Effect of an Inpatient Nurse-Directed Smoking Cessation Program

Abstract

The purpose of this study was to evaluate the effect of a nurse-directed smoking cessation intervention for adults hospitalized in a small community hospital using a quasiexperimental, prospective, longitudinal design with biochemical validation of self-reported tobacco abstinence. Sixty-eight inpatients were assigned to either a control (n = 30) or an intervention group (n = 38). The control group received smoking cessation literature. The intervention group received smoking cessation literature and a nursing intervention. Each member of the intervention group was randomly assigned to a one or four telephone call subgroup for post discharge nurse follow-up at 3 months. Fifty-five participants completed the study. Smokers receiving the nurse-directed intervention were significantly more likely to be tobacco abstinent at 3 months (n = 17, 55%) than smokers in the control group (n = 5, 21%). Within the intervention group, tobacco abstinence at 3 months was not significantly different between the one and four telephone call groups. For the total sample, smoking relapse was significantly higher for participants who lived with another smoker.

Nursing interventions for smoking cessation in hospitalized patients: a systematic review

“…; Taylor et al. ), content review as video file (Gies ; Johnson et al. ; Quist‐paulsen & Gallefoss ; Ratner et al.…”

“…) and in the hospital (Canga et al. ; Gies ; Quist‐paulsen & Gallefoss ; Simon et al. ; Smith et al.…”

Most Frequent Nursing Diagnoses, Nursing Interventions, and Nursing‐Sensitive Patient Outcomes of Hospitalized Older Adults With Heart Failure: Part 1

“…In a search of the literature, nursing diagnoses pertinent for the HF population were decreased cardiac output, ineffective breathing pattern, impaired gas exchange (Gardetto & Carroll, 2007), deficient knowledge (Harrison, Graham, Logan, Toman, & Friederg, 2007), excess fluid volume, disturbed sleep pattern (Assis & Barros, 2003), low self‐esteem, fatigue, social isolation (Stanley, 1999), activity intolerance (Assis & Barros, 2003; Stanley, 1999), hopelessness (Roberts, Johnson, & Keely, 1999), and anxiety (Scott, Setter‐Kline, & Britton, 2004). Identified nursing interventions were teaching: individual and teaching: family (e.g., diet, exercise, medication, symptom relief, disease process) (Gardetto & Carroll, 2007; Jaarsma et al., 2000; Stanley, 1999), reminiscence therapy, exercise promotion, spiritual support, hope instillation, family involvement promotion, active listening, advocacy/health system guidance, mutual goal setting (Roberts et al., 1999), weight management, assisting with end‐of‐life decisions/decision‐making support (Stanley, 1999), behavior management (Gardetto & Carroll, 2007), smoking/tobacco cessation assistance (Gardetto & Carroll, 2007; Gies, Buchman, Robinson, & Smolen, 2008), oral health promotion (O'Connor, 2008), and discharge planning (Gardetto & Carroll, 2007; Phillips et al., 2004). Patient outcomes reported as important to the HF population were cardiac pump effectiveness (Lee et al., 2004), symptom severity (Stanley, 1999), self‐care status (Gardetto & Carroll, 2007; Jaarsma et al., 2000), and quality of life (Gardetto & Carroll, 2007; Scott et al., 2004; Stanley, 1999).…”

Psychometric Testing of the Smoking Cessation Counseling Scale

“…Interventions to improve smoking cessation services are effective in significantly improving nurse self‐report of the implementation of smoking cessation services and patient report of satisfaction with services (Duffy, Reeves, Hermann, Karvonen, & Smith, 2008; Essenmacher, Karvonen‐Gutierrez, Lynch‐Sauer, & Duffy, 2009). Active intervention studies are in progress worldwide (Zwar et al, 2010), and many have already demonstrated effectiveness in reducing smoking (Gies, Buchman, Robinson, & Smolen, 2008; Smith & Burgess, 2009; Wewers, Ferketich, Harness, & Paskett, 2009).…”