title: Perceptions and practices of Japanese nurses regarding tobacco intervention for cancer patients.
abstract: BACKGROUND
  We investigated the perceptions and practices regarding tobacco intervention among nurses, as improvement of such practices is important for the management of patients who smoke.
  
  
  METHODS
  Self-administered questionnaires were delivered by hospital administrative sections for nursing staff to 2676 nurses who were working in 3 cancer hospitals and 3 general hospitals. Of these, 2215 (82.8%) responded.
  
  
  RESULTS
  Most nurses strongly agreed that cancer patients who had preoperative or early-clinical-stage cancer but continued to smoke should be offered a tobacco use intervention. In contrast, they felt less need to provide tobacco use intervention to patients with incurable cancer who smoked. Most nurses felt that although they assessed and documented the tobacco status of cancer patients, they were not successful in providing cessation advice, assessing patient readiness to quit, and providing individualized information on the harmful effects of tobacco use. In multivariate analysis, nurses who received instruction on smoking cessation programs during nursing school were more likely to give cessation advice (odds ratio, 1.61; 95% confidence interval, 1.15-2.26), assess readiness to quit (1.73, 1.09-2.75), and offer individualized explanations of the harmful effects of tobacco (1.94, 1.39-2.69), as compared with nurses who had not received such instruction.
  
  
  CONCLUSIONS
  The perceptions of Japanese nurses regarding tobacco intervention for cancer patients differed greatly by patient treatment status and prognosis. The findings highlight the importance of offering appropriate instruction on smoking cessation to students in nursing schools in Japan.
authors.affiliation: Department of Nursing, National Hospital Organization, Nagoya Medical Center, Japan.
authors.forename: Chie
authors.initials: C
authors.lastname: Taniguchi
authors.forename: Fukuyo
authors.initials: F
authors.lastname: Hibino
authors.forename: Etsuko
authors.initials: E
authors.lastname: Kawaguchi
authors.forename: Misae
authors.initials: M
authors.lastname: Maruguchi
authors.forename: Naomi
authors.initials: N
authors.lastname: Tokunaga
authors.forename: Hideo
authors.initials: H
authors.lastname: Saka
authors.forename: Isao
authors.initials: I
authors.lastname: Oze
authors.forename: Hidemi
authors.initials: H
authors.lastname: Ito
authors.forename: Akio
authors.initials: A
authors.lastname: Hiraki
authors.forename: Sumie
authors.initials: S
authors.lastname: Nakamura
authors.forename: Hideo
authors.initials: H
authors.lastname: Tanaka
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D002173:Cancer Care Facilities; D005260:Female; D006769:Hospitals, General; D006801:Humans; D007564:Japan; D008297:Male; D009369:Neoplasms / Q000451:nursing*; D009741:Nursing Staff, Hospital / Q000523:psychology* / Q000706:statistics & numerical data; D010465:Perception; D057184:Practice Patterns, Nurses' / Q000706:statistics & numerical data*; D016540:Smoking Cessation / Q000523:psychology*; D000074606:Smoking Prevention; D055815:Young Adult