Why do respiratory patients continue to smoke? A qualitative study.

Julie Kapur, Donna Fitzsimons, Stuart Elborn

Research output: Contribution to conferenceAbstractpeer-review

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Rationale: Smoking cessation is the primary intervention
for COPD management. Despite numerous
systematic reviews on cessation interventions,
little of this evidence applies to smokers with
COPD, where cessation rates are low. In order to
develop more effective interventions, nurses require
greater understanding of the factors that contribute
to patients’ behaviour.

Aim: To explore the decision process of patients with
COPD who continue to smoke, despite receiving
evidence-based support in accordance with national
guidelines (BTS,1998).
Methods: A phenomenological approach was
taken and indepth interviews were performed
with a purposive sample (n = 6). All participants
completed a RCT evaluating smoking cessation
interventions (BTS,1998) but were unable to stop
smoking. Interviews were recorded and transcribed
verbatim and a line-by-line analysis was undertaken
to allow themes and categories to emerge from the

Results: Giorgi’s analytic procedures identified four
core themes; anxiety, helplessness, pessimism and
preconditions. They will be presented as barriers
to behaviour change as they lower perceived selfefficacy.
The self-efficacy theory will be used to
gain an insight into the decisional process of this

Conclusion: This research identifies factors that
impact upon self-efficacy, impeding the ability to
change chronic behaviour. It provides an insight for
nurses into smokers with COPD chronic behaviour.
Further research is required to explore personal
sense of control within this population.
Original languageEnglish
Publication statusPublished - 2004
EventRoyal College of Nursing International Nursing Research Conference - University of Cambridge , Cambridge , United Kingdom
Duration: 21 Mar 200424 Mar 2004


ConferenceRoyal College of Nursing International Nursing Research Conference
Country/TerritoryUnited Kingdom


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