summarize this: . Two DNP quality improvement projects support using the 5As framework with increased utilization, the toolkit, and motivational interviewing for smoking patients (Bojang, 2022; Violette, 2024). Two of the four studies regarding assessment of smoking cessation projects looked at the visits or hospital stays for patients who are not completing smoking cessation programs, and one is a DNP project report that shows a reduction in respiratory disease exacerbation when a good smoking cessation program is in place (Baliunas et al., 2023; Moore & Harris, 2023). A DNP project conducted through the University of Alabama evaluated patients who smoked and whether having a smoking cessation program available to them helped them to decrease their respiratory diseases and increased the smoking cessation rate among them (Moore & Harris, 2023). This quality improvement (QI) project was selected because smoking tobacco is one of the most influential risk factors that adversely affects the health of individuals. This means that primary care clinics could have a major influence on efforts to reduce smoking tobacco among patients. Primary care clinics tend to be the first contact for most of their clients and therefore are well placed to tackle smoking cessation. Tobacco use has several negative impacts on the economy; it affects personal income, healthcare spending, and policy changes. In Las Vegas, for example, which is a city known for its hospitality and entertainment industries, the economic impact of tobacco use can be significant. The city may face challenges in balancing the interests of businesses that cater to smokers with public health initiatives aimed at reducing tobacco use. Tobacco use can lead to health issues that reduce an individual’s ability to work efficiently, leading to decreased productivity and potentially lower income. Individuals who smoke or use tobacco products spend a significant portion of their income on these products, which could otherwise be used for savings or other essential expenses. The healthcare system in Nevada faces increased costs that arise from treating tobacco-related illnesses; these costs can strain public resources and lead to higher insurance premiums for everyone (CDC, 2023). Governments may implement policies such as higher taxes on tobacco products, smoking bans in public places, and funding for anti-smoking campaigns (CDC, 2023).
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