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"Background: Cigarette smoking is the leading cause of preventable death in the United States. According to the National Institute on Drug Abuse (NIDA, 2011), from 1964 to 2004, cigarettes caused about 12 million deaths in the United States. The Centers for Disease Control and Prevention (CDC, 2011) stated that one out of five deaths can be attributed to tobacco-related products. Purpose: The purpose of this project was to increase smoking cessation education and referral completed by registered nurses for at-risk patients being discharged from the emergency department. Theoretical Framework: The theoretical framework utilized in this project was Donabedian\u2019s Healthcare Outcome Measurement Model. Donabedian\u2019s three areas of framework\u2014structure, process, and outcome\u2014are closely related to each other. Structure has an impact on process, and consequently, process affects outcome. All three areas are considered important in quality of care evaluation. Methods: The method utilized for this project was a pre- and post-intervention self-reported confidential survey with an educational implementation. Results: After implementing the education intervention, the pre- and post-education survey data were compared. According to the surveys, the number of nurses who screened for tobacco use most of the time remained the same in the pre and post surveys. The number of nurses who advised, assisted, and referred patients once they screened positive for tobacco use increased from rarely in the pre survey to sometimes and most of the time in the post survey. Conclusion: In conclusion, smoking cessation is one of the leading risk factors for the development of heart disease, stroke, cancers, and lung problems. Through the use of smoking cessation education and referral nurses, can help reduce the morbidity and mortality secondary to these diseases. Nurses, being the largest group of health care providers in the hospital, play a pivotal role in educating and referring individuals who smoke tobacco."
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