Good practice regarding smoking cessation management in Spain: Challenges and opportunities for primary care physicians and nurses

Martin-Cantera, Carlos ; Iglesias Sanmartín, Jose M. ; Furió Martínez, Ana ; Minué Lorenzo, Cesar ; Barchilón Cohen, Vidal ; Clemente Jiménez, Maria L. (Universidad de Zaragoza) ; Cascón Pérez-Teijón, Sara ; Ribera i Osca, Joan A. ; Córdoba García, Rodrigo (Universidad de Zaragoza) ; Lozano Fernández, Joan ; Gallardo Domenech, Miguel A. ; Mendiguren Navascues, Maria A. ; Salguero Chaves, Emilio ; Rodríguez Ibañez, María L. ; Gueto Rubio, Victoria ; Morena Rayo, Susana ; Marioni Otero, Bruno ; Gorreto Lopez, Lucia ; Camarelles Guillem, Francisco ; Martín Fuente, Fernando ; Beni Ruiz, Diego ; Hernández Rodríguez, Alicia I. ; González Caballero, Juan De Dios ; Bartolomé Moreno, Cruz (Universidad de Zaragoza) ; Pau Pubil, Mercé ; Lopez Grau, Merce

Resumen: INTRODUCTION: We analyze the activities carried out by primary care (PC) physicians and nurses with respect to smoking cessation and evaluate their self-reported training, knowledge, and behavior.
METHODS: A cross-sectional study was conducted including 1514 PC physicians and nurses from June 2016 to March 2017, in Spain. The main variable was Good Practice (GP) in attention to smokers. To identify associated factors, a multilevel logistic regression model was used adjusted for sex, age, type of center, contract, years of employment, tobacco consumption, and self-reported training/knowledge.
RESULTS: Of the 792 physicians and 722 nurses, 48.6% referred to GP in smoking cessation management. The finding related to: being a non-smoker (OR=1.8; 95% CI: 1.2-2.5) or ex-smoker (OR= 1.4; 95% CI: 1.02-2.1), having a good level of knowledge (OR=1.8; 95% CI: 1.3-2.4) and training (OR=2.4; 95% CI: 1.8-3.2), and, to a lesser extent, being female (OR=1.3; 95% CI: 1.03-1.7), and work experience >10 years (OR=1.4; 95% CI: 1.03-1.9). The main GP barriers were: lack of time (45.5%), organizational problems (48.4%), and 35.4% lack of training.
CONCLUSIONS: The GP of PC physicians and nurses regarding smoking cessation management is related to being non-smokers or ex-smokers, and having sufficient training and knowledge. Lack of time and organizational problems were considered to be the main barriers. The promotion of training activities in the Spanish National Health Service with the support of scientific societies is required.

Idioma: Inglés

DOI: 10.18332/tpc/126630

Año: 2020

Publicado en: Tobacco prevention and cessation 6, 55 (2020), [9 pp]
ISSN: 2459-3087

Tipo y forma: Artículo (Versión definitiva)

Área (Departamento): Area Medicina (Dpto. Medicina, Psiqu. y Derm.)