一项混合方法研究,探讨二级护理护士与患者讨论戒烟的障碍和促进因素:思考戒烟研究的第一阶段
Megan Elliott1, Katy-May Price2, Rachael M Hewitt3
1Research & Development Department, Clinical Research Centre, Cwm Taf Morgannwg University Health Board, Royal Glamorgan Hospital, Ynysmaerdy, CF72 8XR, UK. Megan.Elliott@wales.nhs.uk.
BMC nursing
|August 6, 2025
概括
护士希望帮助患者戒烟,但面临着工作场所的障碍. 解决这些挑战可以通过戒烟支持来改善患者的健康结果.
科学领域:
- 医疗保健研究的研究.
- 护理实践的护理实践
- 公共卫生干预措施 公共卫生干预措施
背景情况:
- 住院吸烟者面临更高的健康风险和再入院率.
- 护士是促进戒烟的关键,但遇到障碍.
- 识别这些障碍对于有效的干预至关重要.
研究的目的:
- 系统地识别护士与患者讨论吸烟的障碍和促进因素.
- 探索护士在将患者推到戒烟服务方面的经验.
主要方法:
- 与南威尔士的二级护理护士进行的融合混合方法研究.
- 使用理论领域框架 (TDF) 和COM-B模型.
- 通过匿名调查,焦点小组和采访收集数据.
主要成果:
- 调查了110名护士;21人参与了定性数据收集.
- 护士们认为戒烟讨论和转介是很重要的.
- 关键障碍包括缺乏技能,不一致的转诊途径,竞争的优先事项和患者的抵抗力.
结论:
- 护士承认他们在戒烟方面的作用,但缺乏了解当地服务.
- 工作场所的障碍使护士无法有效地支持患者戒烟.
- 减少这些障碍将使护士有能力改善患者的健康结果.
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