1995 OPEN FORUM Abstracts
KNOWLEDGE LEVELS OF RESPIRATORY CARE PRACTITIONERS REGARDING NICOTINE INTERVENTION IN THE HOSPITAL SETTING.
Dunlevy CL, EdD, RRT, Capots MD, Hensley KA. The Ohio State University, Columbus, Ohio.
Introduction: Nicotine intervention in the hospital setting is often performed by nursing staff. In light of the changing environment in health care, and because they work closely with patients who have smoking related diseases/disorders, nicotine intervention is a task that could be performed by the respiratory care practitioner (RCP). The purpose of this study was to determine whether RCPs are knowledgeable enough to undertake this responsibility without retraining.
Methods: A 25-item test was developed by the investigators, designed to determine subjects' knowledge of nicotine intervention as it relates to the hospitalized patient (signs & symptoms of nicotine withdrawal, determining level of addiction, readiness to quit, effect of a non-smoking environment, etc.). 8 experts gave feedback to ensure content validity. Cronbach's alpha was performed for reliability (0.76), using pilot tests from 30 subjects. 6 demographic questions were also included. As a result of a power analysis (0.80), 350 subjects were randomly selected from a list of 5280 licensed RCPs in the state of Ohio. Subjects were instructed no to consult outside resources when completing the test. Means & standard deviations were calculated for test scores; one-way ANOVA was performed to compare test scores for each demographic variable.
Results: 191 tests were returned (55% response). 81% of respondents received a failing score. One-way ANOVA revealed that no single demographic variable accounted for a statistically significantly higher score (p value ranging from 0.067 to 0.835). Discussion: The results indicate that RCPs are not currently ready to take on the responsibility for nicotine intervention of the hospitalized patient without some form of further training or retraining.