Date of Conferral

2018

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Mary Verklan

Abstract

Tobacco use among veterans is significantly higher than among members of the general population. The purpose of this quality-improvement project was to increase acute care staff members' knowledge and confidence in using tobacco cessation interventions to increase quit rates among the inpatients of a veterans' hospital in the midwestern region of the United States. An evidence-based, standardized Tobacco Tactics Toolkit was developed and implemented, and a 6 sigma method guided the quality improvement process to define, measure, analyze, improve, and control the tobacco-cessation education initiative. The reach, effectiveness, adoption, implementation, and maintenance framework was used to ensure that evidence-based interventions were applicable to practice. The transtheoretical model was also used to understand the changing behavior of individuals addicted to tobacco and explain the phenomena of nicotine dependence. A convenience sample method was used, and a 10-question pre- and posttest was administered to 12 staff members. Results showed a 60% increase in posttest scores indicating a significant improvement in staff confidence, knowledge, and willingness to implement tobacco-cessation interventions. The Tobacco Tactics Toolkit has the potential to positively impact social change by increasing quit rates, decreasing admissions, and improving quality of life among veterans.

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