Systems Approach for Integrating Smoking Cessation into Daily Practice

Tuesday, 14 July 2009

Irmajean Bajnok, RN, MSN, PhD1
Janet Chee, RN, MN1
Heather McConnell, RN, BScN, MA(Ed)2
1International Affairs and Best Practice Guidelines Programs, Registered Nurses' Association of Ontario, Toronto, ON, Canada
2International Affairs and Best Practice Guidelines Programs, Registered Nurses' Association of Ontario (RNAO), Toronto, ON, Canada

Learning Objective 1: describe and reinforce the role of Public Health Nurses in health promotion related to the critical global issue of smoking cessation.

Learning Objective 2: describe the multi-pronged implementation approach that was highly successful in raising awareness and changing nurse’s practice regarding smoking cessation.

In November 2007, a pilot project entitled “Integrating Smoking Cessation in Daily Practice: Three Pilot projects” was initiated with government funding. The objective of the pilot initiative was to reinforce the role of Public Health Nurses in health promotion related to smoking cessation and to: a) build capacity in supporting smoking cessation practices in all health care settings; b) establish and use a network strategy for development of innovative smoking cessation strategies: c) engage Schools of Nursing and health care organizations in implementing smoking cessation best practices: and d) monitor and evaluate efficacy of the three pilot approaches.
Each selected pilot site was required to identify a target focus of either a long term care facility, community health centre or aboriginal community.  Public Health Nurse Smoking Cessation Coordinators, seconded from each site, contributed to implementation strategies including recruitment of Champions, delivering a Smoking Cessation Champion Workshop, Champion and organizational support and engagement of key partners.
A case study methodology was utilized to evaluate achievement of all aspects of the objectives in each of the sites and target areas of focus.  Findings indicate that the four pronged approach of PHN leadership, smoking cessation Champions, use of evidence based guidelines, and collaborative partnerships was highly successful in raising awareness and changing nurse’s practice regarding smoking cessation.