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Date of Award

4-25-2013

Degree Type

Restricted Evidence-Based Project Report

Degree Name

Doctor of Nursing Practice (DNP)

Department

Nursing

First Advisor

Christine P. Kurtz

Abstract

According to the CDC (2012a), tobacco use is the leading preventable cause of death and in the United States, 19.3% or approximately 45.3 million adults smoke cigarettes. The clinical question that led to this evidence-based practice (EBP) project was: What are the most effective interventions nurses can use to help their patients quit smoking? The purpose of the proposed EBP project was to evaluate the effectiveness of an intensive nurse-delivered smoking cessation intervention for hospitalized adult smokers begun in the hospital that included follow-up contact support. The Transtheoretical Model and Stages of Change behavioral framework and the U.S. Public Health Service’s 2008 clinical practice guideline utilizing the 5A’s model provided the guiding frameworks for the EBP project. The project was implemented at a moderately sized acute care hospital in Northwest Indiana. During a five-month period, 21 patients participated in an educational smoking cessation intervention. Participants completed pre-intervention surveys regarding smoking behaviors and beliefs. Abstinence was evaluated by postintervention telephone follow-up surveys at one and four weeks and measured by descriptive statistical analysis. Chi-square analysis was used to determine whether exposure to the intervention facilitated change behavior to result in smoking abstinence. There were statistically significant differences in stages of change from pre-intervention to one (p = .044) and four (p = 0.46) weeks post discharge. Abstinence rates at one (14.3%) and four (13.3%) weeks were higher than the national annual abstinence rate of 6.2%. Anticipated outcomes of this project were to increase smoking abstinence among adult hospitalized smokers and to contribute towards the goal of Healthy People 2020 to reduce the number of smoking adults in the U.S. to 12%.

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