EDITORIAL EDITORIAL Consultant Consultant Editor EditorAlison AlisonWhile While Professor of Community Nursing, King’s College London
Editor Rowan Dennison Editor Oisin Sands [email protected] [email protected] Sub-editor Peter Bradley Farhad Buffery Commercial Manager Commercial Manager Andrew Wright [email protected] [email protected] Group Classified Manager Rachel McElhinney Group Classified Manager Rachel McElhinney [email protected] [email protected] Circulation Director Sally Boettcher Circulation Director Sally Boettcher [email protected] [email protected] Production Manager Jon Redmayne Production Manager Jon Redmayne Production Assistant Larry Oakes Production Assistant Larry Oakes Editorial Peter Constantine PublishingMake-up DirectorExecutive Anthony Kerr Publisher Anthony Kerr [email protected] Associate PublisherJulie Tracy Cowan Associate Publisher Smith Publishing Director Adrian Johnston Chief Executive Officer Ben Allen
Chief Executive Officer Ben Allen
EDITORIAL BOARD
Ben Bowers BOARD EDITORIAL Queen’s Nurse, Community Mandy Bowler Cancer Nurse Specialist, Senior Nurse for Planned Cambridgeshire Community Care Sunderland Services NHS TrustPCT David Briggs Mandy Bowler Senior Lecturer, University of Clinical Business Manager, Hertfordshire South Tyneside NHS Foundation Trust Ann Bryan Julie HeadBliss of Community and Head Department: Mental ChildofHealth, Chester Health, King’s College London University David Briggs Julie Clennel Senior Lecturer, Head of Professional University of Hertfordshire Development, Directorate of Julie Clennell Nursing, NHS Darlington Head of Clinical Governance, Health Partnership County Durham & Centre Darlington Dr Maria Horne NHS Foundation Trust Health Visiting Lecturer/ Jane Griffiths ResearchinFellow Manchester Lecturer Community Nursing, University of University Manchester Dr Gill Hubbard Vanessa Heaslip Fellow, Cancer Research Senior School StirlingLecturer, University of Health and Social Care,
Bournemouth University Maria Horne Kay Kane Senior Lecturer in Public Nurse Manager, Health, School of District Health Nursing,University Belfast HSC Trust Studies, of Bradford Prof Hughes Catriona Kennedy Julie Schoolof Director, Napier Head Quality Compliance, University Marie Curie Cancer Care Kay Kane Dr Karen Ousey Independent Consultant Divisional Head, University Catriona Kennedy of Huddersfield School Director, Vera Todorovic Napier University Manager, Dietetics and Brian Nyatanga Nutrition Service, Bassetlaw Senior Lecturer, Hospital, Worksop University of Worcester John Unsworth Tricia Robinson Head of Nursing St. Division, Nurse Consultant, George’s Northumbria University Hospital, University of London Dr Tricia Wilson Vera Todorovic Senior Lecturer, Manager, Dietetics and Nutrition Bassetlaw UniversityService, of Hertfordshire Hospital Tricia Wilson Senior Lecturer, University of Hertfordshire
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MA Healthcare Ltd is part of the Mark Allen Group
www.markallengroup.com The British Journal of Community Nursing is published by MA Healthcare Ltd, St Jude’s Church, Dulwich Road, London SE24 0PB Tel: +44 (0)20 7738 5454 Website: www.bjcn.co.uk © MA Healthcare Ltd, 2014. 2012. All rights reserved. No part of the British Journal of Community Nursing may be reproduced, stored in a retrieval system, or transmitted in any form or by any means electronic, mechanical, (electronic, mechanical,photocopying, photocopying,recording, recording,or orotherwise otherwise) without prior written permission of the Publishing Director. ISSN 1462-4753 Printed by Pensord Press Ltd, Blackwood, NP12 2YA Cover picture: iStock/gianlucabartoli istockphoto.com
The paper used within this publication has been sourced from Chainof-Custody certified manufacturers, operating within international environmental standards, to ensure sustainable sourcing of the raw materials, sustainable production and to minimise our carbon footprint.
Talking about tobacco
T
obacco smoking is one of the most significant issues currently faced by the NHS and health care in general. Around one sixth of the total UK adult population smokes, and every year over 100 000 smokers in the UK die from smoking-related causes (Action on Smoking and Health, 2014). Many smokers have a genuine desire to stop smoking—indeed, approximately 1 million smokers a year use No Smoking Day to try to quit, with many of those reportedly succeeding (NHS Choices, 2012). This year, No Smoking Day falls on 12 March, and provides us with the opportunity to reflect on the role of community nursing in encouraging smoking cessation in patients. It will be rare for health professionals to deal with patients whose condition or ailment is unequivocally solely attributable to smoking—and arguably even rarer that patients who smoke would admit to their habit being a major contributing factor to their ill-health. But nurses (particularly those who visit patients in the home) will be able to make a quick assessment of the effect that smoking is having on patients’ lives. It is well known that smoking is linked to a range of serious and often fatal conditions, including heart disease, COPD and lung cancer. Yet smoking also has a perceptible effect on many other aspects of patients’ wellbeing, even if they do not currently suffer from the long-term issues just mentioned. Despite all of these factors, the thorny issue of how nurses should intervene and how effective the different forms of intervention actually are remains. There is a concern that smoking is one area in which patients can feel pressurised by unwanted intervention, and that this could have an negative effect on their overall wellbeing. However, a Cochrane review has concluded that interventions such as smoking cessation advice and nurse counselling are generally effective, particularly if the professionals in question are specialists and if the consultation lasts longer (Rice et al, 2013). The challenge, the review argues, is for smoking cessation interventions to be made as part of standard practice, so that all patients can discuss their tobacco use and can be encouraged to quit with the promise of nurse reinforcement and effective follow-up (Rice et al, 2013). Therein lies the difficulty with the burden placed on community and district nurses: at the ‘frontline’ of health care for many users of the NHS, they are expected to give effective, specialist advice on smoking and many other health issues, despite heavy caseloads and a lack of availability of training or effective guidance on the complex issues placed in front of them on a daily basis. Once again, there is a longer-term need for education and promotion of understanding (in both nurses and patients) in order that a healthier future—where prevention of bad habits developing in the first place is the priority—can be realised. BJCN Action on Smoking and Health (ASH) (2014) Smoking statistics. http://tinyurl.com/nvapelg (accessed 14 February 2014) NHS Choices (2012) 7 key times to quit smoking. http://tinyurl.com/ccamyol (accessed 26 February 2014) Rice VH, Stead LF (2013) Nursing interventions for smoking cessation (review). Cochrane Database Syst Rev 8: CD001188. doi: 10.1002/14651858.CD001188.pub4
British Journal of Community Nursing March 2014 Vol 19, No 3
Rowan Dennison Editor
109 © MA Healthcare Ltd. Downloaded from magonlinelibrary.com by 154.059.124.102 on September 19, 2016. Use for licensed purposes only. No other uses without permission. All rights reserved.
Editor Rowan Dennison Editor Oisin Sands [email protected] [email protected] Sub-editor Peter Bradley Farhad Buffery Commercial Manager Commercial Manager Andrew Wright [email protected] [email protected] Group Classified Manager Rachel McElhinney Group Classified Manager Rachel McElhinney [email protected] [email protected] Circulation Director Sally Boettcher Circulation Director Sally Boettcher [email protected] [email protected] Production Manager Jon Redmayne Production Manager Jon Redmayne Production Assistant Larry Oakes Production Assistant Larry Oakes Editorial Peter Constantine PublishingMake-up DirectorExecutive Anthony Kerr Publisher Anthony Kerr [email protected] Associate PublisherJulie Tracy Cowan Associate Publisher Smith Publishing Director Adrian Johnston Chief Executive Officer Ben Allen
Chief Executive Officer Ben Allen
EDITORIAL BOARD
Ben Bowers BOARD EDITORIAL Queen’s Nurse, Community Mandy Bowler Cancer Nurse Specialist, Senior Nurse for Planned Cambridgeshire Community Care Sunderland Services NHS TrustPCT David Briggs Mandy Bowler Senior Lecturer, University of Clinical Business Manager, Hertfordshire South Tyneside NHS Foundation Trust Ann Bryan Julie HeadBliss of Community and Head Department: Mental ChildofHealth, Chester Health, King’s College London University David Briggs Julie Clennel Senior Lecturer, Head of Professional University of Hertfordshire Development, Directorate of Julie Clennell Nursing, NHS Darlington Head of Clinical Governance, Health Partnership County Durham & Centre Darlington Dr Maria Horne NHS Foundation Trust Health Visiting Lecturer/ Jane Griffiths ResearchinFellow Manchester Lecturer Community Nursing, University of University Manchester Dr Gill Hubbard Vanessa Heaslip Fellow, Cancer Research Senior School StirlingLecturer, University of Health and Social Care,
Bournemouth University Maria Horne Kay Kane Senior Lecturer in Public Nurse Manager, Health, School of District Health Nursing,University Belfast HSC Trust Studies, of Bradford Prof Hughes Catriona Kennedy Julie Schoolof Director, Napier Head Quality Compliance, University Marie Curie Cancer Care Kay Kane Dr Karen Ousey Independent Consultant Divisional Head, University Catriona Kennedy of Huddersfield School Director, Vera Todorovic Napier University Manager, Dietetics and Brian Nyatanga Nutrition Service, Bassetlaw Senior Lecturer, Hospital, Worksop University of Worcester John Unsworth Tricia Robinson Head of Nursing St. Division, Nurse Consultant, George’s Northumbria University Hospital, University of London Dr Tricia Wilson Vera Todorovic Senior Lecturer, Manager, Dietetics and Nutrition Bassetlaw UniversityService, of Hertfordshire Hospital Tricia Wilson Senior Lecturer, University of Hertfordshire
UK PERSONAL PERSONAL SUBSCRIPTION SUBSCRIPTION RATES RATES UK Quarterly Quarterly Direct Direct Debit Debit Annual Direct Annual Direct Debit Debit
£32 £32 £125 £125 £132 £132
Annual Credit Credit Card Card Annual 2yr 2yr Annual Annual Credit Credit Card Card £224 £224 3yr Annual Credit 3yr Annual Credit Card Card £316 £316 Subscribe online: www.magsubscriptions.com, Subscribe online: www.magsubscriptions.com, Subscribe by +44 (0) (0) 1722 1722 716997 716997 Subscribe by phone: phone: +44
MA Healthcare Ltd is part of the Mark Allen Group
www.markallengroup.com The British Journal of Community Nursing is published by MA Healthcare Ltd, St Jude’s Church, Dulwich Road, London SE24 0PB Tel: +44 (0)20 7738 5454 Website: www.bjcn.co.uk © MA Healthcare Ltd, 2014. 2012. All rights reserved. No part of the British Journal of Community Nursing may be reproduced, stored in a retrieval system, or transmitted in any form or by any means electronic, mechanical, (electronic, mechanical,photocopying, photocopying,recording, recording,or orotherwise otherwise) without prior written permission of the Publishing Director. ISSN 1462-4753 Printed by Pensord Press Ltd, Blackwood, NP12 2YA Cover picture: iStock/gianlucabartoli istockphoto.com
The paper used within this publication has been sourced from Chainof-Custody certified manufacturers, operating within international environmental standards, to ensure sustainable sourcing of the raw materials, sustainable production and to minimise our carbon footprint.
Talking about tobacco
T
obacco smoking is one of the most significant issues currently faced by the NHS and health care in general. Around one sixth of the total UK adult population smokes, and every year over 100 000 smokers in the UK die from smoking-related causes (Action on Smoking and Health, 2014). Many smokers have a genuine desire to stop smoking—indeed, approximately 1 million smokers a year use No Smoking Day to try to quit, with many of those reportedly succeeding (NHS Choices, 2012). This year, No Smoking Day falls on 12 March, and provides us with the opportunity to reflect on the role of community nursing in encouraging smoking cessation in patients. It will be rare for health professionals to deal with patients whose condition or ailment is unequivocally solely attributable to smoking—and arguably even rarer that patients who smoke would admit to their habit being a major contributing factor to their ill-health. But nurses (particularly those who visit patients in the home) will be able to make a quick assessment of the effect that smoking is having on patients’ lives. It is well known that smoking is linked to a range of serious and often fatal conditions, including heart disease, COPD and lung cancer. Yet smoking also has a perceptible effect on many other aspects of patients’ wellbeing, even if they do not currently suffer from the long-term issues just mentioned. Despite all of these factors, the thorny issue of how nurses should intervene and how effective the different forms of intervention actually are remains. There is a concern that smoking is one area in which patients can feel pressurised by unwanted intervention, and that this could have an negative effect on their overall wellbeing. However, a Cochrane review has concluded that interventions such as smoking cessation advice and nurse counselling are generally effective, particularly if the professionals in question are specialists and if the consultation lasts longer (Rice et al, 2013). The challenge, the review argues, is for smoking cessation interventions to be made as part of standard practice, so that all patients can discuss their tobacco use and can be encouraged to quit with the promise of nurse reinforcement and effective follow-up (Rice et al, 2013). Therein lies the difficulty with the burden placed on community and district nurses: at the ‘frontline’ of health care for many users of the NHS, they are expected to give effective, specialist advice on smoking and many other health issues, despite heavy caseloads and a lack of availability of training or effective guidance on the complex issues placed in front of them on a daily basis. Once again, there is a longer-term need for education and promotion of understanding (in both nurses and patients) in order that a healthier future—where prevention of bad habits developing in the first place is the priority—can be realised. BJCN Action on Smoking and Health (ASH) (2014) Smoking statistics. http://tinyurl.com/nvapelg (accessed 14 February 2014) NHS Choices (2012) 7 key times to quit smoking. http://tinyurl.com/ccamyol (accessed 26 February 2014) Rice VH, Stead LF (2013) Nursing interventions for smoking cessation (review). Cochrane Database Syst Rev 8: CD001188. doi: 10.1002/14651858.CD001188.pub4
British Journal of Community Nursing March 2014 Vol 19, No 3
Rowan Dennison Editor
109 © MA Healthcare Ltd. Downloaded from magonlinelibrary.com by 154.059.124.102 on September 19, 2016. Use for licensed purposes only. No other uses without permission. All rights reserved.
