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Implementation of the 5A's Smoking cessation tool in the electronic medical record: a quality improvement project

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TitleInfo
Title
Implementation of the 5A's Smoking cessation tool in the electronic medical record: a quality improvement project
Name (type = personal)
NamePart (type = family)
Mansfield
NamePart (type = given)
Jill
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Jill Mansfield
Role
RoleTerm (authority = RULIB)
author
Name (type = personal)
NamePart (type = family)
Bagchi
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Ann
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Ann Bagchi
Affiliation
Advisory Committee
Role
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chair
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NamePart
Rutgers University
Role
RoleTerm (authority = RULIB)
degree grantor
Name (type = corporate)
NamePart
School of Nursing - RBHS
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RoleTerm (authority = RULIB)
school
TypeOfResource
Text
Genre (authority = marcgt)
theses
Genre (authority = ExL-Esploro)
ETD doctoral
OriginInfo
DateCreated (qualifier = exact); (encoding = w3cdtf); (keyDate = yes)
2021
DateOther (type = degree); (qualifier = exact); (encoding = w3cdtf)
2021-05
Language
LanguageTerm (authority = ISO 639-3:2007); (type = text)
English
Abstract (type = abstract)
Purpose of Project: Primary care providers have prime opportunity to provide smoking cessation counseling and care for all of their patient population. Unfortunately, smoking cessation care is lacking by primary care providers. Guidelines recommend the use of the evidence-based 5A’s approach to screen and treat patients at every patient encounter for smoking cessation. This project sought to place the 5A’s smoking cessation tool into the EMR at a primary care practice in Monroe, New Jersey and assess for any increases in smoking cessation screening and care.

Methodology: Quality improvement project - pre-/post-intervention chart reviews. The intervention includes implementation by the clinicians to complete and document the 5A’s for smoking cessation care at every patient encounter in the EMR and measuring rates of providers counseling and prescriptions prior to and after the intervention.

Results: Pre-intervention 14.7% were provided counseling and 5.9% prescriptions; post-interventions 33.3% were provided counseling and 20.0% prescriptions. These findings were not statistically significant (p=0.082 and P=0.103, respectively).

Implications for Practice: 5A’s approach can be easily intergraded into EMRs and used at primary care practice at no cost to provider or patient. It will help provided evidence-based smoking cessation care to all patients.
Subject (authority = local)
Topic
Smoking
Subject (authority = RUETD)
Topic
Adult-Gerontology Primary Care Nurse Practitioner
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Title
Rutgers University Electronic Theses and Dissertations
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ETD_11751
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application/pdf
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text/xml
Extent
1 online resource (62 pages)
Note (type = degree)
DNP
Note (type = bibliography)
Includes bibliographical references
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School of Nursing (RBHS) DNP Projects
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rucore10004500001
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NjNbRU
Identifier (type = doi)
doi:10.7282/t3-fz43-ny67
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RightsDeclaration (ID = rulibRdec0006)
The author owns the copyright to this work.
RightsHolder (type = personal)
Name
FamilyName
Mansfield
GivenName
jill
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2021-04-14 15:10:10
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jill Mansfield
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Rutgers University. School of Nursing - RBHS
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Author Agreement License
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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)
2021-05-31
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
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2021-04-14T19:06:45
DateCreated (point = end); (encoding = w3cdtf); (qualifier = exact)
2021-04-14T19:06:45
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