The Addition of Tick-boxes Related to Tobacco Cessation Improves Smoking-related Documentation in the Anaesthesia Chart

Webb, Ashley; Wilson, Anna

doi:10.1177/0310057x1704500108

Cited by 4 publications

(10 citation statements)

References 18 publications

(31 reference statements)

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“…Table 6 presents an overview of the groups, listing the implementation strategy for each group and subsequently providing a breakdown of each implementation outcome (acceptability, adoption, appropr iateness, cost, feasibility, fidelity, penetration, and sustainability). 31,36,37,[39][40][41][42][43][44][45][46][47][48][49][50][51][52]56,58,[60][61][62][64][65][66][67][68][69][70][71]73,75,76,82,[86][87][88][89]91,92,[94][95][96] A more comprehensive list of implementation outcomes for all included studies is presented in Supporting Table 2. A summary of results is presented below:…”

Section: Implementation Outcomes By Implementation Groupmentioning

confidence: 99%

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How can hospitals change practice to better implement smoking cessation interventions? A systematic review

Ugalde

White

Rankin

et al. 2021

CA A Cancer J Clinicians

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Smoking cessation reduces the risk of death, improves recovery, and reduces the risk of hospital readmission. Evidence and policy support hospital admission as an ideal time to deliver smoking‐cessation interventions. However, this is not well implemented in practice. In this systematic review, the authors summarize the literature on smoking‐cessation implementation strategies and evaluate their success to guide the implementation of best‐practice smoking interventions into hospital settings. The CINAHL Complete, Embase, MEDLINE Complete, and PsycInfo databases were searched using terms associated with the following topics: smoking cessation, hospitals, and implementation. In total, 14,287 original records were identified and screened, resulting in 63 eligible articles from 56 studies. Data were extracted on the study characteristics, implementation strategies, and implementation outcomes. Implementation outcomes were guided by Proctor and colleagues' framework and included acceptability, adoption, appropriateness, cost, feasibility, fidelity, penetration, and sustainability. The findings demonstrate that studies predominantly focused on the training of staff to achieve implementation. Brief implementation approaches using a small number of implementation strategies were less successful and poorly sustained compared with well resourced and multicomponent approaches. Although brief implementation approaches may be viewed as advantageous because they are less resource‐intensive, their capacity to change practice in a sustained way lacks evidence. Attempts to change clinician behavior or introduce new models of care are challenging in a short time frame, and implementation efforts should be designed for long‐term success. There is a need to embrace strategic, well planned implementation approaches to embed smoking‐cessation interventions into hospitals and to reap and sustain the benefits for people who smoke.

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Section: Implementation Outcomes By Implementation Groupmentioning

confidence: 99%

“…with training or notification (6 studies 36,[39][40][41][67][68][69]88,95,96 ) had an average study period of 1.4 years. Adoption was most commonly assessed (in 5 studies).…”

Section: Prompts For Clinicians In Charts or Electronic Medical Recordsmentioning

confidence: 99%

How can hospitals change practice to better implement smoking cessation interventions? A systematic review

Ugalde

White

Rankin

et al. 2021

CA A Cancer J Clinicians

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“…Nevertheless, there is considerable variation in the delivery of pre-operative tobacco interventions by clinicians and health services [7,8]. The majority of smokers do not receive the major components of a brief tobacco intervention, which include: asking about tobacco use; advising to quit; and arranging or offering assistance [9][10][11]. The offer of assistance is the most frequently omitted [9,11], yet offers of help have been shown to be the most important component associated with significantly increasing unplanned cessation attempts [12,13].…”

Section: Introductionmentioning

confidence: 99%

Smoking cessation in elective surgical patients offered free nicotine patches at listing: a pilot study

et al. 2019

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Summary Free nicotine patches may promote pre‐operative smoking cessation. Smokers (≥ 10 cigarettes.day−1) awaiting non‐urgent surgery were randomly assigned (3:1) to an offer of free nicotine patches or a control group who were not offered free nicotine patches. The suggested regimen lasted 5 weeks, with patch strength decreasing incrementally after 3 and 4 weeks. The primary outcome was smoking abstinence for ≥ 4 weeks, as self‐reported by participants on the day of surgery, including, where possible, corroboration using exhaled carbon monoxide testing. Out of 600 included smokers, 447 (74.5%) were randomly assigned to an offer of pre‐operative nicotine patches, with 175 (39.1%) of these accepting the offer and 56 (12.5%) using patches for ≥ 3 weeks. Out of 396 participants offered nicotine patches who were included for analysis, 36 (9.1%) quit smoking for ≥ 4 weeks before surgery as compared with 8 (5.9%) controls, OR 1.5 [95%CI 0.7–3.2], p = 0.300. Sixty‐three (15.9%) quit smoking for 24 h before surgery as compared with 15 (11.1%) controls, OR 1.4 [95%CI 0.8–2.4], p = 0.200. Participants offered nicotine patches were more likely to engage in a cessation attempt lasting more than 24 h, 46 (11.6%) vs. 5 (3.7%), OR 3.4 [95%CI 1.8–8.8], p = 0.010. Out of 78 participants who quit smoking by the day of surgery and were followed up at 6 months, 46 (59%) had relapsed. Offering free nicotine patches stimulated interest in quitting compared with controls, but our protocol had limited effectiveness.

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“…10 Concerns that perioperative abstinence will exacerbate psychological stress or that patients will be offended if clinicians address their tobacco use are baseless. [101][102][103][104][105][106][107][108][109][110][111][112][113][114][115][116][117] What implementation process should be followed? Although descriptions of tobacco treatment implementation in clinical settings are available, none has been evaluated within an implementation science framework.…”

Section: Fig 4 | Consolidated Framework For Implementation Research-cmentioning

confidence: 99%

“…Discussion of evidence that smokers incur additional expenses compared with non-smokers can be used to bolster economic arguments, 17 as can the fact that tobacco treatment is among the most cost effective medical interventions available. [100][101][102][103][104][105][106][107][108][109][110][111][112][113][114][115] Outer setting factors that provide incentives to treat should also be identified and invoked. For example, provision of tobacco use treatment can be used as a quality measure for healthcare systems and as a performance measure for individual physicians.…”

Section: Decision Aidsmentioning

confidence: 99%

Perioperative tobacco use treatments: putting them into practice

Nolan

Warner

2017

BMJ

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Treatment for tobacco use is efficacious and beneficial to health. Although guidelines recommend that all patients who use tobacco are offered treatment as a part of their clinical care, implementing treatment has proven challenging. In the case of surgical patients, this lack of treatment is particularly unfortunate, as the benefits of abstinence from tobacco are immediate in terms of reducing the risk of surgical complications, including cardiovascular, respiratory, and wound related complications. Surgery also presents an opportunity for patients to quit for good and reduce the long term health risk. This review examines the principles of tobacco use treatment, the rationale for tobacco use treatment in the perioperative period, and how treatment can be incorporated into the routine care of surgical patients. The discipline of implementation science helps to frame these efforts by seeking to better understand how changes in clinical practice occur, and it has the potential to guide an evidence based approach to embedding tobacco treatment into the routine clinical care of surgical patients. This review uses the consolidated framework for implementation research, which includes five major domains, as a representative conceptual framework. A basic understanding of factors potentially important to successful implementation can help to guide clinicians who accept the challenge of implementing tobacco use treatment in surgical care.

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The Addition of Tick-boxes Related to Tobacco Cessation Improves Smoking-related Documentation in the Anaesthesia Chart

Cited by 4 publications

References 18 publications

How can hospitals change practice to better implement smoking cessation interventions? A systematic review

How can hospitals change practice to better implement smoking cessation interventions? A systematic review

Smoking cessation in elective surgical patients offered free nicotine patches at listing: a pilot study

Perioperative tobacco use treatments: putting them into practice

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