Best Practices for Smoking Cessation in an In-Patient Treatment Program for Substance Use Disorder
Nursing Research on the Green
Karine Brueggen, BSN, RN, Graduate Student - Viterbo University
- Background: Tobacco dependence is commonly ignored or under addressed by substance abuse treatment facilities. Additionally, there is not a gold standard in treating tobacco dependence along with substance use disorders in 30-day in-patient treatment program.
- Significance: Nursing should take a leadership role on the interdisciplinary team to provide the necessary support and guidance for patients with substance use disorder, to achieve lifelong smoking cessation.
- Purpose/objective: To determine the best practices reported to address smoking cessation in a 30-day in-patient drug and alcohol treatment facility. In addition the intent is to better inform the interdisciplinary team of the most effective strategies for this vulnerable population and to address policy development, resource allocation, and staff educational needs.
- Methods/project: A literature search was conducted using Psych Info, CINAHL, Medline, Pub Med, Cochrane Library, and Up To Date for studies discussing smoking cessation interventions for the substance use disorder population in an in-patient treatment program. Twelve articles were selected for their relevance, analyzed, and synthesized for best practices related to the purpose of this project.
- Results: The use of a multifaceted approach/intervention was found to be more successful. This comprehensive approach may include NR therapy (nicotine patch and nicotine gum), medication to reduce cravings (bupropion), education on nicotine addiction, cognitive behavioral therapy, smoking cessation counseling, and after care follow up once the client has been discharged from treatment.
- Clinical implications: These findings suggest that tobacco dependence needs to be comprehensively addressed within substance abuse treatment programs. The most successful approach would be multifaceted including the use of the most effective strategies for patients, informed policy development, necessary resource allocation, and appropriate training opportunities.