Smoking Cessation and Motivational Interviewing Every decade, the Healthy People initiative develops a new set of science-based, 10-year national objectives with the goal of improving the health of all Americans. There are more than 1,200 objectives in Healthy People 2020. TU-1 Reduce Tobacco Use by Adults (U.S. Department of Health and Human Services, 2018) is a perfect example. This objective has a target population of diverse adult patients over the age of 18 and coincides with the local and national health goals. Tobacco use is a problem in the local, state, and national level. Smoking accounts for approximately 30% of all cancer deaths, and 87% of lung cancer deaths. Smoking is known to cause an increased risk for cancers of the mouth,
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These health concerns are prevalent throughout the lifespan and have an enormous impact on the health of patients in the state of Kentucky, and throughout a national level. Goals and initiatives have been set and expanded upon throughout each level of care. The purpose of this paper is to analyze, evaluate, and discuss how the use MI verses standard care can be utilized in smoking cessation applied in nursing practice for the role of the APRN in the adult …show more content…
(2014) conducted a randomized control trial (RCT) to determine the effects of the Medical Research Council’s (MRC) framework-based intervention on the efficacy, acceptability and feasibility of MI on smoking cessation on working RNs. Study participants were randomly assigned to either a control group, receiving only brief advice on education related to smoking cessation, or to the intervention group. The intervention group received theory-based intervention of MI. The intervention consisted of four individual 30-minute, face-to- face MI sessions within 90 days. The sample of 30 RN smokers recruited from a large hospital in Northern Spain. The number of cigarettes smoked was measured by means of self-report/questionnaires which included sociodemographic, standardized instruments and a number of questions that aimed to assess the smoking history and characteristics, participants’ experience of participation and their assessment of the intervention. The cessation was biochemically verified by urine cotinint lab results the cutoff point of <500 ng/ml was clearly established. Nicotine dependence was measured using The Fagerstro¨m Test for Nicotine Dependence (FTND), a widely used measure tool for nicotine dependence. Expired (CO) levels as measured with a portable Micro+ Smokerlyzer. The open-ended questions were analyzed using content analysis. (Bedfont Instruments; Kent, UK). CO levels of 8 parts per million (ppm) suggest recent smoking. The participants
These health concerns are prevalent throughout the lifespan and have an enormous impact on the health of patients in the state of Kentucky, and throughout a national level. Goals and initiatives have been set and expanded upon throughout each level of care. The purpose of this paper is to analyze, evaluate, and discuss how the use MI verses standard care can be utilized in smoking cessation applied in nursing practice for the role of the APRN in the adult …show more content…
(2014) conducted a randomized control trial (RCT) to determine the effects of the Medical Research Council’s (MRC) framework-based intervention on the efficacy, acceptability and feasibility of MI on smoking cessation on working RNs. Study participants were randomly assigned to either a control group, receiving only brief advice on education related to smoking cessation, or to the intervention group. The intervention group received theory-based intervention of MI. The intervention consisted of four individual 30-minute, face-to- face MI sessions within 90 days. The sample of 30 RN smokers recruited from a large hospital in Northern Spain. The number of cigarettes smoked was measured by means of self-report/questionnaires which included sociodemographic, standardized instruments and a number of questions that aimed to assess the smoking history and characteristics, participants’ experience of participation and their assessment of the intervention. The cessation was biochemically verified by urine cotinint lab results the cutoff point of <500 ng/ml was clearly established. Nicotine dependence was measured using The Fagerstro¨m Test for Nicotine Dependence (FTND), a widely used measure tool for nicotine dependence. Expired (CO) levels as measured with a portable Micro+ Smokerlyzer. The open-ended questions were analyzed using content analysis. (Bedfont Instruments; Kent, UK). CO levels of 8 parts per million (ppm) suggest recent smoking. The participants