Advanced Practice
NCPD Article

Pioneers of Prevention: Implementation of a Nurse Practitioner–Led Smoking Cessation Program

Rochelle J. Lonn

tobacco cessation, nurse practitioner, quality improvement, smoking
CJON 2024, 28(1), 15-19. DOI: 10.1188/24.CJON.15-19

Smoking is the single most preventable cause of death and illness worldwide. Although smoking causes about one-third of cancers and accounts for 30% of cancer deaths, there are no specific, required competencies for smoking cessation in the medical oncology curriculum. Nurse practitioners (NPs) serve critical roles in health care as drivers for quality improvement through the implementation of evidence-based practice. Therefore, an NP-led smoking cessation program was initiated using the American Society of Clinical Oncology’s Tobacco Cessation Guide for Oncology Providers. Following education, pharmacotherapy, and nicotine supplement interventions, nine patients quit smoking, resulting in a $511,200 cost avoidance.


  • Advanced practice nurses can transform healthcare delivery systems through the implementation of evidence-based practice.
  • Nurses and other healthcare leaders can advocate for implementing NP primary care clinics focused on disease prevention and screening. 
  • Mastering healthcare business acumen is essential for all nurse leaders.
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