Tobacco cessation in acute and critical care nursing practice: challenges and approaches.
Recently, the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) implemented new national core measures, including tobacco-cessation interventions for patients hospitalized because of pneumonia or other pulmonary-related illnesses, acute myocardial infarction, or heart failure. All interventions performed for such patients must be documented in the patient's chart. Because the JCAHO standards for tobacco cessation are implemented hospital-wide, acute and critical care nurses must take an active role in their execution. This article discusses the challenges to integrating tobacco cessation in daily acute and critical care nursing practice and makes recommendations regarding cessation approaches designed to improve health outcomes for tobacco-dependent patients.
Georgetown University School of Nursing and Health Studies, 3700 Reservoir Road NW, Washington, DC 20057, USA. jss@georgetown.edu
Jaclyn S
JS
Green
Linda
L
Briggs
D000208:Acute Disease / Q000451:nursing; D001294:Attitude to Health; D002983:Clinical Competence; D003376:Counseling; D003422:Critical Care / Q000379:methods*; D006379:Helping Behavior; D015277:Hotlines; D006801:Humans; D020407:Internet; D007591:Joint Commission on Accreditation of Healthcare Organizations; D009042:Motivation; D009538:Nicotine / Q000627:therapeutic use; D018722:Nicotinic Agonists / Q000627:therapeutic use; D024802:Nurse's Role; D009730:Nursing Assessment; D010353:Patient Education as Topic; D017410:Practice Guidelines as Topic; D012017:Referral and Consultation; D013997:Time Factors; D020340:Tobacco Use Cessation / Q000379:methods*; D014029:Tobacco Use Disorder / Q000453:epidemiology / Q000517:prevention & control*; D017749:Total Quality Management / Q000458:organization & administration; D014481:United States / Q000453:epidemiology
D018722:Nicotinic Agonists; D009538:Nicotine