Cardiology 2013

Landolina, Maurizio E

La Rovere, Maria Teresa

Mantovan, Roberto

Mascioli, Giosue

Occhetta, Eraldo

Padeletti, Luigi

Salerno-Uriarte, Jorge A

Santini, Massimo

Sassone, Biagio

Senni, Michele

Zecchin, Massimo

ita

English Abstract

Italy

2006

2013/12/12 06:00

G Ital Cardiol (Rome). 2013 Nov;14(11):752-72. doi: 10.1714/1360.15089.

URL: http://www.ncbi.nlm.nih.gov/pubmed/24326639

 

 

Reference Type:  Journal Article

Record Number: 853Author: Berndt, N. C., Bolman, C., de Vries, H., Segaar, D., van Boven, I. and Lechner, L.

Year: 2013

Title: Smoking cessation treatment practices: recommendations for improved adoption on cardiology wards

Journal: J Cardiovasc Nurs

Volume: 28

Issue: 1

Pages: 35-47

Date: Jan-Feb

Short Title: Smoking cessation treatment practices: recommendations for improved adoption on cardiology wards

Alternate Journal: The Journal of cardiovascular nursing

ISSN: 1550-5049 (Electronic)

0889-4655 (Linking)

DOI: 10.1097/JCN.0b013e318231f424

Accession Number: 22048618

Keywords: Adult

Cardiology

Cross-Sectional Studies

Female

Hospital Units

Humans

Male

Practice Guidelines as Topic

Questionnaires

Smoking Cessation/*methods

Abstract: BACKGROUND AND OBJECTIVES: Smoking cessation treatment practices described by the 5 A’s (ask, advise, assess, assist, arrange) are not well applied at cardiology wards because of various reasons, such as a lack of time and appropriate skills of the nursing staff. Therefore, a simplified guideline proposing an ask-advise-refer (AAR) strategy was introduced in Dutch cardiac wards. This study aimed to identify factors that determine the intentions of cardiac ward heads in adopting the simplified AAR guideline, as ward heads are key decision makers in the adoption of new guidelines. Ward heads’ perceptions of current smoking cessation practices at the cardiac ward were also investigated. METHODS: A cross-sectional survey with written questionnaires was conducted among heads of cardiology wards throughout the Netherlands, of whom 117 (64%) responded. RESULTS: According to the heads of cardiac wards, smoking cessation practices by cardiologists and nurses were mostly limited to brief practices that are easy to conduct. Only a minority offered intensive counseling or arranged follow-up contact. Heads with strong intentions of adopting the AAR guideline differed significantly on motivational and organizational attributes and perceived more smoking cessation assistance by other health professionals than did heads with weak intentions of adopting. Positive attitudes, social support toward adoption, and perception of much assistance at the ward were significantly associated with increased intentions to adopt the AAR guideline. CONCLUSIONS: Brief smoking cessation practices are adequately performed at cardiac wards, but the most effective practices, offering assistance and arranging for follow-up, are less than optimal. The AAR guideline offers a more feasible approach for busy cardiology wards. To ensure successful adoption of this guideline, the heads of cardiac wards should be convinced of its advantages and be encouraged by a supportive work environment. Policies may also facilitate the adoption of the AAR guideline.

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