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Reframing tobacco dependency management in acute care: A case study
Annette S H Schultz1, Randolph Guzman2, Jo-Ann V Sawatzky3
1College of Nursing, Rady Faculty of Health Sciences, University of Manitoba, 369 Tache Avenue, CR 3022 Asper Clinical Research Institute, Winnipeg, MB R2H 2A6, Canada.
Implementing an evidence-based intervention improved tobacco dependence treatment in acute care. Staff shifted focus to managing nicotine withdrawal, leading to reduced patient cravings and increased symptom relief with nicotine replacement therapy.
Area of Science:
- Healthcare Management
- Addiction Medicine
- Patient Care
Background:
- Effective tobacco dependence treatment in acute care settings is often insufficient.
- The Utilizing best practices to Manage Acute care patients Tobacco Dependency (UMAT) study aimed to address this gap.
Observation:
- A one-year longitudinal case study evaluated an evidence-based intervention for acute surgical patients.
- Data included patient experiences, staff practices, medication use, and chart reviews.
Findings:
- Patient-reported daily smoking and cigarette cravings decreased.
- Nicotine replacement therapy use increased symptom relief for patients.
- Staff daily practice shifted to assessing withdrawal symptoms, with increased delivery of nicotine replacement therapy.
Implications:
- The intervention successfully influenced unit norms and culture regarding tobacco dependence treatment.
- This approach can enhance nicotine withdrawal symptom management in acute care.
- Evidence supports integrating such interventions to improve patient outcomes in surgical settings.
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