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In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome. Describe the problem in the PICOT question as it relates to the following: Evidence-based solution Nursing intervention Patient care Health care agency Nursing practice

PICOT question             Any patient that answers yes to current smoker during a physical with their primary care physician will receive educational information from nursing staff on ways to quit smoking and resources to help them quit smoking to see if they are able to become and stay a non-smoker for 6 months versus how many patients become non-smokers with no interventions from nursing staff. Evidence-based Solution             There is not enough easily accessible education for patients in regards to smoking cessation. Currently there is no information provided to patients when they answer yes to being a current smoker. Not only would there be tips available to help quit smoking but also additional resources. “Many people find support groups and hotlines helpful when quitting tobacco” (American Heart Association, 2020). There will also be information available on the dangers of smoking. This is important to share with patients as per The World Health Organization it is the cause for 7 million deaths annually (McWilliams, et al., 2019, p.1059). Nursing Intervention             The nursing intervention will be completed by nursing staff within the clinical environment. When a patient answers yes to being a current smoker, the nursing staff will then provide the patient with education and resources to help them quit smoking. This should only take 3-5 minutes and the patient can take the pamphlet home with them. The pamphlet will include how to contact nursing staff with additional questions or support for the patient to use as needed. Patient Care             This pamphlet will provide information on ways to quit smoking without the use of medication for patients. It will also provide resources for additional information available online. It will also allow patients to have access to nursing staff to ask questions and provide additional support. Health Care Agency             The health care agency this program will assist is ProHealth Care Medical Group. There are generally classes offered from ProHealth Care but unfortunately due to COVID all classes are cancelled and there is no information online about what classes were previously offered to determine if smoking cessation classes were previously offered. This organization has 12 locations that offer family practice and/or primary care services. Once this project is complete this pamphlet for smoking cessation education can be used at all of the 12 locations. Nursing Practice Providing education to patients is a nurse’s duty. Having information available to assist the education can be beneficial to the nurse and the patient. The patient may have additional questions outside of the patient information pamphlet, if the nurse is unable to provide the patient an answer at that point, they can inform the patient they will find the answer, and call them at a later time. Providing the pamphlet ensures that all patients are getting the same information, as well as resources to use to help them with their smoking cessation.           References American Heart Association. (2020). Help! I want to quit smoking. Retrieved from https://www.heart.org/en/healthy-living/healthy-lifestyle/quit-smoking-tobacco/help-i-want-to-quit-smoking McWilliams, L., Bellhouse, S., Yorke, J., Lloyd, K., & Armitage, C. J. (2019). Beyond “planning”: A meta-analysis of implementation intentions to support smoking cessation. Health Psychology, 38(12), 1059–1068. https://doi-org.lopes.idm.oclc.org/10.1037/hea0000768.supp ProHealth Care. (2020). Medical services. Retrieved from www.prohealthcare.com


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