Abstract
BackgroundDespite knowledge of the adverse health effects of passive smoking, children are still being exposed. Children's nurses play an important role in tobacco preventive work through dialogue with parents aimed at identifying how children can be protected from environmental tobacco smoke (ETS) exposure. The study describes the experiences of Child Health Care (CHC) nurses when using the validated instrument SiCET (Smoking in Children's Environment Test) in dialogue with parents.MethodIn an intervention in CHC centres in south-eastern Sweden nurses were invited to use the SiCET. Eighteen nurses participated in focus group interviews. Transcripts were reviewed and their contents were coded into categories by three investigators using the method described for focus groups interviews.ResultsThe SiCET was used in dialogue with parents in tobacco preventive work and resulted in focused discussions on smoking and support for behavioural changes among parents. The instrument had both strengths and limitations. The nurses experienced that the SiCET facilitated dialogue with parents and gave a comprehensive view of the child's ETS exposure. This gave nurses the possibility of taking on a supportive role by offering parents long-term help in protecting their child from ETS exposure and in considering smoking cessation.ConclusionOur findings indicate that the SiCET supports nurses in their dialogue with parents on children's ETS exposure at CHC. There is a need for more clinical use and evaluation of the SiCET to determine its usefulness in clinical practice under varying circumstances.
Highlights
Despite knowledge of the adverse health effects of passive smoking, children are still being exposed
The nurses experienced that the SiCET facilitated dialogue with parents and gave a comprehensive view of the child’s environmental tobacco smoke (ETS) exposure
Our findings indicate that the SiCET supports nurses in their dialogue with parents on children’s ETS exposure at Child Health Care (CHC)
Summary
Despite knowledge of the adverse health effects of passive smoking, children are still being exposed. Children’s nurses play an important role in tobacco preventive work through dialogue with parents aimed at identifying how children can be protected from environmental tobacco smoke (ETS) exposure. Interventions regarding the importance of protecting children from ETS exposure have been implemented in Child Health Care (CHC) in Sweden [7,8] but they have failed to reach socio-economically disadvantaged groups [9]. These groups are, according to CHC nurses, difficult to reach in tobacco preventive work [10] and they have the highest prevalence of smokers
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