Promoting health is an important part of occupational health (OH) professionals’ daily practice. Occupational health services (OHS) support work ability and prevent both work-related diseases and lifestyle-related illnesses.
OBJECTIVE:
We focused on how interprofessional collaboration (IPC), regardless of whether the OHS provider is public, private or in-house, influences the implementation of smoking cessation treatment and support (SCTS). We studied IPC of OH professionals in SCTS and whether they differ depending on OHS providers.
METHODS:
We collected data through an online survey of a cross-sectional sample of OH professionals of physicians (n = 182), nurses (n = 296) and physiotherapists (n = 96) at two different time-points, in 2013 and 2017. The questionnaire contained questions on interprofessional SCTS practices, so that we could assess how the professionals’ experiences differed from each other. We used explanatory factor analysis to study the collaboration, and the Kruskall–Wallis test to detect the differences between the OH professional groups as a post-hoc data analysis.
Background:
OH physicians (mean 3.4, SD 1.2) and OH nurses (mean 3.2, SD 1.1) experienced smooth collaboration in SCTS whereas OH physiotherapists (mean 2.5, SD 1.1) felt excluded from IPC. In-house OH centres (mean 3.5, SD 1.0) seemed to offer the best opportunities for implementing IPC in SCTS comparing to public (mean 3.1, SD 0.9) or private (mean 2.9, SD 0.9) OHS.
CONCLUSION:
The IPC of OH professionals in SCTS interventions need to be rearranged. This requires boundary-crossing SCTS practices involving all professionals. All OH professionals should implement IPC in SCTS and share their specific competence.
DanaeiG, DingEL, MozaffarianD, TaylorB, RehmJ, MurrayCJL, et al. The preventable causes of death in the United States: comparative risk assessment of dietary, lifestyle, and metabolic risk factors. PLoS Med2009;6(4):e1000058.
2.
PeacockA, LeungJ, LarneyS, ColledgeS, HickmanM, RehmJ, et al. Global statistics on alcohol, tobacco and illicit drug use: status report. Addict Abingdon Engl2018;113(10):1905–26.
3.
WoloshinS, SchwartzLM, WelchHGThe risk of death by age, sex, and smoking status in the United States: putting health risks in context. J Natl Cancer Inst2008;100(12):845–53.
4.
NahhasGJ, CummingsKM, HalenarMJ, SharmaE, AlbergAJ, HatuskamiD, et al. Smokeless Tobacco Use and Prevalence of Cardiovascular Disease Among Males in the Population Assessment of Tobacco and Health (PATH) Study, Waves 1-4. Prev Med Rep2022;25:101650.
5.
Spatial, temporal, and demographic patterns in prevalence of smoking tobacco use and attributable disease burden in 204 countries and territories, 1990–2019: a systematic analysis from the Global Burden of Disease Study 2019. Lancet Lond Engl. 2021;397(10292):2337-60.
6.
World Health Organization. Tobacco 2017. http://www.who.int/mediacentre/factsheets/fs339/en/ Accessed Novemer 23, 2017.
7.
WHO global report on trends in prevalence of tobacco use 2000–2025, fourth edition. https://www.who.int/publications/i/item/9789240039322 Assessed 16 November 2021.
8.
National Institute of Health and Welfare. Tobacco Statistic 2023. https://thl.fi/en/web/thlfi-en/statistics-and-data/dataand-services/quality-and-statistical-principles/qualitydescriptions/tobacco-statistics. Assessed 9 May 2023.
9.
The WHO Framework Convention on Tobacco Control: an overview. https://fctc.who.int/publications/m/item/thewho-framework-convention-on-tobacco-control-anoverview May 2021.
10.
HoskinsK, UlrichCM, ShinnickJ, ButtenheimAMAcceptability of financial incentives for health-related behavior change: An updated systematic review. Prev Med2019;126:105762.
11.
PihlajamäkiM, UittiJ, ArolaH, OllikainenJ, KorhonenM, NummiT, et al. Self-reported health problems and obesity predict sickness absence during a 12-month follow-up: a prospective cohort study in 21 608 employees from different industries. BMJ Open2019;9(10):e025967.
12.
TroelstraSA, CoenenP, BootCR, HartingJ, KunstAE, van der BeekAJSmoking and sickness absence: a systematic review and meta-analysis. Scand J Work Environ Health2020;46(1):5–18.
13.
SyamlalG, KingBA, MazurekJMWorkplace Smoke-Free Policies and Cessation Programs Among US. Working Adults. . Am J Prev Med2019;56(4):548–62.
14.
MaxWThe financial impact of smoking on health-related costs: a review of the literature. Am J Health Promot AJHP2001;15(5):321–31.
15.
van den BrandFA, NagelhoutGE, WinkensB, ChavannesNH, van Schayck OCP, EversSMAACost-effectiveness and cost-utility analysis of a work-place smoking cessation intervention with and without financial incentives. Addict Abingdon Engl2020;115(3):534–45.
16.
BermanM, CraneR, SeiberE, MunurMEstimating the cost of a smoking employee. Tob Control2014;23(5):428–33.
Le Denmat V, DewitteJDTobacco and work. Rev Mal Respir2019;36(10):1117–28.
19.
ThornberryA, GarciaTJ, PeckJ, SefcikEOccupational Health Nurses’ Self-Efficacy in Implementing Smoking Cessation Interventions for Workers: A Manufacturing Company Quality Improvement Project. Workplace Health Saf2022;70(2):63–72.
20.
HalonenJI, AtkinsS, HakulinenH, PesonenS, UittiJCollaboration between employers and occupational health service providers: a systematic review of key characteristics. BMC Public Health2017;17(1):22.
21.
RantanenJ, LehtinenS Basic Occupational Health Services. Julkari. 2007. https://www. julkari.fi/handle/10024/135069.
22.
SakowskiP, MarcinkiewiczAHealth promotion and prevention in occupational health systems in Europe. Int J Occup Med Environ Health2019;32(3):353–61.
23.
Ministry of Social Affairs and Health Finland. Unofficial translation, legally binding only in Finnish and Swedish. Occupational Health Care Act, No. 1383/2001. In: Ministry of Social Affairs and Health F, editor. 2001.
24.
SormunenE, YlisassiH, Mäenpää-MoilanenE, RemesJ, MartimoKPCo-operation in the prevention of work disability due to musculoskeletal disorders: A cross-sectional study among occupational health professionals in Finland. Work Read Mass2020;67(3):697–708.
KankaanpääE, SuhonenA, ValtonenHPromoting prevention with economic arguments - the case of Finnish occupational health services. BMC Public Health2008;8:130.
27.
LeeJ, LeeS, LeeM, KangYJOccupational health nurses’ personal attitudes toward smoking: A cross-sectional study. J Occup Health2021;63(1):e12221.
van Rossem C, SpigtMG, KleijsenJRC, HendricxM, van Schayck CP, KotzDSmoking cessation in primary care: Exploration of barriers and solutions in current daily practice from the perspective of smokers and healthcare professionals. Eur J Gen Pract2015;21(2):111–7.
32.
KockL, BrownJ, HiscockR, Tattan-BirchH, SmithC, ShahabLIndividual-level behavioural smoking cessation interventions tailored for disadvantaged socioeconomic position: a systematic review and meta-regression. Lancet Public Health2019;4(12):e628–44.
33.
AnLC, FoldesSS, AlesciNL, BluhmJH, BlandPC, DavernME, et al. The impact of smoking-cessation intervention by multiple health professionals. Am J Prev Med2008;34(1):54–60.
34.
ZenzanoT, AllanJD, BigleyMB, BushardtRL, GarrDR, JohnsonK, et al. The roles of healthcare professionals in implementing clinical prevention and population health. Am J Prev Med2011;40(2):261–7.
35.
CantaertGR, PypeP, ValckeM, LauwerierEInterprofessional Identity in Health and Social Care: Analysis and Synthesis of the Assumptions and Conceptions in the Literature. Int J Environ Res Public Health2022;19(22).
36.
Working on working together. A systematic review on how healthcare professionals contribute to interprofessional collaboration. England: 2020.
37.
Nowrouzi-KiaB, FoxMTFactors Associated With Intent to Leave in Registered Nurses Working in Acute Care Hospitals: A Cross-Sectional Study in Ontario, Canada. Workplace Health Saf2020;68(3):121–8.
38.
World Health Organization. Framework for Action on Interprofessional Education and Collaborative Practice. 2010; Geneva, Switzerland: WHO. https://apps.who.int/iris/handle/10665/70185
39.
BrewerML, FlavellHL, JordonJInterprofessional team-based placements: The importance of space, place, and facilitation. J Interprof Care2017;31(4):429–37.
40.
SangaletiC, SchveitzerMC, PeduzziM, ZoboliELCP, SoaresCBExperiences and shared meaning of teamwork and interprofessional collaboration among health care professionals in primary health care settings: a systematic review. JBI Database Syst Rev Implement Rep2017;15(11):2723–88.
41.
LiJ, TalariP, KellyA, LathamB, DotsonS, ManningK, et al. Interprofessional Teamwork Innovation Model (ITIM) to promote communication and patient-centred, coordinated care. BMJ Qual Saf2018;27(9):700–9.
42.
ReevesS, PeloneF, HarrisonR, GoldmanJ, ZwarensteinM. Interprofessional collaboration to improve professional practice and healthcare outcomes. Cochrane Database Syst Rev.2017;6(6):CD000072.
43.
NiheiE, AnzaiYStudy of characteristics of experience in successful smoking cessation among middle-aged male workers in Japan. Sangyo Eiseigaku Zasshi2022;64(4):173–85.
44.
ShoesmithE, HuddlestoneL, LorencattoF, ShahabL, GilbodyS, RatschenESupporting smoking cessation and preventing relapse following a stay in a smoke-free setting: a meta-analysis and investigation of effective behaviour change techniques. Addict Abingdon Engl2021;116(11):2978–94.
MalinM, JaakkolaN, LuukkonenR, HelomaA, LamminpääA, ReijulaK. Occupational health professionals’ attitudes, knowledge, and motivation concerning smoking cessation-Cross-sectional survey. J Occup Health2020;62(1):e12145.
47.
KaltnerM, MurtaghD, BennettsM, PighillsA, JamesJ, ScottARandomised controlled trial of a transprofessional healthcare role intervention in an acute medical setting. J Interprof Care2017;31(2):190–8.
48.
KeshmiriF, MehrparvarAHDeveloping a Competency Framework of Interprofessional Occupational Health Team: A First Step to Interprofessional Education in Occupational Health Field. J Occup Environ Med2021;63(11):e765–73.
49.
ReijulaJP, ReijulaKEThe impact of Finnish tobacco legislation on restaurant workers’ exposure to tobacco smoke at work. Scand J Public Health2010;38(7):724–30.
50.
HelomaA, NurminenM, ReijulaK, RantanenJSmoking prevalence, smoking-related lung diseases, and national tobacco control legislation. Chest2004;126(6):1825–31.
51.
UangR, HiilamoH, GlantzSA. Accelerated Adoption of Smoke-Free Laws After Ratification of the World Health Organization Framework Convention on Tobacco Control. Am J Public Health2016;106(1):166–71.
52.
ReijulaJP, JohnssonTSE, KalevaPS, ReijulaKEExposure to tobacco smoke and prevalence of symptoms decreased among Finnish restaurant workers after the smoke-free law. Am J Ind Med2012;55(1):37–43.
53.
Nord Nilsson L, VänjeA. Occupational safety and health professionals’ skills –A call for system understanding? Experiences from a co-operative inquiry within the manufacturing sector. Appl Ergon2018;70:279–87.
54.
HudsonCC, GauvinS, TabanfarR, PoffenrothAM, LeeJS, O’RiordanAL. Promotion of role clarification in the Health Care Team Challenge. J Interprof Care2017;31(3):401–3.
55.
TsengMF, HuangCC, TsaiSCS, TsayMD, ChangYK, JuanCL, et al. Promotion of Smoking Cessation Using the Transtheoretical Model: Short-Term and Long-Term Effectiveness for Workers in Coastal Central Taiwan. Tob Use Insights2022;15:1179173X221104410.
56.
WangX, ChengZCross-Sectional Studies: Strengths, Weaknesses, and Recommendations. Chest2020;158(1S):S65–71.
