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A model nurse practitioner-managed smoking cessation clinic.
J O Andrews1, M S Tingen, R J Harper
1Veterans Affairs Medical Center, Augusta, GA, USA. jandrews@mail.mcg.edu
Oncology Nursing Forum
|November 26, 1999
Summary
Nurse practitioners can effectively manage smoking cessation clinics, combining behavioral and pharmacologic therapies for high success rates. This model is replicable across various healthcare settings to combat preventable deaths from smoking.
Area of Science:
- Public Health
- Nursing Practice
- Clinical Intervention
Background:
- Smoking remains the leading cause of preventable deaths in the U.S., responsible for nearly 30% of cancer deaths.
- Smoking prevalence is stagnant in adults and increasing in adolescents, with 25% of Americans smoking.
- Preventable deaths and cancer incidence highlight the urgent need for effective smoking cessation strategies.
Purpose of the Study:
- To describe an intensive nurse practitioner (NP)-managed smoking cessation clinic.
- To detail its evolution from a primary care quality management initiative.
- To present a replicable model for smoking cessation interventions.
Main Methods:
- Literature review, including published articles, abstracts, and books.
- Analysis of clinical experience and available data.
- Development of an NP-managed clinic based on established guidelines.
Main Results:
- The clinic provided effective smoking cessation interventions.
- The model is replicable by experienced nurses with a smoking cessation background.
- Brief counseling and minimum interventions are opportunities for all nurses.
Conclusions:
- Nurses can effectively manage intensive smoking cessation clinics, integrating with interdisciplinary teams.
- High cessation rates were achieved by combining intensive behavioral sessions with pharmacologic approaches.
- This nursing-led model can be replicated in diverse healthcare settings, promoting further research.