TY - JOUR
T1 - Caught in the middle
T2 - experiences of tobacco-dependent nurse practitioners.
AU - Heath, Janie
AU - Andrews, Jeannette
AU - Kelley, Frances J.
AU - Sorrell, Jeanne
PY - 2004
Y1 - 2004
N2 - PURPOSE: To explore how tobacco-dependent nurse practitioners (NPs) describe their experiences with health promotion and disease prevention practices with patients who smoke. DATA SOURCES: Twelve NPs who completed a graduate level NP program of study participated in face-to-face interviews and/or online chat room interviews. CONCLUSIONS: Participants' responses revealed three themes relevant to their experience as tobacco-dependent clinicians with health promotion responsibilities. These themes centered around (a) living as an insider in the world of tobacco addiction, (b) having the outside-in view of living with a tobacco addiction, and (c) being caught in the middle of a tobacco addiction. IMPLICATIONS FOR PRACTICE: All of the tobacco-dependent participants described limited smoking-cessation interventions with their patients. A barrier to implementation of more aggressive interventions, perhaps, is the provider's own tobacco addiction. With increasing evidence that tobacco-dependent health care professionals are not adequately intervening with tobacco-dependent patients, effective strategies are needed to assist and/or support not only tobacco-dependent patients but providers as well.
AB - PURPOSE: To explore how tobacco-dependent nurse practitioners (NPs) describe their experiences with health promotion and disease prevention practices with patients who smoke. DATA SOURCES: Twelve NPs who completed a graduate level NP program of study participated in face-to-face interviews and/or online chat room interviews. CONCLUSIONS: Participants' responses revealed three themes relevant to their experience as tobacco-dependent clinicians with health promotion responsibilities. These themes centered around (a) living as an insider in the world of tobacco addiction, (b) having the outside-in view of living with a tobacco addiction, and (c) being caught in the middle of a tobacco addiction. IMPLICATIONS FOR PRACTICE: All of the tobacco-dependent participants described limited smoking-cessation interventions with their patients. A barrier to implementation of more aggressive interventions, perhaps, is the provider's own tobacco addiction. With increasing evidence that tobacco-dependent health care professionals are not adequately intervening with tobacco-dependent patients, effective strategies are needed to assist and/or support not only tobacco-dependent patients but providers as well.
UR - http://www.scopus.com/inward/record.url?scp=7944232359&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=7944232359&partnerID=8YFLogxK
U2 - 10.1111/j.1745-7599.2004.tb00389.x
DO - 10.1111/j.1745-7599.2004.tb00389.x
M3 - Article
C2 - 15495693
AN - SCOPUS:7944232359
SN - 1041-2972
VL - 16
SP - 396
EP - 401
JO - Journal of the American Academy of Nurse Practitioners
JF - Journal of the American Academy of Nurse Practitioners
IS - 9
ER -