Inpatient smoking cessation programs (ISCPs) are frequently more effective in achieving sustained (12 months) abstinence than ambulatory programs. Time constraints may impact the ability of hospital staff to provide the necessary counseling. In 1996 the US Department of Health and Human Services (DHHS) recommended that hospitals develop ISCPs and that clinicians (MDs, RNs etc) learn cessation techniques. We developed an adjunct to our ISCP utilizing student nurses (SNs). To our knowledge, this has not been previously reported.
61 senior SNs were trained in smoking cessation (SC) based on the 1996 DHHS guideline (AHCPR No. 96-0692). This 1 hour training was reinforced through written materials and exam questions. Beginning in 2/04, teams of two SNs each spent a half-day providing SC counseling to an average caseload of 4 patients (Pts). Sessions lasted about 15 minutes. SNs suggested that Pts ask their physicians about pharmacotherapy to assist SC. The intervention was documented in the medical record, and reported to the Pt’s RN. SNs completed a data sheet for tracking abstinence after discharge. Pts agreeing to continued contact were telephoned on a monthly basis.
Over 10 weeks SNs visited 104 Pts. SNs reported a high degree of satisfaction with the program. Results of the program are shown in the Table
Results of SN Smoking Cessation Interviews with Hospitalized PatientsAccepted written materials90/104(90%)Accepted counseling83/104(80%)Committed to SC attempt77/104(74%)Received anti-smoking Rx20/104(19%)Provided home phone no.71/77(92%)Contacted post disch.27/71(38%)Abstinence 1 mo. post disch.8/27(30%.
SNs can effectively deliver SC interventions to hospitalized patients. Although the data are preliminary, the cessation rates achieved may be consistent with reported ISCPs.
SNs could be a key component of ISCPs. The required skills are easily integrated into the SN curriculum, and the program provides valuable experience in patient education.
P.R. Smith, None.