A Descriptive Study of Health Promotion Activities Related to Tobacco Cessation Utilized by Air Force Nurse Practitioners
Uniformed Services University of the Health Sciences Bethesda United States
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The purpose of this study was to describe the health promotion activities related to tobacco cessation utilized by Air Force nurse practitioners NP. The military environment places strong emphasis on the importance of optimal physical fitness in order to meet the demands of deployed readiness for missions of national and international peace and freedom. Tobacco use in the active duty population remains above the targeted goal of 20 set by the Healthy People 2000 Objectives. The Department of Defense has issued directives which direct health care providers to address and provide intervention regarding tobacco topics. A questionnaire was developed to elicit information about health promotion activities Air Force NPs use in order to meet Healthy People 2000 Objectives with regards to tobacco cessation. It consisted of four parts demographic data, clinical practice setting, nurse practitioner education, and nurse practitioner activities relating to tobacco cessation. The questionnaire was evaluated by a two 2 NP panel of experts for face and content validity. A pilot study consisted of four 4 NPs was conducted to evaluate test-retest reliability. The major study consisted of forty-seven 47 Air Force NPs serving at conus locations, functioning within their specialty area pediatrics, adult, family, womens health, primary care. The sample was obtained through stratified random sampling techniques. Descriptive statistics were used for data analysis. Study findings suggest that NPs are involved in multiple tobacco cessation activities in their clinical practice in varying degrees and frequencies. Knowledge and skill levels differ among NPs. Inconsistencies may exist between performance of tobacco cessation activities, knowledge and skill levels, resources that may hinder or support those activities in the clinical setting, and attitudes toward tobacco users.