1. 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

2. 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 years smoke
34.0% boys
18.0% girls
Fontes: INE/INSA, Inquérito Nacional de Saúde 2014

3. Why should nurses address smoking?
4/17/2019
Why should nurses
address smoking?
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

4. 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

5. 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

6. 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 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

8. 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

9. 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

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

11. Results (I)

12. Results (II)

13. Results (III)

14. Results (IV)

15. 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

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

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

18. THANKS