Smoking Cessation Services Discussion

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Discussion Questions both due Wednesday:

DQ1– 250 words Submit a summary of six of your articles on the discussion board. Discuss one strength and one weakness for each of these six articles on why the article may or may not provide sufficient evidence for your practice change.

Select 6 from the following articles:

References

Casado L, Thuler LCS. Real world evaluation of the smoking cessation services in the Rio de Janeiro municipality, Brazil. J Eval Clin Pract. 2017 Aug;23(4):773-778. doi: 10.1111/jep.12717. Epub 2017 Feb 21. PMID: 28220577.

Eaves, E. R., Nichter, M., Howerter, A., Floden, L., Ritenbaugh, C., Gordon, J. S., & Muramoto, M. L.(2016). Printed Educational Materials’ Impact on Tobacco Cessation Brief Interventions in CAM Practice: Patient and Practitioner Experiences. Health promotion practice, 17(6), 862–870. Retrieved from: https://doi.org/10.1177/1524839916667024

Iversen C. Now or never: smoking cessation discussions in the face of serious illness. Sociol Health Illn. 2017 Nov;39(8):1330-1348. doi: 10.1111/1467-9566.12588. Epub 2017 Jul 6. PMID: 28681921. Smoking Cessation Services Discussion

Keto J, Jokelainen J, Timonen M, Linden K, Ylisaukko-oja T. Physicians discuss the risks of smoking with their patients, but seldom offer practical cessation support. Subst Abuse Treat Prev Policy. 2015 Nov 2;10:43. doi: 10.1186/s13011-015-0039-9. PMID: 26525302; PMCID: PMC4630922.

Lang M, Waterworth S, O’Brien A. What are the factors that influence the delivery of smoking cessation advice in critical care? Nurs Crit Care. 2018 Sep;23(5):237-244. doi: 10.1111/nicc.12190. Epub 2015 Jul 15. PMID: 26177914.

Maskrey V, Blyth A, Brown TJ, Barton GR, Notley C, Aveyard P, Holland R, Bachmann MO, Sutton S, Leonardi-Bee J, Brandon TH, Song F. Self-help educational booklets for the prevention of smoking relapse following smoking cessation treatment: a randomized controlled trial. Addiction. 2015 Dec;110(12):2006-14. doi: 10.1111/add.13080. Epub 2015 Sep 18. PMID: 26235659; PMCID: PMC4832320.

Medina-Ramírez P, Sutton SK, Martínez Ú, Meade CD, Byrne MM, Brandon KO, Meltzer LR, Gonzales FM, Brandon TH, Simmons VN. A randomized controlled trial of a smoking cessation self-help intervention for Spanish-speaking Hispanic/Latinx smokers: Study design and baseline characteristics. Contemp Clin Trials. 2019 Oct;85:105836. doi: 10.1016/j.cct.2019.105836. Epub 2019 Aug 29. PMID: 31473331; PMCID: PMC6815731.

Moyo F, Archibald E, Slyer JT. Effectiveness of decision aids for smoking cessation in adults: a quantitative systematic review. JBI Database System Rev Implement Rep. 2018 Sep;16(9):1791-1822. doi: 10.11124/JBISRIR-2017-003698. PMID: 30204670.

Pothirat C, Phetsuk N, Liwsrisakun C, Deesomchok A. Real-world comparative study of behavioral group therapy program vs education program implemented for smoking cessation in community-dwelling elderly smokers. Clin Interv Aging. 2015 Apr 13;10:725-30. doi: 10.2147/CIA.S80506. PMID: 25926726; PMCID: PMC4403818. Smoking Cessation Services Discussion

Rice, V. H., Heath, L., Livingstone-Banks, J., & Hartmann-Boyce, J. (2017). Nursing interventions for smoking cessation. The Cochrane database of systematic reviews, 12(12), CD001188. Retrieved from: https://doi.org/10.1002/14651858.CD001188.pub5

DQ2– 250 words. Name two different methods for evaluating evidence. Compare and contrast these two methods.

ASSIGNMENT PAPER- PICO QUESTION PAPER Due Thursday

Review your problem or issue and the study materials to formulate a PICOT question for your capstone project change proposal. A PICOT question starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention used to address the problem must be a nursing practice intervention. Include a comparison of the nursing intervention to a patient population not currently receiving the nursing intervention, and specify the timeframe needed to implement the change process. Formulate a PICOT question using the PICOT format (provided in the assigned readings) that addresses the clinical nursing problem.

The PICOT question will provide a framework for your capstone project change proposal.

In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.

Describe the problem in the PICOT question as it relates to the following:

1.Evidence-based solution

2.Nursing intervention

3.Patient care

4.Health care agency

5.Nursing practice

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a RUBRIC. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Sending rubrics soon

Smoking Cessation Services Discussion

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Rubrics for PICOT Question 1. PICOT Question (20%) A PICOT question is presented and provides a clear framework for the capstone project change proposal. 2. Nursing Intervention (20%) A nursing intervention used to address the problem is clearly presented. A comparison of the nursing intervention to a patient population not currently receiving the nursing intervention, and timeframe needed to implement the change process, are thoroughly discussed. 3. Clinical Problem and Patient Outcome (20%) The clinical problem and how it can result in a positive patient outcome are thoroughly discussed. Strong rationale is offered for support. 4. PICOT Problem (20%) The PICOT problem as it relates to evidence-based solution, nursing intervention, patent care, health care agency, and nursing practice is described. Some minor detail is needed for clarity. 5. Thesis Development and Purpose (5%) Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. 6. Argument Logic and Construction (5%) Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. 7. Mechanics of writing- including spelling, punctuation and grammar (5%) Writer is clearly in command of standard, written, academic English. 8. Paper Format -appropriate style (2%) All format elements are correct. APA style 9. Documentation of sources, citations and references etc. (3%) Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. Template for Asking PICOT Questions INTERVENTION In ____________________(P), how does ____________________ (I) compared to ____________________(C) affect _____________________(O) within ___________(T)? THERAPY In __________________(P), what is the effect of __________________(I) compared to _____________ (C) on ________________(O within _____________(T)? PROGNOSIS/PREDICTION In ______________ (P), how does ___________________ (I) compared to _____________(C) influence __________________ (O) over _______________ (T)? DIAGNOSIS OR DIAGNOSTIC TEST In ___________________(P) are/is ____________________(I) compared with _______________________(C) more accurate in diagnosing _________________(O)? ETIOLOGY Are____________________ (P), who have ____________________ (I) compared with those without ____________________(C) at ____________ risk for/of ____________________(O) over ________________(T)? MEANING How do _______________________ (P) with _______________________ (I) perceive _______________________ (O) during ________________(T)? Adapted from the PICOT Questions Template; Ellen Fineout-Overholt, 2006. This form may be used for educational & research purposes without permission. Short Definitions of Different Types of Questions Intervention/Therapy: Questions addressing the treatment of an illness or disability. Etiology: Questions addressing the causes or origins of disease (i.e., factors that produce or predispose toward a certain disease or disorder). Diagnosis: Questions addressing the act or process of identifying or determining the nature and cause of a disease or injury through evaluation. Prognosis/Prediction: Questions addressing the prediction of the course of a disease. Meaning: Questions addressing how one experiences a phenomenon. Sample Questions: Intervention: In African-‐American female adolescents with hepatitis B (P), how does acetaminophen (I) compared to ibuprofen (C) affect liver function (O)? Therapy: In children with spastic cerebral palsy (P), what is the effect of splinting and casting(I) compared to constraint-‐ induced therapy (C) on two-‐handed skill development (O)? Prognosis/Prediction: 1) For patients 65 years and older (P), how does the use of an influenza vaccine (I) compared to not received the vaccine (C) influence the risk of developing pneumonia (O) during flu season (T)? 2) In patients who have experienced an acute myocardial infarction (P), how does being a smoker (I) compared to a non-‐smoker (C) influence death and infarction rates (O) during the first 5 years after the myocardial infarction (T)? Smoking Cessation Services Discussion

Diagnosis: In middle-‐aged males with suspected myocardial infarction (P), are serial 12-‐lead ECGs (I) compared to one initial 12-‐lead ECG (C) more accurate in diagnosing an acute myocardial infarction (O)? Etiology: Are 30-‐ to 50-‐year-‐old women (P) who have high blood pressure (I) compared with those without high blood pressure (C) at increased risk for an acute myocardial infarction (O) during the first year after hysterectomy (T)? Meaning: How do young males (P) with a diagnosis of below the waist paralysis (I) perceive their interactions with their romantic significant others (O) during the first year after their diagnosis (T)? Adapted from the PICOT Questions Template; Ellen Fineout-Overholt, 2006. This form may be used for educational & research purposes without permission. ..Smoking Cessation Services Discussion