Carol Essenmacher1, Madeline Naegle2, Carolyn Baird3, Bridgette Vest4, Rene Spielmann5, Marie Smith-East6, Leigh Powers7. 1. 1 Carol Essenmacher, DNP, PMHCNS-BC, CTTS, Battle Creek Veterans Affairs Medical Center, Battle Creek, MI, USA. 2. 2 Madeline Naegle, PhD, CNS-PMH, FAAN, New York University, New York, NY, USA. 3. 3 Carolyn Baird, DNP, MBA, RN-BC, CARN-AP, CCDPD/CAADC, FIAAN, Counseling & Trauma Services, LLC, Canonsburg, PA, USA. 4. 4 Bridgette Vest, DNP, RN, PMHNP-BC, GNP-BC, Radford University School of Nursing, Radford, VA, USA. 5. 5 Rene Spielmann, MSN, RN, ARNP, FNP, PMHNP, Metropolitan Development Council, Tacoma, WA, USA. 6. 6 Marie Smith-East, DNP, PMHNP-BC, EMT-B, Stewart-Marchmann Act Behavioral Healthcare, Daytona Beach, FL, USA. 7. 7 Leigh Powers, DNP, MSN, MS, ARNP, PMHNP-BC, University of North Florida, Jacksonville, FL, USA; Soundside Wellness Consultants, Fort Walton Beach, FL, USA.
Abstract
BACKGROUND: Efforts to decrease adverse effects of tobacco use are affected by emergence of new nicotine delivery products. Advertising, product promotion, and social media promote use of these products, yet a lack of evidence regarding safety leaves nurses unprepared to counsel patients. OBJECTIVES: To critically evaluate current research, reviews of literature, expert opinion, and stakeholder policy proposals on use and safety of electronic nicotine delivery systems (ENDS). DESIGN: A targeted examination of literature generated by key stakeholders and subject matter experts was conducted using key words, modified by risk factors, and limited to the past 8 years. RESULTS: Current knowledge gaps in research literature and practice implications of the literature are discussed. CONCLUSIONS: The safety of ENDS is questionable and unclear. There are clear health risks of nicotine exposure to developing brains. Potential health risks of ENDS secondhand emissions exposure exist. Using ENDS to facilitate total tobacco cessation is not proven.
BACKGROUND: Efforts to decrease adverse effects of tobacco use are affected by emergence of new nicotine delivery products. Advertising, product promotion, and social media promote use of these products, yet a lack of evidence regarding safety leaves nurses unprepared to counsel patients. OBJECTIVES: To critically evaluate current research, reviews of literature, expert opinion, and stakeholder policy proposals on use and safety of electronic nicotine delivery systems (ENDS). DESIGN: A targeted examination of literature generated by key stakeholders and subject matter experts was conducted using key words, modified by risk factors, and limited to the past 8 years. RESULTS: Current knowledge gaps in research literature and practice implications of the literature are discussed. CONCLUSIONS: The safety of ENDS is questionable and unclear. There are clear health risks of nicotine exposure to developing brains. Potential health risks of ENDS secondhand emissions exposure exist. Using ENDS to facilitate total tobacco cessation is not proven.
Authors: Jack A Pfeiffer; Lindsay K Tompkins; Joy L Hart; Anshula Kesh; Allison Groom; Thanh-Huyen T Vu; Jennie Z Ma; Robyn Landry; Thomas J Payne; Aida L Giachello; Rose Marie Robertson; Kandi L Walker Journal: Tob Prev Cessat Date: 2020-03-18