2 research outputs found
Good practice regarding smoking cessation management in Spain: Challenges and opportunities for primary care physicians and nurses
INTRODUCTION
We analyze the activities carried out by primary care (PC) physicians and nurses with respect to smoking cessation and evaluate their self-reported training, knowledge, and behavior.
METHODS
A cross-sectional study was conducted including 1514 PC physicians and nurses from June 2016 to March 2017, in Spain. The main variable was Good Practice (GP) in attention to smokers. To identify associated factors, a multilevel logistic regression model was used adjusted for sex, age, type of center, contract, years of employment, tobacco consumption, and self-reported training/knowledge.
RESULTS
Of the 792 physicians and 722 nurses, 48.6% referred to GP in smoking cessation management. The finding related to: being a non-smoker (OR=1.8; 95% CI: 1.2-2.5) or ex-smoker (OR= 1.4; 95% CI: 1.02-2.1), having a good level of knowledge (OR=1.8; 95% CI: 1.3-2.4) and training (OR=2.4; 95% CI: 1.8-3.2), and, to a lesser extent, being female (OR=1.3; 95% CI: 1.03-1.7), and work experience >10 years (OR=1.4; 95% CI: 1.03-1.9). The main GP barriers were: lack of time (45.5%), organizational problems (48.4%), and 35.4% lack of training.
CONCLUSIONS
The GP of PC physicians and nurses regarding smoking cessation management is related to being non-smokers or ex-smokers, and having sufficient training and knowledge. Lack of time and organizational problems were considered to be the main barriers. The promotion of training activities in the Spanish National Health Service with the support of scientific societies is required
Attitudes towards anti-smoking legislation and prevalence of tobacco consumption in Spanish primary healthcare personnel
Introduction
Our aim was to ascertain how the anti-smoking
legislation of 2005/2010 has affected the behavior of primary
healthcare center (PHC) personnel (medical and nonmedical)
with respect to their attitudes towards tobacco, its
consumption and the legislative changes.
Methods
The sample consisted of 2040 PHC employees (1578
women, 77.4%). Never smokers, ex-smokers, and smokers
represented 46.7%, 37.8%, and 15.5% of the sample,
respectively. Tobacco prevalence amongst physicians and
nurses was 12.3%. Following the introduction of the antismoking
legislation, a decrease in consumption was observed.
Most of the participants considered that tobacco consumption
affected health, was an addictive illness, and passive smoking
had an impact on the health of non-smokers. Whilst 91.6%
agreed with the current legislation, only 25% felt that it
encouraged cessation.
Results
The sample was made up of 2040 PHC employees (1578 women; 77.4%). Never smokers, ex-smokers, and smokers represented 46.7%, 37.8%, and 15.5%, respectively. Tobacco prevalence amongst physicians and nurses was 12.3%. Following the introduction of the anti-smoking legislation a decrease in consumption was observed. Most of the participants considered that tobacco affected health, was an addictive illness, and passive smoking had an impact on the health of non-smokers. Whilst 91.6% agreed with the current legislation, only 25% felt that it encouraged cessation.
Conclusions
Spanish primary healthcare professionals have a
relatively low prevalence of smoking compared to the general
population. It is necessary to implement more legislative
measures to improve and maintain this outcome