Date of Conferral

2021

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Robert Anders

Abstract

Cigarette smoking in the United States constitutes a public health crisis, with millions of people having cigarette-related diseases and comorbidities. Although there is an increased prevalence of uncontrolled smoking among patients with cardiovascular diseases, many healthcare facilities, including the project site, lack adequate screening for tobacco use among cardiovascular patients. The 5As (asking, advising, assessing, assisting, and arranging) model of behavioral change provided the framework for the project. The practice-focused question for this project addressed whether a staff education program specifically designed to instruct healthcare providers on using the 5As intervention with cardiovascular patients would increase their knowledge of smoking cessation. . The 5As model is an evidence-based intervention made up of asking ,advising ,assessing ,assisting, and conducting follow-up and supporting the patient's cessation efforts. Data was collected using questionnaires issued before and after the project to assess knowledge levels of participants comprised of two physicians, one NP, and two medical assistants. The responses were scored against correct answers and then analyzed using a paired samples t-test. Analysis of data indicated that the education of healthcare providers was effective in encouraging smoking cessation among cardiovascular patients. The difference between the pre (M = 6.4, SD = 1.34) and postintervention survey scores (M = 8.4, SD = 1.52) of the healthcare providers (N = 5) was significantly higher, t(4) = -3.16, p < 0.05. The implementation of the intervention may result in positive social change by increasing self-efficacy among healthcare providers at the project site concerning screening for tobacco use and initiation of cessation programs.

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