Occupational health nurses’ self-efficacy in implementing smoking cessation interventions for workers: a manufacturing company quality improvement project

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dc.contributor.advisorSefcik, Elizabeth
dc.contributor.authorThornberry, Amy Janell
dc.contributor.authorThornberry, Amy Janell
dc.contributor.committeeMemberPeck, Jessica
dc.contributor.committeeMemberGarcia, Theresa J.
dc.contributor.committeeMemberPeck, Jessica
dc.contributor.committeeMemberGarcia, Theresa
dc.contributor.committeeMemberGarcia, Theresa
dc.date.accessioned2019-02-13T16:13:45Z
dc.date.accessioned2019-02-13T16:13:45Z
dc.date.available2019-02-13T16:13:45Z
dc.date.available2019-02-13T16:13:45Z
dc.date.issued2018-08
dc.date.issued2018-082018-08
dc.description.abstractThe purpose of this study was to improve the delivery and quality of care to smokers at work who are poorly motivated to quit and to explore the concepts of self-efficacy for enhancing this care process within a manufacturing company. This quality improvement (QI) project aimed to educate occupational health nurses (OHN’s) by providing them with theory-based training and incentives to recruit poorly motivated smokers. Nurses practiced their skills in worker health promotion recruitment and motivational interviewing (MI) with smokers who had previously declined smoking cessation counseling. As the project evolved, theory-based applications brought OHN’s and smokers together in a new paradigm resulting in positive changes for both the OHN’s self-efficacy and smokers’ stages of change toward quitting. Paired t-tests detected statistically significant difference in OHN’s pre-and post-intervention self-efficacy scores (t(4) = -4.46, p < .001); d = 2.92) and smokers’ pre-and post-intervention stage of change toward quitting scores (t(10) = -9.07, p < .001); d = 2.09) suggesting the education intervention and motivational interviewing intervention were extremely effective in increasing OHN self-efficacy and smokers’ stage of motivation to change. Results from this pilot project indicate smokers who are poorly motivated toward quitting can be successfully recruited and counseled using motivational interviewing techniques, while simultaneously improving OHN self-efficacy toward helping these patients. Secondary findings revealed success in an innovative recruitment method of flipping the nurse-patient relationship from nurses helping patients to patients helping nurses.en_US
dc.description.collegeCollege of Nursing and Health Sciencesen_US
dc.description.departmentNursing and Health Sciencesen_US
dc.format.extent49 pagesen_US
dc.identifier.urihttps://hdl.handle.net/1969.6/87113
dc.identifier.urihttps://hdl.handle.net/1969.6/87113https://hdl.handle.net/1969.6/87113
dc.language.isoen_USen_US
dc.rightsThis material is made available for use in research, teaching, and private study, pursuant to U.S. Copyright law. The user assumes full responsibility for any use of the materials, including but not limited to, infringement of copyright and publication rights of reproduced materials. Any materials used should be fully credited with its source. All rights are reserved and retained regardless of current or future development or laws that may apply to fair use standards. Permission for publication of this material, in part or in full, must be secured with the author and/or publisher.en_US
dc.subjectflipping nurse-patient relationshipen_US
dc.subjectmotivational interviewingen_US
dc.subjectOccupational Health Nurseen_US
dc.subjectquality improvementen_US
dc.subjectself-efficacyen_US
dc.subjectsmoking cessationen_US
dc.titleOccupational health nurses’ self-efficacy in implementing smoking cessation interventions for workers: a manufacturing company quality improvement projecten_US
dc.typeTexten_US
dc.type.genreDissertationen_US
dcterms.typeText
dcterms.typeText
thesis.degree.disciplineNursing Practice DNPen_US
thesis.degree.grantorTexas A & M University--Corpus Christien_US
thesis.degree.levelDoctoralen_US
thesis.degree.nameDoctor of Nursing Practiceen_US

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