Pasifika
Smoke 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
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Hello & Welcome!
Content
Hello , Welcome & Content
Introduction
Background
Project purpose
Proposed Project
Methodology
Timeline
Discussions.
Conclusions
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2012
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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.
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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 smokingrelated 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.
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Project Purpose is To:
1. Evaluate the effectiveness of
smoking cessation services ;
2. 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.g.,
‘Ala Mo’ui;
Pathway to Pacific Health & wellbeing; &
the Pacific Health & Disability Action
Plan (2002).
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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.
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1. Methodology
 The study samples for
this project are:
1. Pasifika nurses in NZ
who are smokers and
wish to give up: &
2. 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:
1. “What is the
effectiveness of
smoking cessation
services:
2. Smoking cessation
training among
Pacific nurses?” &
3. The impact of these
interventions on
their practice when
working with health
consumers who
smoke?’’
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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,
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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 ASHKAN survey:
 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 nonsmoking nurses who will to upport
others 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.
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1. Posting the questionnaires to
the nurses to complete with a
self-addressed envelope
2. Individual or group face to face
meetings to complete the
questionnaire
3. Online survey (via the Monkey
survey software or NZNO
website E. Finau & S.Kupa SPNF MelB.: Nov, 2012
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: JUNE2013June 2014
 smoking cessation training: JUNE
2013-JUNE2014
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July-Sept 2014: Data analysis &
collation
2nd Report: June 2013 3rd & Final
Report; October 2013
outcome evaluation: October 2010
Discussions
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.
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Conclusion
•
•
•
•
•
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
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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
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