Critique of the Study by Sohn and Colleagues, “Simulation-based smoking cessation intervention education for undergraduate nursing students”

The initial phase of the self-directed intervention consisted of baseline measurement of smoking behaviour. Baseline data was collected for a period of 7 weeks and a functional assessment was completed during this time. Upon starting the intervention phase, the final target behaviour of smoking cessation was broken down into smaller, short-term objectives lasting 2 weeks each.

The smoking cessation was witnessed by the author throughout her placement. This was used on a daily basis in the community by district nurses, health visitors, but especially by the general practice nurses as being incorporated in each consultation in the form of advices, leaflets, smoking cessation programs including medication and follow-ups.

This study by Naughton et al. (2014) was conducted to identify the effectiveness of the iQuit program, a self-help program supported by text messaging, as an adjunct to smoking cessation education offered in the primary care setting. The authors report smoking cessation offered in the primary care setting varies widely but research showed the added option of a self-help program for patients produces a cessation rate of as much as twice the rate of those patients who were given only in- office education (Naughton et al.).

Quitting rates of participants who are unwilling to stop smoking at all using electronic cigarettes shows how much of an effective cessation method they are. For nicotine replacement therapy to work, smokers would have to volunteer to quit and seek help, while with electronic cigarettes cessation just happens.

Of the roughly 42 million adults in the US that use tobacco, nearly 69% of smokers want to quit and more than 42% of those wishing to quit will make the attempt through various methods(1). These methods range from the "cold turkey" method, nicotine replacement therapy, behavioural therapy and even medicine. Each method has it's unique strengths and weaknesses as well as varying success rates. There are many reasons to quit and many ways in which to do so, either with methods that involve slowly weaning off of nicotine, like gums and patches from replacement therapy, to nicotine-free methods which require support from various sources.

Cigarette smoking is widely accepted as one of the most readily available addictive substances a person can buy. A person may visit any corner store, any gas station, and there would be a strong chance cigarettes would be sold behind the register. A respiratory Therapists practice revolves around the lungs, not only do they treat patients suffering from pulmonary diseases, but they also help patients move away from unhealthy habits which may have a damaging impact on their lungs and respiratory system, namely smoking. The following points will further explore the Respiratory Therapist part in smoking cessation, such as their role in patient education and prevention, patient counseling as well as their role in forming a treatment

Smoking cessation: The status is uncontrolled and patient is willing to try to quit smoking.

Most often seniors in high schools can purchase cigarettes because they are 18, so they distribute them to underclassmen or friends. Nearly 21 percent of high schoolers in public schools smoke cigarettes, which would be about 3.13 million students (Preidt). My survey shows that only four percent, or two out of 49 people admit their addiction to cigarettes. The two students admitted that stress is their reasoning for why they began smoking and continue, but only one has support to end their need to smoke. While the student with assistance is continuing to smoke, they are attempting to stop; however, the effects of smoking are obviously severe (lung disease, cancer, bronchitis, etc.) and cannot continue. Cigarettes may be a partial stress reliever although the permanent and long-term effects should be proof enough that this addiction is a necessity to prevent in our high schoolers even if it is four

“Telephone quitline counseling is effective with diverse populations and has broad reach. Therefore, both clinicians and health care delivery systems should ensure patient access to quitlines and promote quitline use” (https://www.tobaccofreekids.org/research/factsheets/pdf/0245.pdf)

This will first identify the types of items and components necessary to implement a cessation program. Based on which items receive a greater distribution of those funds, the student can identify which items are prioritized by the ALA and identify how those funds are utilized in the program. After witnessing the planning process, the student will 2) attend the freedom from smoking sessions at all three Hawaii locations to assist the educators in their lessons. This will allow the student to experience the impact managerial decision making has on cessation programming. 3) The student will assist Kim Nguyen with the planning and coordination of the Lung Force Walk held in November. This will identify what actions are required to coordinate a large scale community effort and the importance community cooperation in raising awareness and fundraising for

Stage-Matched Interventions. Finally, Spencer et al. (2002) examined the evidences supporting the utilization of stage-matched smoking cessation interventions vs. non-stage-matched interventions vs. TTM training for health care providers. It was found that 16 out of 22 stage-matched interventions support the idea that there is a cause and effect relationship between personalized/tailored interventions and positive outcomes. In terms of non-stage-matched interventions, 8 out of the 11 studies demonstrated positive progression to tobacco cessation drawing the conclusion that non tailored interventions are also effective in getting the subject’s closer to quit smoking. Although this sounds promising, the study noted that non-stage-matched interventions are not

The fourth week will also include two sessions. The main topics that will be discussed in the session 7 are information about tobacco use, tobacco withdrawal symptoms, consequences of tobacco use, and strategies about smoking cessation. I will introduce the topic by handing out the “Trends in Tobacco Use” worksheet (see Appendix K) to the students in order to give them the accurate information about tobacco. Additionally, “Young Kids and Smoking” activity (see Appendix L) is a good choice to assist students discussing the reasons behind starting smoking at an early age and finding some ways to help them quit smoking. Self-control, learning assertiveness skills, and how to behave in certain situations are the central topic of session 8.

In “A National Survey of Tobacco Cessation Programs for Youths,” Curry et al¹ aimed to identify the prevalence and characteristics of youth tobacco cessation programs across the United States. The study design was cross-sectional and used a two-stage sampling technique: first selecting key informants in all United States counties with populations greater than 10,000, and then using snowball sampling to identify the program administrators of potentially eligible programs.¹ The title was reflective of the content contained within the article, as the authors surveyed 591 youth tobacco cessation programs in forty-nine out of fifty states (excluding Wyoming).¹

789). The authors have presented several strong strategies where nurses can educate the patients by explaining to them about the process in which their body works when they smoke, and how they get COPD, thereby motivating the smokers with COPD to manage their condition effectively which could result in a significant difference in their life quality. I think this article is effective because the authors mentioned few studies that contradicted their opinion and they even mentioned the reasons why people continue to smoke after the patients being supported through counseling. However, I would also like to see more data on how many people continued smoking even after receiving aids, what the negative effects of bupropion and other pharmacotherapies drugs are, and more research references on severe cases of COPD in which the intervention aides failed and how the COPD was still controlled. I think the authors need to clarify more on the specific types of intervention the studies used and the ones that were most effective to

The “Going Upstream” framework highlighted that nurse-patient led health initiatives such as MECC and Motivational Interviewing were the most successful health promotion approach when tackling smoking, encouraging patient empowerment (RCN, 2012) however nurse intervention can be seen as interfering or controlling by the patient or population. Nurses arguably could make patients feel as though they are being blamed for their ill health