Staff View
Implementing multimodal smoking cessation interventions in adult primary care

Descriptive

TitleInfo
Title
Implementing multimodal smoking cessation interventions in adult primary care
Name (type = personal)
NamePart (type = family)
Silva-Esquivel
NamePart (type = given)
Maria
NamePart (type = date)
1983-
DisplayForm
Maria Silva-Esquivel
Role
RoleTerm (authority = RULIB)
author
Name (type = personal)
NamePart (type = family)
Murphy
NamePart (type = given)
Nancy
DisplayForm
Nancy Murphy
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); (keyDate = yes); (qualifier = exact)
2020
DateOther (encoding = w3cdtf); (qualifier = exact); (type = degree)
2020-05
Language
LanguageTerm (authority = ISO 639-3:2007); (type = text)
English
Abstract (type = abstract)
Purpose of Project: The purpose of this study was to implement multimodal smoking cessation interventions in a primary care setting.

Methodology: This DNP project used a mixed methods participatory inside action research approach, to implement multimodal smoking cessation interventions using the 5A’s and the 5R’ s of smoking cessation, in a primary care setting. The DNP student investigator organized learning circle meetings to educate the healthcare team, to develop the implementation and adaptation of these interventions, and to leave a sustainable workflow for smoking cessation interventions for the practice to use. Chart reviews were performed to assess for adherence to interventions and force field analysis of the potency and amenability to change of the CFIR constructs.

Results: The results showed multiple barriers, facilitators, and unexpected findings, which guided the adaptation of workflows and the implementation plan. Evaluation of the data showed that adherence to asking about smoking status was 100%, and the rate of assisting patients in quitting smoking was 72%. The rest of the interventions had much lower adherence rates due to multiple barriers. The increase in potency and amenability to change of the CFIR constructs were in direct correlation to the adaptation of interventions to the practice. These results cannot be generalized, but they indicate that participatory inside action research had partial success in implementing smoking cessation interventions in a primary care setting.

Implications for Practice: Progress towards the patient’s quality of care and safety was obtained after the implementation of smoking cessation in the primary care office, but further work needs to be done to increase adherence. Further education is needed to be provided for the primary care providers to acquire a high level of skill set to apply interventions that are more time consuming, such as motivational interviewing.
Subject (authority = local)
Topic
Smoking cessation implementation
Subject (authority = RUETD)
Topic
Family Nurse Practitioner
RelatedItem (type = host)
TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier (type = RULIB)
ETD
Identifier
ETD_10935
PhysicalDescription
Form (authority = gmd)
InternetMediaType
application/pdf
InternetMediaType
text/xml
Extent
1 online resource (78 pages)
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-nmcj-nz46
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
Silva-Esquivel
GivenName
Maria
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2020-05-04 18:04:12
AssociatedEntity
Name
Maria Silva-Esquivel
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)
2020-05-31
DateTime (encoding = w3cdtf); (qualifier = exact); (point = end)
2022-05-31
Detail
Access to this PDF has been restricted at the author's request. It will be publicly available after May 31st, 2022.
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
1.7
DateCreated (point = end); (encoding = w3cdtf); (qualifier = exact)
2020-05-04T18:02:42
DateCreated (point = end); (encoding = w3cdtf); (qualifier = exact)
2020-08-12T16:54:36
ApplicationName
Microsoft® Word for Microsoft 365
Back to the top
Version 8.5.5
Rutgers University Libraries - Copyright ©2024