Campus Location

Dallas Campus (Online)

Date of Award

Spring 5-2019


Document Type

DNP Project



Degree Name

Doctor of Nursing Practice

Committee Chair or Primary Advisor

Tonya Sawyer - McGee

Second Committee Member or Secondary Advisor

Roneisa Matero

Third Committee Member or Committee Reader

Tonja Hartjes


There is a massive problem of tobacco-related cancer outcomes in patients that are affected by race and ethnicity. Although this is a known disparity, there continues to be a gap in care for asking patients if they use tobacco and in advising and assisting them in making a quit attempt. Health information technology requirements and meaningful use regulations require the utilization of systematic electronic documentation. In order to improve and support tobacco use screening, systematic tobacco use assessment and documentation are essential. There is a widespread belief that adding screening for tobacco use to the vital sign assessment will lead to an increase in health care staff offering smoking cessation support during an office visit (Boyle & Solberg, 2004). This project analyzed the effects of adding a tobacco use question to the vital sign assessment in the electronic health record (EHR). The goals were to increase nursing documentation of tobacco use and to increase patient participation in initial smoking cessation counseling during a routine office visit.

Creative Commons License

Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.



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