title: Self-efficacy in providing smoking-cessation services among psychiatric nurses in central and southern Taiwan: an exploratory study.
abstract: Smoking by psychiatric patients remains prevalent. The purpose of this cross-sectional study was to understand the influence of self-efficacy and its correlates among psychiatric nurses when providing smoking-cessation services (SCS). A convenience sample of 193 nurses from psychiatric institutions was obtained. Surveys were conducted using self-report measures regarding SCS provided by psychiatric nurses. The survey questions focused on self-efficacy, attitude, practical experience, and smoke-free policies, and their implementation in the workplace. The participants reported low self-efficacy for providing SCS in their self-assessment, as demonstrated by their scores of 55.3 ± 20.4, on a scale of 0 (low confidence) to 100 (high confidence). Using multiple linear regressions, statistically-significant, relevant factors included perceived provider-related barriers in providing SCS, environmental tobacco smoke exposure, the nurse's attitude towards a patient smoking, and the nurse's frequency and practical experience in providing SCS. The correlates of this self-efficacy can serve as a reference for in-service curriculum planning of SCS by psychiatric nurses. In addition, policies to limit exposure to second-hand tobacco smoke should be explored.
authors.affiliation: Chronic Diseases and Health Promotion Research Center and Research Center for Industry of Human Ecology, Chang Gung University of Science and Technology, Chiayi, Taiwan.
authors.forename: Su-Er
authors.initials: SE
authors.lastname: Guo
authors.forename: Ai-Ling
authors.initials: AL
authors.lastname: Wang
authors.forename: Bih-Ching
authors.initials: BC
authors.lastname: Shu
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D005260:Female; D006778:Hospitals, Psychiatric; D006801:Humans; D008297:Male; D011568:Psychiatric Nursing; D020377:Self Efficacy; D061845:Smoke-Free Policy; D016540:Smoking Cessation; D011795:Surveys and Questionnaires; D013624:Taiwan; D014028:Tobacco Smoke Pollution / Q000517:prevention & control
chemical_list: D014028:Tobacco Smoke Pollution
keywords: environmental tobacco smoke; mental health-care provider; quit smoking; self-efficacy