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Related Experiment Videos

Smoking cessation activities by general practitioners and practice nurses.

A McEwen1, R West

  • 1St George's Hospital Medical School, Cranmer Terrace, London, UK. amcewen@sghms.ac.uk

Tobacco Control
|February 28, 2001
PubMed
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General practitioners and practice nurses recognize their role in smoking cessation support. However, improvements are needed in routine record updates, intervention frequency, and acceptance of nicotine replacement therapy cost-effectiveness.

Area of Science:

  • Public Health
  • General Practice
  • Nursing

Background:

  • Smoking cessation interventions are crucial for public health.
  • General practitioners (GPs) and practice nurses play a key role in delivering these interventions.
  • Understanding their current practices, attitudes, and knowledge is essential for improving smoking cessation support.

Purpose of the Study:

  • To assess self-reported behavior, attitudes, and knowledge of GPs and practice nurses regarding smoking cessation.
  • To identify barriers and facilitators for effective smoking cessation support in primary care settings.

Main Methods:

  • Two national postal surveys were conducted: one of 303 GPs (Survey 1) and another of 459 practice nurses (Survey 2) in England and Wales.
  • Effective response rates were high at 75% for GPs and 96% for practice nurses.

Related Experiment Videos

  • Surveys assessed participants' roles, intervention frequency, attitudes towards nicotine replacement therapy (NRT), and the impact of cessation training.

    • Main Results:

    • A vast majority of GPs (96%) and practice nurses (99%) accepted intervening in smoking as part of their role.
    • While most advised patients to stop or cut down (GPs: 50-76%; nurses: 71-95%), routine record updates were less frequent (GPs: 57%).
    • Both groups recognized NRT effectiveness (GPs: 86%; nurses: 79%) but showed limited acceptance of its cost-effectiveness and NHS prescription status (GPs: 32-47%; nurses: 42-53%).
    • Previous smoking cessation training was inconsistently associated with improved practice for GPs but positively linked for nurses.

    Conclusions:

    • GPs and practice nurses acknowledge the importance of smoking cessation interventions and report engaging with smokers.
    • This indicates a promising foundation for implementing new smoking cessation guidelines.
    • Further improvements are needed in consistent record-keeping, intervention frequency, and a broader acceptance of NRT's cost-effectiveness as a life-saving treatment.