counter in giving up smoking. Many of the patients have to return to the clinic for follow-up visits for their injuries or illnesses, and the nurse is the one they see first on these visits, so there is ample opportunity for reinforcement.
Other medical staff are also going to be asked to reinforce the quitting smoking program with all their patients who smoke by either providing them with guidelines for stopping or reinforcing them once they have had a chance to read them. This will be a team effort to reduce smoking in this community. However, the initial impetus to stop smoking will come from the nurse first seen in the clinic.
The Nola Pender Health Promotion Model (HPM) was chosen for this study because it provides a method for personalizing smoking cessation counseling (Pender, 1996). This model is based on a number of assumptions which reflect nursing and behavioral scien
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