title: Helping smokers quit: behaviours and attitudes of Chinese Registered Nurses.
abstract: OBJECTIVE
  To describe the self-reported frequency of Chinese nurses' interventions to help smokers quit, using the 5 As (i.e. Ask, Advise, Assess, Assist, Arrange), attitudes towards tobacco control and differences in consistency interventions by demographic and professional characteristics prior to an educational intervention to increase nurses' support for quit efforts.
  
  
  BACKGROUND
  Tobacco use is the leading cause of preventable death in China; quitting smoking reduces health risks and premature death. The China Tobacco Cessation Treatment Guideline supports the 5 As model for intervention, but nurses' frequency of delivering smoking cessation interventions is unknown.
  
  
  METHODS
  Descriptive survey using a convenience sample.
  
  
  METHODS
  Nurses from eight hospitals in Beijing and Hefei, China completed a web-based survey in 2012. Differences in consistency of the 5 As by nurse characteristics were determined using multivariate logistic regression. Overall importance of nurses in tobacco control was evaluated on a 1-5 scale (5 = most important).
  
  
  RESULTS
  Nurses (N = 2440; 1404 Beijing, 1036 Hefei) participated. 64% consistently asked about smoking status, 85% advised patients to quit, 52% assessed readiness to quit and assisted with smoking cessation and 17% arranged for follow-up. Interventions varied by nurses' education and clinical setting. Nurses positively viewed involvement in tobacco control (4·3/5) and thought nurses should be smoke-free role models (4·8/5·0).
  
  
  CONCLUSIONS
  This study demonstrates that the majority of nurses asked about smoking status, but few assisted patients with quitting. Further efforts are needed to help nurses actively promote smoking cessation interventions.
authors.affiliation: School of Nursing, University of California, Los Angeles, California, USA.
authors.forename: Linda
authors.initials: L
authors.lastname: Sarna
authors.affiliation: School of Nursing, University of California San Francisco, California, USA.
authors.forename: Stella Aguinaga
authors.initials: SA
authors.lastname: Bialous
authors.affiliation: Office of Tobacco Control, National Office for Cancer Prevention and Cancer Control, Cancer Institute and Hospital, Chinese Academy of Medical Sciences, Beijing, China.
authors.forename: Xiao Nong
authors.initials: XN
authors.lastname: Zou
authors.affiliation: School of Nursing, Anhui Medical University, Hefei, China.
authors.forename: Weili
authors.initials: W
authors.lastname: Wang
authors.affiliation: School of Nursing, Anhui Medical University, Hefei, China.
authors.forename: Jingfang
authors.initials: J
authors.lastname: Hong
authors.affiliation: School of Nursing, The University of Hong Kong, China.
authors.forename: Sophia
authors.initials: S
authors.lastname: Chan
authors.affiliation: School of Nursing, University of California, Los Angeles, California, USA.
authors.forename: Marjorie J
authors.initials: MJ
authors.lastname: Wells
authors.affiliation: David Geffen School of Medicine, University of California, Los Angeles, CA, USA.
authors.forename: Jenny
authors.initials: J
authors.lastname: Brook
mesh_terms: D000368:Aged; D044466:Asian People / Q000523:psychology; D001291:Attitude of Health Personnel; D002681:China; D005260:Female; D006293:Health Promotion / Q000379:methods; D006801:Humans; D008297:Male; D024802:Nurse's Role; D009723:Nurse-Patient Relations; D009740:Nursing Staff / Q000193:education* / Q000523:psychology*; D012907:Smoking / Q000523:psychology*; D016540:Smoking Cessation / Q000523:psychology*; D011795:Surveys and Questionnaires; D014029:Tobacco Use Disorder / Q000523:psychology*; D055815:Young Adult
keywords: China; attitudes; hospitalized smokers; interventions; nurses; nursing; smoking cessation; tobacco use