+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Understanding Dutch practice nurses' adherence to evidence-based smoking cessation guidelines and their needs for web-based adherence support: results from semistructured interviews



Understanding Dutch practice nurses' adherence to evidence-based smoking cessation guidelines and their needs for web-based adherence support: results from semistructured interviews



Bmj Open 7(3): E014154



Practice nurses in general practices suboptimally adhere to smoking cessation guidelines. Since the effectiveness of their smoking cessation support is greatest when full adherence to these guidelines is achieved, interventions need to be developed to improve practice nurses' guideline adherence, for example, by tailoring their content to adherence determinants. However, the sociocognitive determinants explaining adherence have not yet been investigated. Therefore, this qualitative needs assessment aimed to explore practice nurses' current counselling practices, as well as their sociocognitive beliefs related to their smoking cessation guideline adherence and their needs regarding web-based adherence support. Primary care; general practices in the Netherlands. 19 practice nurses, actively involved in smoking cessation counselling. Semistructured individual interviews, based on the I-Change Model and the Diffusion of Innovations Theory, were conducted from May to September 2014. Data were systematically analysed using the Framework Method and considered reliable (κ 0.77; % agreement 99%). Respondents felt able to be empathic and collaborative during smoking cessation consultations. They also reported psychological (eg, low self-efficacy to increase patient motivation and arranging adequate follow-up consultations) and practical barriers (eg, outdated information on quit support compensation and a perceived lack of high-quality trainings for practice nurses) to smoking cessation guideline adherence. Most respondents were interested in web-based adherence support to overcome these barriers. Sociocognitive determinants influence practice nurses' smoking cessation guideline adherence. To improve their adherence, web-based tailored adherence support can provide practice nurses with personally relevant feedback tailored to individually perceived barriers to smoking cessation guideline adherence. More specifically, low self-efficacy levels can be increased by peer modelling (eg, presenting narratives of colleagues) and up-to-date information can be presented online, enabling practice nurses to use it during patient consultations, resulting in more effective communication with their smoking patients. NTR4436; Pre-results.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 060438699

Download citation: RISBibTeXText

PMID: 28336746

DOI: 10.1136/bmjopen-2016-014154


Related references

Dutch practice nurses' adherence to evidence-based smoking cessation treatment guidelines. Family Practice 34(6): 685-691, 2017

The impact of financial incentives and a patient registry on preventive care quality: Increasing provider adherence to evidence-based smoking cessation practice guidelines. Preventive Medicine 36(3): 291-299, 2003

Understanding Dutch practice nurses' adherence to evidence-based smoking cessation guidelines and their needs for web-based adherence support: results from semistructured interviews. Bmj Open 7(3): E014154, 2017

Drugs to support smoking cessation in UK general practice: are evidence based guidelines being followed?. Quality and Safety in Health Care 15(4): 284-288, 2006

Web-based computer-tailoring for practice nurses aimed to improve smoking cessation guideline adherence: A study protocol for a randomized controlled effectiveness trial. Contemporary Clinical Trials 48: 125-132, 2016

The Effectiveness of a Computer-Tailored E-Learning Program for Practice Nurses to Improve Their Adherence to Smoking Cessation Counseling Guidelines: Randomized Controlled Trial. Journal of Medical Internet Research 20(5): E193, 2018

Training physicians to do office-based smoking cessation increases adherence to PHS guidelines. Journal of Community Health 36(2): 238-243, 2011

A smoking cessation telephone resource: feasibility and preliminary evidence on the effect on health care provider adherence to smoking cessation guidelines. Tobacco Control 11(1): 84, 2002

Does practice follow evidence-based guidelines? Adherence to GOLD guidelines in Portugal. Pulmonology 25(3): 177-179, 2019

How to adapt existing evidence-based clinical practice guidelines: a case example with smoking cessation guidelines in Canada. BMJ Open 7(11): E016124-E016124, 2017

Non-adherence to diabetes guidelines in primary care - the enemy of evidence-based practice. Diabetes Research and Clinical Practice 95(3): 301-302, 2012

Evidence-based guidelines for prevention of ventilator-associated pneumonia: Evaluation of intensive care unit nurses' adherence. American Journal of Infection Control 46(6): 711-713, 2018

Adherence to evidence-based guidelines is the key to improved health outcomes for general practice patients: NO. Journal of Primary Health Care 4(2): 158-160, 2012

Which Physician and Practice Characteristics are Associated With Adherence to Evidence-Based Guidelines for Depressive and Anxiety Disorders?. Yearbook of Psychiatry and Applied Mental Health 2011: 305-306, 2011

Neoadjuvant radiotherapy for rectal cancer: adherence to evidence-based guidelines in clinical practice. World Journal of Surgery 37(3): 639-645, 2013