Smoking cessation knowledge, attitudes and barriers among junior doctors at Middlemore Hospital Dr Sandra Hotu RESPIRATORY TRAINEE
background Successful smoking cessation programmes • Identify smokers • Providers are knowledgeable about behavioural and pharmacologic treatment techniques • Providers are confident about their abilities to intervene
Hypothesis • Junior doctors lack the confidence and competence to provide effective smoking cessation interventions due to • Lack of training • Certain attitudes and beliefs • There are multiple barriers to effective provision of smoking cessation interventions
Methods • 258 junior doctors • Adult inpatient and emergency department care • Middlemore Hospital • 950 Beds • Population 490,000 • Electronic and paper surveys • Voluntary and anonymous
Questionnaire • Demographics • Training and knowledge • Attitudes and beliefs • Barriers to providing smoking cessation interventions
results 158/258 respondents: 61%
KNOWLEDGE • Perceived competence in providing SCC
Knowledge based on specialty • Perceived competence in providing SCC
Knowledge • How often do you ask patients if they smoke?
Knowledge • How often do you advise patients to stop smoking?
Knowledge based on specialty • How often do you advise patients to stop smoking?
Knowledge • How often do you prescribe cessation medication?
Knowledge based on specialty • How often do you prescribe cessation medications?
Knowledge • How confident are you in prescribing cessation medication?
Knowledge based on specialty • How confident are you in prescribing cessation medication?
Knowledge • For patients who would like more support, how often do you make a referral to cessation services?
Key findings • TRAINING • Less than half had received training • More pronounced in PGY >3/Registrars • Medical school, Intern orientation • KNOWLEDGE • Adequate – ask, advise • Inadequate- prescribe, refer to services • Higher levels if • Smoking cessation training • Medical Registrars • Tobacco-related illness
Key findings • ATTITUDES AND BELIEFS • Lack of strong belief in professional responsibility and effectiveness of SC interventions • Consultants lacked encouragement • BARRIERS • Lack of time • Language barriers • Perception that patients are not interested • Forget
RECOMMENDATIONS • SMOKING CESSATION TRAINING • Compulsory, updates • All specialties • All levels including consultants • ATTITUDES AND BELIEFS • Smoking Cessation Training • My input helps patients to stop smoking • Feedback from smoking cessation services • Consultant important role model • BARRIERS • Lack of time • 5 minutes for ABC if competent • Accessible resources • Chart reminders • Interpreting services
Limitations • Size • Response rate • Specialty associations • SMOs not included in scope of study
Acknowledgements • Asthma Foundation • Stuart Jones • Conroy Wong • CMDHB Respiratory Medicine Department • Irene Zeng, • CMDHB Smoking cessation services
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