 Sarna's efforts to reduce tobacco use among nursing professionals have earned her several professional accolades, including a Distinguished Service Award from the International Society of Nurses in Cancer Care.Sarna's recent work has focused on helping nurses around the world help patients quit smoking, especially those affected by cancer.She has collaborated with the International Society of Nurses in Cancer Care, in partnership with Dr. Stella Bialous, in China, Japan, the Czech Republic, Slovenia, Slovakia, Moldova, Hungary, Poland, Portugal and the United States.