Reducing Smoking among Indigenous Nursing Students Using Incentives/te Whakaheke I Te Kai Paipa I Waenga I Nga Tapuhi Tangata Whenua Ma Te Whakamahi Whakawhiwhinga

E. Hikuroa, M. Glover
{"title":"Reducing Smoking among Indigenous Nursing Students Using Incentives/te Whakaheke I Te Kai Paipa I Waenga I Nga Tapuhi Tangata Whenua Ma Te Whakamahi Whakawhiwhinga","authors":"E. Hikuroa, M. Glover","doi":"10.36951/NGPXNZ.2017.003","DOIUrl":null,"url":null,"abstract":"IntroductionThe Better Help for Smokers to Quit government health target introduced in 2009 (Ministry of Health, 2009) thrust nurses into the frontline to encourage more people to make more quit attempts more often. Using the target's ABC approach, nurses were expected to Ask all clients if they smoked, give Brief advice about quitting if clients were a current smoker and offer to refer to or directly provide Cessation treatment (pharmacological and behavioural). Poor knowledge about smoking and attitudes towards people who smoked has been found to impede nurses' capacity to provide smoking cessation support to their clients (Wong et al., 2007) and nurses' own smoking was a significant barrier (Gifford, Wilson, Boulton, Walker, & Shepherd-Sinclair, 2013; Slater, McElwee, Fleming, & McKenna, 2006). The internal conflict faced by nurses who are themselves addicted to tobacco smoking is compounded for Maori nurses who are seen not only as role models for their profession but importantly for their Maori communities (Gifford, Wilson et al., 2013).Reducing smoking among nurses, particularly Maori nurses is a priority for nursing organisations (New Zealand Nurses Organisation [NZNO], 2010; Smokefree Nurses, 2010). In a survey of Maori NZNO members, 21.5% disclosed that they smoked (Gifford, Walker, Clendon, Wilson, & Boulton, 2013). A quarter of the 386 survey participants (12% of NZNO Maori members) were student nurses and smoking was disproportionately higher among them at 36%. Of the nurses who smoked, 68% agreed that being a nurse and a smoker was a conflict, 84% agreed that they would feel guilty if seen smoking while in uniform and only 34% believed that nurses who smoked could give effective advice to others about stopping smokingDisparate rates of smoking between Maori nurses and their non-Maori colleagues reflect the overall inequalities in smoking prevalence between Maori (38%) and the general population (16.6%) (Ministry of Health, 2015). In response, there have been numerous calls for culturally salient by Maori for Maori cessation interventions (Glover & Cowie, 2010; Glover, Kira, & Smith, 2016; Grigg, Waa, & Bradbrook, 2008; Maori Select Committee, 2010; Smokefree Nurses, 2010).Maori nurses who smoke are highly motivated to quit, but they were dismissive of many of the current tobacco control strategies supposed to help them (Gifford, Walker et al., 2013). For example, they were angered by strategies they believed 'persecuted' and stigmatised people who smoked, and strategies that removed personal choice (Gifford, Walker et al., 2013). Sixty-one percent thought tobacco excise tax increases were punishing and small numbers thought that removing cigarettes from sight at the point of sale or implementing plain packaging wouldn't have any effect on their continued smoking or motivation to quit (Gifford, Wilson et al., 2013). Maori nurses concurred with previous recommendations and suggested programmes combining incentives with collective support could be effective in achieving cessation (Gifford, Wilson et al., 2013).Incentives are emerging as an effective method to motivate quitting and support greater abstinence (Cahill & Perera, 2011; Giles, Robalino, McColl, Sniehotta, & Adams, 2014; Marteau, Thorne, Aveyard, Hirst, & Sokat, 2013). Two New Zealand trials suggest incentives may increase cessation intervention efficacy for Maori (Glover et al., 2014; Glover, Kira, Walker, & Bauld, 2015). We proposed to test a scholarship programme incentivising Maori nursing students who smoked to recruit a quit mate (a whanau/family member or friend) and quit smoking. Requiring involvement of a quit mate addresses the criticism that current cessation approaches do not acknowledge the centrality of the family for Maori and are too focused on the individual (Fernandez & Wilson, 2008; Gifford, Walker et al., 2013). Requiring student participants to recruit and support a whanau member to also quit could boost motivation to participate and to succeed at quitting. …","PeriodicalId":77298,"journal":{"name":"Nursing praxis in New Zealand inc","volume":"25 1","pages":"17-27"},"PeriodicalIF":0.0000,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"3","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nursing praxis in New Zealand inc","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.36951/NGPXNZ.2017.003","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 3

Abstract

IntroductionThe Better Help for Smokers to Quit government health target introduced in 2009 (Ministry of Health, 2009) thrust nurses into the frontline to encourage more people to make more quit attempts more often. Using the target's ABC approach, nurses were expected to Ask all clients if they smoked, give Brief advice about quitting if clients were a current smoker and offer to refer to or directly provide Cessation treatment (pharmacological and behavioural). Poor knowledge about smoking and attitudes towards people who smoked has been found to impede nurses' capacity to provide smoking cessation support to their clients (Wong et al., 2007) and nurses' own smoking was a significant barrier (Gifford, Wilson, Boulton, Walker, & Shepherd-Sinclair, 2013; Slater, McElwee, Fleming, & McKenna, 2006). The internal conflict faced by nurses who are themselves addicted to tobacco smoking is compounded for Maori nurses who are seen not only as role models for their profession but importantly for their Maori communities (Gifford, Wilson et al., 2013).Reducing smoking among nurses, particularly Maori nurses is a priority for nursing organisations (New Zealand Nurses Organisation [NZNO], 2010; Smokefree Nurses, 2010). In a survey of Maori NZNO members, 21.5% disclosed that they smoked (Gifford, Walker, Clendon, Wilson, & Boulton, 2013). A quarter of the 386 survey participants (12% of NZNO Maori members) were student nurses and smoking was disproportionately higher among them at 36%. Of the nurses who smoked, 68% agreed that being a nurse and a smoker was a conflict, 84% agreed that they would feel guilty if seen smoking while in uniform and only 34% believed that nurses who smoked could give effective advice to others about stopping smokingDisparate rates of smoking between Maori nurses and their non-Maori colleagues reflect the overall inequalities in smoking prevalence between Maori (38%) and the general population (16.6%) (Ministry of Health, 2015). In response, there have been numerous calls for culturally salient by Maori for Maori cessation interventions (Glover & Cowie, 2010; Glover, Kira, & Smith, 2016; Grigg, Waa, & Bradbrook, 2008; Maori Select Committee, 2010; Smokefree Nurses, 2010).Maori nurses who smoke are highly motivated to quit, but they were dismissive of many of the current tobacco control strategies supposed to help them (Gifford, Walker et al., 2013). For example, they were angered by strategies they believed 'persecuted' and stigmatised people who smoked, and strategies that removed personal choice (Gifford, Walker et al., 2013). Sixty-one percent thought tobacco excise tax increases were punishing and small numbers thought that removing cigarettes from sight at the point of sale or implementing plain packaging wouldn't have any effect on their continued smoking or motivation to quit (Gifford, Wilson et al., 2013). Maori nurses concurred with previous recommendations and suggested programmes combining incentives with collective support could be effective in achieving cessation (Gifford, Wilson et al., 2013).Incentives are emerging as an effective method to motivate quitting and support greater abstinence (Cahill & Perera, 2011; Giles, Robalino, McColl, Sniehotta, & Adams, 2014; Marteau, Thorne, Aveyard, Hirst, & Sokat, 2013). Two New Zealand trials suggest incentives may increase cessation intervention efficacy for Maori (Glover et al., 2014; Glover, Kira, Walker, & Bauld, 2015). We proposed to test a scholarship programme incentivising Maori nursing students who smoked to recruit a quit mate (a whanau/family member or friend) and quit smoking. Requiring involvement of a quit mate addresses the criticism that current cessation approaches do not acknowledge the centrality of the family for Maori and are too focused on the individual (Fernandez & Wilson, 2008; Gifford, Walker et al., 2013). Requiring student participants to recruit and support a whanau member to also quit could boost motivation to participate and to succeed at quitting. …
使用激励措施减少土著护理学生吸烟/ Whakaheke I te Kai Paipa I Waenga I Nga Tapuhi Tangata Whenua Ma te Whakamahi whakawhwhwhinga
2009年提出的更好地帮助吸烟者戒烟的政府健康目标(卫生部,2009年)将护士推向第一线,鼓励更多的人更频繁地进行更多的戒烟尝试。使用目标的ABC方法,护士应询问所有客户是否吸烟,如果客户目前是吸烟者,则给予简短的戒烟建议,并提供参考或直接提供戒烟治疗(药理学和行为学)。研究发现,对吸烟的不了解和对吸烟者的态度阻碍了护士为客户提供戒烟支持的能力(Wong等人,2007),护士自己吸烟是一个重大障碍(Gifford, Wilson, Boulton, Walker, & Shepherd-Sinclair, 2013;斯莱特,麦克尔威,弗莱明,麦肯纳,2006)。毛利护士不仅被视为其职业的榜样,而且对其毛利社区也很重要(Gifford, Wilson et al., 2013),他们本身就有吸烟成瘾的护士所面临的内部冲突更加复杂。减少护士,特别是毛利护士的吸烟是护理组织的优先事项(新西兰护士组织,2010年;无烟护士,2010年)。在一项对新西兰毛利族成员的调查中,21.5%的人透露他们吸烟(Gifford, Walker, Clendon, Wilson, & Boulton, 2013)。386名调查参与者中有四分之一(占新西兰全国志愿服务局毛利人成员的12%)是实习护士,其中吸烟的比例高得不成比例,达到36%。在吸烟的护士中,68%的人认为作为护士和吸烟者是一种冲突,84%的人认为如果看到穿着制服吸烟,他们会感到内疚,只有34%的人认为吸烟的护士可以有效地向他人提供戒烟建议。毛利护士和非毛利同事之间不同的吸烟率反映了毛利(38%)和一般人群(16.6%)之间吸烟率的总体不平等(卫生部,2015年)。作为回应,有许多呼吁毛利人对毛利人戒烟干预的文化突出性(Glover & Cowie, 2010;格洛弗,基拉,史密斯,2016;Grigg, Waa, & Bradbrook, 2008;毛利人特别委员会,2010年;无烟护士,2010年)。吸烟的毛利护士戒烟的积极性很高,但他们对当前许多本应帮助他们的烟草控制策略不屑一顾(Gifford, Walker et al., 2013)。例如,他们对他们认为“迫害”和侮辱吸烟者的策略以及消除个人选择的策略感到愤怒(Gifford, Walker et al., 2013)。61%的人认为烟草消费税的增加是惩罚性的,少数人认为在销售点将香烟从视线中移除或实施朴素包装不会对他们继续吸烟或戒烟的动机产生任何影响(Gifford, Wilson等人,2013)。毛利护士同意以前的建议,并建议将奖励与集体支持相结合的方案可以有效地实现戒烟(Gifford, Wilson等人,2013年)。激励措施正在成为激励戒烟和支持更大程度戒断的有效方法(Cahill & Perera, 2011;Giles, Robalino, McColl, Sniehotta, & Adams, 2014;Marteau, Thorne, Aveyard, Hirst, & Sokat, 2013)。新西兰的两项试验表明,激励措施可能会提高毛利人的戒烟干预效果(Glover等人,2014;Glover, Kira, Walker, & Bauld, 2015)。我们建议测试一项奖学金计划,鼓励吸烟的毛利护理专业学生招募戒烟伴侣(whanau/家庭成员或朋友)并戒烟。要求戒烟伴侣的参与解决了目前的戒烟方法不承认家庭对毛利人的中心地位并且过于关注个人的批评(Fernandez & Wilson, 2008;Gifford, Walker et al., 2013)。要求学生参与者招募并支持whanau成员也戒烟,可以提高参与和成功戒烟的动力。…
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信