Dissertation/Thesis Abstract

The tobacco use of third year BSN nursing students in Arkansas using the Global Health Professions Student Survey (GHPSS)
by Degravelles, Pamela Virginia, Ph.D., University of Arkansas for Medical Sciences, 2014, 187; 3621662
Abstract (Summary)


Tobacco use is the single most preventable cause of premature death and disease in the United States. It is harmful to the nurse, a barrier to patient care, and compromises the public image of the nursing profession. Despite those issues, 7% of registered nurses, 25% of licensed practical nurses, and an unknown number of nursing students smoke and use other tobacco products.


This study has three aims: 1) determine the feasibility of using the suggested methodology of the Global Health Professional Students Survey (GHPSS) in Arkansas, 2) describe the tobacco use, exposure to second hand smoke, attitudes about nursing's role and knowledge of current tobacco control measures, curriculum/training and demographic data of third year BSN students in Arkansas; and 3) determine factors significantly associated with their tobacco use.


This descriptive, cross-section pilot and feasibility study used a standardized, self-administered survey developed by the World Health Organization and the Centers for Disease Control with defined sampling procedures and methodology. All BSN programs in Arkansas (11) were asked to participate. All students meeting inclusion criteria were offered the survey following informed consent. Descriptive and Chi2 statistics were performed using SPSS (v 21.0).


School response rate was 73% (8/11) with an in-class student response rate of 99.9% (n=516). Prevalence was 25.6%(n=131), exceeding the state prevalence of 25%. Three groups of tobacco users identified – cigarette users only (48%, n=63), other tobacco product users only (37%, n=48), and dual users (15%, n=20). Tobacco products included cigarettes (50%), cigars (18%), hookah (16%) and smokeless tobacco (10%). Students want to be positive role models (99%; n=508) and 91% (n=471) want to advise others to quit smoking but 68% (n=352) are not being taught EBP guidelines. The survey's standardized methodology was feasible in Arkansas. Three specialties and not advising patients to quit smoking were significantly associated with tobacco use.


The tobacco use of nursing students in Arkansas was previously unknown. Prevalence is twice the 12% goal of Healthy People 2020, jeopardizing the health of the nurse, the patient and the profession and is inconsistent with earning a bachelor's degree in nursing. This complex problem must be addressed.

Indexing (document details)
Advisor: Barone, Claudia
Commitee: Anders, Michale, Kennedy, Robert, Mitchell, Anita, Sarna, Linda, Schmidt, Cheryl, Tak, Sunghee
School: University of Arkansas for Medical Sciences
Department: Nursing Science
School Location: United States -- Arkansas
Source: DAI-B 75/09(E), Dissertation Abstracts International
Subjects: Nursing, Public health, Health education
Keywords: Global health professional students survey, Nursing students, Smoking, Tobacco, Tobacco use
Publication Number: 3621662
ISBN: 978-1-303-92935-9
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