ArticleTobacco control curricula content in baccalaureate nursing programs in four Asian nations
Section snippets
Tobacco Control Content in Nursing Education
Nurses can contribute to the education of the public about the harm of tobacco use and help to ensure that tobacco dependence is “recognized and treated as a chronic illness.”8 A growing number of studies support the efficacy of nurses in tobacco intervention,15 and in helping to reduce exposure to second-hand smoke.16, 17 Additionally, nurses world-wide, because of their large numbers (almost 3 million in the US alone)18 and the variety of practice settings (where many smokers receive care),
Purpose
The purpose of this article is to describe and compare tobacco control content in baccalaureate schools of nursing in China (Mainland and Hong Kong, SAR), Korea, Japan, and the Philippines. Each country has similarities and differences in nursing education.34 This study focused on baccalaureate education because such preparation includes a focus on health promotion activities. Additionally, this allowed us to compare our findings to a survey of baccalaureate nursing programs in the US.24 Before
Methods
A cross-sectional survey design was used to obtain information about the extent of tobacco control content in baccalaureate nursing curricula in schools of nursing in 4 countries in Asia. This project involved investigators from the US, Hong Kong, SAR, Japan, Korea, and the Philippines. Communication strategies involved the use of frequent email, mailed documents, fax, occasional telephone calls, and one face-to-face meeting with all of the investigators to discuss the project results. All
Tobacco Content
As shown in Table 2, the majority of the topics related to the health impact of tobacco were covered in the undergraduate curricula as part of required courses. Content for the schools in Hong Kong, SAR and Mainland China are listed separately and as an aggregate. In all programs surveyed, greater coverage was given to health risks and effects of smoking and less to content on cessation interventions (5 As), symptoms of withdrawal, and pharmacologic treatment. Less than half of all participants
Discussion
If the millions of tobacco users in Asia do not quit, if youth continue to take up tobacco use, and if exposure to second-hand smoke continues unabated, the anticipated tragic projections of wide-scale tobacco-related death and disability will become a reality. Although nurses can be effective in delivering tobacco cessation interventions,15 this survey of baccalaureate nursing education reveals that the next generation of nurses in these Asian countries may not be adequately prepared to help
Linda Sarna is a Professor at the School of Nursing, University of California, Los Angeles.
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2017, Nurse Education in PracticeCitation Excerpt :However, numerous studies conducted across a wide range of settings, including Australia, Canada, China, Greece, Ireland, Japan, Lebanon, Morocco, Serbia and the United States, have explored both practicing nurses' and nursing students' knowledge, attitudes and practices related to tobacco control and consistently recommended that more education is needed to ensure that nurses have the knowledge, skills, and confidence needed to provide evidence-based smoking cessation interventions (Chalmers et al., 2002; Chan et al., 2007; Chandrakumar and Adams, 2015; Gorin, 2001; Jenkins and Ahijevych, 2003; Johnston et al., 2005; Merrill et al., 2010; Moxham et al., 2013; O'Donovan, 2009; Obtel et al., 2014; Patelarou et al., 2011; Saade et al., 2009; Sarna and Bialous, 2005; Sekijima et al., 2005; Wetta-Hall et al., 2005). One of the main reasons cited for this lack of preparation is a paucity of tobacco control content in nursing curricula (Sarna and Bialous, 2005; Sarna et al., 2006, 2009). In 2001, a survey of baccalaureate and graduate nursing education in the U.S. demonstrated that nursing programs' curricula did not have sufficient content in tobacco dependence treatment, most specifically in the area of clinical tobacco cessation techniques (Wewers et al., 2004).
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2013, Nurse Education in PracticeCitation Excerpt :Thus there seems to be a deficit in adequate smoking cessation educational programs. Curricula lack information on effective quit programs, on practicing intervention skills individually (Sarna et al., 2006; Taniguchi et al., 2011) and on knowledge about harmful effects of smoking. This leads to blurry attitudes especially among nurse students (Secher-Sejr and Osler, 2002; Steffenino et al., 2005; Xue et al., 2011).
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2013, Archives of Psychiatric NursingCitation Excerpt :International studies reveal the global dimension of this problem. A survey of baccalaureate programs in four Asian countries (N = 282) revealed that nearly half of the programs reviewed did not include tobacco related instruction, and of those that did, 94% did so only sparingly (Sarna et al., 2006). Similar findings were reported in a cross-sectional national survey among nursing students in Greece.
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2012, Nurse Education TodayCitation Excerpt :Students indicated that they had been taught about the harmful effects of smoking at nursing school, but their education mostly did not include the health dangers of second-hand smoke, nicotine withdrawal and actual skills to help smokers to quit. This lack of knowledge and inexperience echoes the study of Sarna et al. (2006). They surveyed deans or chairs of 44 Korean nursing schools and found that < 5% of the Korean schools provided in-depth information concerning smoking cessation intervention.
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Linda Sarna is a Professor at the School of Nursing, University of California, Los Angeles.
Leda Layo Danao is a Senior Research Scientist at Jonsson Comprehensive Cancer Center, University of California, Los Angeles.
Sophia Siu Chee Chan is the Head at the Department of Nursing Studies at the Department of Nursing Studies, University of Hong Kong SAR, China.
Sung Rae Shin is a Professor at the Department of Nursing, Sahmyook University, Korea.
Lily Ann Baldago is a Regional Director at the Professional Regulations Commission VI, Philippines.
Emiko Endo is a Professor at Miyazaki Prefectural Nursing University, Japan.
Hideko Minegishi is an Associate Professor at Kitasato University, School of Nursing, Japan.
Mary Ellen Wewers is a Professor at School of Public Health, The Ohio State University.