Smoking cessation care in cardiothoracic surgery : A qualitative study exploring the views of Australian clinicians
| Autor: | Nia Luxton, Patti Shih, Ross MacKenzie |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Pulmonary and Respiratory Medicine
Male medicine.medical_specialty Referral media_common.quotation_subject medicine.medical_treatment Health Personnel Empathy 030204 cardiovascular system & hematology preoperative tobacco Perioperative Care Specialties Surgical 03 medical and health sciences 0302 clinical medicine Nursing Medicine Humans Conversation In patient 030212 general & internal medicine Cardiac Surgical Procedures hospital Qualitative Research media_common business.industry Hospitals Public Perioperative Middle Aged lung cancer Cardiothoracic surgery Smoking cessation Smoking Cessation New South Wales Cardiology and Cardiovascular Medicine business coronary artery disease Qualitative research |
| Popis: | Background Smoking cessation (SC) care in the perioperative period of cardiothoracic surgery is important to reduce surgical risk and help achieve long-term smoking abstinence in patients who continue to smoke. The implementation of clinical guidelines for SC care in the perioperative period has proved challenging, yet little is known of what influences the inter-disciplinary team involved in the cardiothoracic area. This qualitative study explored the views of the clinicians involved in perioperative period of cardiothoracic surgery in Australia on their SC advice and support. Methods Semi-structured interviews were conducted with 52 cardiothoracic surgeons, anaesthetists, nurses and physiotherapists in three public tertiary referral hospitals and three private hospitals in New South Wales (NSW). Data was thematically analysed, and categorised using the Behaviour Change Wheel “Capabilities, Opportunity, Motivation & Behaviour” (COM-B) analysis framework to understand the factors that influence clinicians’ views and perceived abilities to provide SC care. Results Barriers and facilitators to providing SC care were identified. The most commonly identified barriers in capability were the lack of knowledge, training and institutional engagement. Opportunity was hindered by lack of time, hospital support and resources, yet facilitated by the existence of a collaborative, multidisciplinary team and the ability to follow-up patients long term. In motivation, clinicians’ attitudes and experience negatively influenced the initiation of the cessation conversation, while intrinsic attributes of empathy and positivity were drivers to provide SC care. Conclusions Clinicians’ views, together with inadequate SC training, resources and engagement to implement clinical guidelines, contribute to inconsistent SC care. There is a need for hospitals to provide adequate SC resources and training to all clinicians to improve SC care to cardiothoracic surgery patients throughout the perioperative period. |
| Databáze: | OpenAIRE |
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