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American Journal of Critical Care. 2007;16: 284-289
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Evaluation of a Tobacco Cessation Curricular Intervention Among Acute Care Nurse Practitioner Faculty Members

By Janie Heath, PhD, APRN-BC, ACNP, Frances J. Kelley, PhD, APRN-BC, FNP, Jeannette Andrews, PhD, APRN-BC, FNP, Nancy Crowell, MA, Robin L. Corelli, PharmD and Karen Suchanek Hudmon, DrPH, MS, RPh. At the time this study was conducted, Janie Heath was director of the Acute Care Nurse Practitioner and Critical Care Clinical Nurse Specialist Program and an assistant professor in the School of Nursing and Health Studies at Georgetown University; she is now associate dean for Academic Nursing Practice at the Medical College of Georgia, Augusta, Ga. Frances J. Kelley is an associate professor and Nancy Crowell is a research associate with the School of Nursing and Health Studies, George-town University, Washington, DC. Jeannette Andrews is an assistant professor with the Department of Health Environments and Systems Community Nursing, Medical College of Georgia, Augusta, Ga. Robin L. Corelli is a professor in the School of Pharmacy, University of California, San Francisco, Calif. Karen Suchanek Hudmon was an associate professor with the Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, Conn; she is now an associate professor with the Department of Pharmacy Practice at Purdue University, West Lafayette, Ind.

Corresponding author: Janie Heath, PhD, APRN-BC, ACNP, Associate Dean, Academic Nursing Practice, Medical College of Georgia, 987 St Sebastian Way (EC-4350), Augusta, GA 30912 (e-mail: jaheath{at}mcg.edu).

Background In 2002, a report indicated that tobacco-related curricular content in educational programs for acute care nurse practitioners was insufficient. To provide healthcare professionals with the necessary knowledge and skills to intervene with patients who smoke tobacco, the Summer Institute for Tobacco Control Practices in Nursing Education was implemented at Georgetown University in Washington, DC.

Objective To evaluate the impact of a train-the-trainer program in which the Rx for Change: Clinician-Assisted Tobacco Cessation curriculum was used among faculty members of acute care nurse practitioner programs.

Methods Thirty faculty members participated in the 2-day train-the-trainer program. Surveys were administered at baseline and 12 months after training to examine perceived effectiveness for teaching tobacco content, the value of using an evidence-based national guideline, and the number of hours of tobacco content integrated in curricula.

Results The percentage of faculty members who devoted at least 3 hours to tobacco education increased from 22.2% to 74.1% (P<.001). Perceived effectiveness in teaching tobacco cessation also increased (P < .001), as did mean scores for the perceived value of using an evidence-based national guideline (P<.001).

Conclusions Use of the Rx for Change train-the-trainer program can enhance the level of tobacco education provided in acute care nurse practitioner programs. Widespread adoption of an evidence-based tobacco education in nursing curricula is recommended to help decrease tobacco-related morbidity and mortality.






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