Table 3. Answers to questions to assess nurse’s knowledge, attitude and belief about counselling for smoking cessation.
Questionsb | CUa (n = 19) |
CICUa (n = 27) |
SOUa (n = 31) |
P-valuec | Post-hoc comparisonsd |
---|---|---|---|---|---|
Q5a. The inpatient ward is the ideal place to provide information on the health harm caused by cigarette smoking | 3.05 ± 1.18 | 2.96 ± 0.98 | 2.29 ± 0.69 | 0.006 | CICU vs SOU(P-value = 0.019) CU vs SOU(P-value = 0.023) |
Q5b. The nurse must always ask the smoker patient weather she/he wants to quit smoking | 2.80 ± 1.27 | 2.88 ± 1.01 | 2.77 ± 0.80 | 0.902 | |
Q5c. If the patient decides to quit smoking, the nurse must set a precise start date of smoking cessation | 3.00 ± 0.94 | 2.04 ± 1.20 | 2.22 ± 0.84 | 0.006 | CICU vs CU(P-value = 0.006) SOU vs CU(P-value = 0.029) |
Q5d. The nurse must always explain to the smoker patient the harmful effects of smoking on health | 3.42 ± 1.22 | 3.78 ± 1.01 | 3.03 ± 1.25 | 0.058 | |
Q6. The nurse must report the smoking status of each patient on the medical record (also in electronic format) | 3.26 ± 0.87 | 3.44 ± 1.09 | 2.68 ± 1.01 | 0.014 | CICU vs CU(P-value = 0.015) |
Composite indicator of Nurse’s Knowledge | 3.21 ± 0.68 | 3.19 ± 0.70 | 2.73 ± 0.74 | 0.021 | CICU vs CU(P-value = 0.045) |
Q7a. The nurse must do counselling interventions to smoking cessation in the context of clinical activity | 2.89 ± 0.94 | 3.11 ± 1.15 | 2.84 ± 0.86 | 0.561 | |
Q7b. It is difficult to explain the health benefits deriving from smoking cessation because it takes time away from nursing care (reversed item) | 2.24 ± 1.29 | 2.78 ± 1.31 | 1.61 ± 1.08 | 0.002 | CICU vs CU(P-value = 0.002) |
Q7c. In general, the nurse has limited knowledge of the negative effects of smoking on health (reversed item) | 2.57 ± 1.28 | 2.04 ± 1.26 | 1.85 ± 0.85 | 0.094 | |
Q7d. The nurse is not able to help the smoker patient to stop smoking (reversed item) | 2.50 ± 1.56 | 2.04 ± 1.48 | 2.06 ± 1.14 | 0.463 | |
Composite indicator of Nurse’s Attitude | 2.55 ± 0.93 | 2.49 ± 0.72 | 2.09 ± 0.59 | 0.049 | |
Q8a. The nurse who advises smoker patients to quit smoking makes them uncomfortable (reversed item) | 2.11 ± 1.51 | 1.39 ± 1.17 | 1.53 ± 1.06 | 0.133 | |
Q8b. If the nurse advises the smoker patient to stop smoking, the patient considers him a moralist (reversed item) | 1.91 ± 1.52 | 1.04 ± 1.39 | 2.06 ± 1.0 | 0.918 | |
Q8c. Patients appreciate the nurse who advises them to stop smoking | 2.95 ± 1.22 | 2.40 ± 1.12 | 2.48 ± 0.93 | 0.212 | |
Q8d. The nurse who advises patients to stop smoking will cause many smokers to quit smoking | 2.63 ± 1.01 | 2.07 ± 0.83 | 2.29 ± 0.82 | 0.111 | |
Q8e. The nurse who advises patients to stop smoking gives a good picture of him/herself | 2.84 ± 1.12 | 2.37 ± 0.93 | 2.64 ± 0.98 | 0.287 | |
Q8f. The nurse who advises patients to stop smoking will help reduce the incidence of cardiovascular disease and other smoking-related diseases among smokers | 3.79 ± 0.98 | 3.33 ± 0.96 | 2.87 ± 1.17 | 0.014 | CU vs CU (P-value = 0.012) |
Composite indicator of Nurse’s Belief | 2.70 ± 0.85 | 2.27 ± 0.65 | 2.31 ± 0.57 | 0.074 |
Notes:
CU, Cardiac Unit; CICU, Cardiac Intensive Care Unit; SOU, Surgical Oncology Unit.
Mean and (SD).
Anova test was used.
Only statistically significant Post-hoc comparisons were shown.