Good practice regarding smoking cessation management in Spain: Challenges and opportunities for primary care physicians and nurses
| Autor: | María Lourdes Clemente Jiménez, Maria Aránzazu Mendiguren Navascues, Emilio Salguero Chaves, Ana Furio Martinez, María L Rodríguez Ibañez, Francisco Camarelles Guillem, Victoria Gueto Rubio, Joan Lozano Fernandez, C. Moreno, Cesar Minué Lorenzo, Merce Lopez Grau, Mercé Pau Pubil, Fernando Martin Fuente, Diego Beni Ruiz, Miguel Angel Gallardo Domenech, Bruno Marioni Otero, Juan De Dios González Caballero, Lucia Gorreto Lopez, Joan Antoni Ribera Osca, Sara Cascon Perez-Teijon, Carlos Martín-Cantera, José Manuel Iglesias Sanmartín, Rodrigo Córdoba García, Vidal Barchilon Cohen, Alicia Isabel Hernández Rodríguez, Susana Morena Rayo |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Health (social science) Epidemiology medicine.medical_treatment media_common.quotation_subject Primary health care Primary care Health Professions (miscellaneous) 03 medical and health sciences primary healthcare 0302 clinical medicine Promotion (rank) medicine 030212 general & internal medicine Good practice media_common attitudes business.industry lcsh:Public aspects of medicine Public Health Environmental and Occupational Health lcsh:RA1-1270 National health service Work experience Multilevel logistic regression smoking cessation 030228 respiratory system Family medicine surveys and questionnaires Public Health Practice Smoking cessation business Research Paper clinical competence |
| Zdroj: | Zaguán. Repositorio Digital de la Universidad de Zaragoza instname Tobacco Prevention & Cessation Zaguán: Repositorio Digital de la Universidad de Zaragoza Universidad de Zaragoza Tobacco Prevention and Cessation, Vol 6, Iss September, Pp 1-9 (2020) |
| Popis: | INTRODUCTION We analyze the activities carried out by primary care (PC) physicians and nurses with respect to smoking cessation and evaluate their self-reported training, knowledge, and behavior. METHODS A cross-sectional study was conducted including 1514 PC physicians and nurses from June 2016 to March 2017, in Spain. The main variable was Good Practice (GP) in attention to smokers. To identify associated factors, a multilevel logistic regression model was used adjusted for sex, age, type of center, contract, years of employment, tobacco consumption, and self-reported training/knowledge. RESULTS Of the 792 physicians and 722 nurses, 48.6% referred to GP in smoking cessation management. The finding related to: being a non-smoker (OR=1.8; 95% CI: 1.2-2.5) or ex-smoker (OR= 1.4; 95% CI: 1.02-2.1), having a good level of knowledge (OR=1.8; 95% CI: 1.3-2.4) and training (OR=2.4; 95% CI: 1.8-3.2), and, to a lesser extent, being female (OR=1.3; 95% CI: 1.03-1.7), and work experience >10 years (OR=1.4; 95% CI: 1.03-1.9). The main GP barriers were: lack of time (45.5%), organizational problems (48.4%), and 35.4% lack of training. CONCLUSIONS The GP of PC physicians and nurses regarding smoking cessation management is related to being non-smokers or ex-smokers, and having sufficient training and knowledge. Lack of time and organizational problems were considered to be the main barriers. The promotion of training activities in the Spanish National Health Service with the support of scientific societies is required. |
| Databáze: | OpenAIRE |
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