Exploring Tobacco Use and Smoking Cessation Best Practices From the Perspectives of Individuals With Lung Cancer and Health Care Professionals
Autor: | Leslie Gibson, Elaine Curle, Bonnie Bristow, Yonatan Weiss, Arlene Court, Dalia Karol, Alison McAndrew, Margaret I. Fitch, Lisa Di Prospero |
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Rok vydání: | 2020 |
Předmět: |
Adult
Counseling Male medicine.medical_specialty Lung Neoplasms Attitude of Health Personnel medicine.medical_treatment Best practice media_common.quotation_subject Qualitative property 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Promotion (rank) Health care medicine Humans Radiology Nuclear Medicine and imaging Lung cancer media_common Ontario Motivation Radiological and Ultrasound Technology business.industry Focus Groups medicine.disease Focus group 030220 oncology & carcinogenesis Family medicine Smoking cessation Female Smoking Cessation Thematic analysis business Attitude to Health |
Zdroj: | Journal of Medical Imaging and Radiation Sciences. 51:62-67 |
ISSN: | 1939-8654 |
Popis: | Background Lung cancer patients who continue to smoke after diagnosis are at increased risk of treatment toxicity, residual/recurrent disease, future malignancies, and all-cause mortality. Guidelines including those from National Comprehensive Cancer Network and Cancer Care Ontario advocate for screening, counseling, and access to smoking cessation services for all cancer patients; however, barriers from both patient and health care professional (HCP) perspectives contribute to lack of implementation. Objective The objective of this study was to identify the different perspectives among patients and HCPs in how the promotion of person-centred approaches may be used when offering smoking cessation services to patients who are receiving care within a regional cancer centre. Methods Qualitative data were generated using various methods, including focus groups with HCPs and interviews with patients. In total, 16 HCPs participated in three focus groups: including nine radiation therapists, five registered nurses, one registered dietitian, and one physiotherapist. Of 55 patients accrued, 19 were interviewed. Both focus groups and interviews were audio recorded, and the recordings were transcribed verbatim. Transcripts were then analyzed using narrative thematic analysis to define and identify themes. Results The identified themes were categorized into three topic areas: knowledge (eg, impact of smoking on illness and why they should not smoke); individual decision to quit (eg, motivators), and the social unacceptability of smoking (eg, the public perception of smoking over the last 40 years). HCP-identified themes included identification of smokers, triggers to start a conversation, approach, gaps and barriers to cessation, rationale for cessation, and judgment. Patient-identified themes included knowledge, individual decision to quit, and the social unacceptability of smoking. Conclusion Understanding patient and HCP perspectives on smoking cessation will help influence practice to ensure that patients are not judged, assumptions are not made, and individualized and person-centred care is provided. HCP awareness of these themes and the patient perspective may challenge assumptions and values. |
Databáze: | OpenAIRE |
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