Nurses' treatment of tobacco dependence in hospitalized smokers in three states


  • Centers for Disease Control and Prevention Grant #1-R18/DP001149-04 for funding the project. We acknowledge the contributions of the participating hospitals in California, Indiana, and West Virginia; and the assistance of the West Virginia Hospital Association; the Indiana State Board of Nursing, the Association of California Nurse Leaders; the Indiana Tobacco Prevention and Cessation and the West Virginia Division of Tobacco Prevention, and Dr. Pat Parkerton and Ms. Lisa Chang.


Hospital-based nurses (N = 1,790) from three states reported their interventions to help patients quit smoking. Frequency of nurses' interventions in one low tobacco use state, California (n = 651), were compared to nurses' interventions in two high tobacco use states, Indiana (n = 720) and West Virginia (n = 419). Nurses in California were significantly more likely to Advise smokers to quit (OR 1.34, 95% CI [1.06, 1.69]) and Refer smokers to a Quitline (OR 2.82, 95% CI [1.36, 5.88]) compared with nurses in the high tobacco prevalence states. Other aspects of their interventions did not differ by state. Quitline referral was infrequent (16%) but was quadrupled if nurses arranged for smokers to quit (OR 4.07, 95% CI [3.11, 5.32]). © 2012 Wiley Periodicals, Inc. Res Nurs Health 35:250–264, 2012