Abstract
BackgroundChild health care is an important arena for tobacco prevention in Sweden. The aim of this study was to describe parents’ experiences from participating in a nursebased tobacco prevention intervention.MethodsEleven parents were interviewed using semi-structured interviews. The material was analysed in a qualitative content analysis process.ResultsThe analysis emerged four categories; Receiving support, Respectful treatment, Influence on smoking habits and Receiving information. The parents described how the CHC nurses treated them with support and respect. They described the importance of being treated with respect for their autonomy in their decisions about smoking. They also claimed that they had received little or no information about health consequences for children exposed to environmental tobacco smoke (ETS). The findings also indicate that both the questionnaire used and the urine-cotinine test had influenced parents’ smoking.ConclusionThe clinical implication is that CHC is an important arena for preventive work aiming to minimize children’s tobacco smoke exposure. CHC nurses can play an important role in tobacco prevention but should be more explicit in their communication with parents about tobacco issues. The SiCET was referred to as an eye-opener and can be useful in the MI dialogues nurses perform in order to support parents in their efforts to protect their children from ETS.
Highlights
Child health care is an important arena for tobacco prevention in Sweden
The findings indicate that the parents were satisfied with the meetings, including dialogues about smoking, with the Child Health Care (CHC) nurses as they treated them with support and respect
The parents in our study reported a high level of respect and empathy from the CHC nurse, and nurses might have been afraid of damaging their relationship with the parents, as described by Baxter et al [22]
Summary
Child health care is an important arena for tobacco prevention in Sweden. The aim of this study was to describe parents’ experiences from participating in a nursebased tobacco prevention intervention. Children who are exposed to environmental tobacco smoke (ETS) have an increased incidence of health problems, such as respiratory symptoms like wheeze and asthma [1,2], middle ear infection and sudden infant death syndrome [2]. Studies have shown that the most common place where children are exposed to ETS is in their homes [3,4,5]. In Sweden, 14% of eight-month-old children born in 2009 had at least one smoker in the family [6]. Preventing exposure to tobacco smoke in childhood is important.
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