The 5As Model for Smoking Cessation: Engaging Health Care Providers and Overcoming Barriers to Change

2.50
Hdl Handle:
http://hdl.handle.net/10755/620614
Category:
Full-text
Format:
Text-based Document
Type:
DNP Capstone Project
Level of Evidence:
N/A
Research Approach:
Translational Research/Evidence-based Practice
Title:
The 5As Model for Smoking Cessation: Engaging Health Care Providers and Overcoming Barriers to Change
Author(s):
Lynch, Kimberly
Additional Author Information:
Kimberly Lynch, DNP, MBA, NP-C
Advisors:
Bantz, Diana
Degree:
DNP
Degree Year:
2016
Grantor:
Ball State University
Abstract:

The purpose of this DNP project was to improve provider utilization of the 5As model for smoking cessation (asking, advising, assessing, assisting and arranging for follow up) for patients who smoke with every patient encounter and to increase smoking cessation rates in a primary care practice located in a northern suburb of Chicago. The practice provided care for a birth through elderly patient population. There were three providers in this practice who participated in the project; one family physician and two nurse practitioners. The project leader, one of the nurse practitioners in the practice, met with the providers at the start of the project to discuss barriers to providing smoking cessation counseling in the setting and potential ways to reduce the barriers. A power point educational presentation on the 5As model and smoking cessation was presented to each of the providers. The electronic medical record (EMR) was modified to add the 5As. Medical assistants were included as part of the team in implementing the practice change.

A descriptive study design was utilized to evaluate the effectiveness of provider education and EMR modification in increasing smoking cessation counseling using the 5As model and smoking cessation rates or statement of intent to quit. The project leader conducted chart audits of patients seen 3 months prior and 3 months after the change was implemented. The chart audit results indicated an improvement in providers assessing, assisting, and arranging for follow-up for patients who smoke with every patient encounter. Limitations in the study of outcomes for this practice improvement project included the small number of participants/providers, limited project time frame, and inability to generalize results.

Integration of the 5As model into the EMR system was effective in this primary care setting to reduce provider barriers, improve provider utilization of the 5As, and improve patient smoking cessation rates. The process of change requires assessment and reduction of barriers, communication, defined roles, and teamwork.

 

Keywords:
5As Model; smoking cessation; barriers; health care providers
MeSH:
Smoking Cessation
CINAHL Headings:
Smoking Cessation--Education; Support, Psychosocial; Smoking Cessation Programs
Note:
This work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
Repository Posting Date:
2016-09-21T19:22:15Z
Date of Publication:
2016-09-21

Full metadata record

DC FieldValue Language
dc.contributor.advisorBantz, Dianaen
dc.contributor.authorLynch, Kimberlyen
dc.date.accessioned2016-09-21T19:22:15Z-
dc.date.available2016-09-21T19:22:15Z-
dc.date.issued2016-09-21-
dc.identifier.urihttp://hdl.handle.net/10755/620614-
dc.description.abstract<p>The purpose of this DNP project was to improve provider utilization of the 5As model for smoking cessation (asking, advising, assessing, assisting and arranging for follow up) for patients who smoke with every patient encounter and to increase smoking cessation rates in a primary care practice located in a northern suburb of Chicago. The practice provided care for a birth through elderly patient population. There were three providers in this practice who participated in the project; one family physician and two nurse practitioners. The project leader, one of the nurse practitioners in the practice, met with the providers at the start of the project to discuss barriers to providing smoking cessation counseling in the setting and potential ways to reduce the barriers. A power point educational presentation on the 5As model and smoking cessation was presented to each of the providers. The electronic medical record (EMR) was modified to add the 5As. Medical assistants were included as part of the team in implementing the practice change.</p> <p>A descriptive study design was utilized to evaluate the effectiveness of provider education and EMR modification in increasing smoking cessation counseling using the 5As model and smoking cessation rates or statement of intent to quit. The project leader conducted chart audits of patients seen 3 months prior and 3 months after the change was implemented. The chart audit results indicated an improvement in providers assessing, assisting, and arranging for follow-up for patients who smoke with every patient encounter. Limitations in the study of outcomes for this practice improvement project included the small number of participants/providers, limited project time frame, and inability to generalize results.</p> <p>Integration of the 5As model into the EMR system was effective in this primary care setting to reduce provider barriers, improve provider utilization of the 5As, and improve patient smoking cessation rates. The process of change requires assessment and reduction of barriers, communication, defined roles, and teamwork.</p> <p> </p>en
dc.formatText-based Documenten
dc.language.isoen_USen
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subject5As Modelen
dc.subjectsmoking cessationen
dc.subjectbarriersen
dc.subjecthealth care providersen
dc.subject.meshSmoking Cessationen
dc.titleThe 5As Model for Smoking Cessation: Engaging Health Care Providers and Overcoming Barriers to Changeen_US
dc.typeDNP Capstone Projecten
thesis.degree.grantorBall State Universityen
thesis.degree.levelDNPen
dc.description.noteThis work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.-
dc.primary-author.detailsKimberly Lynch, DNP, MBA, NP-Cen
thesis.degree.year2016en
dc.type.categoryFull-texten
dc.evidence.levelN/Aen
dc.research.approachTranslational Research/Evidence-based Practiceen
dc.subject.cinahlSmoking Cessation--Educationen
dc.subject.cinahlSupport, Psychosocialen
dc.subject.cinahlSmoking Cessation Programsen
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