Date of Award

2022

Publisher

North Dakota State University

Document Type

Dissertation

Degree Awarded

Doctor of Nursing Practice (DNP)

Program

Nursing

Department

Nursing

College

Health Professions

Faculty Advisor

Buettner-Schmidt, Kelly

Description

Tobacco use is a global epidemic and is one of the largest public health threats the world has faced killing over eight million people annually. Smoking-related illnesses cost the United States $300 billion annually. Unfortunately, only 31% of those attempting to quit smoking in 2015 used evidenced-base cessation treatments. When behavioral and pharmacotherapy are combined, cessation rates increase by 82%. With tobacco use being the leading cause of U.S. preventable death and with 70% of tobacco users visiting a primary care facility annually, it is essential that providers appropriately and accurately address tobacco use and cessation. This practice improvement project designed tobacco cessation education for implementation into North Dakota State University’s (NDSU) Doctor of Nursing Practice (DNP) coursework in a health promotion course for 18 family nurse practitioner students. The online program, Rx for Change: Clinician Assisted Tobacco Cessation, was completed by the DNP students. Rx for Change was designed by Purdue College of Pharmacy to educate clinicians about the negative health effects of tobacco use and enhance providers' knowledge to deliver comprehensive tobacco cessation counseling services. After completion of the modules, the co-investigator reviewed tobacco use epidemiology, health effects of tobacco, FDA-approved pharmacotherapy for tobacco treatment, North Dakota-specific resources, and coding and billing for tobacco cessation in primary care. Additionally, students participated in interactive patient scenarios and received a tobacco cessation toolkit for providers. NDSU DNP students’ (a) motivation and confidence in helping people quit tobacco and (b) comfort with providing information about cessation medications, programs and services, and referrals for evidence-based tobacco cessation was assessed through a pre- and 2.5 months post-education questionnaire. The participants’ (a) motivation and confidence in helping people quit tobacco and (b) comfort with providing information about cessation medications, programs and services, and referrals for evidence-based tobacco cessation increased dramatically pre- to post-education for all questions with the exception of question one in which case all participants strongly agreed in both the pre- and post-education questionnaire. The results of this practice improvement project will provide direction for tobacco cessation education for future NDSU DNP coursework and for incorporation into other DNP or health professions curriculum.

Rights

NDSU policy 190.6.2

Rights Link

https://www.ndsu.edu/fileadmin/policy/190.pdf

Author ORCID Identifier

0009-0005-9112-7406

Handle Identifier

https://hdl.handle.net/10365/33238

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