and their antismoking measures. Journal of epidemiology / Japan Epidemiological Association. 2000;10(3):157-62. doi: 10.2188/jea.10.157
13. Pipe A, Sorensen M, Reid R. Physician smoking status, attitudes toward smoking, and cessation advice to patients: an international survey. Patient Educ Couns. 2009;74(1):118-23. doi: 10.1016/j.pec.2008.07.042.
14. Kabir Z, Ward B, Clancy L. Attitudes, training and smoking profile of European Respiratory Society members. The European respiratory journal. 2011;38(1):225-7. doi: 10.1183/09031936.00185410
15. Tong EK, Strouse R, Hall J, Kovac M, Schroeder SA. National survey of US health professionals’ smoking prevalence, cessation practices, and beliefs. Nicotine & Tobacco Research. 2010;12(7):724-33. doi: 10.1093/ntr/ntq071
16. OhAiseadha C, Killeen M, Howell F, Saunders J. An audit of smoking prevalence and awareness of HSE smoking cessation services among HSE staff. Irish medical journal. 2014;107(4):115-6.
17. Tremblay M, Cournoyer D, O'Loughlin J. Do the correlates of smoking cessation counseling differ across health professional groups? Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco. 2009;11(11):1330-8. doi: 10.1093/ntr/ntp142
18. O'Donovan G. Smoking prevalence among qualified nurses in the Republic of Ireland and their role in smoking cessation. Int Nurs Rev. 2009;56(2):230-6. doi: 10.1111/j.1466-7657.2008.00700.x.
19. Twardella D, Brenner H. Lack of training as a central barrier to the promotion of smoking cessation: a survey among general practitioners in Germany. European journal of public health. 2005;15(2):140-5. doi: 10.1093/eurpub/cki123
20. Pearson TA, McBride PE, Miller NH, Smith SC. 27th Bethesda Conference: matching the intensity of risk factor management with the hazard for coronary disease events. Task Force 8. Organization of preventive cardiology service. Journal of the American College of Cardiology. 1996;27(5):1039-47. doi: 10.1016/0735-1097(96)87736-9
21. Johnson NW, Lowe JC, Warnakulasuriya KA. Tobacco cessation activities of UK dentists in primary care: signs of improvement. British dental journal. 2006;200(2):85-9. doi: 10.1308/135576106777795572
22. Stacey F, Heasman PA, Heasman L, Hepburn S, McCracken GI, Preshaw PM. Smoking cessation as a dental intervention--views of the profession. British dental journal. 2006;201(2):109-13; discussion 99. doi: 10.1038/sj.bdj.4813847
23. Raupach T, Merker J, Hasenfuss G, Andreas S, Pipe A. Knowledge gaps about smoking cessation in hospitalized patients and their doctors. European journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology. 2011;18(2):334-41. doi: 10.1177/1741826710389370
24. McCarty MC, Hennrikus DJ, Lando HA, Vessey JT. Nurses' attitudes concerning the delivery of brief cessation advice to hospitalized smokers. Preventive medicine. 2001;33(6):674-81. doi: 10.1006/pmed.2001.0944
25. Ulbricht S, Meyer C, Schumann A, Rumpf HJ, Hapke U, John U. Provision of smoking cessation counseling by general practitioners assisted by training and screening procedure. Patient education and counseling. 2006;63(1-2):232-8. doi: 10.1016/j.pec.2005.11.005
26. Shah LM, King AC, Basu A, Krishnan JA, Borden WB, Meltzer D, et al. Effect of clinician advice and patient preparedness to quit on subsequent quit attempts in hospitalized smokers. Journal of hospital medicine : an official publication of the Society of Hospital Medicine. 2010;5(1):26-32. doi: 10.1002/jhm.536
27. Bartels C, Abuhaliga AR, McGee H, Morgan K, McElvaney NG, Doyle F. A survey of the prevalence of smoking and smoking cessation advice received by inpatients in a large teaching hospital in Ireland. Irish journal of medical science. 2012;181(3):445-9. doi: 10.1007/s11845-011-0792-3
28. Naji N, McLoughlin H, Connell F, Clancy L. Smoking profile of non-consultant hospital doctors. Irish journal of medical science. 2006;175(1):29-31. doi: 10.1007/bf03168996
29. Jiang Y, Ong MK, Tong EK, Yang Y, Nan Y, Gan Q, et al. Chinese physicians and their smoking knowledge, attitudes, and practices. Am J Prev Med. 2007;33(1):15-22. doi: 10.1016/j.amepre.2007.02.037.
30. Currie LM, Keogan S, Campbell P, Gunning M, Kabir Z, Clancy L. An evaluation of the range and availability of intensive smoking cessation services in Ireland. Irish journal of medical science. 2010;179(1):77-83. doi: 10.1007/s11845-009-0368-7.
31. Papadakis S, McDonald P, Mullen KA, Reid R, Skulsky K, Pipe A. Strategies to increase the delivery of smoking cessation treatments in primary care settings: a systematic review and meta-analysis. Preventive medicine. 2010;51(3-4):199-213. doi: 10.1016/j.ypmed.2010.06.007.
32. National Center for Chronic Disease P, Health Promotion Office on S, Health. Reports of the Surgeon General. The Health Consequences of Smoking-50 Years of Progress: A Report of the Surgeon General. Atlanta (GA): Centers for Disease Control and Prevention (US); 2014.
33. Lim SS, Vos T, Flaxman AD, Danaei G, Shibuya K, Adair-Rohani H, et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380(9859):2224-60. doi: 10.1016/S0140-6736(12)61766-8.
34. HSE Smoking in Ireland 2015. Available from: http://www.hse.ie/eng/about/Who/TobaccoControl/Research/ (accessed Aug 2016).
35. Slan Report 2007. Available from: https://www.ucd.ie/t4cms/slan07_report.pdf (accessed Aug 2016).
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