title: Nurses' delivery of the Tobacco Tactics intervention at a Veterans Affairs Medical Center.
abstract: OBJECTIVE
  To determine (1) factors associated with nurses' perceived confidence in and importance of delivering cessation interventions to patients after receiving the Tobacco Tactics educational module, and (2) whether self-reported delivery of smoking cessation services increased after the Tobacco Tactics educational programme was implemented.
  
  
  BACKGROUND
  Intensive nurse-based inpatient smoking cessation interventions are effective; however, due to a lack of nurse confidence, training and time, nurse-administered cessation interventions are seldom implemented.
  
  
  METHODS
  Two cross-sectional surveys among staff trained in the Tobacco Tactics programme, conducted at two months and 15 months post-training.
  
  
  METHODS
  Surveys were conducted to determine whether self-reported delivery of smoking cessation services by nursing staff increased after delivery of the Tobacco Tactics training at a Midwestern Veterans Affairs Medical Center. All staff members who attended the training were eligible to complete the surveys at two and 15 months post-training.
  
  
  RESULTS
  Having a good understanding of the elements of smoking cessation interventions and satisfaction with training were associated with perceived confidence and importance of delivering smoking cessation interventions. Additionally, 86% of participants reported delivering cessation interventions 15 months post-training compared with 57% prior to training (p < 0·0001).
  
  
  CONCLUSIONS
  Training nurses how to deliver tobacco cessation interventions increases delivery of cessation services.
  
  
  CONCLUSIONS
  Nurse-delivered cessation interventions have the potential to increase quit rates and decrease morbidity and mortality among patient populations.
authors.affiliation: National Center for Patient Safety, MI, USA.
authors.forename: Amanda M
authors.initials: AM
authors.lastname: Fore
authors.forename: Carrie A
authors.initials: CA
authors.lastname: Karvonen-Gutierrez
authors.forename: AkkeNeel
authors.initials: A
authors.lastname: Talsma
authors.forename: Sonia A
authors.initials: SA
authors.lastname: Duffy
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007318:Inservice Training; D008297:Male; D008875:Middle Aged; D015146:Midwestern United States; D024802:Nurse's Role; D016540:Smoking Cessation / Q000379:methods*; D011795:Surveys and Questionnaires; D014481:United States; D014493:United States Department of Veterans Affairs; D014728:Veterans
keywords: implementation; nurse education; smoking