2.50
Hdl Handle:
http://hdl.handle.net/10755/165303
Category:
Abstract
Type:
Presentation
Title:
TOBACCO REDUCTION WITHIN THE CONTEXT OF ACUTE CARE HOSPITALS
Author(s):
Schultz, Annette
Author Details:
Annette Schultz, MN, PhD(c), RB, University of British Columbia, Vancouver, British Columbia, Canada
Abstract:
Hospitalization is reported to be a window of opportunity to address tobacco reduction (TR), which would influences rates of cancer morbidity and mortality. Studies reporting on TR during hospitalization have tended to explore patient cessation efforts and/or health professional activities. However, organizational activities could also influence the actualization of this opportunity. To describe the social context related to TR embedded in the practice world of the nurses working in acute care hospitals. The larger mixed-methods study investigated the practice, perspectives and work context of nurses working on adult in-patient hospital wards in Western Canada. An ecological framing advocated behavior is a product of individual and contextual factors. The qualitative part of the study was guided by symbolic interactionism, which theorizes people's understanding of the world is partially constructed through social interaction. Thus, exploring structural features like use of space and documents reveals contextual cues that could influence the construction and integration of TR in practice. Data was collected on 16 wards located in two hospitals. Ethnographic data collection occurred during 2 four hour visits per ward and included: ward and hospital observations, document review of available materials, and over 100 conversations with nurses. Field notes and photographs were analyzed for evidence relevant to the provision of public space for tobacco use. Collected documents were reviewed for presence of tobacco use assessment and reduction. Document review findings were varied. Admission sheets and patient education material related to cardiovascular, respiratory, and cerebra-vascular diseases demonstrated both a request for tobacco use assessment and varying amounts of information about TR. Otherwise tobacco use status and TR was mostly absent from referral forms, and patient education material. There was an absence of written material to inform nurses or patients about tobacco use and reduction. Finally, while hospital buildings are smoke free in Canada, the provision of smoking spaces in these hospitals has been fraught with difficulties that has created tensions between nurses and patient who use tobacco, and between smokers and non-smokers. These two examples of structural features demonstrate ways organizations might inhibit nurses' integration of TR into practice.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2005
Conference Name:
30th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Orlando, Florida, USA
Sponsors:
Funding Sources: University of British Columbia School of Nursing, Katherine McMillan Directors Discretionary Fund.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleTOBACCO REDUCTION WITHIN THE CONTEXT OF ACUTE CARE HOSPITALSen_GB
dc.contributor.authorSchultz, Annetteen_US
dc.author.detailsAnnette Schultz, MN, PhD(c), RB, University of British Columbia, Vancouver, British Columbia, Canadaen_US
dc.identifier.urihttp://hdl.handle.net/10755/165303-
dc.description.abstractHospitalization is reported to be a window of opportunity to address tobacco reduction (TR), which would influences rates of cancer morbidity and mortality. Studies reporting on TR during hospitalization have tended to explore patient cessation efforts and/or health professional activities. However, organizational activities could also influence the actualization of this opportunity. To describe the social context related to TR embedded in the practice world of the nurses working in acute care hospitals. The larger mixed-methods study investigated the practice, perspectives and work context of nurses working on adult in-patient hospital wards in Western Canada. An ecological framing advocated behavior is a product of individual and contextual factors. The qualitative part of the study was guided by symbolic interactionism, which theorizes people's understanding of the world is partially constructed through social interaction. Thus, exploring structural features like use of space and documents reveals contextual cues that could influence the construction and integration of TR in practice. Data was collected on 16 wards located in two hospitals. Ethnographic data collection occurred during 2 four hour visits per ward and included: ward and hospital observations, document review of available materials, and over 100 conversations with nurses. Field notes and photographs were analyzed for evidence relevant to the provision of public space for tobacco use. Collected documents were reviewed for presence of tobacco use assessment and reduction. Document review findings were varied. Admission sheets and patient education material related to cardiovascular, respiratory, and cerebra-vascular diseases demonstrated both a request for tobacco use assessment and varying amounts of information about TR. Otherwise tobacco use status and TR was mostly absent from referral forms, and patient education material. There was an absence of written material to inform nurses or patients about tobacco use and reduction. Finally, while hospital buildings are smoke free in Canada, the provision of smoking spaces in these hospitals has been fraught with difficulties that has created tensions between nurses and patient who use tobacco, and between smokers and non-smokers. These two examples of structural features demonstrate ways organizations might inhibit nurses' integration of TR into practice.en_GB
dc.date.available2011-10-27T12:16:07Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:16:07Z-
dc.conference.date2005en_US
dc.conference.name30th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationOrlando, Florida, USAen_US
dc.description.sponsorshipFunding Sources: University of British Columbia School of Nursing, Katherine McMillan Directors Discretionary Fund.-
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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