scholarly journals Occupational Health Nurses’ Self-Efficacy in Smoking Cessation Interventions: An Integrative Review of the Literature

2020 ◽  
Vol 68 (11) ◽  
pp. 533-543 ◽  
Author(s):  
Amy Thornberry ◽  
Theresa J. Garcia ◽  
Jessica Peck ◽  
Elizabeth Sefcik
Keyword(s):  
Smoking Cessation ◽  
Occupational Health ◽  
Literature Review ◽  
Social Influence ◽  
Organizational Support ◽  
Self Efficacy ◽  
Meta Analysis ◽  
Academic Preparation ◽  
Influential Factor ◽  
Social Barriers

Background: Effective smoking cessation interventions (SCIs) are indicated, particularly among the working population, where a higher than expected prevalence of smoking continues. Occupational health nurses’ (OHN) self-efficacy can affect SCI but current scientific literature is limited. The purpose of this integrative literature review was to determine factors that affect OHN self-efficacy and motivation for providing SCI and to guide research needed to enhance SCI programs. Methods: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines, we conducted an integrative literature review. The strategy was an electronic data search of PubMed conducted between 2013 and 2018 and included peer-reviewed manuscripts written in English that addressed self-efficacy and its relationship to SCI. Findings: In total, 15 research articles met the inclusion criteria and two referred specifically to OHNs. Common themes revealed factors which positively and negatively influenced nurses’ self-efficacy, including training, academic preparation, as well as nurse attitudes and personal/social influence. Studies specific to OHNs identify self-efficacy as the most influential factor affecting nurse implementation of SCI. Organizational support and theory-based training are more effective in overcoming personal and social barriers affecting OHN self-efficacy. Conclusion/Application to Practice: The results of this review revealed attitude, innovation, perceived social influence, and self-efficacy were factors for nurses’ intention to implement SCI. Changes in the organizational environment supporting cessation programs and educational development, particularly theory-based training, should be further studied. Our findings suggest that designing programs utilizing these research findings to improve OHN self-efficacy could guide changes in clinical practice for motivating smokers to quit.

Occupational Health Nurses’ Self-Efficacy in Implementing Smoking Cessation Interventions for Workers: A Manufacturing Company Quality Improvement Project

2021 ◽  
pp. 216507992110229
Author(s):  
Amy Thornberry ◽  
Theresa J. Garcia ◽  
Jessica Peck ◽  
Elizabeth Sefcik
Keyword(s):  
Smoking Cessation ◽  
Quality Improvement ◽  
Occupational Health ◽  
Self Efficacy ◽  
Motivation To Change ◽  
Working Population ◽  
New Paradigm ◽  
Secondary Findings ◽  
Improvement Project ◽  
Major Barrier

Background: Effective smoking cessation interventions (SCIs) are urgently needed for the working population where smoking continues at high rates. Occupational health nurses (OHNs) could be effective in providing SCI, but self-efficacy was found to be a major barrier. The purpose of this study was to improve the delivery of SCI to those who smoke in the workplace and to explore nurse self-efficacy. Methods: Pretest and posttest were conducted on two groups, OHNs ( n = 5) and smokers ( n = 11) working at U.S. manufacturing facilities. OHNs were trained on motivational interviewing (MI) techniques who then recruited smokers to help them practice their newly acquired skills. The two groups were measured by Likert-type scale for OHN self-efficacy and smoker level of change toward quitting. Findings: Paired t-tests detected statistically significant differences in OHN’s preintervention and postintervention self-efficacy scores, t(4) = −4.46, p < .001,; d = 2.92) and smokers’ preintervention and postintervention stage of change toward quitting scores, t(10) = −9.07, p < .001,; d = 2.09), suggesting that the training and MI intervention were effective in increasing OHN self-efficacy and smokers’ motivation to change. Conclusion/Application to Practice: This quality improvement (QI) project indicated smokers can be successfully recruited and counseled using MI techniques, while simultaneously improving OHN self-efficacy toward helping patients. Theory-based applications brought OHNs and smokers together in a new paradigm resulting in positive changes for both. Secondary findings in the reverse nurse–patient role revealed success in an innovative recruitment method for smoking cessation.

scholarly journals The Effect of Educational Intervention on Improvement of Breastfeeding Self-Efficacy: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 2021 ◽  
pp. 1-18
Author(s):  
Azam Maleki ◽  
Elham Faghihzadeh ◽  
Samaneh Youseflu
Keyword(s):  
Educational Intervention ◽  
Self Efficacy ◽  
Direct Method ◽  
Meta Analysis ◽  
Educational Interventions ◽  
Influential Factor ◽  
Asian Region ◽  
Breastfeeding Education ◽  
Cochrane Database

Background. Self-efficacy is an important psychological and motivational factor in breastfeeding, and it is a valuable framework that predicts breastfeeding outcomes and demonstrates maternal confidence in breastfeeding. The meta-analysis evaluated the effectiveness of educational interventions on improving breastfeeding self-efficacy (BSE). Methods. The English and Persian databases including Medline, Embase, Cochrane Database of Systematic Reviews (CDSR), PubMed, Web of Science, Scopus, CINAHL, Sid, IRANDOC, and Marg-Iran were systematically searched for studies published from January 2005 to December 2020. The quality of studies was evaluated using the Cochrane risk of bias tool and the heterogeneity by I2 statistic. The extracted data were analyzed using RevMan 5 statistical software and presented using random effects standardized mean difference (SMD). The funnel plot was used for evaluating publication bias. Results. Results from 40 RCTs showed that educational intervention had a positive effect on the BSE compared with the usual/standard care (pooled SMD = 1.20; 95% CI = 0.75–1.64, p value <0.001). The subgroup analysis indicated that the educational intervention was based on theory, group class format, direct method education, during the first week of postpartum, doing during pregnancy, on primiparous women, and health center setting, and the Asian region has a more effect on BSE than the others. Conclusion. Breastfeeding education is considered an influential factor in the improvement of BSE. It is recommended that breastfeeding education should be continued for several weeks after childbirth for gaining its benefit. The Asian region has a more effect on BSE than the others. Therefore, it is important to add the values in content of education in each country.

scholarly journals Self-efficacy and smoking cessation: A meta-analysis.

2009 ◽  
Vol 23 (1) ◽  
pp. 56-66 ◽  
Author(s):  
Chad J. Gwaltney ◽  
Jane Metrik ◽  
Christopher W. Kahler ◽  
Saul Shiffman
Keyword(s):  
Smoking Cessation ◽  
Self Efficacy ◽  
Meta Analysis

scholarly journals Factors Predicting the Provision of Smoking Cessation Services Among Occupational Health Nurses in Thailand

2017 ◽  
Vol 65 (6) ◽  
pp. 253-261 ◽  
Author(s):  
Kannikar Chatdokmaiprai ◽  
Surintorn Kalampakorn ◽  
Marjorie McCullagh ◽  
Sunee Lagampan ◽  
Sansanee Keeratiwiriyaporn
Keyword(s):  
Smoking Cessation ◽  
Occupational Health ◽  
Self Efficacy ◽  
Structural Equation ◽  
Equation Modeling ◽  
Final Model ◽  
Smoking Cessation Services ◽  
Workplace Factors ◽  
The Relationship ◽  
Self Administered Questionnaire

The purpose of this study was to identify factors predicting occupational health nurses’ provision of smoking cessation services. Data were collected via a self-administered questionnaire distributed to 254 occupational health nurses in Thailand. Analysis by structural equation modeling revealed that self-efficacy directly and positively influenced smoking cessation services, and mediated the relationship between workplace factors, nurse factors, and smoking cessation services. The final model had good fit to the data, accounting for 20.4% and 38.0% of the variance in self-efficacy and smoking cessation services, respectively. The findings show that self-efficacy is a mediator that influences provision of smoking cessation services by occupational health nurses. Interventions to enhance nurses’ self-efficacy in providing smoking cessation services are expected to promote provision of smoking cessation services to workers.

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