Implementation of a Smoking Cessation Program Prior to Surgical Cases, a Pilot Study Proposal
Loading...
Authors
Hawkins Jr, William T.
Issue Date
Type
Language
Keywords
Nursing
Alternative Title
Abstract
Smoking has long been well established as a world-wide, public health epidemic that is directly linked to poor healthcare outcomes for surgical patients (WHO, 2013; Dai et al., 2022; Janssen et al., 2020). This epidemic is cause for alarm because the preceding decades of research have provided thousands of studies with evidence to establish solid causative relationships between tobacco smoking and its detriment to nearly every body system, organ, and tissue in the human body, yet the Centers for Disease Control and Prevention (CDC) reports that in 2019, 14% of the population of the United States were current smokers. The negative effects of smoking on overall health status as well as on surgical outcomes is more than well-documented. Historically, documentation of smoking status and cessation education were at the behest of primary care physicians. As a United States Preventive Services Task Force Grade A recommendation, all clinicians are recommended to screen patients for tobacco use, advise those who do smoke to stop use, and offer assistance with quitting. Implementing an evidence-based smoking cessation program in a small pilot study, the orthopaedic RN who works with elective surgical candidates indicated for total hip arthroplasty could improve postoperative patient outcomes, reduce postoperative complications, and reduce the need for reoperation, and readmissions. When surgical patients who smoke participate in a preoperative smoking cessation program, will there be improved postoperative healing and less postoperative complications at 30 and 60-day follow up appointments, as evidenced by decreased complications of infection, non- or malunion of bone, return to operating room, or readmission.
Description
Capstone Project
Citation
Publisher
Hawaii Pacific University