Poor initiation of smoking cessation therapies in hospitalised patients with chronic obstructive pulmonary disease is associated with low levels of formal training among hospital doctors and under‐utilisation of nursing‐led interventions

Background Smoking cessation intervention is a key component in the management of chronic obstructive pulmonary disease (COPD). Aims To evaluate the prescribing of smoking cessation therapies (SCT) among hospital clinicians and identify factors that may hinder delivery of effective interventions. Me...

Full description

Saved in:
Bibliographic Details
Published in:Internal medicine journal 2020-11, Vol.50 (11), p.1384-1389
Main Authors: Pham, Jonathan, Pitney, Stephanie, Sweeney, Duncan, Reekie, Clive, Harkness, Nick
Format: Article
Language:English
Subjects:
Benzazepines
Bupropion
Chronic obstructive pulmonary disease
Cigarette smoking
Drug addiction
Drug dependence
Drug therapy
hospital
Hospitals
Humans
Lung diseases
Medical records
nicotine replacement therapy
nicotine‐dependence
nurse
Nursing
Obstructive lung disease
Patients
Physicians
Population studies
Pulmonary Disease, Chronic Obstructive - drug therapy
Retrospective Studies
Smoking Cessation
Tobacco Use Cessation Devices
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background Smoking cessation intervention is a key component in the management of chronic obstructive pulmonary disease (COPD). Aims To evaluate the prescribing of smoking cessation therapies (SCT) among hospital clinicians and identify factors that may hinder delivery of effective interventions. Methods A retrospective analysis of medical records of patients admitted to the Royal Hobart Hospital with an acute exacerbation of COPD was performed. A survey of hospital clinicians was also performed to ascertain levels of training and confidence in prescribing SCT. Results Nearly all medical and non‐medical hospital clinicians self‐reported confidence in offering SCT (91.1 vs 82.5%, respectively, P = 0.216). However, of the 122 eligible patients in our study population, the majority did not have any form of SCT initiated during their admission (n = 68, 55.7%) and only 21 patients (17.2%) were referred to the nurse‐led smoking cessation service. Very few patients were initiated on efficacious regimes such as combination‐nicotine replacement therapy (n = 8, 6.6%) or varenicline (n = 2, 1.6%). Only a small proportion of hospital doctors reported confidence in prescribing varenicline and bupropion (17.2 and 6.9%, respectively). Furthermore, very few hospital doctors reported ever receiving formal training in SCT compared to non‐medical hospital staff (42.2 vs 84.5%, P
ISSN:1444-0903
1445-5994
DOI:10.1111/imj.14645