DEVELOPMENT OF A NURSE COORDINATED EVIDENCED-BASED SMOKING CESSATION PROGRAM IN A COMPREHENSIVE CANCER CENTER:

2.50
Hdl Handle:
http://hdl.handle.net/10755/165081
Category:
Abstract
Type:
Presentation
Title:
DEVELOPMENT OF A NURSE COORDINATED EVIDENCED-BASED SMOKING CESSATION PROGRAM IN A COMPREHENSIVE CANCER CENTER:
Author(s):
O'Brien, Maureen; Keaveney, Sheila
Author Details:
Maureen O'Brien, RN MSN CTTS, Memorial Sloan-Kettering Cancer Center, New York City, New York, USA, email: obrienm@mskcc.org; Sheila Keaveney, RN, MA, NP-C
Abstract:
Tobacco products cause more cancer deaths than any other carcinogen, with 155,000 new cases of tobacco-related cancers diagnosed yearly. Since there are no reliable screening and early detection methods for most of these cancers, smoking cessation is critical to reducing cancer mortality. Most of these patients are motivated to quit at the time of diagnosis, offering the nurse a ôteachable momentö to intervene. The efficacy of nurse-led cessation interventions has been documented. This abstract describes the development of a nurse-coordinated smoking cessation program in a comprehensive cancer center. An Oncology Clinical Nurse Specialist was chosen by the program director (psychologist) to coordinate the program. The CNS was certified as a Tobacco Treatment Specialist after gaining proficiency in brief motivational interviewing and treating tobacco dependence & withdrawal. The CNS moved to standardize tobacco use questions in all nursing assessment forms in order to provide an effective prompt for referrals to the program. Multiple channels were established for making referrals, i.e., email, in-person, and electronic order system. Electronic initial assessment and treatment forms were created as part of the patientÆs medical record. To facilitate proper use of smoking cessation pharmacotherapies, guidelines were developed and distributed to providers and integrated into the electronic medication ordering system. The program staff created educational materials tailored to tobacco-dependent cancer patients and their families and placed them in all clinics. Each year, referrals to the Smoking Cessation Program have steadily increased, with 875 referrals made in 2005. The majority of referrals have come from the Thoracic (30%), Head & Neck (14%), and Breast (10%) services. As the program needs grew, a Nurse Practitioner joined the team to assist with pharmacotherapy and referrals. The oncology CNS and NP play key roles on the frontlines in providing treatment to cancer patients and their families and in providing in-service training and grand rounds presentations. Currently underway are efforts to document the efficacy of the program, examine the efficiency of the referral process, identify patient characteristics influencing cessation success, and generate ideas for program improvement.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
32nd Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Las Vegas, Nevada, 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.titleDEVELOPMENT OF A NURSE COORDINATED EVIDENCED-BASED SMOKING CESSATION PROGRAM IN A COMPREHENSIVE CANCER CENTER:en_GB
dc.contributor.authorO'Brien, Maureenen_US
dc.contributor.authorKeaveney, Sheilaen_US
dc.author.detailsMaureen O'Brien, RN MSN CTTS, Memorial Sloan-Kettering Cancer Center, New York City, New York, USA, email: obrienm@mskcc.org; Sheila Keaveney, RN, MA, NP-Cen_US
dc.identifier.urihttp://hdl.handle.net/10755/165081-
dc.description.abstractTobacco products cause more cancer deaths than any other carcinogen, with 155,000 new cases of tobacco-related cancers diagnosed yearly. Since there are no reliable screening and early detection methods for most of these cancers, smoking cessation is critical to reducing cancer mortality. Most of these patients are motivated to quit at the time of diagnosis, offering the nurse a ôteachable momentö to intervene. The efficacy of nurse-led cessation interventions has been documented. This abstract describes the development of a nurse-coordinated smoking cessation program in a comprehensive cancer center. An Oncology Clinical Nurse Specialist was chosen by the program director (psychologist) to coordinate the program. The CNS was certified as a Tobacco Treatment Specialist after gaining proficiency in brief motivational interviewing and treating tobacco dependence & withdrawal. The CNS moved to standardize tobacco use questions in all nursing assessment forms in order to provide an effective prompt for referrals to the program. Multiple channels were established for making referrals, i.e., email, in-person, and electronic order system. Electronic initial assessment and treatment forms were created as part of the patientÆs medical record. To facilitate proper use of smoking cessation pharmacotherapies, guidelines were developed and distributed to providers and integrated into the electronic medication ordering system. The program staff created educational materials tailored to tobacco-dependent cancer patients and their families and placed them in all clinics. Each year, referrals to the Smoking Cessation Program have steadily increased, with 875 referrals made in 2005. The majority of referrals have come from the Thoracic (30%), Head & Neck (14%), and Breast (10%) services. As the program needs grew, a Nurse Practitioner joined the team to assist with pharmacotherapy and referrals. The oncology CNS and NP play key roles on the frontlines in providing treatment to cancer patients and their families and in providing in-service training and grand rounds presentations. Currently underway are efforts to document the efficacy of the program, examine the efficiency of the referral process, identify patient characteristics influencing cessation success, and generate ideas for program improvement.en_GB
dc.date.available2011-10-27T12:12:11Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:12:11Z-
dc.conference.date2007en_US
dc.conference.name32nd Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationLas Vegas, Nevada, 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.-
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