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Patients' and healthcare professionals' views on a specialist smoking cessation service delivered in a United Kingdom hospital: a qualitative study

Bains, Manpreet; Britton, John; Marsh, John; Jayes, Leah; Murray, Rachael L.

Authors

John Britton

John Marsh

Rachael L. Murray



Abstract

BACKGROUND:
Hospital admission provides a powerful opportunity to promote smoking cessation. We explored patients' and healthcare professionals' (HCP) views of a specialist smoking cessation service comprising systematic smoking ascertainment, default provision of pharmacotherapy and behavioural counselling at the bedside, and post-discharge follow-up, in a clinical trial in a United Kingdom teaching hospital.

METHODS:
Semi-structured interviews with 30 patients who were offered the intervention, and 27 HCPs working on intervention wards, were audio-recorded, transcribed verbatim and analysed using thematic analysis.

RESULTS:
The shock of being admitted, and awareness that smoking may have contributed to the need for hospital admission, caused many patients to reassess their quit intentions. Most patients felt the service was too good an opportunity to pass up, because having long-term support and progress monitored was more likely to result in abstinence than trying alone. Had they not been approached, many patients reported that they would have attempted to quit alone, though some would have been discouraged from doing so by pharmacotherapy costs. Service delivery by a specialist advisor was favoured by patients and HCPs, largely because HCPs lacked time and expertise to intervene. HCPs reported that in usual practice, discussions about smoking were usually limited to ascertainment of smoking status. Timing of service delivery and improved co-ordination between service staff and inpatient ward staff were matters to address.

CONCLUSIONS:
A hospital-based specialist smoking cessation service designed to identify smokers and initiate cessation support at the bedside was deemed appropriate by patients and HCPs.

TRIAL REGISTRATION:
Trial registration: ISRCTN25441641.

Citation

Bains, M., Britton, J., Marsh, J., Jayes, L., & Murray, R. L. (2014). Patients' and healthcare professionals' views on a specialist smoking cessation service delivered in a United Kingdom hospital: a qualitative study. Tobacco Induced Diseases, 12(2), doi:10.1186/1617-9625-12-2

Journal Article Type Article
Publication Date Jan 29, 2014
Deposit Date Mar 1, 2016
Publicly Available Date Mar 1, 2016
Journal Tobacco Induced Diseases
Electronic ISSN 1617-9625
Publisher Humana Press
Peer Reviewed Peer Reviewed
Volume 12
Issue 2
DOI https://doi.org/10.1186/1617-9625-12-2
Keywords Smoking cessation, Support, Secondary care, Provider-patient relations, Qualitative.
Public URL http://eprints.nottingham.ac.uk/id/eprint/32064
Publisher URL http://tobaccoinduceddiseases.biomedcentral.com/articles/10.1186/1617-9625-12-2
Copyright Statement Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0

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Bains et al 2014.pdf (230 Kb)
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Copyright Statement
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0





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