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dc.contributor.authorNichter, Mimi
dc.contributor.authorÇarkoğlu, Aslı
dc.contributor.authorNichter, Mark
dc.contributor.authorOzcan, Seyda
dc.contributor.authorUysal, Mehmet Atilla
dc.date.accessioned2019-06-27T08:06:51Z
dc.date.available2019-06-27T08:06:51Z
dc.date.issued2018
dc.identifier.issn0168-8510
dc.identifier.issn1872-6054
dc.identifier.urihttps://hdl.handle.net/20.500.12469/1236
dc.identifier.urihttps://doi.org/10.1016/j.healthpol.2017.12.007
dc.description.abstractThis paper discusses the training of nurses in smoking cessation as part of routine patient care in Turkey. Formative research was carried out prior to training to identify challenges faced by smokers when trying to quit. Site visits to government hospitals and cessation clinics were conducted to observe health care provider-patient interactions involving behavior change. Four culturally sensitive cessation training workshops for nurses (n=54) were conducted in Istanbul. Following training nurses were debriefed on their experiences delivering cessation advice. Challenges to cessation counseling included lack of time and incentives for nurse involvement, lack of skills to deliver information about the harm of smoking and benefits of quitting, the medicalization of cessation through the use of pharmaceuticals, and hospital policy which devalues time spent on cessation activities. The pay-for-performance model currently adopted in hospitals has de-incentivized doctor participation in cessation clinics. Nurses play an important role in smoking cessation in many countries. In Turkey hospital policy will require change so that cessation counseling can become a routine part of nursing practice incentives for providing cessation are put in place and task sharing between nurses and doctors is clarified. Nurses and doctors need to receive training in both the systemic harms of smoking and cessation counseling skills. Opportunities challenges and lessons learned are highlighted. (C) 2017 Elsevier B.V. All rights reserved.
dc.language.isoEnglish
dc.publisherElsevier Ireland Ltd.
dc.subjectSmoking cessation
dc.subjectSmoking cessation policy
dc.subjectCessation implementation
dc.subjectNurses
dc.subjectTurkey
dc.titleEngaging nurses in smoking cessation: Challenges and opportunities in Turkey
dc.typeArticle
dc.identifier.startpage192
dc.identifier.endpage197
dc.relation.journalHealth Policy
dc.identifier.issue2
dc.identifier.volume122
dc.identifier.wosWOS:000425080300017
dc.identifier.doi10.1016/j.healthpol.2017.12.007
dc.contributor.khasauthorÇarkoğlu, Aslı


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