The challenge of tobacco control at a university hospital

Abstract

Objective:To identify the actions taken by the Commission of Tobacco Control (CTC) to control smoking in the hospital environment. Methods: Descriptive and exploratory retrospective documentary research conducted at a university hospital in southern Brazil, in 2014. The content of the minutes of CTC meetings was used to create a database, and the rounds reports were descriptively analyzed. We sought to identify the most relevant actions from 2005 to 2014. Results: The CTC implemented the Tobacco-Free Environment programme restricted cigarette smoking to designated areas and subsequently deactivated these areas. The only remaining outdoor smoking area in 2014 was deactivated. Conclusion: CTC actions have contributed to tobacco control in the hospital environment. This study will hopefully serve as a model to encourage other institutions to implement similar actions. Keywords: Tobacco control campaigns. Tobacco smoke pollution. Smoking areas. RESUMO Objetivo:Identifi car as ações desenvolvidas por uma Comissão de Controle do Tabagismo (CCT) para controlar o fumo do ambiente hospitalar. Métodos: Pesquisa documental descritivo-exploratória retrospectiva, realizada em hospital universitário do sul do Brasil, em 2014. Construiu-se um banco de dados com o conteúdo das atas de reuniões da CCT e relatório das rondas realizadas, o qual foi analisado de forma descritiva. Buscou-se identifi car as ações mais relevantes no período de 2005 a 2014. Resultados: A CCT implementou o Programa Ambiente Livre do Tabaco, restringiu o consumo do cigarro aos fumódromos e posteriormente desativou os mesmos. Permaneceu somente uma área externa de tolerância ao fumo até 2014, a qual foi desativada. Conclusões: As ações da CCT contribuíram para controlar o fumo do ambiente hospitalar. Espera-se que este estudo sirva de incentivo e modelo para outras instituições. Palavras-chave: Campanhas para o controle do tabagismo. Poluição por fumaça de tabaco. Áreas destinadas ao tabagismo. RESUMEN Objetivo:Identifi car las medidas adoptadas por la Comisión de Control del Tabaco (CCT) para controlar el tabaquismo del entorno hospitalario. Métodos: Investigación documental retrospectiva descriptiva y exploratoria, realizada en hospital universitario en el sur de Brasil, en 2014. Construyó una base de datos con el contenido de las actas de las reuniones del CCT y la notifi cación de las rondas realizadas, que se analizó descriptivamente. Se buscó identifi car las acciones más relevantes, en el periodo 2005-2014. Resultados: El CCT implementó el Programa de Ambiente Libre de Tabaco, restringió el consumo de cigarrillos a las instalaciones designadas, y luego los convirtió. Sólo quedaba un área externa de la tolerancia al consumo de tabaco en 2014, que fue desactivado. Conclusiones: Las acciones del CCT ayudaron a controlar el tabaquismo del hospital. Se espera que este estudio sirva de estímulo y modelo para otras instituciones. Palabras clave: Campañas para el control del tabaquismo. Contaminación por humo de tabaco. Áreas destinadas a fumadores.

Development and evaluation of smoke-free or tobacco-free policies in university settings: a systematic scoping review

“…We included 105 references, published between 1993 and 2019, representing 75 unique studies, which described the development or implementation and evaluation of SF/TF university policies in various universities. As shown in Figure 2, most studies were conducted in North America (50/75, 66.7%), including the United States (46 studies), and Canada (4 studies: [9,[28][29][30][31]); one study was conducted in Brazil [32]; 10 studies (14.7%) were conducted in Asian countries, such as Japan (3 studies: [33][34][35]), China [36], South Korea [37], Taiwan [38], Vietnam [39], India [40], Pakistan [41], and Malaysia [42]; 4 studies came from Europe (Germany [43], Ireland [44][45][46], Switzerland [47], and Russia [48]); 6 from the Middle East and North Africa (Bahrain [49], Egypt [50], Israel [51], Lebanon [52], Saudi Arabia [53], and Sudan [54]; and 4 from Oceania (3 studies from Australia [55][56][57][58], 1 from New Zealand [59]). While the majority of the studies were of single universities, some reported case studies or analyses of multiple universities based in Australia [55], Canada [28], China [36], India [40], New Zealand [59], Russia…”

“…All studies reported information that allowed us to categorize the type of ban described or analyzed. Most studies described the institutionalization of total bans (43/75, 57.3%); 20 studies (26.7%) reported partial bans only; 10 studies (13.3%) reported a mix of partial and total bans, as they analyzed the situation in various institutions; the remaining 2 studies described a progressive policy development from a partial to a total ban in the same institution (one in Brazil [32] and one in Ireland [44][45][46]). A total of 8 studies (all published between 2016 and 2019 and all coming from the United States) specifically mentioned electronic cigarettes (or e-cigarettes) in the policy [69,[78][79][80][81][82][83][84]; only 3 studies looked at the prevalence of e-cigarette smoking before and after the introduction of a ban [79,80,84], reporting mixed results, with no changes [80], or an increase in e-cigarette consumption after adoption of a SF/TF policy [79,84].…”

“…Campaigns aimed at raising awareness about the new policy generally utilized a wide variety of communication tools, such as printed materials, digital, or face-to-face channels. Messages to describe an SF/TF policy were printed on posters, leaflets, brochures, manuals, message cards, signage, panels, banners, letters with weekly fact sheets, or even on staff paychecks [32], or on the handbook for new students and staff [68,69,103]. Some universities developed also branded merchandise (e.g., slogan labeled lighters, bookmarks, pencils [47], napkins, calendars, coffee stands [88]).…”

Manutenção da abstinência do tabaco por ex-fumantes: estudo fenomenológico

“…This requires tackling issues involved with Rev Gaúcha Enferm. 2017;38(4):e2017-0027 the smoking habit during nurses' professional training and continuing education, in order to qualify nursing care for smokers and former smokers (20) .…”

Abordagem aos usuários tabagistas no contexto da atenção primária à saúde: perspectiva de enfermeiros

“…Outras pesquisas versam sobre a necessidade de capacitação dos profissionais de saúde para atuar com as pessoas dependentes do tabaco, não apenas no nível de graduação (Poreddi et al, 2015;Petersen et al, 2017), mas também como atividade de educação permanente (Malan et al, 2015;Sarna et al, 2018;Králíková et al, 2017). Tal capacitação é vista como prerrogativa para despertar o profissional para a importância da abordagem desse público e, sobretudo, para o sucesso das ações de enfermagem (Cruz et al, 2015;Whitehead, Zucker, Stone, 2014).…”