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Nurses’ smoking habits and their professional smoking cessation practices. A systematic review and meta-analysis

Research output: Contribution to journalArticlepeer-review

Original languageEnglish
Pages (from-to)3-11
Number of pages9
JournalInternational Journal of Nursing Studies
Early online date2 Nov 2016
Accepted/In press26 Oct 2016
E-pub ahead of print2 Nov 2016
Published1 Feb 2017


King's Authors


Background A better understanding of whether nurses’ own smoking behaviours influence their engagement with smoking cessation interventions is needed. Aim To establish whether the smoking status of nurses is associated with their professional smoking cessation practices. Methods Twelve electronic databases covering English and Spanish language publications from 01 Jan, 1996 to 25 Mar, 2015 were systematically searched. Studies were included if they reported nurses’ smoking cessation practices in relation to their personal smoking habits. Proportions of nurses' smoking status and smoking cessation practices were pooled across studies using random effects meta-analysis. Results Fifteen studies were included in this systematic review. Levels of reportedsmoking cessation interventions were generally low across the studies. The meta-analyses suggested that nurses’ personal smoking status was not associated significantly with nurses always asking patients about their smoking, but nurses who smoked were 13% less likely to advise their patients to quit and 25% less likely to arrange smoking cessation follow-up. More intense interventions (assessing motivation and assisting) were not significantly associated with the smoking status of the nurse. Conclusions The smoking status of nurses appears to have a negative impact in the delivery of smoking cessation practices. The overall level of nurses’ engagement with the delivery of smoking cessation interventions requires attention if nurses are to be effective agents of smoking cessation.

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