2.50
Hdl Handle:
http://hdl.handle.net/10755/164122
Category:
Abstract
Type:
Presentation
Title:
Tackling Tobacco: A CNS Approach to SAK the Pack
Author(s):
Dunscomb, Jennifer
Author Details:
Jennifer Dunscomb, RN, MSN, CCRN, Columbus Regional Hospital, Columbus, Indiana, USA, email: nacnsorg@nacns.org
Abstract:
Background/ Rationale: Tobacco use is responsible for over 430,000 avoidable deaths in the United States. Center of Medicare and Medicaid requires smoking education as a publicly reported indicator for identified populations. Columbus Regional Hospital lacked a standardized approach to identification of smokers, incentives for clinician's to intervene consistently, an evidenced based intervention, continuity between sites of care. In addition, there was minimal documentation of smoking education (33%). The Clinical Nurse Specialist (CNS) partnered with the Community Coordinator to develop an innovative smoking cessation model across the continuum. Description: The Transtheoretical Model was integrated in the admission database to assess tobacco use and readiness to change behavior. A standardized, stage-based consciousness-raising message was included in daily nursing documentation and patient materials. CNS developed and implemented the Smoking Aid Kit (SAK), a supportive package used during smoking cessation education. Tobacco Counselors met with smokers in contemplation and preparation for a 15-minute stage-based intervention. Follow-up phone call was conducted to register smokers in the outpatient class 2-weeks post discharge. A 4-week outpatient class was developed for further tailored interventions. Volunteered counselors participated in a 3-day training course with competencies taught by the CNS. Outcome: Six months post-implementation demonstrated a increase in the number of patients within the hospital environment who received smoking cessation education. A significant increase in documentation of smoking cessation education for CMS populations was also noted. Of the smokers counseled, 26% were registered for the outpatient class and had a positive stage of change movement. Five patients continue to be smoke-free and will be followed to evaluate annual quit rates. CNSs have the ability to influence change at the system level. Through collaborative practice, an innovative smoking cessation model demonstrated improved outcomes among smokers.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2005
Conference Name:
CNS Leadership: Navigating the Healthcare Environment Toward Excellence
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Orlando, Florida, USA
Description:
Conference theme: CNS Leadership: Navigating the Healthcare Environment Toward Excellence, held on March 9�12, 2005 in Orlando, Florida, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleTackling Tobacco: A CNS Approach to SAK the Packen_GB
dc.contributor.authorDunscomb, Jenniferen_US
dc.author.detailsJennifer Dunscomb, RN, MSN, CCRN, Columbus Regional Hospital, Columbus, Indiana, USA, email: nacnsorg@nacns.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/164122-
dc.description.abstractBackground/ Rationale: Tobacco use is responsible for over 430,000 avoidable deaths in the United States. Center of Medicare and Medicaid requires smoking education as a publicly reported indicator for identified populations. Columbus Regional Hospital lacked a standardized approach to identification of smokers, incentives for clinician's to intervene consistently, an evidenced based intervention, continuity between sites of care. In addition, there was minimal documentation of smoking education (33%). The Clinical Nurse Specialist (CNS) partnered with the Community Coordinator to develop an innovative smoking cessation model across the continuum. Description: The Transtheoretical Model was integrated in the admission database to assess tobacco use and readiness to change behavior. A standardized, stage-based consciousness-raising message was included in daily nursing documentation and patient materials. CNS developed and implemented the Smoking Aid Kit (SAK), a supportive package used during smoking cessation education. Tobacco Counselors met with smokers in contemplation and preparation for a 15-minute stage-based intervention. Follow-up phone call was conducted to register smokers in the outpatient class 2-weeks post discharge. A 4-week outpatient class was developed for further tailored interventions. Volunteered counselors participated in a 3-day training course with competencies taught by the CNS. Outcome: Six months post-implementation demonstrated a increase in the number of patients within the hospital environment who received smoking cessation education. A significant increase in documentation of smoking cessation education for CMS populations was also noted. Of the smokers counseled, 26% were registered for the outpatient class and had a positive stage of change movement. Five patients continue to be smoke-free and will be followed to evaluate annual quit rates. CNSs have the ability to influence change at the system level. Through collaborative practice, an innovative smoking cessation model demonstrated improved outcomes among smokers.en_GB
dc.date.available2011-10-27T11:42:27Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:42:27Z-
dc.conference.date2005en_US
dc.conference.nameCNS Leadership: Navigating the Healthcare Environment Toward Excellenceen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationOrlando, Florida, USAen_US
dc.descriptionConference theme: CNS Leadership: Navigating the Healthcare Environment Toward Excellence, held on March 9�12, 2005 in Orlando, Florida, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_US
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