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Multisite Studies Demonstrate Positive Relationship Between Practice Environments and Smoking Cessation Counseling
Robin Newhouse1, Ha Do Byon2, Emily Storkman Wolf3
1Dean and Distinguished Professor, Indiana University School of Nursing, Indianapolis, IN, USA.
Worldviews on Evidence-Based Nursing
|March 13, 2018
Summary
A positive nurse practice environment is linked to increased use of smoking cessation counseling by nurses. Enhancing the practice environment can improve patient health outcomes through better evidence-based interventions.
Area of Science:
- Nursing Practice and Quality Improvement
- Healthcare Delivery Systems
- Tobacco Cessation Interventions
Background:
- Smoking cessation guidelines are underutilized in acute care, representing missed opportunities for improving patient health.
- The influence of the healthcare practice environment on nurses' adoption of these guidelines is not well understood.
Purpose of the Study:
- To investigate the association between the nurse practice environment and smoking cessation counseling practices.
- To assess how individual nurse and organizational factors impact these counseling practices.
Main Methods:
- A cross-sectional secondary analysis of survey data from 844 registered nurses across 45 hospitals.
- Linear mixed models were used to analyze data, controlling for nesting within hospitals. Key measures included the Smoking Cessation Counseling Scale (SCCS) and the Practice Environment Scale-Nursing Work Index (PES).
Main Results:
- A positive correlation was found between the practice environment (PES) and smoking cessation counseling (SCCS) scores.
- Favorable practice environments were significantly associated with higher SCCS scores (difference of 0.26, p = .002).
- Non-White nurses reported higher SCCS scores compared to White nurses (difference of 0.18, p = .010).
Conclusions:
- The nurse practice environment is a significant factor in the utilization of evidence-based smoking cessation practices.
- Improving the practice environment is crucial for increasing the frequency of higher-level counseling.
- Healthcare leaders should implement quality improvement strategies focused on enhancing practice environments to facilitate evidence translation and improve patient care.
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