Implementing Smoking Cessation Interventions in a Preoperative Clinic.
Identifieur interne : 000983 ( Main/Corpus ); précédent : 000982; suivant : 000984Implementing Smoking Cessation Interventions in a Preoperative Clinic.
Auteurs : James R. Etteldorf ; Sue Robertson ; Asma TahaSource :
- AANA journal [ 2162-5239 ] ; 2020.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Algorithms (MeSH), Betacoronavirus (MeSH), California (MeSH), Coronavirus Infections (prevention & control), Female (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Outcome and Process Assessment, Health Care (MeSH), Pandemics (prevention & control), Pilot Projects (MeSH), Pneumonia, Viral (prevention & control), Preoperative Care (MeSH), Research Design (MeSH), Smoking Cessation (MeSH), Surgical Procedures, Operative (MeSH), Young Adult (MeSH).
- MESH :
- geographic : California.
- prevention & control : Coronavirus Infections, Pandemics, Pneumonia, Viral.
- Adult, Aged, Aged, 80 and over, Algorithms, Betacoronavirus, Female, Humans, Male, Middle Aged, Outcome and Process Assessment, Health Care, Pilot Projects, Preoperative Care, Research Design, Smoking Cessation, Surgical Procedures, Operative, Young Adult.
Abstract
Cigarette smoking has negative health implications for surgical patients. Smoking cessation before surgery reduces complications; however, information on the risks of smoking and benefits of quitting on surgical outcomes are not regularly provided to patients. It is especially important for smokers to quit now because they are at increased risk of serious complications of coronavirus disease 2019 (COVID-19). The purpose of this project was to develop and implement a program for smoking cessation in a preanesthesia clinic associated with a southwestern medical center to increase motivation to quit smoking. The evidence-based program involved development of a provider toolkit, a referral process, provider education, and program evaluation. After provider education, the program commenced. Of the 134 current smokers encountered over a 16-week period, most were ready to quit within 30 days (n = 92, 68.66%). Of the smokers who were ready to quit, 50 (37.31%) accepted referral for smoking cessation counseling, treatment, or both. Only 13 (9.70%) of the 134 smokers were already receiving treatment. This program enabled providers to feel more comfortable discussing the implications of smoking, advising smokers to quit, providing education materials, and offering referral services at the appropriate stage of readiness for behavior change.
PubMed: 32718425
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pubmed:32718425Le document en format XML
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<author><name sortKey="Etteldorf, James R" sort="Etteldorf, James R" uniqKey="Etteldorf J" first="James R" last="Etteldorf">James R. Etteldorf</name>
<affiliation><nlm:affiliation>is a nurse practitioner at the Pre-Anesthesia Consultation and Education Clinic, Loma Linda University Health, and an instructor at the Loma Linda University School of Nursing, both in Loma Linda, California.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Robertson, Sue" sort="Robertson, Sue" uniqKey="Robertson S" first="Sue" last="Robertson">Sue Robertson</name>
<affiliation><nlm:affiliation>is the coordinator of the Nurse Educator Concentration at the California State University, Fullerton (CSUF) School of Nursing, Fullerton, California.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Taha, Asma" sort="Taha, Asma" uniqKey="Taha A" first="Asma" last="Taha">Asma Taha</name>
<affiliation><nlm:affiliation>is a professor of nursing at CSUF, and an acute care pediatric nurse practitioner at Loma Linda University Children's Hospital, Loma Linda, California.</nlm:affiliation>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Implementing Smoking Cessation Interventions in a Preoperative Clinic.</title>
<author><name sortKey="Etteldorf, James R" sort="Etteldorf, James R" uniqKey="Etteldorf J" first="James R" last="Etteldorf">James R. Etteldorf</name>
<affiliation><nlm:affiliation>is a nurse practitioner at the Pre-Anesthesia Consultation and Education Clinic, Loma Linda University Health, and an instructor at the Loma Linda University School of Nursing, both in Loma Linda, California.</nlm:affiliation>
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<author><name sortKey="Robertson, Sue" sort="Robertson, Sue" uniqKey="Robertson S" first="Sue" last="Robertson">Sue Robertson</name>
<affiliation><nlm:affiliation>is the coordinator of the Nurse Educator Concentration at the California State University, Fullerton (CSUF) School of Nursing, Fullerton, California.</nlm:affiliation>
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<author><name sortKey="Taha, Asma" sort="Taha, Asma" uniqKey="Taha A" first="Asma" last="Taha">Asma Taha</name>
<affiliation><nlm:affiliation>is a professor of nursing at CSUF, and an acute care pediatric nurse practitioner at Loma Linda University Children's Hospital, Loma Linda, California.</nlm:affiliation>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Aged, 80 and over (MeSH)</term>
<term>Algorithms (MeSH)</term>
<term>Betacoronavirus (MeSH)</term>
<term>California (MeSH)</term>
<term>Coronavirus Infections (prevention & control)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Outcome and Process Assessment, Health Care (MeSH)</term>
<term>Pandemics (prevention & control)</term>
<term>Pilot Projects (MeSH)</term>
<term>Pneumonia, Viral (prevention & control)</term>
<term>Preoperative Care (MeSH)</term>
<term>Research Design (MeSH)</term>
<term>Smoking Cessation (MeSH)</term>
<term>Surgical Procedures, Operative (MeSH)</term>
<term>Young Adult (MeSH)</term>
</keywords>
<keywords scheme="MESH" type="geographic" xml:lang="en"><term>California</term>
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<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Coronavirus Infections</term>
<term>Pandemics</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Algorithms</term>
<term>Betacoronavirus</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Outcome and Process Assessment, Health Care</term>
<term>Pilot Projects</term>
<term>Preoperative Care</term>
<term>Research Design</term>
<term>Smoking Cessation</term>
<term>Surgical Procedures, Operative</term>
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<front><div type="abstract" xml:lang="en">Cigarette smoking has negative health implications for surgical patients. Smoking cessation before surgery reduces complications; however, information on the risks of smoking and benefits of quitting on surgical outcomes are not regularly provided to patients. It is especially important for smokers to quit now because they are at increased risk of serious complications of coronavirus disease 2019 (COVID-19). The purpose of this project was to develop and implement a program for smoking cessation in a preanesthesia clinic associated with a southwestern medical center to increase motivation to quit smoking. The evidence-based program involved development of a provider toolkit, a referral process, provider education, and program evaluation. After provider education, the program commenced. Of the 134 current smokers encountered over a 16-week period, most were ready to quit within 30 days (n = 92, 68.66%). Of the smokers who were ready to quit, 50 (37.31%) accepted referral for smoking cessation counseling, treatment, or both. Only 13 (9.70%) of the 134 smokers were already receiving treatment. This program enabled providers to feel more comfortable discussing the implications of smoking, advising smokers to quit, providing education materials, and offering referral services at the appropriate stage of readiness for behavior change.</div>
</front>
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<ArticleTitle>Implementing Smoking Cessation Interventions in a Preoperative Clinic.</ArticleTitle>
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<Abstract><AbstractText>Cigarette smoking has negative health implications for surgical patients. Smoking cessation before surgery reduces complications; however, information on the risks of smoking and benefits of quitting on surgical outcomes are not regularly provided to patients. It is especially important for smokers to quit now because they are at increased risk of serious complications of coronavirus disease 2019 (COVID-19). The purpose of this project was to develop and implement a program for smoking cessation in a preanesthesia clinic associated with a southwestern medical center to increase motivation to quit smoking. The evidence-based program involved development of a provider toolkit, a referral process, provider education, and program evaluation. After provider education, the program commenced. Of the 134 current smokers encountered over a 16-week period, most were ready to quit within 30 days (n = 92, 68.66%). Of the smokers who were ready to quit, 50 (37.31%) accepted referral for smoking cessation counseling, treatment, or both. Only 13 (9.70%) of the 134 smokers were already receiving treatment. This program enabled providers to feel more comfortable discussing the implications of smoking, advising smokers to quit, providing education materials, and offering referral services at the appropriate stage of readiness for behavior change.</AbstractText>
<CopyrightInformation>Copyright © by the American Association of Nurse Anesthetists.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Etteldorf</LastName>
<ForeName>James R</ForeName>
<Initials>JR</Initials>
<AffiliationInfo><Affiliation>is a nurse practitioner at the Pre-Anesthesia Consultation and Education Clinic, Loma Linda University Health, and an instructor at the Loma Linda University School of Nursing, both in Loma Linda, California.</Affiliation>
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<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Smoking</Keyword>
<Keyword MajorTopicYN="N">Transtheoretical Model</Keyword>
<Keyword MajorTopicYN="N">smoking cessation</Keyword>
<Keyword MajorTopicYN="N">smoking cessation interventions</Keyword>
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<CoiStatement>The authors have declared no financial relationships with any commercial entity related to the content of this article. The authors did not discuss off-label use within the article.</CoiStatement>
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