Tobacco Dependence Survey

In 2011 we asked our members to complete the following tobacco dependence survey, which we have posted below.  We received 1288 completed surveys and used the results to launch the work of APNA’s Tobacco Dependence Task Force.  A report of the work of the task force can be found in the APNA newsletter; our position statement can be found on this webpage under the Tobacco Dependence Task Force link.  We are very grateful to all those who participated in the survey. Ongoing educational, clinical, and/or research opportunities designed to help our members and others eliminate tobacco dependence among nurses, students and those entrusted to our care will be forthcoming.This survey was conducted to assess the current state of tobacco dependence efforts and programs in the mental health community. APNA in partnership with the Smoking Cessation Leadership Center, a national program office of the Robert Wood Johnson Foundation, collected responses from members to develop a set of goals and a tobacco dependence action plan to help mental health nurses reduce/eliminate smoking among patients for whom they provide care.


Be safe,

Nicholas Croce Jr., MS
APNA Executive Director

Survery Questions

  1. Please select the highest level of nursing education you have achieved.
          Diploma                                        5.1%
          Associate                                      9.9%
          Bachelor                                     20.1%
          Masters                                      55.3%
          Doctorate                                     9.7%

  2. What is/are your certification(s)? (Check all that apply.)
          Adult PMH CNS                            68.3%
          Adult PMH NP                              25.2%
          Family PMH NP                              9.7%
          Child and Adolescent PMH CNS   10.4%

  3. I am a(n): (Check all that apply.)
          Student                                         6.9%
          Staff Nurse                                  29.0%
          Clinical Specialist                         31.4%
          Nurse Practitioner                       20.2%
          Faculty Member                           20.9%

  4. How many years have you been a PMH nurse? 
          5 years or less                             17.2%
          6-10 years                                   11.6%
          11-15 years                                 13.1%
          16-20 years                                 12.0%
          21 years or more                         46.0%

  5. Do you think tobacco dependence treatment is a necessary part of recovery from mental illness and/or other addictive disorders? 
          Yes                                               72.5%
           No                                               27.5%

  6. Do you work in a tobacco free setting?
          Yes                                               82.0%
           No                                               18.0%

  7. Do you currently provide PMH client services (either directly or indirectly)?
          Yes                                               89.2%
           No                                               10.8%

  8. What is your practice setting?          Primary          Secondary
          Inpatient psychiatric service        79.9%               20.1%
          Inpatient non-psychiatric service 63.6%               36.4%
          Outpatient Public                         73.2%               26.8%
          Outpatient Private                       69.8%               30.2%
          School, primary or secondary      52.6%               47.4%
          College/University                       74.0%               26.0%
          Corrections                                  41.4%              58.6%
          Residential                                   50.0%              50.0%
          Home Care                                  58.1%               41.9%
          Primary Care                                41.2%              58.8%
          Not Applicable                              60.7%              39.3%

  9. Who is your employer? 
          Hospital, Private, For-profit            6.6%
          Hospital, Private, Non-profit         31.2%
          Hospital, Public, not VA                12.3%
          Hospital, Public, VA                        7.1%
          Public Community Mental Health  12.6%
          Agency, no VA
          VA Community-Based Center        1.6%
          Group Practice                               5.7%
          School Board                                 0.3%
          Corrections Facility Private            0.2%
          Corrections Facility Public              1.4%
          Home Care Agency                        1.2%
          Military Health System                   1.7%
          College/University                        21.0%
          Self-Employed                              10.5%

 10. Please rate providing tobacco dependence interventions for your clients among your own work priorities: 
       (1= very low priority; 10=very high priority)
          10                                                  7.9%             
            9                                                  9.2%
            8                                                14.7% 
            7                                                12.3%
            6                                                  8.8%
            5                                                14.6% 
            4                                                  9.9%
            3                                                10.6%
            2                                                  7.0%
            1                                                  5.0%

 11. Please rate providing tobacco dependence interventions for your clients among your work organization's priorities: 
       (1= very low priority; 10=very high priority)
          10                                                  9.3%             
            9                                                11.0%
            8                                                14.9% 
            7                                                11.4%
            6                                                  8.8%
            5                                                12.0% 
            4                                                  7.0%
            3                                                  9.6%
            2                                                  9.6%
            1                                                  6.4% 

 12. Do you consistently screen your clients for tobacco use?
          Yes                                               84.6%
           No                                               15.4%

 13. Do you routinely refer your clients to tobacco dependence intervention resourses?
          Yes                                               60.6%
           No                                               39.4%

 14. Do you or your organization provide intensive tobacco dependence treatment (4 to 8 sessions exceeding 30 minutes total
       contact time with pharmacotherapy and behavioral counseling) for clients who use tobacco?
          Yes                                               29.4%
           No                                               70.6%

 15. On average, how do you rate your ability to help your clients stop smoking? 
       (1= not at all able; 10=very highly able)
          10                                                  3.4%             
            9                                                  3.0%
            8                                                  6.3% 
            7                                                  9.6%
            6                                                  9.9%
            5                                                 18.3% 
            4                                                 10.3%
            3                                                 17.8%
            2                                                 15.2%
            1                                                   6.2% 

 16. Please rate your knowledge base with respect to the following:
       (1= not at all knowledgeable; 10=extremely knowledgeable)
       
       Medications to aid cessation  
          10                                                14.1%             
            9                                                17.1%
            8                                                20.3% 
            7                                                13.7%
            6                                                  9.5%
            5                                                10.4% 
            4                                                  5.6%
            3                                                  5.9%
            2                                                  2.8%
            1                                                  0.7% 
       
       Counseling strategies to aid cessation  
          10                                                10.0%             
            9                                                13.1%
            8                                                16.9% 
            7                                                12.5%
            6                                                12.4%
            5                                                12.8% 
            4                                                  7.6%
            3                                                  8.3%
            2                                                  5.2%
            1                                                  1.4% 
       
       Available resources (community, online, etc.) to aid cessation 
          10                                                  9.3%             
            9                                                14.1%
            8                                                16.2% 
            7                                                13.4%
            6                                                11.6%
            5                                                12.1% 
            4                                                  8.4%
            3                                                  7.1%
            2                                                  5.7%
            1                                                  1.9% 

 17. On average, how do you rate your motivation to help your clients stop smoking? 1(not at all motivated); 10(very highly motivated)
          10                                                18.5%             
            9                                                12.3%
            8                                                15.8% 
            7                                                14.8%
            6                                                10.8%
            5                                                12.3% 
            4                                                  6.2%
            3                                                  5.2%
            2                                                  2.6%
            1                                                  1.6%        

 18. On average, how do you rate clients/consumers motivation to quite somking? 1(not at all motivated); 10(very highly motivated)
          10                                                  0.2%             
            9                                                  0.6%
            8                                                  2.0% 
            7                                                  4.1%
            6                                                  8.7%
            5                                                13.7% 
            4                                                12.0%
            3                                                19.7%
            2                                                23.3%
            1                                                15.9%    

 19. On average, how do you rate your clients/consumers ability to quit smoking? 1(not at all able); 10(very highly able)   
          10                                                  0.7%             
            9                                                  1.2%
            8                                                  3.1% 
            7                                                  5.6%
            6                                                  8.5%
            5                                                15.6% 
            4                                                15.6%
            3                                                23.3%
            2                                                20.3%
            1                                                15.9% 

 20.  Are you a member of the teaching faculty for an undergraduate and/or graduate nursing program?
          Yes                                               26.8%
           No                                               73.2%

 21. Is the assessment and treatment of tobacco dependence disorder a component of your undergraduate nursing curriculum?
          Yes                                               55.6%
           No                                               44.4%


 22. Please estimate the total number of hours devoted to tobacco dependence in your undergraduate cirriculum:
          More than 3 hours                         7.0%
          3 hours                                          9.9%
          1 to 2 hours                                 43.0%
          Less than 1 hour                         40.1%    

 23. Is the assessment and treatment of tobacco dependence disorder a component of your graduate nursing cirriculum?
          Yes                                               51.3%
           No                                               49.1%

 24. Please estimate the total number of hours devoted to tobacco dependence in your graduate cirriculum:
          More than 3 hours                         8.2%
          3 hours                                        16.4%
          1 to 2 hours                                 44.8%
          Less than 1 hour                         30.6%

 25. Do you smoke?
          Yes                                                 5.7%
           No                                               94.3%

 26. Are you a former smoker?
          Yes                                               46.0%
           No                                               54.0%

 27. With respect to supporting psychiatric nurses' work with clients who are tobacco dependent, the role of APNA should include (check all that apply):
          Assessment/intervention             74.6%
          Consultation                                62.6%
          Networking                                  55.1%
          Resource Provision                      82.4%
          Advocacy                                     68.6%
          Research support                        68.6%
          Policy Development                       5.7%
          No role                                          0.9%
                                                               
 28. Are you an APNA member?
          Yes                         &n