Date of Conferral



Doctor of Nursing Practice (DNP)




Mary Martin


Of 34.2 million adults who use tobacco, nearly 50% of the population living in the United States, or 16.5 million people, have a smoking-related disease. The purpose of this DNP project, conducted on an observational unit located in an acute care hospital, was to address the evidenced-based practice gap of the limited use of assessing tobacco use and the initiation of a readily available smoking cessation power plan (SCPP) intervention by nurses and healthcare providers. The practice-focused questions were whether an educational intervention for nursing staff would increase use of the 3As assessment (Ask and record smoking status; Advise patient of personal health benefits; and Act on patient’s response) and provider prescribing of the SCPP intervention. Roger’s diffusion of innovation theory was used as the framework for the development and implementation of this DNP project. A pre/post intervention design method was utilized for data collection. The preintervention data showed that only 3.8% of 233 patients were identified as smokers and ordered an SCPP. Following the educational intervention, 100% of patient smokers were identified and had an SCPP ordered. Based on the McNemar test the analysis results indicated a significant difference (p < 0.001). The findings of this project demonstrate the importance of an educational program to improve nurse and healthcare provider evidence-based assessment, identification, and treatment among patients who smoke. Implications for positive social change are based on improving upon the initiation of tobacco cessation plans that can lead to improvement in the patient’s quality of life, the environment, work productivity, and the economic burden of smoking.

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