Abstract：
UNASSIGNED: The aim of this study was to identify factors influencing midwives\' conversations about smoking, and referral to specialist smoking cessation services, using an evidence-based theoretical framework.
UNASSIGNED: Semi-structured, qualitative interviews were undertaken with community midwives employed within one health board region of Wales. Deductive framework analysis was employed by coding data to the domains of the Theoretical Domains Framework (TDF) and then identifying themes within domains and across participants.
UNASSIGNED: Seven midwives took part in the study. 13, out of a possible 14 domains, were mapped from the TDF. Key enablers to conversations and referrals include knowledge of the risks of smoking in pregnancy, congruence with the professional identity of a midwife, and the use of carbon monoxide monitors in initiating conversations and referrals. Limited knowledge of the specialist service, confusion about the opt-out pathway, varied skills in communicating and engaging with women, low confidence in ability to influence women\'s decisions, limited appointment times, and competing priorities were identified as barriers.
UNASSIGNED: Midwives recognise the importance of their role within the provision of smoking cessation advice and referral to specialist services. While there are continued time pressures and competing priorities for midwives, enhancing skills and confidence in collaborative, empowering approaches to addressing smoking would further support in optimising the uptake of maternity smoking cessation support. This could also enhance conversations about other public health issues such diet, physical activity, and alcohol use.
UNASSIGNED: Semi-structured, qualitative interviews were undertaken with community midwives employed within one health board region of Wales. Deductive framework analysis was employed by coding data to the domains of the Theoretical Domains Framework (TDF) and then identifying themes within domains and across participants.
UNASSIGNED: Seven midwives took part in the study. 13, out of a possible 14 domains, were mapped from the TDF. Key enablers to conversations and referrals include knowledge of the risks of smoking in pregnancy, congruence with the professional identity of a midwife, and the use of carbon monoxide monitors in initiating conversations and referrals. Limited knowledge of the specialist service, confusion about the opt-out pathway, varied skills in communicating and engaging with women, low confidence in ability to influence women\'s decisions, limited appointment times, and competing priorities were identified as barriers.
UNASSIGNED: Midwives recognise the importance of their role within the provision of smoking cessation advice and referral to specialist services. While there are continued time pressures and competing priorities for midwives, enhancing skills and confidence in collaborative, empowering approaches to addressing smoking would further support in optimising the uptake of maternity smoking cessation support. This could also enhance conversations about other public health issues such diet, physical activity, and alcohol use.
摘要：
■这项研究的目的是确定影响助产士关于吸烟的对话的因素，以及转介专业戒烟服务，使用基于证据的理论框架。
■半结构化，对威尔士一个卫生委员会地区雇用的社区助产士进行了定性访谈.通过将数据编码到理论域框架（TDF）的域，然后确定域内和参与者之间的主题，采用了演绎框架分析。
■七名助产士参加了这项研究。13，在可能的14个领域中，是从TDF映射的。对话和转介的主要推动者包括了解怀孕期间吸烟的风险，与助产士的职业身份相一致，以及在启动对话和转介时使用一氧化碳监测器。对专业服务的了解有限，关于选择退出途径的困惑，与女性沟通和互动的各种技能，对影响女性决策的能力信心不足，有限的预约时间，相互竞争的优先事项被确定为障碍。
助产士认识到他们在提供戒烟建议和转诊专科服务方面的重要作用。虽然持续的时间压力和助产士竞争的优先事项，增强协作中的技能和信心，增强解决吸烟问题的方法将进一步支持优化产妇戒烟支持的吸收。这也可以加强关于饮食等其他公共卫生问题的对话，身体活动,酒精的使用。
■半结构化，对威尔士一个卫生委员会地区雇用的社区助产士进行了定性访谈.通过将数据编码到理论域框架（TDF）的域，然后确定域内和参与者之间的主题，采用了演绎框架分析。
■七名助产士参加了这项研究。13，在可能的14个领域中，是从TDF映射的。对话和转介的主要推动者包括了解怀孕期间吸烟的风险，与助产士的职业身份相一致，以及在启动对话和转介时使用一氧化碳监测器。对专业服务的了解有限，关于选择退出途径的困惑，与女性沟通和互动的各种技能，对影响女性决策的能力信心不足，有限的预约时间，相互竞争的优先事项被确定为障碍。
助产士认识到他们在提供戒烟建议和转诊专科服务方面的重要作用。虽然持续的时间压力和助产士竞争的优先事项，增强协作中的技能和信心，增强解决吸烟问题的方法将进一步支持优化产妇戒烟支持的吸收。这也可以加强关于饮食等其他公共卫生问题的对话，身体活动,酒精的使用。
