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"An Evaluation of the Activity of Smoking Cessation Practitioners in New Zealand Following Smoking Cessation Training." McRobbie, H., Barlow, D. et al. (2008). Journal of Smoking Cessation 3(1): 35-39. http://www.atypon-link.com/AAP/doi/abs/10.1375/jsc.3.1.35
A questionnaire was sent to 1183 health care professionals (HCP) to enquire about barriers to establishing and/or providing a cessation service. There was a low response rate (11%). A number of important issues were identified; 84% of respondents had provided smoking cessation treatment and the majority of these (92%) were still providing treatment. There was a lack of dedicated time and funding to provide treatment. Support in establishing smoking cessation treatment and ongoing training support were the 2 main needs. Smoking cessation training should address the needs of HCPs and a range of barriers to implementing treatment.
"Can Quit Practice: a comprehensive smoking cessation programme for the general practice team." McLeod, D., Cornford, E. et al. (2005New Zealand Medical Journal 118 (1213 ). http://www.nzma.org.nz/journal/118-1213/1415/
Can Quit Practice Programme was developed for delivery in general practices, using the practice nurse (PN). The Programme utilises the principles of brief intervention by the GP or PN followed by a systematic quit support programme delivered by trained PNs(quit advisors). Other strategies and ongoing support and problem solving sessions were also used. The quit rates achieved by 85 smokers (from 14 general practices) were; 25.9% at 3 months; 22.4% at 6 months; and 20.0% at 9 months. An autonomous role for PNs; well-managed practice procedures; adequate consultation time; and adequate funding for health promotion were components for success.
This is an overview of the current regulated nursing workforce in New Zealand. The report was prepared by the Health Workforce Information Programme team at District Health Boards for the Ministry of Health to understand nursing workforce demand, supply and training requirements. Nurses currently make up around half of the regulated health workforce with 40,616 active nurses who hold current annual practising certificates and working in nursing on a paid or voluntary basis in 2008. In the next 20 years there is expected to be a surge of demand for nurses in response to the ageing of New Zealand’s population.
A framework for the ABC approach for Smoking Cessation is outlined. This includes the purpose and goals of the approach, its objectives, rationale, and its significance for different people and organisations in the health system. The report also describes how ABC fits alongside other cessation interventions and the expected impacts on smoking and health outcomes. The different elements and key points of leverage that will be used to implement and support the approach, the work programme and high-level implementation plans, including workstreams, actions and the approach to governance and management of the work programme are summarised.
The 2008 New Zealand Tobacco Use Survey (NZTUS) presents the quitting results of 15–64-year-olds, including, where possible, comparisons with the 2006 NZTUS. Most smokers regret at becoming a smoker and realise the health risk. NRT is a safe and effective cessation treatment. One in five recent quitters has used NRT. There is still much uncertainty among smokers about its safety. Population groups with high levels of smokers appear to be more likely to receive guidance and referral to cessation services from health care workers. More progress is needed to ensure this support is provided for all smokers.
The New Zealand Smoking Cessation Guidelines provide updated guidance for health care workers in their contacts with people who smoke tobacco. Evidence-based interventions in priority population groups, in particular Māori, Pacific peoples, pregnant women and people who use mental health and addiction services are recommended. The most recent national and international evidence on best practice in smoking cessation is summarised. The full range of smoking cessation treatments now available in New Zealand has been considered. The Guidelines are structured around ABC, a simple and easy tool that all health care workers can use.
Nicotine Addiction in Britain. Royal College of Physicians (2000). London, Royal College of Physicians. http://www.rcplondon.ac.uk/pubs/books/nicotine/
Cigarette smoking is the single largest cause of disability and premature death in Britain. The report sets out implications for the ways in which smoking could be managed by doctors and health professionals in the future. Recommendations are also made for the more effective delivery of smoking cessation services. Nicotine is the most addictive, widely available drug in the Britain. The report explains why nicotine addiction needs to become a major health priority in Britain. It will also have relevance to countries throughout the world which face a smoking epidemic and its consequent harmful effects on a population's health.
This review examined the effect of NRT compared to placebo in aiding smoking cessation, and whether the different forms of NRT made a difference. All of the commercial forms of NRT can help people who make a quit attempt to increase their chances of successfully stopping smoking. NRTs increase the rate of quitting by 50-70%, regardless of setting and the effectiveness appears to be largely independent of the intensity of additional support provided to the individual. The provision of more intense levels of support, although beneficial in facilitating the likelihood of quitting, is not essential to the success of NRT.
The New Zealand Nurses Organisation (NZNO) and the Nursing Council of New Zealand (NCNZ) support major health initiatives to reduce smoking in Aotearoa New Zealand, and NZNO is a signatory to the Smokefree Coalition. We also believe that nurses have a key role in leading smoking cessation initiatives such as the Quit Cards. The following brief provides information for nurses who intend to be Quit Card providers.
"Smoking cessation competencies for health workers in New Zealand." Bullen, C., Walker, N. et al. (2008). New ZealandMedical Journal Vol 121: 1276 www.nzma.org.nz/journal/121-1276/3114/
The cessation competencies were developed from a literature review of competencies measurable and relevant to New Zealand, the evidence for effectiveness of different interventions from the 2007 New Zealand Smoking Cessation Guidelines, and consultation with New Zealand experts and cessation providers. Thirty-nine skill and knowledge-based competencies, based on three standards from the 2007 New Zealand Smoking Cessation Guidelines were identified. Each competency has been assigned a level (core, generalist, and specialist) depending on the provider’s role. The competencies provide a basis for guiding expectations of the measurable knowledge and skills all workers providing smoking cessation should attain.
This is a brief update of tobacco use in New Zealand in 2008. It provides an overview of current smoking and tobacco consumption among New Zealanders over time, and presents some data from the 2008 New Zealand Tobacco Use Survey (NZTUS 2008), including current smoking by age, ethnic group and neighbourhood deprivation, and smoking in youth aged 15 to 19 years.
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