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--Ask, Advise, Assess, Assist, and Arrange. 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.
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--Ask, Advise, Assess, Assist, and Arrange. 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.
Authors: E Melinda Mahabee-Gittens; Cinnamon A Dixon; Lisa M Vaughn; Elena M Duma; Judith S Gordon Journal: J Emerg Nurs Date: 2013-09-09 Impact factor: 1.836
Authors: Judith S Gordon; E Melinda Mahabee-Gittens; Judy A Andrews; Steven M Christiansen; David J Byron Journal: Pediatrics Date: 2013-01-14 Impact factor: 7.124
Authors: E Melinda Mahabee-Gittens; Judith W Dexheimer; Meredith Tabangin; Jane C Khoury; Ashley L Merianos; Lara Stone; Gabe T Meyers; Judith S Gordon Journal: Am J Prev Med Date: 2018-01 Impact factor: 5.043
Authors: Esther Melinda Mahabee-Gittens; Ashley L Merianos; Judith W Dexheimer; Gabe T Meyers; Lara Stone; Meredith Tabangin; Jane C Khoury; Judith S Gordon Journal: Pediatr Emerg Care Date: 2020-11 Impact factor: 1.602