While smoking is declining globally, it is not declining in China and, in the words of these authors 'China is the epicentre of the tobacco epidemic'. The aim of this study from China by Sarna et al. (2105b) titled 'Helping smokers quit: behaviours and attitudes of Chinese Registered Nurses' and published in JAN was to use the 5 As (i.e. Ask, Advise, Assess, Assist, Arrange) framework to assess Chinese nurses' involvement in smoking cessation. The 5 As framework was also evaluated by Sarna et al. (2015a)
A large sample of nurses (N=2240) participated from two major cities in China. The authors found that 'the majority of nurses asked about smoking status, but few assisted patients with quitting. Further efforts are needed to help nurses actively promote smoking cessation interventions.' Nurses did think that they should be non-smoking role models.
The authors conclude: 'Given the enormous proportion of the health threat of tobacco use in China, nursing involvement in tobacco control is essential, especially in supporting quit efforts of patients.' and 'This survey provides important information about frequencies of intervention prior to the launch of an educational intervention, especially the need to support follow-up after hospitalization to
prevent relapse after quitting.'
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Sarna L, Bialous SA, Zou XN, Wang W, Hong J, Wells M, Brook J (2015a) Evaluation of a web-based educational programme on changes in frequency of nurses’ interventions to help smokers quit and reduce second-hand smoke exposure in China Journal of Advanced Nursing doi: 10.1111/jan.12816
Sarna L, Bialous SA, Zou XN, Wang W, Hong J, Chan S, Wells MJ, Brook J (2015b) Helping smokers quit: behaviours and attitudes of Chinese Registered Nurses Journal of Advanced Nursing doi: 10.1111/jan.12811