Petersen, A., Meyer, B. Sachs, B., Hart, D., Nyirady, L., Sandy, H. Neish, C., Preparing nurses to intervene in the tobacco epidemic: Developing a model for leaderhsip and curriuculum redesign, SRNT, Ontario Canada ( 2/2011 )
A 2001 National survey of U.S. baccalaureate and graduate nursing programs revealed an absence of curricular content in tobacco-dependence treatment and prevention. Nurse educators’ knowledge, beliefs, practices and perceptions about teaching tobacco-dependence content and clinical skills are still unclear. Methods: In 2007, the Loma Linda University School of Nursing participated in a University-wide initiative to enhance tobacco-dependence curricula. Concurrently, the faculty formed a task force to address student and community needs related to tobacco dependence. A 16 item survey revealed faculty (n=39) practices and perceptions about teaching tobacco-dependence curricula. Results: With a 95% response rate, a majority (82%) indicated a need for faculty development in tobacco education. Findings provided data on the current curriculum, faculty practices, and gave direction for the task force to address faculty and curriculum development. The task force proceeded to: 1) Collaborate with other schools on campus, 2) Attend national tobacco-related meetings (SRNT), 3) Coordinate three tobacco-related workshops & one motivational interviewing seminar, 4) Share tobacco-related resources, 5) Meet with individual course coordinators, and 6) Provide frequent feedback to the faculty. The following curricular changes ensued (2008-2010): 1) New tobacco competencies and educational goals for the undergraduate program, 2) Recommendation for progression of tobacco-related content, 3) Curriculum review to identify gaps in tobacco-related content, 4) Increased didactic hours dedicated to tobacco (undergraduate=1 to 3) and (graduate=0 to 4), 5) Integration of tobacco-related content into specialty courses, and 6) Increased clinical skills training from 0 to 4 hours for undergraduate and nurse practitioner programs. Conclusions: Successful implementation of evidence-based guidelines into nursing curricula requires empowerment of key faculty members. A model of system redesign principles to prepare nurses to be effective counselors for tobacco-users emerged. We shall re-administer the survey in 2011 to measure faculty practice and perception changes.