Date of Award


Degree Name

Nursing (D.N.P.)


College of Nursing

First Advisor

Karen Burritt, PhD, RN, FNP-BC

Second Advisor

Della Hughes-Carter, DNP, RN, BC-GNP

Third Advisor

Kathryn Speeter, DNP, A-GPCNP, BC, MM, CPHQ


While substantial practical, empirical, and theoretical contributions have been made toward the implementation of healthcare innovations, significantly less attention has been directed towards the sustainability of these interventions. For this reason, many healthcare innovations become unsustainable over time—yielding few long-term improvements, causing stakeholder disenchantment, and wasting valuable resources. The use of tobacco products is a leading cause of preventable death and disease in the United States that is disproportionately prevalent among individuals with severe mental illness, making the development and sustainment of evidencebased tobacco control programs imperative to alleviating this public health burden. As a final project in Grand Valley’s Doctor of Nursing Practice program, a tobacco control program was implemented at a local community mental health organization with limited funding, utilizing the EPIS framework to promote the long-term sustainability of these clinics. Furthermore, while this programming is projected to become a sustainable healthcare innovation within the designated community mental health organization, low attendance, high drop out and attrition, and the COVID-19 pandemic severely limited this project’s findings