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Caught in the middle: experiences of tobacco-dependent nurse practitioners
Janie Heath1, Jeannette Andrews, Frances J Kelley
1Georgetown University, School of Nursing and Health Studies in Washington, DC, USA. ejh@georgetown.edu
Purpose:
To explore how tobacco-dependent nurse practitioners (NPs) describe their experiences with health promotion and disease prevention practices with patients who smoke.
Data Sources:
Twelve NPs who completed a graduate level NP program of study participated in face-to-face interviews and/or online chat room interviews.
Conclusions:
Participants' responses revealed three themes relevant to their experience as tobacco-dependent clinicians with health promotion responsibilities. These themes centered around (a) living as an insider in the world of tobacco addiction, (b) having the outside-in view of living with a tobacco addiction, and (c) being caught in the middle of a tobacco addiction.
Implications For Practice:
All of the tobacco-dependent participants described limited smoking-cessation interventions with their patients. A barrier to implementation of more aggressive interventions, perhaps, is the provider's own tobacco addiction. With increasing evidence that tobacco-dependent health care professionals are not adequately intervening with tobacco-dependent patients, effective strategies are needed to assist and/or support not only tobacco-dependent patients but providers as well.
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