Pasifika Smoke Free Nurses

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PasifikaSmoke Free Nurses Project

• Eseta Finau , Sipaia Kupa and Abel smith
• Pacific Nursing Section of NZNO,
• PO Box 13252,
• Onehunga,
• Auckland, New Zealand

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Hello Welcome! Content

• Hello , Welcome Content
• Introduction
• Background
• Project purpose
• Proposed Project
• Methodology
• Timeline
• Discussions.
• Conclusions

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Introduction

• PNS was established within NZNO in 2009 with 172
  members from Nurses Associations of Cook Is.,
  Fiji, Niue, Samoa, Tokelau, and Tonga.
• In December 2011, PNS lost a founding members and
  its Chair person, Siloma Masina.
• This submission is to continue the work Siloma
  started on supporting the smoke free Nurses
  movement.

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Background

• In 2008 almost one third (31) of Pasifikans
  identified themselves as current smokers, and
  just under one third (29) identified themselves
  as daily smokers.
• Crucial to the prevalence rates of smoking is
  the incidence of mortality morbidity due to the
  effects of smoking.
• Pacific Peoples Tobacco Control Action Plan
• GOAL Improve Pasifikans wellness by reducing
  smoking-related morbidity and mortality.

• It has 6 priority areas for action to develop
  improve tobacco control services and initiatives
  for Pasifikans for achieving this goal. The 6
  key areas of focus are
• Provide a Pasifika voice for tobacco control
  issues
• Health promotion
• Workforce development
• Coordination
• Research evaluation
• Smoking Cessation.

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Project Purpose is To

• Evaluate the effectiveness of smoking cessation
  services
• Smoking cessation training among Pacific nurses
  
• 3. Assess the impact of these interventions on
  their practice when working with Pacific health
  consumers who smoke.
• This project supports the implementation of
• the Smoke free nurses movement
• Pasifikans Tobacco Control Action Plan (2004)
  other government health targets for
  Pasifikans,---------------------------?

• e.g.,
• Ala Moui
• Pathway to Pacific Health wellbeing
• the Pacific Health Disability Action Plan
  (2002).

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Proposed Project

• To complete the ASH-KAN survey (assessment of
  smoking history, knowledge, and attitudes of
  nurses from the 6 Pasifika Nurses Associations
  of PNS
• To implement smoking cessation among nurse
  smokers of he 6 associations who would like to
  quit,
• To train to other Pasifika nurses who would like
  to support others to quit.

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1. Methodology

• What is the effectiveness of smoking cessation
  services
• Smoking cessation training among Pacific nurses?
  
• The impact of these interventions on their
  practice when working with health consumers who
  smoke?

• The study samples for this project are
• Pasifika nurses in NZ who are smokers and wish
  to give up
• Non-smokers who would like to receive smoking
  cessation training to support others to quit.
• The research questions that will form the basis
  for this project are

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2.Methodology

• A mixed methodological approach underpins this
  project using a qualitative data collection
  strategy an action research cyclical process
  for evaluation of the smoking cessation services
  training.
• Ethical issues Consent from the participants
  will be obtained before interviews to ensure the
  ethical integrity of the project. Ethical
  approval for this study needs to obtained

• The project will be overseen by the PNS committee
  who will coordinate the project including
• data collection,
• evaluation
• reporting of information at quarterly PNS
  meetings.
• Phase one This will begin with the ASH-KAN
  survey to be completed with Tobacco Control
  Research Centre,

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Research Logistics

• Phase two This will involve a 2 parallel
  intervention approach monitored over a 12 month
  period 1. Intervention on smoking cessation
  services to smokers wanting to quit,
• 2. Intervention is smoking cessation training
  to non-smoking nurses who will to upport others
  to quit smoking.
• The delivery of interventions will need to be
  negotiated tailored for each association in the
  planning.
• Focus group meetings will be held at intervals to
  monitor progress.

• This phase will also help us identify the number
  of smokers and on-smokers for the 2nd phase of
  the project.
• There are 3 strategies use here to complete the
  ASH-KAN survey
• Posting the questionnaires to the nurses to
  complete with a self-addressed envelope
• Individual or group face to face meetings to
  complete the questionnaire
• Online survey (via the Monkey survey software or
  NZNO website

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Timeline

• 18 - 24 months is time frame to complete this
  project
• The following timeline is subject to change
  depending on the outcome of discussions with
  other key stakeholders.
• complete lit review SEPT 2012
• resubmit proposal OCT 2012
• PNS Presentations NOV 2012
• PNS Stakeholders FEB 2013
• Complete ASH-KANMarch-May 2013
• 1st First Report May 2013
• smoking cessation survey JUNE2013-June 2014
• smoking cessation training JUNE
  2013-JUNE2014

July-Sept 2014 Data analysis collation 2nd
Report June 2013 3rd Final Report October
2013 outcome evaluation October 20

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Discussions

• We know that PNS committee members have full
  time jobs will need to carefully plan dedicated
  time to this project . Again the logistics for
  implementation will need to be negotiated and
  determined by individual associations.
• The practicalities of delivering interventions
  will need to be negotiated tailored for each
  association in the preliminary stages.
• Focus group meetings will be held at
  predetermined intervals to monitor evaluate the
  progress of the participants.
• Three reports will be submitted to the funder.

• Each association will be responsible for writing
  progress reports of their findings.
• The task of compiling each report into a final
  report addressing the main questions will be
  delegated to report writer(s) in the PNS
  committee.
• An outcome of this project is to also submit a
  report of the findings for publication.

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Conclusion

• The literature asserts the need for government
  organisations and health agencies to work more
  collaboratively to implement tobacco control
  strategies
• The theoretical framework to explain the health
  perception and behaviour of the nurses
  throughout this project is the Health Belief Model

• Data Analysis of the data from the ASH-KAN survey
  will be with lead researchers and experts in the
  industry.
• A thematic analysis approach will be used to
  interpret the qualitative data collected from the
  participants
• The budget will be managed by the PNS committee
  and will be allocated based on the needs of each
  association.
• The following is a breakdown of costs based on
  estimations
• Travel, accommodation, administration ,
  overheads

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Meow! Meow! Meow!
Pacific Means Peace!

• Malo aupito!
• Thank you!
• Haere ra!
• Please support the Pasifika
• Nurses Smoke Free Project to build
• Pasifikans Pacificness