Engaging nurses in smoking cessation: Challenges and opportunities in Turkey

dc.contributor.authorÇarkoğlu, Aslı
dc.contributor.authorÇarkoğlu, Aslı
dc.contributor.authorNichter, Mark
dc.contributor.authorOzcan, Seyda
dc.contributor.authorUysal, Mehmet Atilla
dc.date.accessioned2019-06-27T08:06:51Z
dc.date.available2019-06-27T08:06:51Z
dc.date.issued2018
dc.departmentFakülteler, İktisadi, İdari ve Sosyal Bilimler Fakültesi, Psikoloji Bölümüen_US
dc.description.abstractThis paper discusses the training of nurses in smoking cessation as part of routine patient care in Turkey. Formative research was carried out prior to training to identify challenges faced by smokers when trying to quit. Site visits to government hospitals and cessation clinics were conducted to observe health care provider-patient interactions involving behavior change. Four culturally sensitive cessation training workshops for nurses (n=54) were conducted in Istanbul. Following training nurses were debriefed on their experiences delivering cessation advice. Challenges to cessation counseling included lack of time and incentives for nurse involvement, lack of skills to deliver information about the harm of smoking and benefits of quitting, the medicalization of cessation through the use of pharmaceuticals, and hospital policy which devalues time spent on cessation activities. The pay-for-performance model currently adopted in hospitals has de-incentivized doctor participation in cessation clinics. Nurses play an important role in smoking cessation in many countries. In Turkey hospital policy will require change so that cessation counseling can become a routine part of nursing practice incentives for providing cessation are put in place and task sharing between nurses and doctors is clarified. Nurses and doctors need to receive training in both the systemic harms of smoking and cessation counseling skills. Opportunities challenges and lessons learned are highlighted. (C) 2017 Elsevier B.V. All rights reserved.en_US]
dc.identifier.citation6
dc.identifier.doi10.1016/j.healthpol.2017.12.007en_US
dc.identifier.endpage197
dc.identifier.issn0168-8510en_US
dc.identifier.issn1872-6054en_US
dc.identifier.issn0168-8510
dc.identifier.issn1872-6054
dc.identifier.issue2
dc.identifier.pmid29277423en_US
dc.identifier.scopus2-s2.0-85038860746en_US
dc.identifier.scopusqualityQ1
dc.identifier.startpage192en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12469/1236
dc.identifier.urihttps://doi.org/10.1016/j.healthpol.2017.12.007
dc.identifier.volume122en_US
dc.identifier.wosWOS:000425080300017en_US
dc.identifier.wosqualityQ2
dc.institutionauthorÇarkoğlu, Aslıen_US
dc.language.isoenen_US
dc.publisherElsevier Ireland Ltd.en_US
dc.relation.journalHealth Policyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectSmoking cessationen_US
dc.subjectSmoking cessation policyen_US
dc.subjectCessation implementationen_US
dc.subjectNursesen_US
dc.subjectTurkeyen_US
dc.titleEngaging nurses in smoking cessation: Challenges and opportunities in Turkeyen_US
dc.typeArticleen_US
dspace.entity.typePublication
relation.isAuthorOfPublication211ed1cb-2559-4c2e-b1b5-9001ccd7c139
relation.isAuthorOfPublication.latestForDiscovery211ed1cb-2559-4c2e-b1b5-9001ccd7c139

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