Nurses' tobacco-related knowledge, attitudes, and practice in four major cities in China.

Full Abstract

PURPOSE:
To (a) identify Chinese nurses' tobacco-related knowledge, attitude, and practice (KAP), including perception of competency in smoking-cessation interventions; (b) identify barriers and facilitators to smoking cessation interventions to patients; and (c) assess the learning needs and smoking status of nurses. Design:
A cross-sectional survey was conducted in four major cities (Beijing, Shanghai, Guangzhou, and Chongqing) in China from November to December 2003.

METHODS:
2,888 registered nurses working in hospitals affiliated with five university schools of nursing in these cities were invited to complete a questionnaire. An instrument used to assess tobacco-related KAP in Hong Kong was translated into Chinese and pilot tested to ensure reliability and validity.

FINDINGS:
2,179 questionnaires were returned and after exclusion of the grossly incomplete questionnaires, 1,690 were included in the present analysis. Only 2% of participants were current and 1% were former smokers; most had not received training for smoking-cessation interventions as part of their nursing education program. Two-thirds recognized smoking as a leading cause of preventable death and that smoking cessation was the most cost effective intervention, but only a third routinely assisted patients' quit attempts. Nurses who received training reported greater competence in providing smoking-cessation intervention, and more frequent practice of cessation interventions.

CONCLUSIONS:
Chinese nurses had some knowledge about the health effects of tobacco use, but seldom practiced smoking-cessation interventions. Those who had prior training had greater competence and more practice. Including tobacco control, especially smoking cessation, in nursing curricula in China has the potential to save millions of lives.

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Author information

Author/s: Chan, Sophia S C (SS); Sarna, Linda (L); Wong, David C N (DC); Lam, Tai-Hing (TH);

Affiliation: Department of Nursing Studies, L.K.S. Faculty of Medicine, University of Hong Kong, Hong Kong SAR, China. nssophia(-atsign-)hkucc.hku.hk

Journal and publication information

Publication Type: Journal Article; Research Support, Non-U.S. Gov't

Journal: Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing / Sigma Theta Tau (J Nurs Scholarsh), published in United States. (Language: eng)

Reference: 2007-; vol 39 (issue 1) : pp 46-53

Dates: Created 2007/03/30; Completed 2007/05/04; Revised 2007/11/15;

PMID: 17393965, status: MEDLINE (last retrieval date: 12/26/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Adult
Attitude of Health Personnel
Cause of Death
China - epidemiology
Clinical Competence
Cost-Benefit Analysis
Curriculum
Education, Nursing, Continuing
Educational Measurement
Female
Health Knowledge, Attitudes, Practice
Hospitals, Urban
Humans

Inservice Training
Male
Needs Assessment
Nurse's Role
Nursing Assessment
Nursing Education Research
Nursing Evaluation Research
Nursing Methodology Research
Nursing Staff, Hospital - education; organization & administration; psychology
Practice Guidelines as Topic
Questionnaires
Smoking - adverse effects; mortality; prevention & control
Smoking Cessation - economics; methods

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