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Capella 4060 Assessment 1

Capella 4060 Assessment 1 Health Promotion Plan

Student Name

Capella University

NURS-FPX 4060 Practicing in the Community to Improve Population Health

Prof. Name


Community Health Concern: Tobacco Use

Community health concerns are important to analyze as they help in identifying pertinent issues in the community which need to be addressed. The analysis of community health issues can be done with the help of community nurses. They can engage with the community members and make effective health promotion plans in order to rule out health issues that have been running in communities for ages. Eradicating community health issues can create healthy communities which can promote quality of life.

Tobacco use is common among communities and is considered a major community health concern due to its harmful and lethal effects on humans. Every year, approximately 7,000,000 deaths occur due to direct use of tobacco products and 1,200,000 people die due to exposure to secondhand cigarette smoke (WHO, 2022). Tobacco is utilized in the form of smoked tobacco and smokeless tobacco. The smoke tobacco cigarette release smoke which leads to many dangerous health problems.

Capella 4060 Assessment 1

Smoking tobacco products are vaping e-cigarettes, hookah, and traditional cigarettes. Smokeless tobacco products are loosely packed and chewed tobacco leaves in the form of chewable tobacco leaves, snus, tobacco paste, etc. These products contain nicotine which is the culprit behind all tobacco-related diseases. Nicotine has a direct or indirect effect on the brain’s reward system which causes addiction (Le Foll et al., 2022; Omare et al., 2021). 

The underlying assumptions and uncertainties in tobacco use can be the lack of knowledge about the health consequences of tobacco use, fear of not being able to quit smoking, and feeling of dependence on tobacco in daily life. These factors contribute to increased use of tobacco products and reduce smoking cessation. Therefore, this health promotion plan is developed to promote awareness of the harms of tobacco and practical ways to quit the use of all types of tobacco products.

Tobacco Use and Need for Health Promotion Plan

People utilize and inhale tobacco in the form of vaping e-cigarettes, hookah, chewing tobacco, and smoking. All  these tobacco products pose serious health issues such as lung cancer, respiratory issues, heart diseases, and type 2 diabetes (National Institute on Drug Abuse, 2022). Tobacco use not only causes health disorders but also costs hundreds of billions of dollars in one year leading to an unstable economy in the country. According to CDC, 11.5% of adults in the U.S. used tobacco in 2021 in the form of smoking cigarettes comprising 13.1 % of men and 10.1% of women. In another report by CDC, the statistics of using smokeless tobacco in the U.S. are about 2.1% of adults which makes 5.2 million adults (CDC, 2023).  

A similar situation was found to be present in the Joseph community of Colorado in the U.S. The community health survey was conducted prior and results showed that 75% of community members were tobacco users. Around 30 % of tobacco users were those who smoked cigarettes, 15% of them are utilizing chewable tobacco, 20% are using e-cigarettes, and 10% used hookah. The majority of the people are young adults and older people who are active tobacco users.

Capella 4060 Assessment 1

The results of the survey also identified the causes of the immense use of tobacco in this community. This included a lack of knowledge about the lethal effects of tobacco use, overcoming addiction barriers, and the unavailability of rehabilitation services for smoking cessation. This shows that the community deprives of healthcare services and is facing health disparities. Underlying factors contributing to these issues recognized through surveys can be poor socioeconomic conditions and racism.

This demands the development of a health promotion plan for the native members of the Joseph community. Therefore, being a community nurse, I developed a health promotion plan for this community which will include overall tobacco cessation interventions and awareness to promote education on tobacco use to prevent youngsters become future tobacco users.

Population Demographics

The population of the Joseph community of Colorado actively participating in this health promotion plan is 40% teenagers, 50% young adults, and 10% older people being chain tobacco users. The majority of these individuals are males and few are females. All of these participants are avid to acquire knowledge about how tobacco use is damaging to the body and practical interventions for its cessation.

60% of these participants are unmarried and studying. 40% are married and working with low income. 50% of community dwellers are educated to high school level and 20% were studying in high school, 30% were reluctant to reveal their education levels. Their lifestyle is simple due to limited resources. Ethnically they are all black people who happen to face health disparities in healthcare systems. 

Agreed-Upon Health Goals with the Population

An educational session was planned for the community members of Joseph’s community to create a health promotion plan in order to quit using tobacco products. The population was classified into three groups. One was for teenagers, other two were for young adults and older people. To each group, questionnaires were provided to know their learning needs. After some time, the questionnaires were collected and discussed group by group. The participants were engaged together to build SMART goals to prevent, stop and quit utilizing tobacco products.

SMART goal development is an effective strategy to achieve goals based on reality and practicality. The SMART goal is an abbreviation of Specific, Measurable, Attainable, Realistic, and Time-bound (Bailey, 2019). This strategy shows that the goals to be made should be specific to needs, measurable in terms of quantity, attainable, realistic, and time-bound. This shows that any ideal goals which are impractical to achieve within a time duration should not be developed. The agreed-upon health goals based on the SMART goal strategy made in our educational session were as follows:

  • Goal 1: We will find (attainable) two major reasons (measurable, realistic) that promote tobacco use in teenagers by the end of this educational session (time-bound) to prevent them from making them tobacco users in the future (specific). This goal was attained by the end of this session.    
  • Goal #2: Identification (attainable) of two practical ways (measurable, realistic) to overcome addiction to tobacco products (specific) by the end of this session (time-bound).
  • Goal #3: Finding out three (measurable) customized plans (specific) to help ourselves make informed, wise, and healthy decisions (attainable and realistic) to prevent the use of tobacco products as the session ends (time-bound). 

Capella 4060 Assessment 1

These agreed-upon goals will be discussed once the participants start implementing them on the basis of their lives, priorities, and personal decisions. These goals will direct the participants on what moves they should take to make healthier choices in terms of tobacco use. The effectiveness of these goals will be consistently tracked by the community health systems and nursing support and help will be provided as needed.

The number of tobacco users and its decline monitored by the community health system will show how effectively community members are benefitting from this health promotion plan and its agreed-upon goals. This will lead to the development of a healthy Joseph community with low rates of morbidities and mortalities related to the use of tobacco products.


Development of health promotion plans is required for those communities suffering from particular health concerns. These are effective in transforming communities from deteriorating states to healthy states. Joseph’s community was identified with immense use of tobacco products as a major health concern. For this purpose, a health promotion plan was created to bring broad and positive changes in the community. In this health promotion plan, an educational session was conducted for the community dwellers, and SMART health goals were developed by the end of this session. The SMART goals made were capable of preventing, promoting, and quitting the use of any kind of tobacco product. 


Bailey, R. R. (2019). Goal setting and action planning for health behavior change. American Journal of Lifestyle Medicine, 13(6), 615–618. 

CDC. (2023, May). Fast facts. Centers for Disease Control and Prevention; cdc. 

CDCTobaccoFree. (2023, May). Smokeless tobacco use in the united states. Centers for Disease Control and Prevention. 

Capella 4060 Assessment 1

Le Foll, B., Piper, M. E., Fowler, C. D., Tonstad, S., Bierut, L., Lu, L., Jha, P., & Hall, W. D. (2022). Tobacco and nicotine use. Nature Reviews Disease Primers, 8(1). 

National Institute on Drug Abuse. (2022, May). What are the physical health consequences of tobacco use? National Institute on Drug Abuse. 

Omare, M. O., Kibet, J. K., Cherutoi, J. K., & Kengara, F. O. (2021). A review of tobacco abuse and its epidemiological consequences. Journal of Public Health, 30(6). 

 WHO. (2022, May). Tobacco. 

Capella 4060 Assessment 1