Title : Implementation of the 5A’s In a nurse-managed primary care clinic to increase smoking cessation
Abstract:
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
