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Smoking Cessation Counseling for Parents During Child Hospitalization: A National Survey of Pediatric Nurses
Author(s) -
Geller Alan C.,
Brooks Daniel R.,
Woodring Barbara,
Oppenheimer Sarah,
McCabe Margaret,
Rogers Jayne,
Timm Alison,
Resnick Elissa A.,
Winickoff Jonathan P.
Publication year - 2011
Publication title -
public health nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.471
H-Index - 55
eISSN - 1525-1446
pISSN - 0737-1209
DOI - 10.1111/j.1525-1446.2011.00954.x
Subject(s) - medicine , family medicine , demographics , smoking cessation , nursing , sociology , pathology , demography
Objective: Given the central role played by pediatric nurses in intake assessment, discharge planning, and education for families of hospitalized pediatric patients, a child's hospitalization may provide a unique opportunity for counseling parents about smoking. We sought to determine if hospital policies can support nurses in effectively counseling parents about smoking.Design and Sample: We conducted a national survey of pediatric staff nurses and administrators/educators who were members of the Society of Pediatric Nurses in 2008 ( n =888) to explore counseling practices for tobacco control.Measures: Questionnaires included data on demographics, personal and work environment characteristics, hospital policy characteristics, work attitudes and barriers and the main outcome—5As for smoking cessation counseling— A sk, A dvise, A ssess, A ssist, and A rrange.Results: Overall, routine screening for household smokers was most common (43%), followed by advice to quit (25%), assessing willingness to quit (19%), assisting with a quit plan (6%), and arranging follow‐up contact (3%). Nurses working in hospitals with admission assessments specifically asking about household members who smoke were 7 times more likely than those without such assessments to routinely ask about smoking (OR: 7.2, 95% CI: 4.9–10.5).Conclusion: Future research should test the efficacy of developing comprehensive hospital‐wide policies to deliver smoking cessation for parents during a child's hospitalization.