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


smoking cessation, guideline, primary care, intervention


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.

Download Full Text Above

Background Introduction_cmarth.docx (14 kB)

Problem Statement_cmarth.docx (13 kB)
Problem Statement

Clinical Relevance_cmarth.docx (13 kB)
Clinical Relevance

Conceptual Framework_cmarth.docx (14 kB)
Conceptual Framework

Literature Review_cmarth.docx (27 kB)
Literature Review

Project Methods_cmarth.docx (16 kB)
Project Methods

Evaluation_cmarth.docx (18 kB)

Final Reference List_cmarth.docx (19 kB)
Final Reference List

Included in

Nursing Commons



To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.