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Nurses’ and patient...
Nurses’ and patients’ communication in smoking cessation at nurse-led COPD clinics in primary health care
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- Österlund Efraimsson, Eva (author)
- Högskolan Dalarna,Omvårdnad,Karolinska Institutet / Centre for Clinical Research, Dalarna, Falun / Dalarna County Council / Dalarna University
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- Ehrenberg, Anna (author)
- Högskolan Dalarna,Omvårdnad,Dalarna University
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- Fossum, Bjöörn (author)
- Sophiahemmet Högskola,Department of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Stockholm; Sophiahemmet University, Stockholm, Sweden
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- Larsson, Kjell (author)
- Karolinska Institutet
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- Klang, Birgitta (author)
- Röda Korsets Högskola,Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Red Cross University College of Nursing, Stockholm, Sweden
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- Olai, Lena (author)
- Uppsala universitet,Högskolan Dalarna,Omvårdnad,Centre for Clinical Research, Dalarna, Falun / Dalarna University / Uppsala University,Allmänmedicin och preventivmedicin
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(creator_code:org_t)
- 2015-08-07
- 2015
- English.
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In: European Clinical Respiratory Journal. - : Informa UK Limited. - 1399-3003 .- 2001-8525. ; 2
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Abstract
Subject headings
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- Background: Smokers with chronic obstructive pulmonary disease (COPD) have high nicotine dependence making it difficult to quit smoking. Motivational interviewing (MI) is a method that is used in stimulating motivation and behavioral changes.Objective: To describe smoking cessation communication between patients and registered nurses trained in MI in COPD nurse-led clinics in Swedish primary health care.Methods: A prospective observational study with structured quantitative content analyses of the communication between six nurses with basic education in MI and 13 patients in non-smoking consultations.Results: Only to a small extent did nurses’ evoke patients’ reasons for change, stimulate collaboration, and support patients’ autonomy. Nurses provided information, asked closed questions, and made simple reflections. Patients’ communicationwasmainly neutral and focusing on reasons for and against smoking. It was uncommon for patients to be committed and take steps toward smoking cessation.Conclusion: The nurses did not adhere to the principles of MI in smoking cessation, and the patients focused to a limited extent on how to quit smoking.Practice implications: To make patients more active, the nurses need more education and continuous training in motivational communication.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Lungmedicin och allergi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Respiratory Medicine and Allergy (hsv//eng)
Keyword
- change talk
- chronic obstructive pulmonary disease
- motivational interviewing
- nurse-led clinics
- smoking cessation
- Hälsa och välfärd
- Health and Welfare
Publication and Content Type
- ref (subject category)
- art (subject category)
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