The development of a clinical nursing practice guideline on integrating smoking cessation support into lung cancer screening
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Abstract
This clinical nursing practice guideline [CNPG] on integrating smoking cessation support into lung cancer screening was developed in two phases; 1) development of the CNPG, and 2) evaluation of its implementation which composed of 3 steps as follows. 1) The pre-intervention step included providing knowledge and skills to nurses. 2) The intervention step included assessing smoking status of high risk smokers to lung cancer by a nurse, giving health education on benefits of lung cancer screening and smoking cessation and referring to a physician. The patient who want to stop smoking will be referred to a clinical nurse coordinator for individual counseling and telephone follow-up. 3) The post- intervention step included evaluating the feasibility and the outcomes of clinical nursing practice guideline implementation. It was founded that nurses could easily screen patients in a risk group of lung cancer, but they had problem at the follow-up peroid. At the 1 year follow-up evaluation, 16 out of 21 cases had tumor and 4 cases could quit smoking.
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