Date of Award
Doctor of Nursing Practice Final Manuscript
Doctor of Nursing Practice
Kathy James, DNSc, APRN, FAAN
Juliana Gabbard, MSN, FNP
Tobacco smoking is the number one cause of preventable death in the US. It increases risk for cardiovascular and respiratory disease, diabetes, and many types of cancer. When contrasted with nonsmoking employees, smokers have a greater amount of lost productivity, as well as cost of health and life insurance claims due to illness. The purpose of this evidence-based project was to identify current smokers and monitor the consistency of their progression through the 5 A’s framework within an employee health clinic. Data was collected over two years and 600 charts were reviewed. After the data was analyzed, it was estimated that 8% of employees smoke and that both asking and advising patients to quit smoking is being completed reliably. However, improvement in the assess, assist, and arrange categories of the 5 A’s is needed. Although utilization of each of the 5 A’s steps is needed for the program’s success, future focus on improving arrange utilization by the Nurse Practitioner (NP) will allow for repeated review of each smoker’s cessation progress and barriers.
Digital USD Citation
Griffiths, Leah and James, Kathy S., "Evaluating an Employee Health Tobacco Cessation Program for Enhanced Success" (2017). Doctor of Nursing Practice Final Manuscripts. 54.