Pasifika Smoke Free Nurses’ Project

1. PasifikaSmoke Free Nurses’ Project ‘Eseta Finau , Sipaia Kupa and Abel smith Pacific Nursing Section of NZNO, PO Box 13252, Onehunga, Auckland, New Zealand E. Finau & S.Kupa SPNF MelB.: Nov, 2012

2. Hello & Welcome! Content • Hello , Welcome & Content • Introduction • Background • Project purpose • Proposed Project • Methodology • Timeline • Discussions. • Conclusions E. Finau & S.Kupa SPNF MelB.: Nov, 2012

3. 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. E. Finau & S.Kupa SPNF MelB.: Nov, 2012

4. 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. E. Finau & S.Kupa SPNF MelB.: Nov, 2012

5. Project Purpose is To: • e.g., • ‘Ala Mo’ui; • Pathway to Pacific Health & wellbeing; & • the Pacific Health & Disability Action Plan (2002). • 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. Finau & S.Kupa SPNF MelB.: Nov, 2012

6. 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. E. Finau & S.Kupa SPNF MelB.: Nov, 2012

7. 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: “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?’’ 1. Methodology E. Finau & S.Kupa SPNF MelB.: Nov, 2012

8. 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, E. Finau & S.Kupa SPNF MelB.: Nov, 2012

9. Research Logistics • 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 • 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 upportothers 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. E. Finau & S.Kupa SPNF MelB.: Nov, 2012

10. 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-KAN:March-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 E. Finau & S.Kupa SPNF MelB.: Nov, 2012

11. 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. Discussions E. Finau & S.Kupa SPNF MelB.: Nov, 2012

12. 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 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 Conclusion E. Finau & S.Kupa SPNF MelB.: Nov, 2012

13. Pacific Means Peace! Meow! Meow! Meow! Malo ‘aupito! Thank you! Haere ra! Please support the Pasifika Nurses’ Smoke Free Project to build Pasifikans & Pacificness E. Finau & S.Kupa SPNF MelB.: Nov, 2012