Patient receipt of smoking cessation care in four Australian acute psychiatric facilities.
Alexandra P Metse, John Wiggers, Paula Wye and 1 others
PMID 29573164WHAT IT FOUND
78% of psychiatric inpatients who smoked were offered and used nicotine replacement, but only 16% received quit advice, and 60% smoked during admission.
Offers were less likely for psychotic disorders and more likely for patients not yet contemplating quitting.
Key findings
0178% of participants were offered NRT and 78% used NRT, but only 16% received information or advice to quit and 60% reported smoking while admitted.
0266% of participants who used NRT said the amount provided was sufficient to reduce cravings.
03Patients with a psychotic disorder were approximately half as likely to be offered NRT than those with a non-psychotic disorder, while patients not contemplating quitting were two times more likely to be offered NRT than those in a more progressed stage.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was descriptive and examined associations, so it cannot show whether providing more smoking care would change patients' smoking behaviour. Only 236 patients completed both surveys, and some recruited patients did not complete the post-discharge survey because of refusal, inability to establish contact, or timing. The study used only the control group of a larger trial, so the patients may not represent all acute psychiatric inpatients. Patient reports of care receipt were collected while clinical staff knew the survey addressed smoking care, and the effect of that awareness was not measured. The findings come from six units in four New South Wales facilities, so they may not apply to other settings or times.
The easy way to misread this
Do not conclude that this study proves nicotine replacement or quit advice causes patients to stop smoking. It describes what patients said they received and who received it, not the effect of a smoking care intervention.