The effect of brief interventions on alcohol consumption among heavy drinkers in a general hospital setting.

Aims: (i) To evaluate the effect of receiving one of two brief interventions in reducing alcohol consumption among general hospital patients compared with usual care. (ii) To assess whether a brief intervention of self-efficacy enhancement was superior to a self-help booklet in reducing alcohol consumption.

Design: A three-arm cluster randomized controlled trial.

Nurses' opportunistic interventions with patients in relation to smoking.

Aim: This paper reports a study exploring nurses' provision of opportunistic health education on smoking for hospital patients.

Background: Smoking cessation guidelines recommend assessment of patients' smoking habits and provision of smoking cessation advice when possible, and highlight the importance of the role of nurses in health promotion and health education. In the past, nurses have been criticized for lack of knowledge, skills and confidence in relation to health education and the perception that it is additional to, rather than integrated with, nursing care.

Older people who smoke: why nurses should help them to stop.

Smoking is the greatest preventable cause of ill health and premature death in the UK. Although the prevalence of smoking is lower among adults over 65 years than in younger age groups, the actual number of older smokers is increasing steadily as the proportion of older adults in the population rises. If nurses are to function effectively in their role as health promoters it is important that they base their practice on appropriate research-based evidence.

Role of self-efficacy and behaviour change.

Behaviour change is an important concept in relation to health promotion and disease prevention. Self-efficacy has been identified as an important determinant of health behaviour, future health behaviour and health behaviour change. In order to effectively facilitate behaviour change, it is essential that interventions are research based, and emphasize the utility of theory in practice.