Introduction
Evidence-Based Practice (EBP) is fundamental in nursing, ensuring that patient care is informed by the best available research. Chronic Obstructive Pulmonary Disease (COPD) significantly affects patients’ quality of life, particularly concerning smoking-related symptoms and poor medication adherence. This paper utilizes the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model to address smoking cessation in COPD patients. The discussion includes the problem, the model’s process, and evidence-based strategies to enhance patient outcomes.
COPD is a chronic lung disease characterized by airflow limitation, dyspnea, chronic cough, and reduced exercise tolerance. Smoking cessation is a significant challenge for COPD patients, as continued tobacco use exacerbates disease progression. Research highlights that while quitting smoking provides numerous benefits, nicotine addiction, emotional dependency, and lack of support make cessation difficult (Principe et al., 2024). A recent meta-analysis found that smokers have a 4.01-fold higher risk of developing COPD than non-smokers (Principe et al., 2024).
EBP plays a crucial role in addressing smoking cessation in COPD patients by integrating clinical expertise, patient preferences, and the best available evidence. Han et al. (2023) emphasize the importance of structured cessation programs that combine behavioral counseling, medical interventions, and pulmonary rehabilitation. Their study demonstrated that nicotine replacement therapy, paired with cognitive-behavioral interventions, is more effective than providing simple advice to quit smoking.
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Applying the JHNEBP model allows nurses to evaluate and implement the most effective smoking cessation strategies systematically. This approach ensures that interventions are based on solid evidence rather than traditional practices that may not be effective. Additionally, an EBP approach promotes patient-centered care by providing education and empowering patients to adhere to smoking cessation plans. Long-term benefits include improved disease management, reduced hospitalizations, and enhanced quality of life for COPD patients (Jiang et al., 2024).
The JHNEBP model provides a structured approach to integrating research findings into nursing practice. It is particularly relevant for smoking cessation in COPD patients due to its systematic and patient-centered methodology. The model consists of three key steps: Practice Question, Evidence, and Translation (PET).
Step | Description |
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Practice Question | Define a focused clinical question using the PICO (Population, Intervention, Comparison, Outcome) framework (Brunt & Morris, 2023). |
Evidence | Conduct a literature review to identify high-quality research, guidelines, and expert recommendations. Systematic reviews and meta-analyses are prioritized for reliability. |
Translation | Implement evidence-based interventions such as behavioral counseling, pharmacotherapy, and pulmonary rehabilitation. Monitor patient adherence and adjust strategies as needed (Coleman et al., 2022). |
The JHNEBP model is ideal for this issue because it provides a step-by-step strategy for integrating research into nursing practice. This structured approach ensures effective, patient-centered smoking cessation interventions for COPD management.