An Emergency Department Intervention to Change Smoking Behavior in Households of Smokers with Children

2.50
Hdl Handle:
http://hdl.handle.net/10755/162945
Type:
Presentation
Title:
An Emergency Department Intervention to Change Smoking Behavior in Households of Smokers with Children
Abstract:
An Emergency Department Intervention to Change Smoking Behavior in Households of Smokers with Children
Conference Sponsor:Emergency Nurses Association
Conference Year:2002
Author:Perenchio, Carol, FNP, ND, CEN
P.I. Institution Name:Sherman Hospital
Contact Address:934 Center Street, Elgin, IL, 60120, USA
Contact Telephone:(847) 429-8750
Purpose: Children of smokers have more respiratory morbidity throughout childhood. The extent of harm caused by chronic environmental tobacco smoke and its substantial prevalence make smoking cessation a high priority for ED nursing intervention. Design: Prospective descriptive correlational study. Setting: Midwest Level II urban ED. Sample: Convenience sample of 128 smokers identified in triage over eight weeks. Methodology: Smokers were assigned to Group 1 (n-63) if they had brought children for treatment of respiratory disease, or Group 2 (n-65) if from households without children. Consent was obtained prior to study. Generalized attitudes toward smoking and the likelihood of 12 consequences expected if they either quit or continued to smoke, were rated from "never" to "always" on separate 5-point Likert-type scales (Marin, 1990). The eight-question Fagerstrom Tolerance Questionnaire (Fagerstrom, 1978) assessed smokers' degree of dependence. These instruments have shown reliability and validity. Sociodemographic questions were also included. Analysis of descriptive data utilized confidence levels set at 95%; statistical significance set at an alpha level of .05. Values were determined by means of chi-square statistics. Results: Groups 1 and 2 were similar in reasons for smoking cessation; Spend less money (27/43% versus 24/37%, p value NS) but the group with ill children (Group 1) was more motivated to quit because of cigarette smoke's effects on other's health (31/49% versus 18/28%, p value = 0.02), and to attempt smoking cessation within 30 days (17/27% versus 8/12%, p value = 0.06). Demographic characteristics and smoking behavior were fairly similar between groups for mean age, income, and level of education. Both groups were similar in antecedents and reasons to continue to smoke. Conclusion: In this sample, adult smokers with ill children are more likely to be motivated to quit when facing a child's health-related reason. Intervening with children's caregivers who smoke is a legitimate part of emergency nurses' role, using the Health Belief Model conceptual framework: susceptibility to illness, seriousness of illness, barriers, benefits, and motivation. [Research Paper Presentation]
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleAn Emergency Department Intervention to Change Smoking Behavior in Households of Smokers with Childrenen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162945-
dc.description.abstract<table><tr><td colspan="2" class="item-title">An Emergency Department Intervention to Change Smoking Behavior in Households of Smokers with Children</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2002</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Perenchio, Carol, FNP, ND, CEN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Sherman Hospital</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">934 Center Street, Elgin, IL, 60120, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(847) 429-8750</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">carol.perenchio@shermanhospital.org</td></tr><tr><td colspan="2" class="item-abstract">Purpose: Children of smokers have more respiratory morbidity throughout childhood. The extent of harm caused by chronic environmental tobacco smoke and its substantial prevalence make smoking cessation a high priority for ED nursing intervention. Design: Prospective descriptive correlational study. Setting: Midwest Level II urban ED. Sample: Convenience sample of 128 smokers identified in triage over eight weeks. Methodology: Smokers were assigned to Group 1 (n-63) if they had brought children for treatment of respiratory disease, or Group 2 (n-65) if from households without children. Consent was obtained prior to study. Generalized attitudes toward smoking and the likelihood of 12 consequences expected if they either quit or continued to smoke, were rated from &quot;never&quot; to &quot;always&quot; on separate 5-point Likert-type scales (Marin, 1990). The eight-question Fagerstrom Tolerance Questionnaire (Fagerstrom, 1978) assessed smokers' degree of dependence. These instruments have shown reliability and validity. Sociodemographic questions were also included. Analysis of descriptive data utilized confidence levels set at 95%; statistical significance set at an alpha level of .05. Values were determined by means of chi-square statistics. Results: Groups 1 and 2 were similar in reasons for smoking cessation; Spend less money (27/43% versus 24/37%, p value NS) but the group with ill children (Group 1) was more motivated to quit because of cigarette smoke's effects on other's health (31/49% versus 18/28%, p value = 0.02), and to attempt smoking cessation within 30 days (17/27% versus 8/12%, p value = 0.06). Demographic characteristics and smoking behavior were fairly similar between groups for mean age, income, and level of education. Both groups were similar in antecedents and reasons to continue to smoke. Conclusion: In this sample, adult smokers with ill children are more likely to be motivated to quit when facing a child's health-related reason. Intervening with children's caregivers who smoke is a legitimate part of emergency nurses' role, using the Health Belief Model conceptual framework: susceptibility to illness, seriousness of illness, barriers, benefits, and motivation. [Research Paper Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:36:52Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:36:52Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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