Good practice regarding smoking cessation management in Spain : Challenges and opportunities for primary care physicians and nurses

© 2020 Martin-Cantera C. et al..

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.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:6

Enthalten in:

Tobacco prevention & cessation - 6(2020) vom: 06., Seite 55

Sprache:

Englisch

Beteiligte Personen:

Martin-Cantera, Carlos [VerfasserIn]
Sanmartín, Jose M Iglesias [VerfasserIn]
Martínez, Ana Furió [VerfasserIn]
Lorenzo, Cesar Minué [VerfasserIn]
Cohen, Vidal Barchilón [VerfasserIn]
Jiménez, Maria L Clemente [VerfasserIn]
Pérez-Teijón, Sara Cascón [VerfasserIn]
Osca, Joan A Ribera I [VerfasserIn]
García, Rodrigo Córdoba [VerfasserIn]
Fernández, Joan Lozano [VerfasserIn]
Domenech, Miguel A Gallardo [VerfasserIn]
Navascues, Maria A Mendiguren [VerfasserIn]
Chaves, Emilio Salguero [VerfasserIn]
Ibañez, María L Rodríguez [VerfasserIn]
Rubio, Victoria Gueto [VerfasserIn]
Rayo, Susana Morena [VerfasserIn]
Otero, Bruno Marioni [VerfasserIn]
Lopez, Lucia Gorreto [VerfasserIn]
Guillem, Francisco Camarelles [VerfasserIn]
Fuente, Fernando Martín [VerfasserIn]
Ruiz, Diego Beni [VerfasserIn]
Rodríguez, Alicia I Hernández [VerfasserIn]
Caballero, Juan De Dios González [VerfasserIn]
Moreno, Cruz Bartolomé [VerfasserIn]
Pubil, Mercé Pau [VerfasserIn]
Grau, Merce Lopez [VerfasserIn]

Links:

Volltext

Themen:

Attitudes
Clinical competence
Journal Article
Primary healthcare
Public Health Practice
Smoking cessation
Surveys and questionnaires

Anmerkungen:

Date Revised 22.10.2020

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.18332/tpc/126630

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM316529184