Emergency departments helping patients quit smoking
Module 5 - SLP
REVISING SCHOLARLY PAPERS
Your Session Long Project for this course entails writing an 8-10 page paper on a health science-related topic of your choice. However, you must do so in accordance with the steps outlined in each SLP assignment. This will ensure that you have applied the resources introduced in this course toward development of a scholarly paper befitting graduate-level scholarship.
SLP Assignment Expectations
Length: The written component of this assignment should be 8-10 double-spaced pages.
References: At least eight references must be included from scholarly sources. Quoted materialsshould not exceed 10% of the total paper (since the focus of these assignments is critical thinking). Use your own words and build on the ideas of others. Materials copied verbatim from external sources must be enclosed in quotation marks. In-text reference citations are required as well as a list of references at the end of the assignment. (APA format is required.)
Organization: Subheadings should be used to organize your paper according to the questions.
Format: APA format is required for this assignment.
Grammar and Spelling: While no points are deducted for minor errors, assignments are expected to adhere to standard guidelines of grammar, spelling, punctuation, and sentence syntax. Points may be deducted if grammar and spelling impact clarity.
The following items will be assessed in particular:
- Achievement of learning outcomes for this SLP assignment.
- Application of evidence analysis principles introduced in Module 2.
- Relevance—All content is connected to the question.
- Precision—Specific question is addressed. Statements, facts, and statistics are specific and accurate.
- Depth of discussion—Points that lead to deeper issues are presented and integrated.
- Breadth—Multiple perspectives and references, and multiple issues/factors are considered.
- Evidence—Points are well supported with facts, statistics, and references.
- Logic—Discussion makes sense; conclusions are logically supported by premises, statements, or factual information.
- Clarity—Writing is concise and understandable and contains sufficient detail or examples.
Objectivity—Avoids the use of first person and subjective bias.
OUTLINE
- Thesis of the paper
- Emergency departments helping patients quit smoking
(i) Introduction
(ii) Thesis
- The study
- Understanding perceptions
- Study Settings and Population Description
- Study protocol
- Conclusion
- References
- A. Thesis of the Paper
- 1. Emergency department helping patients quit smoking
(i) Introduction
This is a very informative paper and dwells on the interventions that the emergency department staffs can implement in helping patients that are smokers quit. As such, thesis of the authors of this paper is hinged on creating guidelines that will help both the emergency physicians and the emergency nurses guide their patients that are smokers to quit (Katz et al., 2014). Past efforts have been marred with inconsistencies due to the perception of the staffs. Understanding and redefining the perceptions would be one of the most crucial steps towards the success of smoking cessation and counseling interventions (Clinicaltrials.gov, 2014).
(ii) Thesis
Thesis of the paper comes out quite clearly in the second and third paragraph of the introduction of the paper.
- B. The Study
- 1. Understanding Perceptions
In the third paragraph of the paper, the authors dwell on the fact that, to improve the impact of the smoking cessation by the staff on their patients, a multifaceted team would have to be involved. At the same time the authors bring out the fact that understanding the perceptions of the emergency physicians and the nurses would increase the likelihood of improving their interventions in the smoking cessation programs (Katz et al., 2014). In support of this premise, the authors state that the main objective of the paper, relates to understanding the perceptions of the emergency physicians and nurses (Medscape.org, 2014). At the same time the paper will also try to bring out the barriers that exists against the involvement of a multifaceted team with close reference to the 5A’s framework; Ask-Advise-Assess-Assist-Arrange.
- 2. Study Settings and Population Description
The fifth paragraph of the paper relates to the settings of the study and the population description. In the paragraph, the authors mention the fact that, the physicians and the nurses were drawn from two hospitals. One of the hospitals was a university hospital and the other was a large community hospital. The university hospital according to the paragraph has residency training program in emergencies and used the electronic records register. The community hospital on the other hand had private physicians and used paper charting records. Both hospitals had a huge turnover of emergency department patients and a good number of patients did not have insurance (Katz et al., 2014). The study was carried out on 73 emergency nurses and 49 emergency physicians. Nursing assistants were not included as they are not allowed to educate patients. To further pass the premise of the paragraph to the readers, the authors also included a table named Table 1. The table describes the study sites with respect to the variables andpatients’ characteristics.
- 3. Study Protocol
In the seventh paragraph, the authors of the paper explain the study protocol. In this paragraph, the authors go into the detail of how the interviews were conducted to completion. According to the authors, the interviewers were either MA or PhD level individuals. They also had in-depth knowledge of qualitative methods of research and had never met with the participants before (Clinicaltrials.gov, 2014). The interviewers had to carry out a mock interview with one nurse and/or physicians before the actual interviews. All of the nurses and physicians that were involved in the mock interviews did not participate in the actual interviews (Katz et al., 2014). The actual interviews lasted an average of 18 minutes, where the participants explained their usual interventions, perceptions of the study interventions and their perceptions on the role of emergency staff in smoking cessation smoking cessation. At the same time the participants were asked whether they would use the 5A’s framework in their interventions after the study.
- C. Conclusion
In conclusion, the authors bring out the fact that implementation of smoking cessation experiences a series of challenges within the emergency department. It also came out that the emergency nurses are willing to offer brief smoking cessation guidelines to the patients, but the emergency physicians also have to chip in their efforts (Katz et al., 2014). The policies relating to workflow, teamwork and medication on smoking cessation also need to be redefined for greater impact (Medscape.org, 2014).
Student:
Professor:
Course title:
Date:
Emergency departments helping patients quit smoking
A. Thesis of the Paper
1. Emergency department helping patients quit smoking
In the United States, the use of tobacco brings about more deaths annually compared to fires, illegal drugs, suicide, motor vehicle accidents, alcohol, homicide and AIDS put together (Bernstein et al., 2011). According to Dohnke et al. (2012), it is possible for emergency department personnel to improve their delivery of the 5As – ask-advise-assess-assist-arrange – and that improvements are associated with role satisfaction and self-efficacy in smoking cessation counseling. It is of note that professional societies of emergency department highly recommend opportunistic smoking cessation counseling.
(i) Introduction
This is a very informative paper and dwells on the interventions that the emergency department staffs can implement in helping patients that are smokers to quit. As such, thesis of the authors of this paper is hinged on creating guidelines that will help both the emergency physicians and the emergency nurses guide their patients that are smokers to give up (Katz et al., 2014). Past efforts have been marred with inconsistencies due to the perception of the staffs. Understanding and redefining the perceptions would be a very critical step toward the success of smoking cessation and counseling interventions (Clinicaltrials.gov, 2014).
The focus on acute care, lack of resources, in addition to time pressure hinders the delivery of interventions aimed at smoking cessation in the Emergency Department (ED). Katz et al. (2013) observed that notwithstanding heightened public awareness plus the availability of evidence-based health guidelines for the cessation of tobacco use, roughly 21 percent of adults in the United States are still using tobacco. The incidence of tobacco use tends to be higher amongst patients who are treated in ED. Personnel in the ED are usually the key source of primary care as well as preventive health services for more than 49 million uninsured people in America who actually have limited access to medical care (Katz et al., 2013).
(ii) Thesis
Thesis of the paper comes out quite clearly in the second and third paragraph of the introduction of the paper.
B. The Study
1. Understanding Perceptions
In the third paragraph of the paper, the authors dwell on the fact that, to improve the impact of the smoking cessation by the staff on their patients, a multifaceted team would have to be involved. At the same time, the authors bring out the fact that understanding the perceptions of the emergency physicians and the nurses would increase the likelihood of improving their interventions in the smoking cessation programs (Katz et al., 2014). In support of this premise, the authors state that the main objective of the paper, relates to understanding the perceptions of the emergency physicians and nurses (Medscape.org, 2014). At the same time the paper will also try to bring out the barriers that exists against the involvement of a multifaceted team with close reference to the 5A’s framework; Ask-Advise-Assess-Assist-Arrange.
2. Study Settings and Population Description
The fifth paragraph of the paper relates to the settings of the study and the population description. In the paragraph, the authors mention the fact that the physicians and the nurses were drawn from two hospitals. A university hospital was one those 2 hospitals, and the other was a large community hospital. The university hospital according to the authors has residency training program in emergencies and used the electronic records register. The community hospital on the other hand had private physicians and used paper-charting records. Both hospitals had a huge turnover of emergency department patients and a good number of patients did not have insurance (Katz et al., 2014). The study was carried out on 73 emergency nurses (ENs) and 49 emergency physicians (EPs). Nursing assistants were not included, as they are not allowed to educate patients. To further pass the premise of the paragraph to the readers, the authors also included a table named Table 1. The table describes the study sites with respect to the variables and patients’ characteristics.
In ensuring variability in pre-intervention attitudes towards cigarette cessation counseling, the authors made use of purposeful sampling in targeting emergency nurses and emergency physicians. Before the intervention training, the ENs and EPs were both administered a written survey for assessing their attitudes as well as self-efficacy towards cigarette smoking cessation counseling – cons and pros – using the Decisional Balance Questionnaire (DBQ) (Katz et al., 2014). To make sure that the emergency department personnel were actually sampled across the range of beliefs and attitudes towards smoking cessation counseling, the authors conducted an interview on a convenience sample of emergency nurses and emergency physicians from 4 possible subgroups of DBQ. These included (i) high cons/high pros; (ii) high pros/low cons; (iii) low pros/high cons; and lastly (iv) low cons/low pros (Katz et al., 2014).
3. Study Protocol
In the seventh paragraph, the authors of the paper explain the study protocol. In this paragraph, the authors go into the detail of how the interviews were conducted to completion. According to the authors, the interviewers were either MA or PhD level individuals. They also had in-depth knowledge of qualitative methods of research and had never met with the participants before (Clinicaltrials.gov, 2014). The authors developed an interviewers’ guide in order to draw out perceptions with regard to smoking cessation within the emergency department
The interviewers had to carry out a mock interview with one nurse and/or physicians before the actual interviews. All of the nurses and physicians that were involved in the mock interviews did not participate in the actual interviews (Katz et al., 2014). The actual interviews lasted an average of 18 minutes, where the participants explained their usual interventions, perceptions of the study interventions and their perceptions on the role of emergency department staff in smoking cessation. At the same time, the participants were asked whether they would use the 5A’s framework in their interventions after the study. The authors carried out the interviews until they attained saturation (Katz et al., 2014).
One of the strategies for improving the delivery of preventive services within the Emergency Department involves integrating cessation of smoking into the responsibility of Emergency Department nursing personnel. Cessation counseling delivered by nursi...