Browsing by Author "Nichter, Mark"
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Article Citation Count: 6Engaging nurses in smoking cessation: Challenges and opportunities in Turkey(Elsevier Ireland Ltd., 2018) Çarkoğlu, Aslı; Çarkoğlu, Aslı; Nichter, Mark; Ozcan, Seyda; Uysal, Mehmet AtillaThis 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.Article Citation Count: 0The Vital Role of Diabetes Nurse Educators in Smoking Cessation: A Case Study from Turkiye(Turkish Green Crescent Soc, 2023) Çarkoğlu, Aslı; Carkoglu, Asli; Nichter, Mimi; Nichter, Mark; Aydin, NuranThis paper discusses the development and implementation of a smoking cessation training program for diabetes nurse educators. People with diabetes who smoke have a significantly higher risk of morbidity and mortality. Smoking greatly increases diabetes complications. Surveys were conducted to ascertain how frequently nurses counseled patients to quit and their interest in cessation training. Observations of nurse-patient interactions and interviews with diabetes nurses facilitated the development of a culturally sensitive cessation training program. Survey results revealed that diabetes nurse educators recognized the need for training in smoking cessation, as many patients with diabetes do not consider smoking to be harmful for their health. A two-day workshop was developed for nurses on the specific harms of smoking for diabetes patients, including hands-on training in cessation counseling and motivational interviewing. Two months after training, nurses reported that the skills they acquired gave them confidence to counsel patients but identified four challenges to conducting cessation in their clinical settings. Diabetes nurse educators can play a pivotal role in delivering cessation. Training and overcoming challenges to implementation are urgently needed in the time of coronavirus disease 2019 given the dual risks of diabetes and smoking for severe complications.