Caught in the Middle: Experiences of Tobacco-Dependent Nurse Practitioners
Article first published online: 24 MAY 2005
Journal of the American Academy of Nurse Practitioners
Volume 16, Issue 9, pages 396–401, September 2004
How to Cite
Heath, J., Andrews, J., Kelley, F. J. and Sorrell, J. (2004), Caught in the Middle: Experiences of Tobacco-Dependent Nurse Practitioners. Journal of the American Academy of Nurse Practitioners, 16: 396–401. doi: 10.1111/j.1745-7599.2004.tb00389.x
- Issue published online: 24 MAY 2005
- Article first published online: 24 MAY 2005
- Nurses’ smoking behaviors;
- tobacco dependence;
- qualitative research
To explore how tobacco-dependent nurse practitioners (NPs) describe their experiences with health promotion and disease prevention practices with patients who smoke.
Twelve NPs who completed a graduate level NP program of study participated in face-to-face interviews and/or online chat room interviews.
Participants’ responses revealed three themes relevant to their experience as tobacco-dependent clinicians with health promotion responsibilities. These themes centered around (a) living as an insider in the world of tobacco addiction, (b) having the outside-in view of living with a tobacco addiction, and (c) being caught in the middle of a tobacco addiction.
Implications for Practice
All of the tobacco-dependent participants described limited smoking-cessation interventions with their patients. A barrier to implementation of more aggressive interventions, perhaps, is the provider's own tobacco addiction. With increasing evidence that tobacco-dependent health care professionals are not adequately intervening with tobacco-dependent patients, effective strategies are needed to assist and/or support not only tobaccodependent patients but providers as well.