EXPAND ADDITIONAL 7 pages I PROVIDED YOU WITH 4 PAGES SO I SHOULD HAVE A TOTAL OF 11 PAGES 4 more references in addition to what I already have
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Must follow APA guidelines 6th edition. Be sure to support the work with specific citations from appropriate Learning Resources and additional scholarly sources as appropriate. Refer to the Publication Manual of the American Psychological Association to ensure that your in- text citations and reference list are correct
Expand on what I have already done here it is: PLEASE DO IT BY SECTIONS: Section 1 2 3 4 and 5 EACH SECTION SHOULD BE IN SUBHEADINGS AND CENTERED
Tobacco use is the leading cause of preventable death and suffering in the United States. Tobacco use causes nearly half a million deaths a year. There are over 45 millions smokers in the U.S (Sarna & Bialous 2006). Tobacco use prevention tobacco cessation and exposure to second hand smoke is central to health and well being and is an important priority for nursing action. Tobacco use prevention and cessation are important social issues affection the poor many ethnic minorities youth elderly and especially the cardiac compromised individuals. Studies have shown that involvement of nursing lead smoking cessation programs can be effective in promoting quitting attempts and improving cessation. Current health care system provides little rewards for cessation intervention programs and provider lack awareness about brief interventions and existing resources contribute to limited efforts in smoking cessation intervention (Rice 2006).
Smoking cessation is directly connected with lower mortality among patients after myocardial infarction. Patients that continue to smoke after coronary intervention have an elevated risk of myocardial infarction with those who stop tobacco usage (Miller 2006). Most heart patients quit smoking during their hospitalization; however the long term cessation success rate is not adequate. Many patients continue to smoke after a coronary event due to many factors.
The purpose of this policy is to educate nurses to identify potential cardiac patient whom would benefit from a smoking cessation program and to start the process of smoking cessation education upon admission. Also to increase the effectiveness of smoking cessation interventions lead by nurses in clinical practice. Implementation of this policy will increase the success rate of smoking cessation in patients and minimize the number of readmission due to smoking continuity.
The Quality Manager Educator Coordinator role includes finding areas in which policy and procedures are not being applied in practice that are affecting patients quality of care and to provide validity to evidence based practice. One of the areas often neglected is smoking cessation counseling and screening upon admission. Barriers to change include: Administration monetary support lack of cooperation from doctors and health care personnel and lack of education of personnel implementing the smoking cessation program. In order for programs to be effective resources must be available for staff and patients to utilize. Also nurses and doctors must take initiatives to follow through on policy and procedure for smoking cessation education initial upon admission.
Patients willingness to continue in smoking cessation program is also factor in the effectiveness of the program. Often patients do attempt to quit. Quitting can be difficult for the smoker. Many quitters experience physical symptoms of withdrawal such as nausea insomnia restlessness and weight gain which can be difficult to overcome (Hollis et.al 2003). Therefore many participants in the program chose to discontinue treatment and relapse.
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