Smokefree Nurses Aotearoa/New Zealand Strategic plan 2012 - 2015 Background Smokefree Nurses Aotearoa/New Zealand is a national advocacy group which promotes nurse action to achieve the vision of a smokefree Aotearoa by 2025. Smokefree Nurses launched in 2007 with the support of Action on Smoking and Health New Zealand (ASH NZ), Auckland University of Technology (AUT) Nursing and a committed group of nurses. Smokefree Nurses augments the work of Pauline Allan-Downs, Kaaren Beverly and other nurse leaders who believe that nurses can include smoking cessation in their everyday practice and have an important role on tobacco control. Since Smokefree Nurses launched, the New Zealand government has adopted a smoking cessation health target, “Better Help for Smokers to Quit”. The Ministry of Health provides free education for standardised evidence-based smoking cessation interventions for all health professionals including training to give people who smoke access to fully subsidised nicotine replacement therapy. Provision of such access is a new dimension of nursing practice. In 2011 the health target was followed by a vision of a smokefree Aotearoa by 2025. Smokefree Nurses is currently funded by the Ministry of Health to advocate for nurses to train and deliver evidence-based brief interventions and to undertake research to provide evidence of change. Smokefree Nurses is based at and supported by AUT Nursing, The strategy is based on a situational analysis, structured feedback from nurses attending conferences, seminars and workshops, surveys and consultation with Smokefree Nurses’ Steering Group and advisors. The three years plan fits with the interim goal for reducing smoking prevalence in New Zealand from 21% in 2010 to 15 % by 2015 (Smokefree Aotearoa/New Zealand by 2025 Next Steps 2012 – 2015). Health goal To improve the health of New Zealanders Vision A Smokefree Aotearoa New Zealand by 2025 Mission To decrease deaths and diseases caused by tobacco smoking by encouraging and supporting nurses to maximise their opportunities to help people who smoke quit, to quit if they smoke themselves, to reduce tobacco product uptake and to advocate for a smokefree Aotearoa/New Zealand Values Smokefree Nurses is committed to: Te Tiriti o Waitangi Principles and practice of nursing Equity Partnership The Ottawa Charter for Health Promotion Tobacco control and public health Research and evaluation 1 Strategic Plan 2012 – 2015 Strategic priority Objective Strategy Action Smoking cessation interventions Brief best practice smoking cessation interventions are routine in nursing care -Campaign with nurses -Media releases -Articles -Website -Conference attendance CPHC Enrolled Nurses -Advocacy in partnership with national nursing associations - Maintain leaders group of representatives from National Nursing Associations - Advocacy in partnership with tobacco control -Work with key nurses in DHB and PHOs, smokefree coordinators, MoH, ASH, Smokefree Coalition & other NGOs -Publish in websites and newsletters read by nurses -Write submissions to include smoking cessation competencies in nurse practice frameworks Nurse support for clients -Campaign with nurses and national who smoke throughout their nursing associations journey to quit -Advocate with employers for time for nurses to deliver smoking cessation support -Respond to requests for support from nurses -Advocate for recognition for smoking cessation nurse specialists -Support interested nurses -Advocate for RNs to be designated prescribers and NPs to be authorised -Participate in consultation processes Date ongoing As they arise 2 prescribers -Increase public demand for nurses’ smoking cessation services Education and training -Promote nurse cessation services to the public via unpaid media - Press releases – World Smokefree Day and International Nurses Day -Environmental scan -Link stakeholders -Promote training at meetings and with employers and nursing associations annual 2013 All nurses trained to deliver smoking cessation brief intervention and Quit Card providers -Identify groups of nurses who are not ABC trained Nurses’ smoking cessation practice up-to-date -Provide up-to-date nurse centred resources -Host international experts - Disseminate new best practice information on website and to electronic nursing networks - Advocate with employers for time for training to advance nurses’ smoking cessation skills -Advocacy -Respond to nurses’ and smokefree coordinators requests Brief best practice smoking cessation education and Quit Card provision in all undergraduate nursing curricula Smoking cessation in key post-graduate courses Smoking cessation for nurses Smokefree nurse workforce Increase equitable health outcomes Smokefree Maori nurses, whanau and clients/patients -Provide up-to-date teaching and learning resources -Provide up-to-date teaching and learning resources -Promote evidence-based quitting services to nurses -Scope cessation service tailored for nurses -Deliver Smokefree Nurses Maori Strategy 2012 -Representation at Australasian Nurse Educators Conference -Provide information on website -Create smoking cessation specific resource for undergraduate educators -Create, promote and disseminate resources 2013 -Website -Newsletter -Needs assessment ongoing ongoing 2013 -Prioritise actions on strategy -Representation at hui 3 Smokefree Pacific nurses, family and clients/patients Smokefree mental health nurses and clients/patients Tobacco control Smokefree Aotearoa Vision 2025 interim goals 2015 -Work with Maori Nursing Associations -Deliver Smokefree Nurses Pacific Strategy -Work with Pacific Nursing Section NZNO -Deliver Smokefree Nurses Mental Health Strategy -Work with Mental Health Nursing groups and associations -Promote understanding of role of nurses to achieve the Vision -Support tobacco control advocacy eg plain packaging campaign - Support Global Nurses Alliance for Tobacco or Health Research and evaluation Measure changes in nurses’ smoking cessation and tobacco control practice and attitudes Measure change in number of undergraduate nursing programmes delivering smoking cessation education Reduction in smoking prevalence of nurses Centre of excellence for nurse smoking cessation and tobacco control research and evaluation -Undertake national follow-up survey of nurses -Prioritise actions on strategy -Representation at fono -Review and prioritise actions on strategy -Representation at conferences and seminars -Include in campaign with nurses and presentations at conferences -Media -Write submissions -Work with NNAs -Representation at world meetings -Organise and host world meeting -Liaise with smokefree nursing groups in other countries -Seek funding -Repeat 2006/7ASH KAN survey -Disseminate results in nurses’ campaign As they arise 2012 2015 2012 2012/13 - Undertake national follow-up survey of undergraduate nursing programmes -Disseminate national follow-up survey of undergraduate nursing programmes 2012 -Intervention study in partnership with Pacific Island Nurses -Support other studies eg Maori nurses -Undertake research projects with nurses and clients Secure funding Undertake study 2012 2013 -Scope projects -Secure funding -Disseminate findings 4 5 Structure Smokefree Nurses Aotearoa/New Zealand Patroness Steering group Advisory group Director Project manager National Nursing Associations Individual nurses Patroness Mrs Putiputi O’Brien Steering group Grace Wong Andrea Ryan Kaaren Beverley Evelyn Hikuroa Angilla Perawiti Linda TasiMulitalo Sue Stevenson Carleine Receveur Dr Anita Bamford-Wade Tio Sewel Nursing, AUT University WDHB Waitemata PHO Nursing, MIT Te Ha o Te Oranga o Ngati Whatua Whitereia Community Polytechnic Bachelor of Nursing (Pacific) programme Smokefree coordinator Southern DHB Project manager Totally Smokefree Hawkes Bay HBDHB Joint Head of Nursing, AUT University Independent contractor Director; services for Asian peoples; research Primary health care nurses Mental health services Maori strategy leader; nursing education Services for Maori Pacific strategy leader; nursing education Enrolled Nurses; DHB smokefree services (South Island representative) DHB and PHC smokefree services Evaluation; research Mental health strategy leader; Maori mental health Advisory group Pauline Allan-Downs; Dr Mark Wallace-Bell; Faith Roberts Director Grace Wong (0.2 EFT) Project manager Lynn Stevenson (0. EFT) 6 National Nursing Associations New Zealand Nurses Organisation College of Nurses’ Aotearoa National Council of Maori Nurses Te Ao Maramatanga Pacific Nursing Section NZNO Nurse Executives of New Zealand Occupational Health Nurses NZ Plunket Nurse Practitioners Te Runanga O Aotearoa NZNO Enrolled Nurses NZNO Wharangi Ruamano The National Association of Nurse Education in the Tertiary Sector Individual nurse members Individual nurses including practicing nurses and nurses in the smokefree workforce and some Maori midwives 7