Abstract
ABSTRACT Child health care has an important role to help parents minimize children’s exposure to tobacco smoke. An instrument has together with other supporting routines for staff, been implemented in different ways. The aim was to compare the effectiveness of two implementation strategies, to analyze passive spreading to colleagues and the sustainability to the methods. All CHC nurses in two counties in South East of Sweden were sent a questionnaire about their tobacco preventive work among parents. Three groups of nurses were compared. One group had taken part in a pilot study comprising extensive support and lectures, one group got a lecture at one occasion and further support via mail, and one group got no support or lecture but heard about the project from colleagues. Included in the study was 63%. Nurses in the pilot study still used most of the strategies included. Few nurses who had participated in the less extensive implementation knew about or used the instrument. More nurses who had heard about the project from colleagues knew about and used the strategies. The results indicate that according to the implementation of new routines in health care, more comprehensive methods are needed to change working routines and get sustainable effect.
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