The Effect of a Tobacco Cessation Service-Learning Project on CNL Student Knowledge, Confidence, Beliefs, and Intentions to Intervene with Tobacco Dependent Pregnant Women
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This dissertation was a three group comparison study about the effect of a tobacco service-learning project, known as COMMIT (Circle of Motivated Moms for Infants to be Tobacco-Free), has on CNL (Clinical Nurse Leader) student’s knowledge, confidence, and Theory of Reasoned Action beliefs to intercede and educate pregnant women and/or patients. This was compared to CNL students who did not participate in a tobacco cessation service-learning project but were at the same point in their coursework and new CNL students who are just beginning their course of study. Using the Theory of Reasoned Action as a framework the Rx for Change: Clinician-Assisted Tobacco Cessation Pre/Post Test Survey was administered to 70 CNL students divided among 3 Groups. Group 1 (COMMIT) consisted of 14 CNL students, Group 2 (students at the same point in education but without a tobacco service-learning project), and Group 3 (CNL students at the beginning of their program). Factors such as demographics, knowledge, self-efficacy, confidence, control beliefs, subjective beliefs, normative beliefs, and perception of service-learning project were examined in relation to the dependent variable intentions. Qualitative data gained from structured interviews was analyzed for themes from Group 1 and Group 2. Five themes were identified and consistent between Group 1 and Group 2. They were: 1) translational, 2) student value, 3) patient value, 4) awareness, and 5) frustration. The quantitative findings revealed that Knowledge, Confidence to Counsel, and Intention scores had significant effects. There were no effects for Ability to Counsel, Subjective, Normative, or Control Beliefs. There was no correlation between the SELEB (Service-learning Benefit) scale and Intentions to Intercede nor was the regression analysis significant between SELEB and Intentions. However, there were significant correlations between SELEB and Confidence to Counsel, Ability to Counsel, Subjective Beliefs and Control Beliefs.