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Pilot Study: Brief Educational Intervention for Mother-Baby Nursing Staff on Ask, Advise, and Refer for Tobacco Cessation

Pyle, Jacqueline and Scheibmeir, Monica
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Purpose: Maternal smoking is the greatest modifiable risk factor for the prevention of tobacco-related adverse health outcomes to both the infant and the mother. While nurses working in maternal care units are primed to deliver appropriate patient-centered communication that focuses on the skills required by pregnant women and new mothers to successfully attain smoking cessation, communicating that message is complicated by the many competing demands that nurses experience at work. The purpose of this study was to provide brief educational training to nurses on how to efficiently assess, advise, and refer pregnant women and new mothers who smoke for smoking cessation services. Theoretical Model: The theoretical model used to develop the training program was derived from the national Prescription for Change Model developed and used by interdisciplinary health care professionals. Design: This pilot study used a one-group pre-test, post-test pre-experimental design. Setting: Two maternal care units at a Midwestern University Medical Center Hospital. Participants: A convenience sample of 17 maternal child nurses. Methods: A 10 minute educational training was provided during an in-service session for the nursing staff. The educational training included information on: a) Ask, advise, and refer, and b) use of a reminder card to be used by the nursing staff. A baseline survey was given with the initial training session, and a second survey was sent out eight weeks post-training. Results: Four nursing staff completed the baseline survey and three completed the second survey. The nurses who completed the surveys were female, with a mean age of 39 years, and had worked on the unit for an average length of 5 years. Nurses reported being highly confident in their abilities at delivering tobacco cessation services. Conclusions: Issues of nurse participation in educational research identified in this study are discussed. In the future, modifications will be made to the educational training program to enhance nurses’ participation in this type of practice-based research.
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2009-07-23
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