RUcore: Rutgers University Community Repository
Improving the delivery of smoking cessation interventions in the primary care setting
Descriptive
TitleInfo
Title
Improving the delivery of smoking cessation interventions in the primary care setting
Name
(type = personal)
NamePart
(type = family)
Carchi
NamePart
(type = given)
Tania
NamePart
(type = date)
1985-
DisplayForm
Tania Carchi
Role
RoleTerm
(authority = RULIB)
author
Name
(type = personal)
NamePart
(type = family)
Gunkel
NamePart
(type = given)
Kathy
DisplayForm
Kathy Gunkel
Affiliation
Advisory Committee
Role
RoleTerm
(authority = RULIB)
chair
Name
(type = corporate)
NamePart
Rutgers University
Role
RoleTerm
(authority = RULIB)
degree grantor
Name
(type = corporate)
NamePart
School of Nursing - RBHS
Role
RoleTerm
(authority = RULIB)
school
TypeOfResource
Text
Genre
(authority = marcgt)
theses
OriginInfo
DateCreated
(encoding = w3cdtf);
(qualifier = exact)
2019
DateOther
(encoding = w3cdtf);
(qualifier = exact);
(type = degree)
2019-05
Language
LanguageTerm
(authority = ISO 639-3:2007);
(type = text)
English
Abstract
(type = abstract)
Purpose
Medical providers have the ability to influence patients' smoking status by performing the 5 A's. Therefore, a quality improvement project was implemented in order to improve providers' knowledge and practice of this clinical guideline by receiving training on the 5 A's.
Methodology
The project took place at a primary care office in Paterson, NJ. Providers (n=4) at the office received training on the 5 A's and completed surveys pre and post-intervention. After the training, 100 charts were randomly selected and reviewed to assess adherence of providers to the 5 A's.
Results
During the chart reviews, it was noted that 14 patients screened positive for tobacco use. The patients were more likely to be asked about tobacco use, advised, and assessed for readiness to quit than receiving assistance and arranging. A Wilcoxon rank test was performed to assess change in providers' knowledge and practice of the 5 A's pre and post-intervention. Even though the results were not statistically significant, the findings suggest that there could be a relationship between training clinicians on the 5 A's and an improvement of the providers' knowledge and practice of the 5 A's.
Implications for Practice
Primary care settings could use the methodology used in this project to assess adherence of medical providers to evidence-based smoking cessation interventions and to develop quality improvement initiatives in order to provide patients with high-quality care.
Medical providers have the ability to influence patients' smoking status by performing the 5 A's. Therefore, a quality improvement project was implemented in order to improve providers' knowledge and practice of this clinical guideline by receiving training on the 5 A's.
Methodology
The project took place at a primary care office in Paterson, NJ. Providers (n=4) at the office received training on the 5 A's and completed surveys pre and post-intervention. After the training, 100 charts were randomly selected and reviewed to assess adherence of providers to the 5 A's.
Results
During the chart reviews, it was noted that 14 patients screened positive for tobacco use. The patients were more likely to be asked about tobacco use, advised, and assessed for readiness to quit than receiving assistance and arranging. A Wilcoxon rank test was performed to assess change in providers' knowledge and practice of the 5 A's pre and post-intervention. Even though the results were not statistically significant, the findings suggest that there could be a relationship between training clinicians on the 5 A's and an improvement of the providers' knowledge and practice of the 5 A's.
Implications for Practice
Primary care settings could use the methodology used in this project to assess adherence of medical providers to evidence-based smoking cessation interventions and to develop quality improvement initiatives in order to provide patients with high-quality care.
Subject
(authority = local)
Topic
Providers
Subject
(authority = RUETD)
Topic
Family Nurse Practitioner
Subject
(authority = LCSH)
Topic
Smoking cessation
RelatedItem
(type = host)
TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier
(type = RULIB)
ETD
Identifier
ETD_9875
PhysicalDescription
Form
(authority = gmd)
InternetMediaType
application/pdf
InternetMediaType
text/xml
Extent
1 online resource (60 pages) : illustrations
Note
(type = degree)
DNP
Note
(type = bibliography)
Includes bibliographical references
RelatedItem
(type = host)
TitleInfo
Title
School of Nursing (RBHS) DNP Projects
Identifier
(type = local)
rucore10004500001
Location
PhysicalLocation
(authority = marcorg);
(displayLabel = Rutgers, The State University of New Jersey)
NjNbRU
Identifier
(type = doi)
doi:10.7282/t3-z787-r644
Genre
(authority = ExL-Esploro)
ETD doctoral
Back to the top
Rights
RightsDeclaration
(ID = rulibRdec0006)
The author owns the copyright to this work.
RightsHolder
(type = personal)
Name
FamilyName
Carchi
GivenName
Tania
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime
(encoding = w3cdtf);
(qualifier = exact);
(point = start)
2019-04-15 21:37:17
AssociatedEntity
Name
Tania Carchi
Role
Copyright holder
Affiliation
Rutgers University. School of Nursing - RBHS
AssociatedObject
Type
License
Name
Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
RightsEvent
Type
Embargo
DateTime
(encoding = w3cdtf);
(qualifier = exact);
(point = start)
2019-05-31
DateTime
(encoding = w3cdtf);
(qualifier = exact);
(point = end)
2099-12-31
Detail
Access to this PDF has been restricted at the author's request.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
Back to the top
Technical
RULTechMD
(ID = TECHNICAL1)
ContentModel
ETD
OperatingSystem
(VERSION = 5.1)
windows xp
CreatingApplication
Version
1.4
ApplicationName
Mac OS X 10.10.5 Quartz PDFContext
DateCreated
(point = end);
(encoding = w3cdtf);
(qualifier = exact)
2019-04-16T01:34:12
DateCreated
(point = end);
(encoding = w3cdtf);
(qualifier = exact)
2019-04-16T01:34:12
Back to the top
Statistical Profile