Doctor of Nursing Practice (DNP) Projects

Access Control

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

10-20-2016

Degree Program

Doctor of Nursing Practice

Degree Track

Family Nurse Practioner

Year Degree Awarded

2016

Month Degree Awarded

May

Keywords

Motivational interviewing, smoking cessation, tobacco dependence, health behavior change

Advisor

Raeann Genevieve LeBlanc

DNP Project Chair

Jean E DeMartinis

Abstract

Smoking is hazardous to human health and continues to be devastating to a patient’s physical health as well as to the entirety of the health care system. Smoking is both a public and personal health concern. The overall prevalence of tobacco dependence has decreased since smoking became a known health hazard, but it remains high in the general population as well as for the patients utilizing primary care in Rutland, Vermont. Nurse practitioners are holistic practitioners and are well suited to assist patients to change unhealthy behaviors. Behavior change, especially smoking cessation, is particularly difficult for patients. Motivational interviewing is an evidenced based method that has been extensively investigated to assist patients to overcome their tobacco addiction. This paper includes description of a Doctor of Nursing Practice (DNP) Project, health intervention, utilizing a motivational interviewing method to assist tobacco dependent patients in primary care. This project was based on the Transtheoretical Model of Health Behavior Change and principles of motivational interviewing utilized to assist patients to progress along the stages of change towards cessation. Data was collected to provide programmatic evaluation and an understanding of barriers associated with assisting tobacco dependent patients in primary care. This paper provides a review of recent literature about motivational interviewing for smoking cessation, a detailed description of the DNP project implementation, data collected during the implementation, analysis and implications of the data collected, as well as a plan for project sustainment.

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Nursing Commons

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