1 / 20

Tobacco-free AOTEAROA Conference Auckland 2010 Smokefree Practice in Action

Tobacco-free AOTEAROA Conference Auckland 2010 Smokefree Practice in Action. Sue Marshall. Smokefree Project Coordinator Maternal, Child & Youth Service Hawkes Bay District Health Board. Our Population. Pregnancy. Babies and Children. Exposure.

Download Presentation

Tobacco-free AOTEAROA Conference Auckland 2010 Smokefree Practice in Action

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Tobacco-free AOTEAROA Conference Auckland 2010 Smokefree Practice in Action Sue Marshall. Smokefree Project Coordinator Maternal, Child & Youth Service Hawkes Bay District Health Board

  2. Our Population

  3. Pregnancy

  4. Babies and Children

  5. Exposure Ref: Internal Audit Report, Smokefree Systems-Special Care Baby Unit (SCBU) Hawkes Bay District Health Board, 2010.

  6. Exposure Ref: Internal Audit Report, Smokefree Systems- Children's Ward Hawkes Bay DistrictHealth Board, 2010.

  7. ApproachSystems First: model of organisational change Systems First Education Policy Systems Evidence Patient Intervention Roles

  8. Policy • Leadership • Commitment

  9. Systems • Documentation tools • Care pathways • NRT protocol • Audit systems

  10. Education • MOH ABC e learning tool • HBDHB Smokefree education • SmokeChange Education for Midwives • Baby Essentials

  11. Roles • Link Champions • Dedicated Smokefree Midwife • Smokefree Project and team • Clarity about role

  12. Interventions • Focused ABC • Provision NRT

  13. Audit • Process • Data • Findings

  14. Maternity Services • ANTENATAL WOMEN • Screening • 100% woman • 77% partners • 70% household • Interventions • 61% (included NRT arranged or offered referral to a smokefree service arranged or offered). • POSTNATAL WOMEN • Screening • 95%postpartum women • 84%partners • 84% household • Interventions • 77% (included inpatient NRT arranged, offered or had NRT or referral to a smokefree service). Ref: Internal Audit Report, Smokefree Systems & Performance Maternity Services Hawkes Bay District Health Board, 2010.

  15. Special Care Baby Unit Prevalence of Smoking in Families of SCBU Babies • 73% Screening • 100% Interventions • 81% Ref: Internal AuditReport, Smokefree Systems-Special Care Baby Unit (SCBU) Hawkes Bay District HealthBoard, 2010

  16. Children's Ward Screening • 37% Interventions • 75% Ref: Internal Audit Report, Smokefree Systems- Children's Ward Hawkes Bay District Health Board, 2010

  17. In Action embrace whole family motivational tools screening acknowledging harm 1st contact Women and their families smokefree during pregnancy smokefree midwife role - safe sleep discussions NRT for inpatient women free NRT for parents and caregivers contact over time discussion of benefits of smokefree electronic discharge summary motivational time antenatal clinics Just Imagine booklets smokefree family smokefree household referral to smokefree support service other health care professionals smokefree partners smokefree pregnancy care pathway midwife hat and Quitcard provider hat NRT A little and often by many over time

  18. In Action brief advice NRT for parents and caregivers Quit cards referral to smokefree support service Parents and Caregivers of Hospitalised Babies and Children Smokefree screening for exposure linking in with other providers care pathways professional support electronic discharge summary discussion of benefits of smokefree smokefree Link Champions acknowledging harm smokefree environment providing opportunity for practice to be smokefree

  19. Stories Ruby Rawiri

  20. References Cowan S & Smith D. Systems First – supporting smokefree leadership in New Zealand hospitals. Guidelines for district health boards. Christchurch, NZ. Education for Change. August 2005. Baby Essentials Online http://www.changeforourchildren.co.nz/safe_start_programme/baby_essentials_online DiFranza,J., Aligne,C.A., WeitZman,M. (2004) Prenatal and postnatal environmental tobacco smoke exposure and children's health. Pediatrics Vol.113. Hofthuis,W., de Jongste,J.C.,Merkus,P..J. F.M. (2003) Adverse health effects of prenatal and postnatal tobacco smoke exposure on children. Arch.Dis.Child 2003;1086-1090.

More Related