Nurses making a difference in tobacco dependence treatment in Portugal Esmeralda Barreira Coordinator ZeroTabaco Project, Portuguese Association Oncology Nurse (AEOP) Portuguese Institut Oncology Porto, Lung Cancer Unit Fernando Pessoa University

Prevalence of tobacco in Portugal 1.78 million people currently smoke cigarettes 20.0% of the population over 15 years 23.5% men 10.9% women 25.9% young people aged 25-34 years smoke 34.0% boys 18.0% girls Fontes: INE/INSA, Inquérito Nacional de Saúde 2014

Why should nurses address smoking? 4/17/2019 Why should nurses address smoking? 60 000 nurses in Portugal If each nurse helps one smoker to quit many more patients would quit smoking We can make a big difference in your patients’ lives! Nurses are the largest group of healthcare professionals and essential for the implementation of Article 14 of the WHO Framework Convention on Tobacco Control 3

Role of Health care Professionals Recommendations from the International Society of Nurses in Cancer Care (ISNCC) for Engaging Nurses in Tobacco Control Role of Health care Professionals Social intervention role Education Therapeutic smoke-free role models

Nurses Helping Smokers Quit Tobacco Information abounds Tobacco associated health risks are well know since mid 20th century Effective ways to help patients quit smoking are known Health care systems should provide cessation resources and services Consensus achieved e-cig should be equally addressed In general Nurses are ill-prepared to help address this chronic illness. Lack of knowledge and skills Not prioritized in nursing education Nurses should receive education about tobacco control in school In practice settings

Building capacity among nurses International Society of Nurses in Cancer Care the mission to enhance access to cancer prevention and care through nursing best practices. Project: Building Capacity of Portuguese Nurses to be Tobacco Control Champions Workshop program To support 50-100 nurses who attend a Training-of-trainers on tobacco dependence treatment in implementing additional trainings at their home institution online educational program To recruit 150 nurses to participate in including an online baseline survey and an online 3-months survey post implementation of the program

www.zerotabaco.pt

Training-of-Trainer: 1 day workshop Recruiting participants (goal 25 nurses per workshop) Topics: Epidemiology of tobacco dependence E-cigarettes Smoking and oncology Tobacco dependence in selected groups (pregnant, adolescents, multiple dependencies, mentally ill) Treatment of tobacco dependence Implementing the training at your hospital

e-learning program 20-minute e-learning courses offered via webcast Will be on the role of nurses in smoking cessation interventions Will be on smoking cessation in oncology settings Online informed consent and short pre-test of knowledge, skills and attitudes related to tobacco control and smoking cessation interventions will be completed immediately before access to the e-learning courses Online 3-month post-test, to the e-learning program

Sample characteristics Gender n % Male 4 9,5% Female 38 90,5% Total 42 100%

Results (I)

Results (II)

Results (III)

Results (IV)

Program: Building Capacity of Portuguese Nurses Completed Workshops 28/4/2018 – Lisboa 24 /4/2018- Porto 18 /11/2017- Setúbal 28 /10/2017- Coimbra 21 /10/2017- Porto

CONCLUSION Program will be continued since: It showed efficacy with current participants It showed that Nurses need more information about smoking cessation  

Partners: Funding by: Global Bridges Pfizer Independent Grants for Learning & Change

  THANKS