关键词: General practice/family medicine addiction and abuse general prevention qualitative designs and methods

Mesh : Early Detection of Cancer Female General Practice Humans Smoking Smoking Cessation Uterine Cervical Neoplasms / diagnosis

来  源:   DOI:10.1080/13814788.2022.2053105

Abstract:
UNASSIGNED: Cervical screening could be an appropriate routine moment to provide female smokers with tailored stop smoking advice. In Dutch general practice, cervical smears are performed by practice assistants.
UNASSIGNED: This study was performed in preparation for a randomised trial to identify potential barriers and enablers for a brief stop smoking strategy performed by trained practice assistants after routine cervical screening.
UNASSIGNED: Between December 2016 and March 2017 three focus group meetings were held with ten practice assistants, three nurses, and six general practitioners to explore their views and expectations towards the proposed approach. We analysed data using thematic analysis. Identified factors are presented within the framework of the Social-Ecological Model.
UNASSIGNED: Potential barriers and enablers were identified at individual, interpersonal, and workplace levels. Practice assistants, nurses and GPs did not consider assistants to have a role in stop smoking care. They believed it is feasible to register smoking status but had reservations towards providing advice by assistants, for which knowledge and skills are needed. Practice assistants\' own beliefs about smokers and smokers\' response to stop smoking advice might influence how assistants and smokers interact. An explanation of why advice is given could help, provided assistants have enough time and experience with the smear. The nurses\' availability and general practitioners\' view on prevention might affect the delivery of the strategy by the assistant.
UNASSIGNED: At individual, interpersonal, and workplace levels, several factors could influence the provision of a stop smoking strategy by a practice assistant.
摘要:
UNASSIGNED:宫颈筛查可能是为女性吸烟者提供量身定制的戒烟建议的适当常规时机。在荷兰的一般实践中,宫颈涂片检查由练习助理进行。
UNASSIGNED:这项研究是为了准备一项随机试验,以确定在常规宫颈筛查后由经过培训的实践助理进行短暂戒烟策略的潜在障碍和推动者。
UNASSIGNED:在2016年12月至2017年3月期间,与十名实践助理举行了三次焦点小组会议,三个护士,和六名全科医生探讨他们对拟议方法的看法和期望。我们使用主题分析来分析数据。在社会生态模型的框架内提出了已识别的因素。
未经评估:在个人,人际关系,和工作场所的水平。实践助理,护士和全科医生不认为助手在戒烟护理中起作用.他们认为登记吸烟状况是可行的,但对助手提供建议持保留态度,需要知识和技能。练习助手“自己对吸烟者和吸烟者的信念”对戒烟建议的反应可能会影响助手和吸烟者的互动方式。解释为什么给出建议可能会有所帮助,只要助手有足够的时间和经验进行涂片。护士的可用性和全科医生对预防的看法可能会影响助手对策略的实施。
未经批准:在个人,人际关系,和工作场所的水平,有几个因素可能会影响执业助理提供戒烟策略.
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