 | The 131st Annual Meeting (November 15-19, 2003) of APHA |
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| The 131st Annual Meeting (November 15-19, 2003) of APHA |
Sandra Daniel, PhD (c), RN, School of Nursing, Georgia Southwestern State University, 800 Wheatley St, Americus, GA 31709, 229-931-2280, sdd@canes.gsw.edu and Martha Tingen, RN, PhD, School of Nursing, Medical College of Georgia, Georgia Prevention Institute, HS - 3356, Augusta, GA 30912.
Purpose: Tobacco use is the single most preventable disease in the U.S. Disease prevention has been identified as the cornerstone in the redesign of the U.S. health care system. There is a demand for competent nurse clinicians who systematically incorporate evidence-based tobacco-control interventions in practice. Nurses have the opportunity to substantially reduce the incidence and prevalence of tobacco dependence. The purpose of this study was to determine the relationship among predisposing and enabling factors or barriers in recently licensed RNs delivery of evidence-based tobacco control interventions. The specific aims of this study were to determine 1) the extent of delivery of tobacco control interventions; 2) perceived competence; 3) tobacco educational preparation; and 4) the relationship among predisposing factors, enabling factors or barriers in recently licensed RNs provision of tobacco control interventions. The Educational and Ecological Assessment phase of Green and Kreuter’s PRECEDE-PROCEED Model served as the theoretical framework. Method: A cross-sectional correlational survey design was utilized. Stratified random sampling of registered nurses in Georgia was utilized to obtain 10% of the population within each year (1999, 2000, and 2001) of initial licensure with a final sample of 468. Findings/Discussion: Nurses had low performance scores in tobacco control interventions (ask, advise, assess, assist, arrange), with the mean score being only 37%. Perceived competency was low. Seventy-eight percent had no clinical experiences in smoking cessation. Multiple regression analysis found attitudes, belief in importance, tobacco education, other prevention interventions, peer and institution barriers accounted for significant variances (p<.05) in tobacco control intervention scores.
Learning Objectives:
Keywords: Tobacco Control, Nursing Education
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.