HYBRID EVENT: You can participate in person at Boston, Massachusetts, USA or Virtually from your home or work.

7th Edition of Nursing World Conference

October 16-18, 2023 | Boston, Massachusetts, USA

October 16 -18, 2023 | Boston, Massachusetts, USA
NWC 2023

Nakesha Brown

Speaker at  Nursing World Conference 2023 - Nakesha Brown
University of Michigan-Flint, United States
Title : Implementation of the 5A’s In a nurse-managed primary care clinic to increase smoking cessation


Cigarette smoking remains the leading cause of preventable disease, disability, and death in the United States. Cigarette smoking is a modifiable risk factor, and smoking cessation reduces cardiovascular events and mortality. Currently, worldwide19.2% of adults are smokers. Tobacco use is a global epidemic and an economic burden.  Tobacco use accounts for more than 480,000 deaths yearly in the United States.
In the U.S., annual smoking-related healthcare costs represent 170 billion United States dollars (USD). Tobacco use is estimated to cause about 1.4 trillion USD in economic damage yearly. Consistent delivery of smoking cessation remains a challenge in the clinical setting. Smoking affects a patient’s quality of life; therefore, it is essential to implement interventions to address the disconnect between the current practice in the healthcare clinic and the current guidelines from the U.S. Preventative Task Force (USPSTF).
The U.S Preventive Services Task Force (USPSTF) recommends that providers ask all adults 18 and older, including pregnant women, about tobacco use and advise them to stop. The 5 A’s will be used as a screening tool to ask, advise, assess, assist, and arrange smoking cessation. Behavioral interventions and approved pharmacotherapy will be offered. The research project aims to implement a smoking cessation program using the 5 A’s tool to introduce an EBP tool and increase smoking cessation. A 30-minute face-to-face lecture with a power-point will be presented to all staff during a lunch and learn. Data will be collected by chart review pre/post-intervention to compare the outcomes.

Audience Take Away Notes:

  • Participants will gain knowledge as it relates to the 5 A’s intervention
  • Providers and staff will be able to implement the 5A’s intervention tool in the primary care clinic.
  • The 5 A’s counseling tool recommended by the United States Taskforce
  • Th 5 A’s will help providers in the clinical setting; screen, ask, advise, assess, assist, and arrange follow-up.
  • To address the disconnect between the current practice in the healthcare clinics and the current guidelines from the U.S. Preventative Task Force (USPSTF).
  • Establishing a team-based approach and recognizing tobacco use as a chronic relapsing substance use disorder caused by addiction to nicotine providers will improve outcomes to decrease tobacco use, obtain abstinence, reduce the risk of adverse health effects, reduce premature death, improve health outcomes, and enhance the quality of life


Nakesha Brown, MSN, APRN, ANP-BC, studied at Wayne State University in Detroit, MI. I graduated from Wayne State University with my BSN in 2006 and my MSN in 2012 with a specialty in adult primary care. I decided to return for my DNP in January 2020 and attend the University of Michigan-Flint. I currently work as an adult primary care nurse practitioner doing telehealth and home visits. I work remotely for an insurance company doing health risk assessments and have been with them for six years. I was recently promoted to lead trainer for new hires during the orientation phase.