E-Cigarettes: Background and Essential Information for Providers

Susan Feeney

Jill M. Terrien

electronic nicotine delivery systems, e-cigarettes, nicotine, smoking cessation, cancer
CJON 2020, 24(6), 694-698. DOI: 10.1188/20.CJON.694-698

E-cigarettes are rapidly increasing in use across all populations, particularly in adolescents and young adults. Smoking cessation is important for patients with cancer; however, evidence supporting e-cigarettes as an effective cessation strategy is lacking and not currently recommended. Information on risks, safety, and recommendations regarding vaping will be discussed. Oncology nursing considerations for e-cigarettes include communicating known and potential risks while using smoking cessation strategies for people at risk for cancer or who have cancer and are currently vaping.


  • Use of electronic nicotine delivery systems (ENDS) is increasing in adolescents and young adults and is associated with increased risk of combustible tobacco use.
  • ENDS expose users to carcinogens and toxicants and are associated with nicotine addiction. 
  • The dual use of ENDS and combustible tobacco is associated with increased risk of myocardial infarction.
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