Comparison of smoking habits, knowledge, attitudes and tobacco control interventions between primary care physicians and nurses
Background Primary care providers are uniquely positioned to initiate smoking cessation. We aimed to evaluate knowledge levels about the health effects of smoking and attitudes toward smoking and tobacco control activities among primary care providers. Methods In the cross-sectional and primary car...
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doaj-7ba2c8b9121247b6a73b73986f92b7672020-11-25T01:01:11ZengEuropean PublishingTobacco Induced Diseases1617-96252015-11-0113November10.1186/s12971-015-0062-767200Comparison of smoking habits, knowledge, attitudes and tobacco control interventions between primary care physicians and nursesCemil Isik Sonmez0Leyla Yilmaz Aydin1Yasemin Turker2Davut Baltaci3Suber Dikici4Yunus Cem Sariguzel5Fatih Alasan6Mehmet Harun Deler7Mehmet Serkan Karacam8Mustafa Demir9Department of Family Medicine, Duzce University, School of Medicine, Duzce, TurkeyDepartment of Chest Diseases, Duzce University, School of Medicine, Duzce, TurkeyCommunity Health Center, Isparta, TurkeyDepartment of Family Medicine, Duzce University, School of Medicine, Duzce, TurkeyDepartment of Neurology, Duzce University, School of Medicine, Duzce, TurkeyCommunity Health Center, Duzce, TurkeyDepartment of Chest Diseases, Duzce University, School of Medicine, Duzce, TurkeyCukurca State Hospital, Hakkari, TurkeyPoturge State Hospital, Malatya, TurkeyTuzla Family Health Center, Istanbul, TurkeyBackground Primary care providers are uniquely positioned to initiate smoking cessation. We aimed to evaluate knowledge levels about the health effects of smoking and attitudes toward smoking and tobacco control activities among primary care providers. Methods In the cross-sectional and primary care-based study, self-administered surveys modified from the WHO Global Health Professional Survey 5A steps of smoking cessation practice (Ask, Advise, Assess, Assist and Arrange) were provided to primary care physicians (PCPhs) and nurses (PCNs). Results Respondents included 1182 PCPhs and 1063 PCNs. The proportions of current and former smokers were significantly higher among PCPhs than among PCNs (34.4 vs. 30.7 % and 14.0 vs. 10.1 %, respectively; both P < 0.001). We observed that 77.2 % of PCPhs and 58.4 % of PCNs always or rarely practiced an “Ask” step about their patients’ smoking status (P < 0.001). One-third of PCPhs (33.8 %) stated that they always practiced an “Ask” step, whereas only 27.6 % of PCNs always did so in their practice (P < 0.001). A small minority of primary care providers had advised patients to quit smoking, although there was a significant difference in this between PCNs and PCPhs (8.4 vs. 15.6 %; P < 0.001). Most PCPhs considered themselves competent in advising about smoking interventions, but only a minority of PCNs did so (75.1 vs. 17.3 %; P < 0.001). Among barriers to tobacco intervention measures, lack of time was the item most commonly cited by PCPhs, whereas low patient priority was most commonly cited by PCNs (35.9 and 35.7 %; P < 0.001). Conclusions Smoking intervention practice by primary care nurses was quite low. Lack of time and low patient priority were identified as barriers by primary care providers. Strategies by which primary care providers could improve tobacco control should be established.http://www.journalssystem.com/tid/Comparison-of-smoking-habits-knowledge-attitudes-and-tobacco-control-interventions-between-primary-care-physicians-and-nurses,67200,0,2.htmlprimary caresmoking cessationprimary care providerprimary care settingtobacco control |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Cemil Isik Sonmez Leyla Yilmaz Aydin Yasemin Turker Davut Baltaci Suber Dikici Yunus Cem Sariguzel Fatih Alasan Mehmet Harun Deler Mehmet Serkan Karacam Mustafa Demir |
spellingShingle |
Cemil Isik Sonmez Leyla Yilmaz Aydin Yasemin Turker Davut Baltaci Suber Dikici Yunus Cem Sariguzel Fatih Alasan Mehmet Harun Deler Mehmet Serkan Karacam Mustafa Demir Comparison of smoking habits, knowledge, attitudes and tobacco control interventions between primary care physicians and nurses Tobacco Induced Diseases primary care smoking cessation primary care provider primary care setting tobacco control |
author_facet |
Cemil Isik Sonmez Leyla Yilmaz Aydin Yasemin Turker Davut Baltaci Suber Dikici Yunus Cem Sariguzel Fatih Alasan Mehmet Harun Deler Mehmet Serkan Karacam Mustafa Demir |
author_sort |
Cemil Isik Sonmez |
title |
Comparison of smoking habits, knowledge, attitudes and tobacco control interventions between primary care physicians and nurses |
title_short |
Comparison of smoking habits, knowledge, attitudes and tobacco control interventions between primary care physicians and nurses |
title_full |
Comparison of smoking habits, knowledge, attitudes and tobacco control interventions between primary care physicians and nurses |
title_fullStr |
Comparison of smoking habits, knowledge, attitudes and tobacco control interventions between primary care physicians and nurses |
title_full_unstemmed |
Comparison of smoking habits, knowledge, attitudes and tobacco control interventions between primary care physicians and nurses |
title_sort |
comparison of smoking habits, knowledge, attitudes and tobacco control interventions between primary care physicians and nurses |
publisher |
European Publishing |
series |
Tobacco Induced Diseases |
issn |
1617-9625 |
publishDate |
2015-11-01 |
description |
Background
Primary care providers are uniquely positioned to initiate smoking cessation. We aimed to evaluate knowledge levels about the health effects of smoking and attitudes toward smoking and tobacco control activities among primary care providers.
Methods
In the cross-sectional and primary care-based study, self-administered surveys modified from the WHO Global Health Professional Survey 5A steps of smoking cessation practice (Ask, Advise, Assess, Assist and Arrange) were provided to primary care physicians (PCPhs) and nurses (PCNs).
Results
Respondents included 1182 PCPhs and 1063 PCNs. The proportions of current and former smokers were significantly higher among PCPhs than among PCNs (34.4 vs. 30.7 % and 14.0 vs. 10.1 %, respectively; both P < 0.001). We observed that 77.2 % of PCPhs and 58.4 % of PCNs always or rarely practiced an “Ask” step about their patients’ smoking status (P < 0.001). One-third of PCPhs (33.8 %) stated that they always practiced an “Ask” step, whereas only 27.6 % of PCNs always did so in their practice (P < 0.001). A small minority of primary care providers had advised patients to quit smoking, although there was a significant difference in this between PCNs and PCPhs (8.4 vs. 15.6 %; P < 0.001). Most PCPhs considered themselves competent in advising about smoking interventions, but only a minority of PCNs did so (75.1 vs. 17.3 %; P < 0.001). Among barriers to tobacco intervention measures, lack of time was the item most commonly cited by PCPhs, whereas low patient priority was most commonly cited by PCNs (35.9 and 35.7 %; P < 0.001).
Conclusions
Smoking intervention practice by primary care nurses was quite low. Lack of time and low patient priority were identified as barriers by primary care providers. Strategies by which primary care providers could improve tobacco control should be established. |
topic |
primary care smoking cessation primary care provider primary care setting tobacco control |
url |
http://www.journalssystem.com/tid/Comparison-of-smoking-habits-knowledge-attitudes-and-tobacco-control-interventions-between-primary-care-physicians-and-nurses,67200,0,2.html |
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