Skip to main content

Table 2 Changes in nurses’ self-reported attitudes and behaviors regarding providing cessation services—implementation

From: Implementation of the Tobacco Tactics intervention versus usual care in Trinity Health community hospitals

  Pre-intervention = 1345 Post-intervention = 849 Chi-square
Control = 375 Control = 296
  n (%) n (%) P value
Smoking cessation is very or extremely important
 Intervention 1015 (75.9) 567 (83.6) <0.001
 Control 249 (75.0) 145 (54.9) <0.001
Very or extremely confident in ability to provide smoking cessation
 Intervention 382 (28.6) 387 (57.1) <0.001
 Control 141 (43.1) 80 (30.3) <0.001
Currently provide smoking cessation services
 Intervention 1134 (84.9) 635 (92.4) <0.001
 Control 273 (82.0) 195 (73.0) 0.009
Smoking cessation services provided:
 Advice
  Intervention 940 (83.9) 588 (93.5) <0.001
  Control 242 (90.3) 161 (83.9) 0.039
 Individual counseling
  Intervention 267 (23.8) 255 (40.7) <0.001
  Control 91 (34.1) 53 (27.7) 0.150
 Group counseling
  Intervention 48 (4.3) 43 (6.9) 0.019
  Control 21 (7.9) 24 (12.6) 0.095
 Medications
  Intervention 845 (75.7) 533 (85.6) <0.001
  Control 227 (84.7) 157 (81.8) 0.404
 Handouts
  Intervention 1022 (91.1) 593 (94.3) 0.017
  Control 200 (74.6) 148 (77.1) 0.545
 DVD
  Intervention 94 (8.4) 88 (14.0) <0.001
  Control 16 (5.9) 13 (6.8) 0.709
 Phone calls
  Intervention 35 (3.2) 43 (6.9) <0.001
  Control 9 (3.4) 7 (3.7) 0.866
Face barriers that make it difficult to provide smoking cessation services
 Intervention 1042 (78.9) 431 (64.2) <0.001
 Control 199 (59.9) 148 (56.1) 0.340
Barriers indicated:
 Lack of confidence
  Intervention 198 (14.7) 74 (8.7) <0.001
  Control 24 (6.4) 16 (5.4) 0.589
 Not enough training
  Intervention 435 (32.3) 42 (4.9) <0.001
  Control 78 (20.8) 67 (22.6) 0.566
 Not enough time
  Intervention 665 (49.4) 246 (29.0) <0.001
  Control 104 (27.7) 87 (29.4) 0.636
 Hesitant to upset patients
  Intervention 378 (28.1) 134 (15.8) <0.001
  Control 49 (13.1) 53 (17.9) 0.083
 Not my job
  Intervention 50 (3.7) 8 (0.9) <0.001
  Control 15 (4.0) 22 (7.4) 0.053
  1. Nurses from non-targeted units were intentionally not surveyed in the post-intervention period, thus the sample size is smaller than the pre-intervention period