Modeling influences on acute care nurses' engagement in tobacco use reduction †
Article first published online: 3 SEP 2009
Copyright © 2009 Wiley Periodicals, Inc.
Research in Nursing & Health
Volume 32, Issue 6, pages 621–633, December 2009
How to Cite
Schultz, A. S.H., Hossain, S. and Johnson, J. L. (2009), Modeling influences on acute care nurses' engagement in tobacco use reduction . Res. Nurs. Health, 32: 621–633. doi: 10.1002/nur.20349
This research was supported by doctoral fellowships to Dr. Schultz from the Canadian Institute of Health Research (CIHR), CIHR Transdisciplinary Tobacco Research Training Program, and Heart & Stroke Foundation. Dr. Johnson held an Investigator award from the CIHR.
- Issue published online: 11 NOV 2009
- Article first published online: 3 SEP 2009
- Manuscript Accepted: 23 JUL 2009
- nursing practice;
- model testing;
- tobacco control
Although nurses are encouraged to address patients' tobacco use, the integration of tobacco reduction into practice has not been consistent. An organizational behavior perspective was used to conceptualize hypothesized relationships among reported influencing factors (individual characteristics, role attitudes, perceived barriers, and workplace climate). Survey data collected at two Western Canadian hospitals (N = 214 nurses; 58% response) were used to test the model. The final model explained nearly 60% of variation in the nurses' tobacco reduction practice. Role attitude, perceived resource availability, co-worker's activities, and ability were the strongest contributors. Nurses' smoking status indirectly influenced practice through shaping role attitudes and perceived ability. Diverse leverage points to enhance nurses' involvement in patients' tobacco use were identified. © 2009 Wiley Periodicals, Inc. Res Nurs Health 32:621–633, 2009