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Nurses’ and patients’ communication in smoking cessation at nurse-led COPD clinics in primary health care
Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
Dalarna University, School of Health and Social Studies, Caring Science/Nursing.ORCID iD: 0000-0002-3964-196X
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2011 (English)In: International Primary Care respiratory Group (IPCRG), Amsterdam, 2011Conference paper, Published paper (Refereed) Published
Abstract [en]

Aim: To examine smoking cessation communication between patients and registered nurses, with a few days of Motivational Interviewing (MI) based education, in consultations over time at nurse-led Chronic Obstructive Pulmonary Disease (COPD) clinics in primary health care (PHC). Method: The first and third of three consultations were videotaped, involving 13 smokers and six nurses. In these consultations smoking cessation communication was analyzed using the Motivational Interviewing Treatment Integrity (MITI) Scale and Client Language Assessment in Motivational Interviewing (CLAMI). Results: The nurses did, but only to a small extent, evoke patients’ reasons forchange, foster collaboration and support patients’ autonomy. In the registration of specific utterances; they provided a lot of information (42%), asked closed (21%) rather than open questions (3%) and made more simple (14%) than complex (2%) reflections. Most of the registration of the patients’ utterances in the communication were either toward or away from smoking cessation coded in the category Follow/Neutral (59%), followed by utterances in the categories of Reason for change 40%, Taking steps 1% and Commitment 0%. No significant differences could be observed in the results of MITI and CLAMI between the first and third consultations. Conclusion: Smoking cessation communication at nurse-led COPD clinics neither focused on the patients’ reasons for or against smoking nor motivated patients to express commitment to, or take steps towards, smoking cessation

Place, publisher, year, edition, pages
Amsterdam, 2011.
Identifiers
URN: urn:nbn:se:du-5752OAI: oai:dalea.du.se:5752DiVA: diva2:522341
Conference
International Primary Care respiratory Group (IPCRG) , Amsterdam, 26-27 maj, 2011
Available from: 2011-08-31 Created: 2011-08-31 Last updated: 2015-02-05Bibliographically approved

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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • chicago-author-date
  • chicago-note-bibliography
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf