Smoking Status and Health Beliefs Related to Smoking of Nurses in Working a Cancer Hospital, in Turkey

Abstract

Purpose: Few studies are available that evaluate oncology nurses’ health beliefs related to smoking and smoking status. The purpose of this study was to evaluate the health beliefs regarding smoking among nurses and status working in a cancer hospital. Methods: This descriptive study was conducted among 152 nurses in a cancer hospital in Turkey. Data were collected by using The Self-Report Questionnaire Regarding Health Beliefs and Smoking Cessation Self-Efficacy Questionnaire Results: Median age, body mass index, and working duration with cancer patients of the oncology nurses are 34.0, 23.9, and 9.0, respectively. Of the nurses, 54.1% stated that they have never smoked, while 27% smoke every day. Among regular smokers, 32.1% are in precontemplation stage. Of the participants, 91.9% noted that ‘smokers are more likely to have cancer, 45.9% that ‘it is difficult for smokers to quit smoking, and 52.3% that ‘tobacco bans are effective on quitting smoking. Conclusion: The majority of oncology nurses think that a healthy lifestyle is very important but a few of them follow the advice. Also even though the nurses mostly have healthy living beliefs they can’t reflect these on their behaviors. Nurses working with cancer patients must also be considered as risk groups when planning cancer prevention and tobacco control studies. It is important that nurses should be informed and supported to take part in smoking cessation interventions.

Keywords

• oncology
• nursing
• smoking
• self-efficacy
• belief

References

1. 1. Tobacco use causes almost one third of cancer deaths in the WHO. (cited 2020 May 5) Available from: URL: http://www.euro.who.int/en/health-topics/tobacco.
2. 2. Shields PG, Herbst RS, Arenberg, D, et al. Smoking cessation, version 1.2016 clinical practice guidelines in oncology. J Natl Compr Cancer Netw 2016; 14: 1430–1468.
3. 3. Bilir N, Doğan GB, Yıldız AN. Some behaviors and attitudes related to smoking. Ankara: Hacettepe Halk Sağlığı Vakfı Yayını 7; 1997.
4. 4. Akkaş Ö, Olgun N. Examining the factors affecting smoking among nurses. Hemşirelik Forumu 2003; 6, 2: 17-23.
5. 5. Sayan İ, Tekbaş ÖF, Göçgeldi E. et al. Determining the smoking profile of nurses working in a teaching hospital. Genel Tıp Derg 2009;19, 1: 9-15.
6. 6. Tezcan S, Yardım N. In various medical institutions in Turkey, smoking status of physician, nurses, and medical school students. Tüberküloz ve Toraks Dergisi 2003; 51, 4: 390-397.
7. 7. Kutlu R, Marakoğlu K, Çivi S. Smoking status and affecting factors in nurses of Selcuk University Faculty of Medicine. C. Ü. Tıp Fakültesi Dergisi 2005; 27, 1: 29-34.
8. 8. Üzer F. An overview of smoking habits of state hospital staff workers. Turkish Journal of Family Practice 2018 22, 2: 92-99. doi. 10.15511/tahd.18.00292.

9. 9. Taştan S, İyigün E, Kılıç A. et al. Health beliefs concerning breast self-examination of nurses in Turkey. Asian Nursing Research 2011; 5,3: 151-156.
10. 10. Rosvall A, Carlson E. Registered nurses’ perception of self-efficacy and competence in smoking cessation after participating in a web-based learning activity. J Clin Nurs 2017; 26: 4777–85. doi. 10.1111/jocn.13831.
11. 11. Glanz K, Bishop DB. The role of behavioural science theory in the development and implementation of public health interventions. Annual Review of Public Health 2012; 21:299–418. doi: 10.1146/annurev.publhealth.012809.103604
12. 12. Nicki RM, Remington RE, MacDonald GA. Self-efficacy, nicotine-fading/self-monitoring and cigarette smoking behavior. Behavior Research and Therapy 1984; 22: 477−485.
13. 13. Karancı N. Self Efficacy-based smoking situation factors: the effects of contemplating quitting versus relapsing in a Turkish sample. The International Journal of The Addictions 1992; 27 (7): 879-886.
14. 14. Gwaltney CJ, Shiffman S, Norman G J et al. Does smoking abstinence self-efficacy vary across situations? Identifying context-specificity within the relapse situation efficacy questionnaire. Journal of Consulting and Clinical Psychology 2001; 69: 516–527. doi:10.1037/0022-006x.69.3.516.
15. 15. Pappas NA, Alamanos Y, Dimoliatis L. Self-rated health, work characteristics and health related behaviours among nurses in greece: A cross sectional study. BMC Nurs 2005; 20, 4. doi. 10.1186/1472-6955-4-8.
16. 16. Woynarowska-Sołdan M, Panczyk M, Iwanow L, et al. Associations between overweight and obesity and health enhancing behaviours among female nurses in Poland. Annals of Agricultural and Environmental Medicine 2018; 25, 4:714–719. doi: 10.26444/aaem/99641
17. 17. Magee MJ, Darchia L, Kipiani M, et al. Smoking behavior and beliefs about the impact of smoking on anti-tuberculosis treatment among health care workers. Int J Tuberc Lung Dis 2017; 21, 9:1049–1055.
18. 18. Bloor RN, Meeson L, Crome IB. The effects of a nonsmoking policy on nursing staff smoking behaviour and attitudes in a psychiatric hospital. Journal of Psychiatric and Mental Health Nursing 2006; 13,2: 188–196.
19. 19. Vagropoulos I, Tsilchorozidou T, Tsinopoulos G. Smoking habits among the hospital staff of a General Hospital in northern Greece: a long way for smoke-free hospitals. Monaldi Archives for Chest Disease 2006; 65, 3: 160–164.
20. 20. Paalosalo-Harris K, Skirton H. Mixed method systematic review: the relationship between breast cancer risk perception and health-protective behaviour in women with family history of breast cancer. JAN, London, John Wiley & Sons; 2016.
21. 21. Önal A, İntepeler ŞS. Adherence to safety measures for protection in health professionals who prepare and administer chemotherapeutics, E-Journal of Dokuz Eylül University Nursing Faculty 2017; 10, 1: 3-12. (cited 2019 June 1) Available from: URL: https://dergipark.org.tr/tr/download/article-file/752980.
22. 22. Blake H, Malik S, Phoenix KH, et al. Do as I say, but not as I do’: Are next generation nurses role models for health?. Perspectives in Public Health 2011; 131, 5: 231-239. doi.org/10.1177/1757913911402547
23. 23. M Najaf-Abadi, Rezaei B. Health-promoting behaviours of Iranian nurses and its relationship with some occupational factors: A cross sectional study. J Nurs Manag 2018; 26: 717–725. doi. 10.1111/jonm.12610
24. 24. Berkelmans A, Burton D, Page K. Registered Nurses’ smoking behaviours and their attitudes to personal cessation. Journal of Advanced Nursing. 2011; 67, 7: 1580–1590. doi: 10.1111/j.1365-2648.2010.05592.x
25. 25. Hodgetts G, Broers T, Godwin M. Smoking behaviour, knowledge and attitudes among family medicine physicians and nurses in Bosnia and Herzegovina. BMC Fam Pract 2004; 5:12.
26. 26. Králíková E, Felbrová1 V, Kulovaná S. Nurses’ attitudes toward intervening with smokers: their knowledge, opinion and e-learning impact. Cent Eur J Public Health 2016; 24, 4: 272–275. doi.org/10.21101/cejph.a4652
27. 27. Conlon K, Pattinson L, Hutton D. Attitudes of oncology healthcare practitioners towards smoking cessation: A systematic review of the facilitators, barriers and recommendations for delivery of advice and support to cancer patients. Radiography 2017; 27: 256-263.
28. 28. Hasan SI, Hairi FM, Tajuddin NA, et al. Empowering healthcare providers through smoking cessation training in Malaysia: a preintervention and postintervention evaluation on the improvement of knowledge, attitude and self-efficacy. BMJ Open 2019; 9:e030670. doi:10.1136/bmjopen-2019-030670.
29. 29. Schneider A, Bak M, Mahoney C, et al. Health‐related behaviours of nurses and other healthcare professionals: A cross‐sectional study using the Scottish Health Survey. J Adv Nurs 2019; 75:1239–1251. doi. 10.1111/jan.13926.
30. 30. Zhang J, While AE, Norman IJ. Seasonal influenza vaccination knowledge, risk perception, health beliefs and vaccination behaviours of nurses. Epidemiol Infect 2012; 140: 1569–1577. doi:10.1017/S0950268811002214
31. 31. Marley AR, Carter-Harris L, Gathirua-Mwangi W, et al. Smoking and mammography screening: An analysis of knowledge, barriers, self-efficacy, benefits, and perceived risk, Cancer Res 2019; 79(13): 2424.
32. 32. Taniguchi C, Sakakibara H, Saka H, et al. Japanese nurses’ perceptions toward tobacco use ıntervention for hospitalized cancer patients who entered end of life. Cancer Nursing. 2016; 39,6: 45-51. doi. 10.1097/NCC.0000000000000336
33. 33. Duffy SA, Scheumann AL, Fowler KE, et al. Perceived difficulty quitting predicts enrollment in a smoking-cessation program for patients with head and neck cancer. Oncol Nurs Forum 2010. 37, 3, 349-56. doi: 10.1188/10.ONF.349-356
34. 34. Susan JC, Keller PA, Orleans CT, et al. The role health care systems in increased tobacco Cessation. Annu. Rev. Public Health. 2008; 29: 411–28.
35. 35. Simmons VN, Litvin EB, Unrod M. Oncology healthcare providers’ implementation of the 5A's model of brief intervention for smoking cessation: Patients’ perceptions. Patient Education and Counseling 2012; 86, 3: 414-419. doi: https://doi.org/10.1016/j.pec.2011.06.016
36. 36. Geller AC, Brooks DR, Powers CA, et al., Tobacco cessation and prevention practices reported by second and fourth year students at US medical schools. J Gen Intern Med. 2008; 23, 7:1071-6 doi: 10.1007/s11606-008-0526-z
37. 37. De Vries H, Engels R, Kremers S, et al. Parents’ and friends’ smoking status as predictors of smoking onset: findings from six European countries. Health Education Research. 2003; 18, 5: 627–636.
38. 38. Shadel WG, Martinoa SC, Setodjia C, et al. Does self-efficacy causally influence initial smoking cessation? An experimental study. Addictive Behaviors 2017; 73: 199-203. doi.org/10.1016/j.addbeh.2017.05.018.
39. 39. Spek V, Lemmens F, Chatrou M, et al. Development of a smoking abstinence self-efficacy questionnaire. Int.J. Behav. Med 2013; 20: 444–49. doi 10.1007/s12529-012-9229-2
40. 40. Swan GE, Ward MM, Jack LM. Abstinence effects as predictors of 28-day relapse in smokers. Addictive Behaviors 1996; 21, 4: 481-490. doi: 10.1016/0306-4603(95)00070-4
41. 41. Schuck K, Otten R, Kleinjan M, et al. Self-efficacy and acceptence of cravings for smoking cessation underlie the effectiveness of quitline counseling for smoking cessation. Drug and Alcohol Dependence 2014; 142: 269-276. doi.org/10.1016/j.drugalcdep.2014.06.033.
42. 42. Kamisli S, Oz F. Evalution of a smoking cessation psychoeducational program for nurses. Journal of Addictions Nursing 2011; 22, 3: 117-123. doi: 10.3109/10884602.2011.585722
43. 43. Gwaltney CJ, Metrik J, Kahler CW, et al. Self-efficacy and smoking cessation: a meta-analysis. Psychol Addict Behav 2009; 23,1:56-66. doi: 10.1037/a0013529