Nursing Tobacco Interventions -- Part II
Goal:

The learner will be able to provide basic behavioral and pharmacological tobacco interventions for patients who are ready to quit tobacco use or who have recently quit and follow-up appropriately after providing SBIRT services for tobacco. Additionally, the learner will practice and integrate SBIRT clinical skills learned in these modules.

: 1 hr

After completing this activity participants will be able to:

  • Provide basic behavioral interventions for patients who are ready to quit tobacco use

  • Provide basic pharmacological tobacco interventions for patients who are ready to quit tobacco use

  • Provide follow up and relapse prevention for patients who have quit smoking

  • Apply screening, counseling, and prescribing skills with a simulated patient who uses tobacco


Professional Practice GapsTobacco use is still fairly common; in the United States. Approximately 28.4% of persons aged 12 or older used a tobacco product in the last month in a 2008 survey (NSDUH, 2009). Tobacco is estimated to be responsible for 443,000 premature deaths annually (CDCP, 2008) and cause significant morbidity (Surgeon General, 2004). The effectiveness of tobacco interventions by health care providers was evaluated in a review of the literature by the review panel for the U.S. Public Health Service Clinical Practice Guideline, Treating Tobacco Use and Dependence: 2008 Update (Fiore, et al., 2008). They found that medication and counseling are more effective for promoting tobacco cessation than no treatment and that intervention effectiveness increases with increased intervention intensity. The Clinical Practice Guideline (Fiore, et al., 2008), also provided evidence-based guidelines for clinicians on how to provide brief and more extensive interventions in tobacco use. Despite the documented need for tobacco cessation and effectiveness of clinical interventions and availability of practice guidelines, many health providers still are not providing evidence-based tobacco interventions. A number of studies have found that screening for tobacco use and recommending cessation occurs as frequently as 75% of the time in primary care, other appropriate tobacco interventions are made by in primary care less frequently (Schnoll R et al, 2004; Braun et al, 2004; Jaen et al, 2001; Ellerbeck et al, 2001). Training health care professionals in evidence-based, brief tobacco interventions in order to assure that all health providers know and are confident to provide tobacco interventions will help address this practice gap. References
U.S. Department of Health and Human Services (USDHHS). Reducing Tobacco Use: A Report of the Surgeon General. Atlanta, Ga: Office on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, US Dept of Health and Human Services. 2000. Available at: https://www.cdc.gov/tobacco/data_statistics/sgr/2000/complete_report/index.htm Accessed on: 2013-10-28.