Year of Publication

2018

Degree Name

Doctor of Nursing Practice

Committee Chair

Dr. Sharon Lock

Clinical Mentor

Dr. Chizimuzo Okoli

Committee Member

Dr. Michelle Pendleton

Committee Member

Dr. Lydia S. Mendez

Abstract

PURPOSE: The purpose of this study was to evaluate the effectiveness of an education session to promote adherence to the United States Preventive Services Task Force (USPSTF) recommendation and Clinical Practice Guidelines for Treating Tobacco Use and Dependence by providers.

METHODS: A retrospective and prospective record review was used to evaluate an education session for providers in tobacco use screening, providing cessation counseling, prescribing medication for tobacco cessation, and sending out referrals for tobacco cessation at one primary care clinic in Louisville, KY. Education sessions were held from August 1, 2018 to August 14, 2018. The sample consisted of 200 randomly selected patient medical records from among current tobacco users. The retrospective study included 100 chart reviews from January 1, 2018 to March 31, 2018 and the prospective chart review included 100 chart reviews from August 15, 2018 to September 15, 2018.

RESULTS: The group demographics did not differ significantly, demonstrating similarities among variables. There was no change in the rate of documentation of tobacco use screened by the providers during the pre- and post-intervention phases (31.3% vs. 31.3%). There were no statistically significant differences in documentation of tobacco use screening rates when comparing provider types. Both the pre- and post-intervention groups did not statistically differ with regard to the percentage of smoking cessation medications being prescribed.

CONCLUSION: This project demonstrated a need for improvement in provider documentation in adherence with USPSTF recommendation and Treating Tobacco Use and Dependence Guidelines. In addition, there is a need for more thorough documentation of tobacco screening among known tobacco users in the primary care clinic. Further research is needed, using a larger study sample, to identify a continuous trend on screening rates.

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