Impact of Online Education on Nurses' Delivery of Smoking Cessation Interventions With Implications for Evidence-Based Practice

Worldviews Evid Based Nurs. 2017 Oct;14(5):367-376. doi: 10.1111/wvn.12197. Epub 2017 Feb 9.

Abstract

Background: Tobacco use is the leading cause of preventable disease and death in Europe and worldwide. Nurses, if properly educated, can contribute to decreasing the burden of tobacco use in the region by helping smokers quit smoking.

Aims: To assess: (a) the feasibility of an online program to educate nurses in Czech Republic and Poland on evidence-based smoking cessation interventions for patients and (b) self-reported changes in practices related to consistently (usually or always) providing smoking cessation interventions to smokers, before and 3 months after participation in the program.

Methods: A prospective single-group pre-post design.

Results: A total of 280 nurses from Czech Republic and 156 from Poland completed baseline and follow-up surveys. At 3 months, nurses were significantly more likely to provide smoking cessation interventions to patients who smoke and refer patients for cessation services (p < .01). Nurses significantly improved their views about the importance of nursing involvement in tobacco control.

Implications for practice: Education about tobacco control can make a difference in clinical practice, but ongoing support is needed to maintain these changes. Health system changes can also facilitate the expectation that delivering evidence-based smoking cessation interventions should be routine nursing care.

Linking evidence to action: Educating nurses on cessation interventions and tobacco control is pivotal to decrease tobacco-related disparities, disease, and death. Online methods provide an accessible way to reach a large number of nurses.

Keywords: Czech Republic; Poland; attitudes about smoking cessation; nurses; nursing; online education; smoking cessation; tobacco use.

MeSH terms

  • Adult
  • Attitude of Health Personnel
  • Czech Republic
  • Education / methods
  • Education / standards
  • Education, Nursing, Continuing / methods
  • Education, Nursing, Continuing / standards*
  • Evidence-Based Practice
  • Female
  • Health Promotion* / methods
  • Humans
  • Internet
  • Male
  • Middle Aged
  • Nurses / standards*
  • Prospective Studies
  • Smoking Cessation / methods*
  • Surveys and Questionnaires
  • Tobacco Use Disorder / psychology
  • Tobacco Use Disorder / therapy
  • Workforce