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    Electronic Cigarettes: Anesthetic Considerations to Improve Clinical Practice

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    Author
    McMillan, Lee Aaron
    Issue Date
    2022
    Advisor
    Reel, Sally J.
    
    Metadata
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    Publisher
    The University of Arizona.
    Rights
    Copyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction, presentation (such as public display or performance) of protected items is prohibited except with permission of the author.
    Abstract
    Purpose. The purpose of this quality improvement project was to develop and present an educational video presentation to anesthesia providers regarding anesthetic considerations for patients who use electronic cigarettes, and to assess whether the educational presentation causes a change in the anesthesia providers’ attitudes, knowledge, confidence, and intent to change clinical practice. Background. The prevalence of electronic cigarette use has been increasing, especially among adolescents and young adults. Research findings have associated electronic cigarette use with multiple adverse health effects that should be considered when providing anesthetic care to these patients. Anesthesia providers may not be fully informed about these effects and may not be adequately screening patients for electronic cigarette use prior to surgery. Methods. Participants were instructed to take a pretest survey, view a pre-recorded educational presentation, and then complete a posttest survey. The surveys were intended to assess for changes in anesthesia providers’ self-reported attitudes, knowledge, confidence, and intent to change clinical practice before and after viewing the presentation. Results. Three out of 25 anesthesia providers participated in the project. All participants reported improved attitudes towards the importance of anesthetic considerations for electronic cigarette users, increased knowledge, increased confidence in caring for patients who use electronic cigarettes, and a positive intent to include questions about electronic cigarette use when interviewing patients preoperatively as well as to incorporate the anesthetic considerations described in the educational presentation in their clinical practices. Conclusions. Although the survey results showed changes had occurred in the outcome measures, due to the limited sample size no conclusions could be drawn.
    Type
    text
    Electronic Dissertation
    Degree Name
    D.N.P.
    Degree Level
    doctoral
    Degree Program
    Graduate College
    Nursing
    Degree Grantor
    University of Arizona
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