Clinical Guideline Based Interventions to Increase Smoking Cessation Success in Primary Care

Author

Chloe MarthFollow

Date of Award

Spring 5-10-2019

Document Type

DNP Project

Project Team Faculty Member

Amelia Perez, MSN, PhD

Project Team Faculty Member

Roberta Harrison, MSN, PhD

Keywords

smoking cessation, guideline, primary care, intervention

Abstract

Current evidence indicates that providers play an integral role and are most successful in improving cigarette smoking cessation rates through a combination of counseling, patient follow up, and pharmacotherapy. In order to address high smoking rates among patients at a primary care clinic in an urban community, the Five A’s model for smoking cessation (Ask, Advise, Assess, Assist, and Arrange) was initiated. During clinic visits, patients were asked about their smoking status. For those who stated they smoked cigarettes, further evaluation was conducted using the Fagerstrom Test for Nicotine Dependence and the patient’s willingness to quit was assessed. Five of the ten patients assessed were willing to attempt smoking cessation. In collaboration with the primary care provider, the protocol was initiated on these patients and follow up phone calls were conducted over two months. During the time frame, one of the five patients was successful with smoking cessation. An educational session about the protocol was conducted for the staff at the clinic. The staff noted they had adequate resources, support, and time to implement the protocol. Future projects are needed including larger sample sizes and longer time frame of implementation to evaluate long term impact.

Recommended Citation

Marth, Chloe, "Clinical Guideline Based Interventions to Increase Smoking Cessation Success in Primary Care" (2019). Doctor of Nursing Practice Projects. 49.
https://spark.siue.edu/dnpprojects/49

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