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Evaluating the utility of a Smoking Cessation Clinical Pathway tool to promote nicotine prescribing and use among inpatients of a tertiary hospital in Brisbane, Australia

Published online by Cambridge University Press:  03 September 2020

Keshia R. De Guzman Open the ORCID record for Keshia R. De Guzman [Opens in a new window] ,
Centaine L. Snoswell Open the ORCID record for Centaine L. Snoswell [Opens in a new window] ,
Cheneal Puljevic  and
Deepali Gupta
Keshia R. De Guzman*
Affiliation:
Centre for Health Services Research, The University of Queensland, Brisbane, Australia Pharmacy Department, Princess Alexandra Hospital, Brisbane, Australia School of Public Health, The University of Queensland, Brisbane, Australia
Centaine L. Snoswell
Affiliation:
Centre for Health Services Research, The University of Queensland, Brisbane, Australia Pharmacy Department, Princess Alexandra Hospital, Brisbane, Australia School of Pharmacy, The University of Queensland, Brisbane, Australia
Cheneal Puljevic
Affiliation:
Centre for Health Services Research, The University of Queensland, Brisbane, Australia School of Public Health, The University of Queensland, Brisbane, Australia
Deepali Gupta
Affiliation:
Pharmacy Department, QE2 Jubilee Hospital, Brisbane, Australia Statewide Respiratory Clinical Network, Clinical Excellence Division, Queensland Health, Brisbane, Australia
*
Author for correspondence: Keshia R. De Guzman, E-mail: [email protected]
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Abstract

Introduction

Due to the burden of tobacco-related illnesses among hospital inpatients, an evidence-based smoking cessation brief intervention tool was developed for clinicians working in hospitals in Queensland, Australia. The tool, called the Smoking Cessation Clinical Pathway (SCCP), is used by clinicians to support inpatient smoking cessation and manage nicotine withdrawal in hospital.

Aims

To investigate the impact of completed SCCP on nicotine replacement therapy (NRT) prescribing and use, and to explore clinician involvement in smoking cessation interventions.

Methods

A retrospective review was conducted to examine data regarding SCCP responses and NRT offering, prescribing and use. The statistical significance of the results was assessed using chi-squared and Fisher's exact tests.

Results

Patients with a completed SCCP were more likely to be offered NRT (P < 0.0001). NRT prescribing on admission and discharge was higher in patients with a completed SCCP (P = 0.001 and P = 0.027). Intention to quit had no effect on whether NRT was offered (P = 0.276) and NRT acceptance was higher for patients that intended to quit smoking (P < 0.0001).

Conclusions

The SCCP prompted clinicians to offer NRT to patients, leading to increased NRT prescribing and use. These findings demonstrate the utility of the SCCP to assist clinicians to promote smoking cessation among hospital inpatients.

Keywords

Inpatient smoking cessationnicotine replacement therapyNRTsmoking cessation
Type
Brief Report
Information
Journal of Smoking Cessation , Volume 15 , Issue 4 , December 2020 , pp. 214 - 218
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

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