Quality Improvement Project to Improve Screening for Tobacco Use in Adolescent Inpatients at a Children’s Hospital

Tobacco use begins in adolescence for the majority of smokers. The purpose of this study was to increase screening and reporting of tobacco use in hospitalized adolescents at a tertiary care children’s hospital. We completed a nursing focus group to understand challenges and completed four...

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Main Authors:	Lauren A. Wagner, Adolfo L. Molina, Karisa Grizzle, Meghan E. Hofto, Lauren B. Nassetta, Mary M. Orr, Nichole Samuy, Erinn O. Schmit, Cassi Smola, Kathleen F. Harrington, Susan C. Walley
Format:	Article
Language:	English
Published:	MDPI AG 2019-02-01
Series:	Children
Subjects:	tobacco electronic cigarette inpatient adolescent screening hospital
Online Access:	https://www.mdpi.com/2227-9067/6/3/37

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spelling	doaj-baf8bdeec1664715b7e104c0f42474f42021-04-02T08:16:59ZengMDPI AGChildren2227-90672019-02-01633710.3390/children6030037children6030037Quality Improvement Project to Improve Screening for Tobacco Use in Adolescent Inpatients at a Children’s HospitalLauren A. Wagner0Adolfo L. Molina1Karisa Grizzle2Meghan E. Hofto3Lauren B. Nassetta4Mary M. Orr5Nichole Samuy6Erinn O. Schmit7Cassi Smola8Kathleen F. Harrington9Susan C. Walley10Department of Pediatrics, University of Alabama at Birmingham and Children’s of Alabama, Birmingham, AL 35233, USADepartment of Pediatrics, University of Alabama at Birmingham and Children’s of Alabama, Birmingham, AL 35233, USADepartment of Pediatrics, University of Alabama at Birmingham and Children’s of Alabama, Birmingham, AL 35233, USADepartment of Pediatrics, University of Alabama at Birmingham and Children’s of Alabama, Birmingham, AL 35233, USADepartment of Pediatrics, University of Alabama at Birmingham and Children’s of Alabama, Birmingham, AL 35233, USADepartment of Pediatrics, University of Alabama at Birmingham and Children’s of Alabama, Birmingham, AL 35233, USADepartment of Pediatrics, University of Alabama at Birmingham and Children’s of Alabama, Birmingham, AL 35233, USADepartment of Pediatrics, University of Alabama at Birmingham and Children’s of Alabama, Birmingham, AL 35233, USADepartment of Pediatrics, University of Alabama at Birmingham and Children’s of Alabama, Birmingham, AL 35233, USADivision of Pulmonary Medicine, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL 35233, USADepartment of Pediatrics, University of Alabama at Birmingham and Children’s of Alabama, Birmingham, AL 35233, USATobacco use begins in adolescence for the majority of smokers. The purpose of this study was to increase screening and reporting of tobacco use in hospitalized adolescents at a tertiary care children’s hospital. We completed a nursing focus group to understand challenges and completed four iterative Plan-Do-Study-Act cycles, which included: (1) in-person nursing education regarding tobacco use screening, (2) addition of an e-cigarette-specific screening question, (3) the creation and dissemination of an educational video for nursing, and (4) adding the video as a mandatory component of nursing orientation. Run charts of the percentage of patients screened who reported tobacco use were created. Absolute counts of tobacco products used were also captured. From January 2016 to September 2018, 12,999 patients ≥13 years of age were admitted to the hospital. At baseline, 90.1% of patients were screened and 4.8% reported tobacco use. While the absolute number of adolescents reporting e-cigarette use increased from zero patients per month at baseline to five, the percentage of patients screened and reporting tobacco use was unchanged; the majority of e-cigarette users reported use of other tobacco products. This study demonstrates that adding e-cigarettes to screening increases reporting and suggests systems level changes are needed to improve tobacco use reporting.https://www.mdpi.com/2227-9067/6/3/37tobaccoelectronic cigaretteinpatientadolescentscreeninghospital
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Lauren A. Wagner Adolfo L. Molina Karisa Grizzle Meghan E. Hofto Lauren B. Nassetta Mary M. Orr Nichole Samuy Erinn O. Schmit Cassi Smola Kathleen F. Harrington Susan C. Walley
spellingShingle	Lauren A. Wagner Adolfo L. Molina Karisa Grizzle Meghan E. Hofto Lauren B. Nassetta Mary M. Orr Nichole Samuy Erinn O. Schmit Cassi Smola Kathleen F. Harrington Susan C. Walley Quality Improvement Project to Improve Screening for Tobacco Use in Adolescent Inpatients at a Children’s Hospital Children tobacco electronic cigarette inpatient adolescent screening hospital
author_facet	Lauren A. Wagner Adolfo L. Molina Karisa Grizzle Meghan E. Hofto Lauren B. Nassetta Mary M. Orr Nichole Samuy Erinn O. Schmit Cassi Smola Kathleen F. Harrington Susan C. Walley
author_sort	Lauren A. Wagner
title	Quality Improvement Project to Improve Screening for Tobacco Use in Adolescent Inpatients at a Children’s Hospital
title_short	Quality Improvement Project to Improve Screening for Tobacco Use in Adolescent Inpatients at a Children’s Hospital
title_full	Quality Improvement Project to Improve Screening for Tobacco Use in Adolescent Inpatients at a Children’s Hospital
title_fullStr	Quality Improvement Project to Improve Screening for Tobacco Use in Adolescent Inpatients at a Children’s Hospital
title_full_unstemmed	Quality Improvement Project to Improve Screening for Tobacco Use in Adolescent Inpatients at a Children’s Hospital
title_sort	quality improvement project to improve screening for tobacco use in adolescent inpatients at a children’s hospital
publisher	MDPI AG
series	Children
issn	2227-9067
publishDate	2019-02-01
description	Tobacco use begins in adolescence for the majority of smokers. The purpose of this study was to increase screening and reporting of tobacco use in hospitalized adolescents at a tertiary care children’s hospital. We completed a nursing focus group to understand challenges and completed four iterative Plan-Do-Study-Act cycles, which included: (1) in-person nursing education regarding tobacco use screening, (2) addition of an e-cigarette-specific screening question, (3) the creation and dissemination of an educational video for nursing, and (4) adding the video as a mandatory component of nursing orientation. Run charts of the percentage of patients screened who reported tobacco use were created. Absolute counts of tobacco products used were also captured. From January 2016 to September 2018, 12,999 patients ≥13 years of age were admitted to the hospital. At baseline, 90.1% of patients were screened and 4.8% reported tobacco use. While the absolute number of adolescents reporting e-cigarette use increased from zero patients per month at baseline to five, the percentage of patients screened and reporting tobacco use was unchanged; the majority of e-cigarette users reported use of other tobacco products. This study demonstrates that adding e-cigarettes to screening increases reporting and suggests systems level changes are needed to improve tobacco use reporting.
topic	tobacco electronic cigarette inpatient adolescent screening hospital
url	https://www.mdpi.com/2227-9067/6/3/37
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Quality Improvement Project to Improve Screening for Tobacco Use in Adolescent Inpatients at a Children’s Hospital

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