Doctor of Nursing Practice (DNP) Projects

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Open Access

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License.

Embargo Period

4-26-2016

Degree Program

Doctor of Nursing Practice

Degree Track

Family Nurse Practioner

Year Degree Awarded

2016

Month Degree Awarded

May

Keywords

tobacco, cessation, primary care, 5As, intervention

Advisor Name

Raeann

Advisor Middle Initial

G.

Advisor Last Name

LeBlanc

Capstone Chair First Name

Raeann

Capstone Chair Middle Initial

G.

Capstone Chair Last Name

LeBlanc

Capstone Member Name

Gabrielle

Abelard

Capstone Outside Member Name

Anita

L.

Morris

Abstract

Background: Quitting smoking at any time benefits health. Primary care visits provide the opportunity to advise current tobacco users to initiate a quit attempt, explain available quit options and arrange for adequate follow-up care. Purpose: The purposes of this DNP project were to provide a staff development educational activity and introduce a workflow modification intended to extend the effectiveness of a tobacco cessation intervention delivered during an office visit. Methods: Medical Assistant staff members responsible for patient recruitment completed a pre-test, viewed an online tobacco educational module and completed a post-test. Using convenience sampling methodology, a cohort of self-identified current tobacco users after being asked if they were contemplating quitting, were recruited, provided consent and became eligible to participate in follow up phone call(s) and an experience survey. Staff members were provided an anonymous staff experience survey. Results: 33% of the nine patients who enrolled, consented and participated in follow up telephone call(s) decided on a quit date (but may not have actually quit) by the end of the project period. Conclusion: Identifying current smokers who are thinking about quitting, providing information and resources to them and arranging for ongoing support may extend the impact of tobacco cessation activity beyond simply asking about tobacco use during the office visit. This process shows promise as a technique to move interested patients towards selecting a quit date while providing the practice with a method to develop sustainable practice-based interventions that integrate positive health behavior change as one of their components.

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