A development of smoking cessation competency among nursing students: The challenges of pre-service nursing education
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Abstract
Smoking cessation is a critical role of professional nurses in health promotion and the prevention of non-communicable diseases. However, evidence indicates that many nursing students remain insufficiently prepared and lack confidence in performing smoking cessation interventions upon entering professional practice. This article analyzes the current situation and structural challenges of pre-service nursing education in developing smoking cessation competency among nursing students. The analysis is based on a synthesis of theoretical concepts, established smoking cessation guidelines, relevant empirical studies, and a competency framework that has been developed and refined through expert consultation. Key challenges in developing smoking cessation competency include the unclear integration of such competencies within nursing curricula, emphasis on theoretical knowledge rather than practical skills, limitations in faculty capacity and educational resources, and assessment approaches that do not adequately reflect real-world practice. To address these challenges, nursing education should adopt a competency-based approach by explicitly defining smoking cessation competency as a core learning outcome, integrating experiential and practice-based learning strategies, and strengthening assessment methods to align with professional practice. Such reforms are essential to enhance nursing students’ readiness and confidence in delivering effective smoking cessation interventions and to ensure that pre-service nursing education responds to the evolving demands of contemporary health systems.
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