[Smoking cessation: two complementary practices of nurses trained in tabacology]

Smoking is considered a chronic disease and is a public health issue. Support for smoking cessation is well defined within healthcare establishments. Nurses and other paramedical professionals must also make their contribution, whatever their practice. At the University Hospital of Caen Normandie, the renal transplant nurse coordinator in the nephrology-dialysis-transplantation department, who holds a university diploma, works with patients with chronic kidney disease, alongside the nurse tobaccologist in the tobacco coordination unit.

Educational effectiveness of simulation in teaching health science students Smoking cessation: A Systematic Review

BACKGROUND

Simulation is one of the educational tools that can be used in the learning process to help with smoking cessation.

AIM

To synthesize all the publications studying the contribution of simulation as an educational tool in the acquisition of skills to help with smoking cessation.

METHODS

We performed a systematic review of the Francophone and Anglophone literature over the past 24 years (1997 to 2020) using the PubMed, Science Direct and Cochrane Library databases.

RESULTS

A total of 14 articles were included. The most used methods were thestandardized patient, role play and video projection with discussion. The simulation hasnot only proved its effectiveness in terms of acquiring knowledge and self-confidencein the management of the smoking patient in the short term, but also in the acquisition of verbal and non-verbal skills in the long term.

CONCLUSION

This review highlighted the interest of simulation as an educational tool to acquire skills to help with smoking cessation regardless of the method used.

[Competency-based pedagogical approach: illustration applied to the care relationship]

The reform of health studies and the inclusion in the Bachelor-Master-Doctorate curriculum implies a new way of teaching, with an inverted pedagogical relationship between student and teacher. The competency-based approach contributes to the development of the student's professional and interpersonal skills, in the same way as the support provided by the nurse in the care relationship, particularly in therapeutic education, in order to promote patient autonomy.

[Helping the smoker at each stage of maturation of the decision to quit smoking]

Une personne qui arrête de fumer passe par cinq stades de maturation de la décision et par le stade, facultatif, de rechute. L'évaluation de la motivation à l'arrêt à l'aide d'autoquestionnaires simples et rapides est recommandée. À chaque stade, le soignant peut et doit aider le fumeur à faire face aux éventuelles difficultés, en utilisant les techniques des thérapies cognitives et comportementales.

[The role of the nurse in supporting smoking cessation]

A study was carried out in May 2014 of the first 100 patients who came to seek help to stop smoking in 2013 with the first contact led by a nurse. A mail-questionnaire was sent to this group of patients to evaluate their smoking status and the nurse's first contact organization. Among 34% respondents, 40% had not smoked for at least eight months. Three quarters had found this nursing support useful highlighting the added value of a nurse in supporting first contact in the smoking cessation process.