title: Smoking cessation counseling for parents during child hospitalization: a national survey of pediatric nurses.
abstract: OBJECTIVE
  Given the central role played by pediatric nurses in intake assessment, discharge planning, and education for families of hospitalized pediatric patients, a child's hospitalization may provide a unique opportunity for counseling parents about smoking. We sought to determine if hospital policies can support nurses in effectively counseling parents about smoking.
  
  
  METHODS
  We conducted a national survey of pediatric staff nurses and administrators/educators who were members of the Society of Pediatric Nurses in 2008 (n=888) to explore counseling practices for tobacco control.
  
  
  METHODS
  Questionnaires included data on demographics, personal and work environment characteristics, hospital policy characteristics, work attitudes and barriers and the main outcome--5As for smoking cessation counseling--Ask, Advise, Assess, Assist, and Arrange.
  
  
  RESULTS
  Overall, routine screening for household smokers was most common (43%), followed by advice to quit (25%), assessing willingness to quit (19%), assisting with a quit plan (6%), and arranging follow-up contact (3%). Nurses working in hospitals with admission assessments specifically asking about household members who smoke were 7 times more likely than those without such assessments to routinely ask about smoking (OR: 7.2, 95% CI: 4.9-10.5).
  
  
  CONCLUSIONS
  Future research should test the efficacy of developing comprehensive hospital-wide policies to deliver smoking cessation for parents during a child's hospitalization.
authors.affiliation: Harvard School of Public Health, Boston, Massachusetts, USA. ageller@hsph.harvard.edu
authors.forename: Alan C
authors.initials: AC
authors.lastname: Geller
authors.forename: Daniel R
authors.initials: DR
authors.lastname: Brooks
authors.forename: Barbara
authors.initials: B
authors.lastname: Woodring
authors.forename: Sarah
authors.initials: S
authors.lastname: Oppenheimer
authors.forename: Margaret
authors.initials: M
authors.lastname: McCabe
authors.forename: Jayne
authors.initials: J
authors.lastname: Rogers
authors.forename: Alison
authors.initials: A
authors.lastname: Timm
authors.forename: Elissa A
authors.initials: EA
authors.lastname: Resnick
authors.forename: Jonathan P
authors.initials: JP
authors.lastname: Winickoff
mesh_terms: D000328:Adult; D002673:Child, Hospitalized; D002675:Child, Preschool; D003376:Counseling; D003430:Cross-Sectional Studies; D006293:Health Promotion / Q000379:methods; D006801:Humans; D008875:Middle Aged; D024802:Nurse's Role; D016134:Organizational Policy; D010290:Parents; D010371:Pediatric Nursing; D016540:Smoking Cessation; D014481:United States; D017132:Workplace