Thursday, 6 September 2007 - 3:10 PM
252

*Facilitating Compliance with a Clinical Practice Guideline for Managing Inpatients Who Smoke

Jenny Knight, MMedSci(HP)1, Rebecca Wyse, BA/BComm(Psych)1, Carolyn Slattery, BA(SocSci)1, Inga Kasch, BNurs2, Lorraine Paras, BA, GdDpHProm3, and Megan Freund4. (1) Population Health, Hunter New England Area Health Service, Locked Bag 10, Wallsend, 2287, Australia, (2) Nursing, Manning Rural Referral Hospital, 26 York St, Taree, 2430, Australia, (3) Centre for Health Research & Psycho-oncology, The Cancer Council NSW, University of Newcastle & Hunter Medical Research Institute, Locked mail bag 10, Wallsend, 2287, Australia, (4) School of Medicine and Public Health, University of Newcastle, Longworth Avenue, Newcastle, Australia

Background: In October 2006, Hunter New England Health (HNEH) progressed to Phase 4 of NSW Health's Smoke Free Workplace Policy (smoke free sites). To ensure inpatient smoking cessation care was provided and documented, Clinical Practice Guidelines (CPG) and Recording Requirements were developed and disseminated. This presentation describes the efficacy of support and monitoring measures implemented to facilitate Guideline compliance.

Method: A Computerised Assisted Telephone Interviewing (CATI) system was used to provide support to nursing managers. Three interview rounds were scheduled (November 2006, February, June 2007).

Staff of inpatient wards conducted a bedside audit during the week commencing 15th January, 2007. Auditors asked all patients a series of questions and reviewed their medical records. A further audit is scheduled for August 2007.

Both measures collected data regarding CPG compliance. Results were fed back to nursing managers.

Results: CATI data will be presented from 108 nursing managers (RR 100%) detailing the application of smoking care practices throughout inpatients' admission.

Audit data will be also presented regarding adoption of smoking care practices from 93 inpatient wards/facilities (RR 96%), representing 1,235 inpatients.

Conclusions: Baseline measures indicated good compliance with recording the smoking status of patients and informing them of the smoke-free policy. Documenting the care provided to smokers and monitoring withdrawal symptoms had lower compliance rates. It is expected that provision of support and monitoring would result in improved compliance in the follow up audit and CATI.

Implications: Telephone support and audit monitoring, if successful, may provide a feasible and effective way for facilitating CPG compliance.


See more of Smokefree Hospitals and Patient Care
See more of The 2007 Oceania Tobacco Control Conference (4-7 September)