Engaging nurses in smoking cessation: Challenges and opportunities in Turkey |
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| Institution: | 1. School of Human Services, University of Cincinnati, Cincinnati, OH, USA;2. College of Medicine, University of Cincinnati, Cincinnati, OH, USA;3. Division of Intramural Research, National Institute on Minority Health and Health Disparities, Bethesda, MD, USA;4. Division of Emergency Medicine, Cincinnati Children''s Hospital Medical Center, Cincinnati, OH, USA;1. University of Chicago, Department of Psychiatry and Behavioral Neuroscience, 5841 S. Maryland Ave (MC-3077), Chicago, IL 60637, USA;2. Respiratory Health Association, 1440 W. Washington Blvd., Chicago, IL 60607, USA;1. Ontario Tobacco Research Unit, Dalla Lana School of Public Health, University of Toronto, 155 College St., Toronto, ON M5T 3M7, Canada;2. Department of Health, Behavior and Society, Institute for Global Tobacco Control, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States;3. Smoking and Health Action Foundation, Toronto, ON, Canada;4. Centre for Addiction and Mental Health, Toronto, ON, Canada;1. Beijing Anding Hospital, Capital Medical University, China;2. Department of Psychiatry, Chinese University of Hong Kong, Hong Kong SAR, China;3. University of Iowa College of Nursing, Iowa City, IA, USA;4. First Hospital of Peking University, Peking University, Beijing, China;5. University of Notre Dame Australia/Marian Centre, Perth, Australia;6. School of Psychiatry and Clinical Neurosciences, University of Western Australia, Perth, Australia;7. Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore;8. The Nethersole School of Nursing, Chinese University of Hong Kong, Hong Kong SAR, China;9. Shenzhen Mental Health Centre, Guangdong Province, China;10. Division of Psychiatry Research, The Zucker Hillside Hospital, North Shore-Long Island Jewish Health System, Glen Oaks, NY, USA;11. University of Maryland School of Nursing, Baltimore, MD, USA |
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| Abstract: | This paper discusses the training of nurses in smoking cessation as part of routine patient care in Turkey. Formative research was carried out prior to training to identify challenges faced by smokers when trying to quit. Site visits to government hospitals and cessation clinics were conducted to observe health care provider-patient interactions involving behavior change.Four culturally sensitive cessation training workshops for nurses (n = 54) were conducted in Istanbul. Following training, nurses were debriefed on their experiences delivering cessation advice. Challenges to cessation counseling included lack of time and incentives for nurse involvement; lack of skills to deliver information about the harm of smoking and benefits of quitting; the medicalization of cessation through the use of pharmaceuticals; and hospital policy which devalues time spent on cessation activities. The pay-for-performance model currently adopted in hospitals has de-incentivized doctor participation in cessation clinics.Nurses play an important role in smoking cessation in many countries. In Turkey, hospital policy will require change so that cessation counseling can become a routine part of nursing practice, incentives for providing cessation are put in place, and task sharing between nurses and doctors is clarified. Nurses and doctors need to receive training in both the systemic harms of smoking and cessation counseling skills. Opportunities, challenges and lessons learned are highlighted. |
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| Keywords: | Smoking cessation Smoking cessation policy Cessation implementation Nurses Turkey |
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