Clinical decision support for tobacco screening and counseling parents of pediatric patients: A qualitative analysis of pediatric emergency department and urgent care professionals
Background: Clinical Decision Support Systems (CDSS) embedded into electronic medical records is a best practices approach. However, information is needed on how to incorporate a CDSS to facilitate parental tobacco cessation counseling and reduce child tobacco smoke exposure (TSE) in Pediatric Emerg...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-03-01
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| Series: | Drug and Alcohol Dependence Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772724621000196 |
| _version_ | 1818358419422183424 |
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| author | Ashley L. Merianos Kayleigh Fiser E. Melinda Mahabee-Gittens Michael S. Lyons Lara Stone Judith S. Gordon |
| author_facet | Ashley L. Merianos Kayleigh Fiser E. Melinda Mahabee-Gittens Michael S. Lyons Lara Stone Judith S. Gordon |
| author_sort | Ashley L. Merianos |
| collection | DOAJ |
| description | Background: Clinical Decision Support Systems (CDSS) embedded into electronic medical records is a best practices approach. However, information is needed on how to incorporate a CDSS to facilitate parental tobacco cessation counseling and reduce child tobacco smoke exposure (TSE) in Pediatric Emergency Department (PED) and Urgent Care (UC) settings. The objective was to explore the barriers and enablers of CDSS use to facilitate child TSE screening and parental tobacco cessation counseling by PED/UC nurses and physicians. Methods: We conducted 29 semi-structured, focused interviews with nurses (n = 17) and physicians (n = 12) at a children's hospital PED/UC. The interview guide included a brief presentation about the design and components of a prior CDSS tobacco intervention. Participants were asked their opinions about CDSS components and recommendations for adapting and implementing the CDSS tobacco intervention in the PED/UC setting. A thematic framework analysis method was used to code and analyze qualitative data. Results: Participant mean (± SD) age was 42 (± 10.1) years; the majority were female (82.8%), non-Hispanic white (93.1%), and never tobacco users (86.2%); all were never electronic cigarette users. Four themes emerged: (1) explore optimal timing to complete CDSS screening and counseling during visits; (2) CDSS additional information and feedback needs; (3) perceived enablers to CDSS use, such as the systematic approach; and (4) perceived barriers to CDSS use, such as lack of time and staff. Conclusions: The CDSS intervention for child TSE screening and parental tobacco cessation during PED/UC visits received endorsements and suggestions for optimal implementation from nurses and physicians. |
| first_indexed | 2024-12-13T20:28:42Z |
| format | Article |
| id | doaj.art-8d8adb8986804e28b5185b94f607ed37 |
| institution | Directory Open Access Journal |
| issn | 2772-7246 |
| language | English |
| last_indexed | 2024-12-13T20:28:42Z |
| publishDate | 2022-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Drug and Alcohol Dependence Reports |
| spelling | doaj.art-8d8adb8986804e28b5185b94f607ed372022-12-21T23:32:29ZengElsevierDrug and Alcohol Dependence Reports2772-72462022-03-012100019Clinical decision support for tobacco screening and counseling parents of pediatric patients: A qualitative analysis of pediatric emergency department and urgent care professionalsAshley L. Merianos0Kayleigh Fiser1E. Melinda Mahabee-Gittens2Michael S. Lyons3Lara Stone4Judith S. Gordon5University of Cincinnati, School of Human Services, PO Box 210068, Cincinnati, OH, 45221-0068, United States; University of Cincinnati, College of Medicine, Center for Addiction Research, Cincinnati, OH, United States; Corresponding author at: PO Box 210068, Cincinnati, OH, 45221-0068, United StatesUniversity of Cincinnati, School of Human Services, PO Box 210068, Cincinnati, OH, 45221-0068, United StatesCincinnati Children's Hospital Medical Center, Division of Emergency Medicine, University of Cincinnati, College of Medicine, 3333 Burnet Avenue, MLC 2008, Cincinnati, OH, 45229, United StatesUniversity of Cincinnati, College of Medicine, Center for Addiction Research, Cincinnati, OH, United States; University of Cincinnati, College of Medicine, Department of Emergency Medicine, 231 Albert Sabin Way, ML 0769, Cincinnati, OH, 45267-0769, United StatesCincinnati Children's Hospital Medical Center, Division of Emergency Medicine, 3333 Burnet Avenue, MLC 2008, Cincinnati, OH, 45229, United StatesThe University of Arizona, College of Nursing, 1305 N Martin Avenue, PO Box 210203, Tucson, AZ, 85721-0203, United StatesBackground: Clinical Decision Support Systems (CDSS) embedded into electronic medical records is a best practices approach. However, information is needed on how to incorporate a CDSS to facilitate parental tobacco cessation counseling and reduce child tobacco smoke exposure (TSE) in Pediatric Emergency Department (PED) and Urgent Care (UC) settings. The objective was to explore the barriers and enablers of CDSS use to facilitate child TSE screening and parental tobacco cessation counseling by PED/UC nurses and physicians. Methods: We conducted 29 semi-structured, focused interviews with nurses (n = 17) and physicians (n = 12) at a children's hospital PED/UC. The interview guide included a brief presentation about the design and components of a prior CDSS tobacco intervention. Participants were asked their opinions about CDSS components and recommendations for adapting and implementing the CDSS tobacco intervention in the PED/UC setting. A thematic framework analysis method was used to code and analyze qualitative data. Results: Participant mean (± SD) age was 42 (± 10.1) years; the majority were female (82.8%), non-Hispanic white (93.1%), and never tobacco users (86.2%); all were never electronic cigarette users. Four themes emerged: (1) explore optimal timing to complete CDSS screening and counseling during visits; (2) CDSS additional information and feedback needs; (3) perceived enablers to CDSS use, such as the systematic approach; and (4) perceived barriers to CDSS use, such as lack of time and staff. Conclusions: The CDSS intervention for child TSE screening and parental tobacco cessation during PED/UC visits received endorsements and suggestions for optimal implementation from nurses and physicians.http://www.sciencedirect.com/science/article/pii/S2772724621000196Tobacco smoke exposureTobacco cessation counselingPediatric emergency departmentUrgent careClinical decision support system |
| spellingShingle | Ashley L. Merianos Kayleigh Fiser E. Melinda Mahabee-Gittens Michael S. Lyons Lara Stone Judith S. Gordon Clinical decision support for tobacco screening and counseling parents of pediatric patients: A qualitative analysis of pediatric emergency department and urgent care professionals Drug and Alcohol Dependence Reports Tobacco smoke exposure Tobacco cessation counseling Pediatric emergency department Urgent care Clinical decision support system |
| title | Clinical decision support for tobacco screening and counseling parents of pediatric patients: A qualitative analysis of pediatric emergency department and urgent care professionals |
| title_full | Clinical decision support for tobacco screening and counseling parents of pediatric patients: A qualitative analysis of pediatric emergency department and urgent care professionals |
| title_fullStr | Clinical decision support for tobacco screening and counseling parents of pediatric patients: A qualitative analysis of pediatric emergency department and urgent care professionals |
| title_full_unstemmed | Clinical decision support for tobacco screening and counseling parents of pediatric patients: A qualitative analysis of pediatric emergency department and urgent care professionals |
| title_short | Clinical decision support for tobacco screening and counseling parents of pediatric patients: A qualitative analysis of pediatric emergency department and urgent care professionals |
| title_sort | clinical decision support for tobacco screening and counseling parents of pediatric patients a qualitative analysis of pediatric emergency department and urgent care professionals |
| topic | Tobacco smoke exposure Tobacco cessation counseling Pediatric emergency department Urgent care Clinical decision support system |
| url | http://www.sciencedirect.com/science/article/pii/S2772724621000196 |
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