Examine whether on online smoking cessation training course significantly increases quit planning among nurses.
While smoking rates for many health professions have dropped significantly over the past few years, the smoking rate for licensed practical nurses (LPNs) has not declined, averaging at around 25%, considerably higher than the general population smoking rate of about 16%. The estimated excess annual costs to a private employer for an employee who smokes compared to an employee who does not smoke is $5,816. The excess costs comprise healthcare costs, absenteeism, presenteeism, smoking breaks, and pension benefits . Smoking is the top risk factor for morbidity and mortality, and smokers have a significantly greater risk for chronic diseases such as lung cancer, chronic obstructive pulmonary disease, and cardiovascular disease . Furthermore, smoking among health professionals serves as a barrier to tobacco interventions with patients, decreasing the likelihood of patient smoking cessation interventions and sending mixed signals to patients regarding the value of quitting smoking . We will examine the impact of a 15-minute online smoking cessation course focused on training the learner to create a quit plan.
The study will be a randomized trial with individual assignment to no-intervention control, receiving information about the state quitline, or the Relias Learning Smoking Cessation online training (online training includes reference to quitline and follow-up knowledge retention questions). The dependent outcomes will be readiness to quit (based on Stages of Change model), quit plan steps taken (based on Smoking Cessation online training learning objectives), and smoking quit status. Data will be collected at baseline, 1-week post-intervention, and 3 months post-intervention. We will address the questions of this study using logistic regression and analysis of variance procedures.