Date of Award

Spring 5-28-2022

Document Type

Doctor of Nursing Practice Final Manuscript

Degree Name

Doctor of Nursing Practice



First Advisor

Caroline Etland, PhD, RN


Tobacco use is the leading cause of preventable morbidity and mortality in the United States today. Twenty percent of adults in the United States use tobacco costing the healthcare system approximately $225 billion annually in disease treatment. Most smokers want to stop smoking and most visit a healthcare provider each year making access to cessation interventions feasible. The purpose of this evidence-based practice Doctor of Nursing Practice (DNP) project was to increase smoking cessation among patients at a community health clinic by proactively linking patients to cessation counseling and support through implementation of the Ask-Advise-Connect model of smoking cessation. During a three-month pilot period, 14 referrals were sent to the California Smokers’ Helpline. Of these, four (28.6%) received services from the Helpline (materials or counseling), four (28.6%) did not respond to contact attempts, and six (42.8%) declined services. The short duration of the project prevented measurement of the long-term outcome of smoking cessation. The Ask-Advise-Connect model is an efficient method to connect patients with smoking cessation support. Future projects could include incorporation of the referral system into the electronic health record to improve workflow efficiency and to allow for better patient tracking and follow-up.

Included in

Nursing Commons