BACKGROUND AND OBJECTIVES: Smoking cessation treatment practices described by the 5 A's (ask, advise, assess, assist, arrange) are not well applied at cardiology wards because of various reasons, such as a lack of time and appropriate skills of the nursing staff. Therefore, a simplified guideline proposing an ask-advise-refer (AAR) strategy was introduced in Dutch cardiac wards. This study aimed to identify factors that determine the intentions of cardiac ward heads in adopting the simplified AAR guideline, as ward heads are key decision makers in the adoption of new guidelines. Ward heads' perceptions of current smoking cessation practices at the cardiac ward were also investigated. METHODS: A cross-sectional survey with written questionnaires was conducted among heads of cardiology wards throughout the Netherlands, of whom 117 (64%) responded. RESULTS: According to the heads of cardiac wards, smoking cessation practices by cardiologists and nurses were mostly limited to brief practices that are easy to conduct. Only a minority offered intensive counseling or arranged follow-up contact. Heads with strong intentions of adopting the AAR guideline differed significantly on motivational and organizational attributes and perceived more smoking cessation assistance by other health professionals than did heads with weak intentions of adopting. Positive attitudes, social support toward adoption, and perception of much assistance at the ward were significantly associated with increased intentions to adopt the AAR guideline. CONCLUSIONS: Brief smoking cessation practices are adequately performed at cardiac wards, but the most effective practices, offering assistance and arranging for follow-up, are less than optimal. The AAR guideline offers a more feasible approach for busy cardiology wards. To ensure successful adoption of this guideline, the heads of cardiac wards should be convinced of its advantages and be encouraged by a supportive work environment. Policies may also facilitate the adoption of the AAR guideline.
BACKGROUND AND OBJECTIVES: Smoking cessation treatment practices described by the 5 A's (ask, advise, assess, assist, arrange) are not well applied at cardiology wards because of various reasons, such as a lack of time and appropriate skills of the nursing staff. Therefore, a simplified guideline proposing an ask-advise-refer (AAR) strategy was introduced in Dutch cardiac wards. This study aimed to identify factors that determine the intentions of cardiac ward heads in adopting the simplified AAR guideline, as ward heads are key decision makers in the adoption of new guidelines. Ward heads' perceptions of current smoking cessation practices at the cardiac ward were also investigated. METHODS: A cross-sectional survey with written questionnaires was conducted among heads of cardiology wards throughout the Netherlands, of whom 117 (64%) responded. RESULTS: According to the heads of cardiac wards, smoking cessation practices by cardiologists and nurses were mostly limited to brief practices that are easy to conduct. Only a minority offered intensive counseling or arranged follow-up contact. Heads with strong intentions of adopting the AAR guideline differed significantly on motivational and organizational attributes and perceived more smoking cessation assistance by other health professionals than did heads with weak intentions of adopting. Positive attitudes, social support toward adoption, and perception of much assistance at the ward were significantly associated with increased intentions to adopt the AAR guideline. CONCLUSIONS: Brief smoking cessation practices are adequately performed at cardiac wards, but the most effective practices, offering assistance and arranging for follow-up, are less than optimal. The AAR guideline offers a more feasible approach for busy cardiology wards. To ensure successful adoption of this guideline, the heads of cardiac wards should be convinced of its advantages and be encouraged by a supportive work environment. Policies may also facilitate the adoption of the AAR guideline.
Authors: David A Katz; John E Holman; Andrew S Nugent; Laurence J Baker; Skyler R Johnson; Stephen L Hillis; David G Tinkelman; Marita G Titler; Mark W Vander Weg Journal: Nicotine Tob Res Date: 2012-11-02 Impact factor: 4.244
Authors: David A Katz; John Holman; Skyler Johnson; Stephen L Hillis; Sarah Ono; Kenda Stewart; Monica Paez; Steven Fu; Kathleen Grant; Lynne Buchanan; Allan Prochazka; Catherine Battaglia; Marita Titler; Mark W Vander Weg Journal: J Gen Intern Med Date: 2013-05-07 Impact factor: 5.128
Authors: C Martínez; Y Castellano; A Andrés; M Fu; L Antón; M Ballbè; P Fernández; S Cabrera; A Riccobene; E Gavilan; A Feliu; A Baena; M Margalef; E Fernández Journal: Tob Induc Dis Date: 2017-11-02 Impact factor: 2.600
Authors: Dennis de Ruijter; Math Candel; Eline Suzanne Smit; Hein de Vries; Ciska Hoving Journal: J Med Internet Res Date: 2018-05-22 Impact factor: 5.428
Authors: Denise Peels; Aart Mudde; Catherine Bolman; Rianne Golsteijn; Hein de Vries; Lilian Lechner Journal: Int J Environ Res Public Health Date: 2014-02-10 Impact factor: 3.390
Authors: N Berndt; H de Vries; L Lechner; F Van Acker; E S Froelicher; F Verheugt; A Mudde; C Bolman Journal: Neth Heart J Date: 2017-01 Impact factor: 2.380