Care Coordination and Leadership Reflection

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 Care Coordination and leadership reflection

Introduction

Most people usually consider the use of tobacco to be a personal choice and hence

believe that users are responsible for their own negligence. However, most of the users are

usually aware of the consequences they face when using the product but despite their efforts

to quit they are overcome with the addictiveness of nicotine. This is why there are several

interventions that involve Nicotine Replacement Therapy (NRT) that have been developed to

help the users to reduce tobacco consumption while managing nicotine withdrawal

symptoms. One study was conducted in India to test the efficacy of video assisted NRT

versus standard NRT in helping the cessation of tobacco use in the country.

The study was led by registered nurses who would act as anchors to the study group in

helping them stop using tobacco due to the numerous health effects that come with its utility.

The nurse was essential in the trial in guiding the participants on the effective ways through

which they could use including the use of nicotine lozenges and gums. This help was

provided through videos that were delivered to the participants and would include pamphlets

that had instructions on how to use the nicotine gums and lozenges and how they would

gradually ease the process of consuming the same (Haokip et al., 2021). The nurse was also

tasked with making regular reminders through calls to the participants to help them comply

with the use of nicotine lozenges and gums. The participants in the study were subject to 2-

and 4-weeks assessments that included the reports from the participants on their tobacco

cessation levels and addiction levels. After five weeks these reports were validated through

the collection of urine samples from the participants and the standardized cotinine test was

carried out to determine their addiction and tobacco cessation levels.

 The intervention was meant to help tobacco users who have been struggling with

addiction and have had the need to stop with no luck. The study group included a control

group who did not utilize video assistance from registered nurses to compare the efficacy of

video-assisted NRT over standard NRT. From the results of the study, it was evident that the

Video-assisted NRT are usually more effective especially since the intervention

unconsciously created a behavior intervention capsule in the brains of the participants and

encouraged them to cease tobacco use (Haokip et al., 2021). The intervention was able to

show that active reinforcement compliance and advice by trained professionals goes a long

way in encouraging tobacco smokers into quitting.

Although the study did not include any cultural assessments when carrying out the

intervention, it acknowledges that it is important to use culturally appropriate techniques. I

believe that carrying out cultural assessments when conducting interventions abroad is

essential. Different groups of people have different cultures and hence to when a health

practitioner carries out cultural assessments, they are able to individualize care for the

patients and therefore achieve positive results.

The intervention that was utilized in the study was conducted in a remote population

group in Himalaya and hence creating a limitation. The utility of only one remote group in

the intervention makes it hard to decipher whether it would yield the same results if used in

other parts of the globe. However, other studies have also shown the effectiveness of positive

reinforcement and support helps greatly in cessation of tobacco use.

Conclusion

It is evident that tobacco usage is prominent among the contemporary society and

numerous people struggle to quit. It is therefore important to offer the necessary support to

ensure they transition smoothly through the process of cessation. The use of Video assisted
NRT intervention has proved to be an effective method that can be utilized to help consumers

of tobacco to cease the health threatening practice of tobacco consumption.

 Reference

Haokip, H. R., Kumar, R., Rawat, V. S., & Sharma, S. K. (2021). Efficacy of standard

nicotine replacement therapy (NRT) versus video-assisted nurse-led NRT on tobacco

cessation: A randomized controlled pilot trial. Clinical Epidemiology and Global

Health, 9, 141-146.