Smoking Cessation Initiatives for Underserved Elderly Adults in Public Housing and Future Healthcare Providers

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Camacho, Luis
Doleman, Marie
Rumans, Leah Lorena
Washburn University
School of Nursing
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Background/Problem: This initiative addresses the pressing health challenges faced by elderly individuals residing in public housing (Ribeiro & Barros, 2020), emphasizing the detrimental impact of heightened smoking rates on their well-being. Building upon the foundation laid by previous Doctor of Nursing Practice (DNP) groups and capitalizing on established relationships with participating residents, this project departs from the use of telehealth services. Previously acknowledged as a viable solution for addressing healthcare inaccessibility, the initiative now shifts towards on-site interventions specifically designed to enhance accessibility for elderly residents. Methods: This quality improvement (QI) project used a two-pronged approach to provide on-site smoking cessation support to elderly individuals, and targeted education regarding smoking cessation to DNP students. Utilizing a comprehensive approach, healthcare access was addressed through collaboration with community-based resources, public housing authorities, local healthcare providers and future advanced practice nursing professionals to mitigate smoking-related health risks. Results: Survey results from Tyler Tower residents highlight physiological and safety needs as primary influences on motivation for change, emphasizing the urgency of tailored smoking cessation programs for this population. DNP student surveys reveal an overall enhancement of knowledge in smoking cessation tools, with varying confidence levels in delivering information to patients. Implications: The study underscores the need for tailored smoking cessation programs in public housing communities with a high prevalence of active smokers. It emphasizes addressing secondhand smoke exposure to promote healthier living conditions. Increasing education on smoking cessation tools is crucial for solidifying DNP students' confidence and impacting future patient outcomes. The findings advocate for a holistic approach to healthcare delivery in public housing, addressing socioeconomic conditions to influence motivation for change. Smoking