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AUCKLAND UNIVERSITY OF TECHNOLOGY TE WANANGA ARONUI O TAMAKI MAKAU RAU

AUCKLAND UNIVERSITY OF TECHNOLOGY TE WANANGA ARONUI O TAMAKI MAKAU RAU. Smoking cessation: Are we teaching students to save lives?. Claire Doole Grace Wong School of Health Care Practice, Nursing, AUT Smokefree Nurses Aotearoa/New Zealand, AUT

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AUCKLAND UNIVERSITY OF TECHNOLOGY TE WANANGA ARONUI O TAMAKI MAKAU RAU

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  1. AUCKLAND UNIVERSITY OF TECHNOLOGYTE WANANGA ARONUI O TAMAKI MAKAU RAU Smoking cessation: Are we teaching students to save lives? Claire Doole Grace Wong School of Health Care Practice, Nursing, AUT Smokefree Nurses Aotearoa/New Zealand, AUT Australasian Nurse Educators Conference 2011

  2. Overview What’s driving smoking cessation in NZ Teaching and learning – what? Teaching and learning – how? Teaching and learning – resources Results of survey - NZ nursing schools

  3. Background Smoking is the most important and preventable cause of morbidity and premature mortality in developed and developing countries (Young, Hopkins, Smith, & Hogarth, 2010). Half of those who smoke die early as a result of smoking (Doll et al, 2004) Almost 5,000 people die annually from smoking (MoH, 2009)

  4. Better help to Quit At 30/6/2011 DHBs average was 85% Target was 90%

  5. Vision New Zealand essentially smokefree by 2025 (Turia, T. (2011) NZ Parliament, Hansard, 14/7/2011) Targets 95% of hospitalised smokers to be provided with advice & help to quit by July 2012 For primary care, from July 2011 90% of enrolled patients ... ... by July 2012

  6. ABC three step brief intervention A - ask whether a person smokes B - give brief advice to quit to all people who smoke C– make an offer of cessation treatment NZ Smoking Cessation Guidelines (Ministry of Health, 2007) Brief interventions increase quit rates (Lancaster & Stead, 2008)

  7. Cumulative chances of quitting over time – one quit attempt per year with and without cessation treatment With medication and support With medication Without treatment Aveyard& West (2007)

  8. NRT doubles the chance of quitting for good

  9. The MoH aims to have all health care practitioners embed smoking cessation in their practice Forty minute online training for health professionals(smokingcessationabc.org.nz) • Training includes becoming a registered Quit Card provider • Quit Cards give people who smoke access to subsidised nicotine replacement therapy (NRT)

  10. Key success indicator for ABC implementation: “100% of all undergraduate courses related to health care have implemented ABC training into their curricula” (MoH, 2009). • RNs identify Schools of Nursing as critical agents for changes in the culture and practice of nurses • Students (nurses - registered & enrolled, physios, doctors) can become Quit Card providers • NetPprogrammes check to see if new grads have learnt their ABCs

  11. Situation in 2009/2010 – National survey • Fourteen (of 17) School of Nursing responded to an online survey • 12 provided some form of smoking cessation education • Nine provided education on NRT • Five provided the Ministry of Health recommended content solely • At least six did not assess learning

  12. How?

  13. AUT nursing undergraduate • Year one Introduction and overview (Maya) • Year two Woven into teaching eg oxygenation (Gwen) Pharmacotherapy paper • Year three How?

  14. Year three

  15. So how has it been received by students and clinical settings? • Issues • Strengths

  16. In summary • Smoking related death and disease is a serious but preventable health issue • Best practice smoking cessation guidelines are available • Free online training is available • Government mandate • Ministry of Health mandate • Industry mandate • Schools of Nursing – Are we doing all we can?

  17. Research shows that 1 in 40 smokers will quit for good, just because you gave them brief advice

  18. References Aveyard, P., & West R. (2007). Managing smoking cessation. British Medical Journal, 335; 37, 335 doi: 10.1136/bmj.39252.591806.47 Doll, R., Peto, R., Boreham, J., & Sutherland, I. (2004). Mortality in relation to smoking: 50 years‘ observations on male British doctors. British Medical Journal 328(7455), 1519. Ministry of Health. (2010). Implementing the ABC approach for smoking cessation. Framework and work programme. Wellington: Ministry of Health. Lancaster T., & Stead L. (2008). Physician advice for smoking cessation. Cochrane Database of Systematic Reviews(2). Ministry of Health (2007). New Zealand Smoking Cessation Guidelines. Wellington: Ministry of Health. http://www.moh.govt.nz/moh.nsf/pagesmh/6663/$File/nz-smoking-cessation-guidelines-v2-aug07.pdf Wong, G. & Stokes, G. (2011). Preparing undergraduate nurses to provide smoking cessation advice and help. Nursing Praxis New Zealand, 27(3) 21-30. Young, R., Hopkins, R., Smith, M. & Hogarth, D. (2010). Postgraduate Medical Journal, 86, 26. Smoking cessation: The potential role of risk assessment tools as motivational triggers. doi: 10.1136/pgmj.2009.084947

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