The purpose of this paper was to critique a research paper that explored the experiences and attitudes of mental health nursing students towards using cigarettes as a means of controlling client behavior. A survey was used with the information broken down into graphs. Overall, the data showed that the respondents generally did not like this practice. There were both ethical and moral dilemmas involved using lifestyle risk factors as rewards or a patient’s addiction as a way of modifying behavior. Whether or not this intervention should ever be put in place in the clinical setting still needs further critical debate.
In mental health care settings specifically, the use of cigarettes to change a clients behavior is a common, yet understudied practice. A study was performed with mental health nursing students’ experiences of using cigarettes as a means of controlling client behavior. This study is certainly of interest and applicable to nursing. Knowing whether this is an accepted intervention to use in practice, or if the legal and ethical dilemmas associated with this are too great. The main purpose of this study was to gain an opinion by performing questionnaire surveys, as to whether or not this intervention should ever be performed in practice given its associated health risks. Unfortunately, little research has been done on this topic even though it seems to be a widespread practice. The overall physical health of people with severe mental illness (SMI) is a practice concern. “Research routinely shows that people with SMI have poor physical health and are more likely to die younger than the general population from a range of physical conditions.” (Nash & Romanos, pg. 684). According to research performed, people with SMI have a higher prevalence of smoking, which can be 3-4 times higher than the general population. Several different reasons