(Center for Disease Control and Prevention, 2017). I believe that the mere 15.4% of the population who smoke in Winter park goes much further than the smoker, and that the number of people exposed to the secondhand smoke to be a much higher percentage due to the densely populated area. The CHN diagnosis of: “Risk of lung cancer among non- smokers in the northern section of Winter Park related to observations of public smoking in populous areas (contributes to second-hand smoke) and high percentage of smokers in densely populated areas”, is statistically a much bigger issue than the crime rates, thus smoking will be the focus of my interventions. In my research I have found that the city of Winter Park is aware of the smoking problem and is making steps to correct it. There is motivation in organizations throughout the area to push for clean smoke-free environments and city leaders are trying to pass new regulations to prevent secondhand smoke exposure. As a nurse I feel there is much I can do to help assist in pushing for change in the area, such as push the regulation process along, educate the survey area on the effects of smoking, push for smoke free environments in public areas, and help prevent the smoking problem from worsening. All of this starts with the city officials, whom I know are working on the public smoking regulations, but could use help in getting other businesses to join. Another point to make is that even by separating smokers from non-smokers, opening windows, or using air filters does not decrease your chances of secondhand smoke, so smoking must be removed from public areas completely (Center for Disease Control and Prevention, 2017). An initiative started by Healthy Central Florida, called “Breathe Free,” was established in 2015 and assists restaurants in going smoke-free; so far 50 restaurants have committed and transitioned (Healthy Central Florida, 2016). This shows that there are steps being made in the right direction, but from my observations and the observations of the key informants, smoking is still occurring around children and in populous areas. According to Y.K. (phone interview, September 28, 2017) the incidence of smoking near the schools has decreased only slightly, as she has seen parents smoking while waiting to pick up their children and teachers smoking on the perimeter of the campus. This is a prime example of a modifiable situation and one that as a nurse I can assist in implementing new policies. The poverty-stricken areas noted to the north and southeast of the survey area should be targeted primarily, due to the densely populated housing, large shopping centers, and sedentary individuals seen smoking outside homes at varying times during observation. The Healthy People 2020 objectives take aim at smokers and exposure to non-smokers by hopefully: “Implement policies to reduce tobacco use and inhalation among youth and adults, increase access to smoking cessation services, and establishing policies to reduce secondhand smoke” (Office of Disease Prevention and Health Promotion, 2010). There has been a substantial rise of e-cigarette observed in the area around children and families, 32
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- Spring '17
- Nursing, United States Census Bureau, Winter Park