2006 OPEN FORUM Abstracts
IN-PATIENT SMOKING CESSATION PROTOCOLS;
Sarah M. Varekojis PhD, RRT, Georgianna Sergakis, M.S., RRT and Marjorie
A. Ardito, B.S., RRT; Respiratory Therapy Division,
School of Allied Medical Professions, The
Ohio
State
University
,
Columbus
,
Ohio
.
Background: The Clinical Practice Guideline for Treating
Tobacco Use and Dependence has been shown to be a successful format for
clinicians to provide smoking cessation, but there is no research to see how
frequently the guideline is implemented in a hospital setting. The purpose of
this study is to describe the current practice regarding the use of inpatient
smoking cessation protocols in
Ohio
hospitals, to determine if the protocols are based on the Guideline, and to
determine if there are differences in practice.
Methods: A survey
research design was utilized in this project. A survey instrument was
developed. The study population was every hospital registered with the Ohio
Hospital Association. The survey instrument was mailed to a respiratory therapy
director, or expert indicated by the director, who had knowledge of the current
smoking cessation protocol in their hospital. The completed surveys were
analyzed with SPSS®, utilizing descriptive
statistics, t-tests, and chi square.
Results: 122 of the 170
Ohio
hospitals consented to be sent the survey and 103 returned the survey,
resulting in a 60.6% response rate. 78 hospitals (75.7%) had smoking cessation
protocols. 36 (34.95%) were compliant with the Clinical Practice Guideline for Treating
Tobacco Use and Dependence. 38 of the 58 respondents (65.5%) stated they
believed their protocol was based on the clinical practice guideline. Of those
38 hospitals, only 25 achieved a compliance score of 11 or greater (43.1%) and
were truly compliant with the guideline.
Conclusions: The majority of
Ohio
hospitals have inpatient smoking cessation protocols. Most
Ohio
hospitals are not taking advantage of the sound, established recommendations in
the Guideline to efficiently and effectively address the problem of inpatient
smoking cessation. If hospitals were to
incorporate the recommendations for 4 interventions for a total of 30 minutes,
they would be more likely to also be able to incorporate the 5As, the 5Rs, and
discussions regarding pharmacotherapy, all of which seem to be missing from the
non-compliant protocols. State-wide education to inform respiratory therapists,
administrators and nurses of the usefulness and effectiveness of the Guideline
is recommended.