Failure of hospital employees to comply with smoke-free policy is associated with nicotine dependence and motives for smoking: a descriptive cross-sectional study at a teaching hospital in the United Kingdom

Parks, Tom; Wilson, Clare V. R.; Turner, Kenrick; Chin, Joel W. E.

doi:10.1186/1471-2458-9-238

Cited by 16 publications

(20 citation statements)

References 31 publications

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“…Study findings affirm evidence that tobacco dependence treatment is inconsistently offered in hospitals [14][15][16][17][18]25,29 and heath providers were uninformed about tobacco dependence treatment, 29 despite availability of nicotine-replacement therapy at study sites. This treatment gap is perplexing, especially as within Canada there exists an evidence-based hospital tobacco dependence treatment program.…”

Section: Patientssupporting

confidence: 59%

“…12 Unfortunately, most of the nearly five million Canadians who smoke will receive suboptimal treatment, 13 as the routine provision of interventions for tobacco dependence in hospital settings is not a practice norm. [14][15][16] In smoke-free hospitals, two studies suggest minimal support is offered for withdrawal, 17,18 and one reports an increased use of nicotinereplacement therapy after the implementation of the smoke-free policy. 19 Assessments of the effectiveness of smoke-free policies for hospital property tend to focus on noncompliance and related issues of enforcement.…”

mentioning

confidence: 99%

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A qualitative investigation of smoke-free policies on hospital property

Schultz

Finegan²,

Nykiforuk³

et al. 2011

Canadian Medical Association Journal

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Background: Many hospitals have adopted smoke-free policies on their property. We examined the consequences of such polices at two Canadian tertiary acute-care hospitals. Methods:We conducted a qualitative study using ethnographic techniques over a sixmonth period. Participants (n = 186) shared their perspectives on and experiences with tobacco dependence and managing the use of tobacco, as well as their impressions of the smoke-free policy. We interviewed inpatients individually from eight wards (n = 82), key policy-makers (n = 9) and support staff (n = 14) and held 16 focus groups with health care providers and ward staff (n = 81). We also reviewed ward documents relating to tobacco dependence and looked at smoking-related activities on hospital property. Results:Noncompliance with the policy and exposure to secondhand smoke were ongoing concerns. Peoples' impressions of the use of tobacco varied, including divergent opinions as to whether such use was a bad habit or an addiction. Treatment for tobacco dependence and the management of symptoms of withdrawal were offered inconsistently. Participants voiced concerns over patient safety and leaving the ward to smoke.Interpretation: Policies mandating smoke-free hospital property have important consequences beyond noncompliance, including concerns over patient safety and disruptions to care. Without adequately available and accessible support for withdrawal from tobacco, patients will continue to face personal risk when they leave hospital property to smoke. AbstractSee related commentary by Lawn at www.cmaj.ca/lookup

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Section: Patientssupporting

confidence: 59%

mentioning

confidence: 99%

A qualitative investigation of smoke-free policies on hospital property

Schultz

Finegan²,

Nykiforuk³

et al. 2011

Canadian Medical Association Journal

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“…We assessed 114 full-text articles for eligibility and, finally, 17 articles published between 1998 and 2015 were included in this review. In these included studies, one article [23] was published before 2000, eight articles [16,17,18,24,25,26,27,28] were published between 2000 and 2009, and eight articles [5,9,29,30,31,32,33,34] were published after 2010. …”

Section: Resultsmentioning

confidence: 99%

“…As shown in Table 1, the included studies focused on four types of public places including recreational venues (e.g., bars, restaurants; n = 7) [5,9,24,26,27,28,29], hospital ( n = 5) [17,18,23,25,30], school ( n = 4) [16,31,32,33], and workplace( n = 1) [34]. Eight studies were conducted in North America (two in Canada [26,30] and six in the USA [18,23,24,28,29,33], four in European countries [16,17,25,31], one in Asian countries [9], one in Australia [32], and three in multiple countries [5,27,34].…”

Section: Resultsmentioning

confidence: 99%

Facilitators and Barriers of Smokers’ Compliance with Smoking Bans in Public Places: A Systematic Review of Quantitative and Qualitative Literature

Zhou

Niu

Jiang

et al. 2016

IJERPH

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Background: Environmental tobacco smoke (ETS) exposure is associated with an increased risk of many diseases. Many countries have ratified a national smoking ban in public places, but studies on factors related to smoking issues in public places post-ban are lacking. Aim: To identify facilitators and barriers that influenced smokers’ compliance with smoking bans in public places. Methods: Using PubMed, MEDLINE, and the Web of Science database, we conducted a systematic search of English articles published before June 2015 on factors of smokers’ compliance with the smoking bans in public places. Results: A total of 390 references were identified, among which seventeen articles (twelve quantitative studies, two qualitative studies, three mixed-method studies) were included in this review. These studies focused on four types of public places including recreational venues (n = 7), hospital (n = 5), school (n = 4), and workplace (n = 1). Factors at the individual-, interpersonal-, and organizational-level were identified: at the individual level, nicotine dependence, insufficiency of tobacco-related knowledge, and the negative attitudes towards smoking bans were the most commonly identified barriers; at the interpersonal level, the smoking behaviors of people around, close relatives, and friends’ approval were the main barriers; and at the organizational level, the main barriers were inefficient implementation of the bans and the inconvenience of the designative smoking areas. Conclusions: This synthesis of the literature provided evidence of the identified barriers and facilitators of smokers’ compliance with the smoking bans. It will be beneficial for the policy-maker to consider interventions on multiple levels of factors to overcome the barriers and enhance smokers’ compliance with the smoking bans in public places.

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“…The significance of TA degree for efficiency of TA treatment has been already repeatedly specified in earlier literature. Moreover, some authors consider nicotine dependence as a major factor in predicting long-term cessation 7,12,22,23 . The role of smoking cessation history is also significant as a determinant of SCC outcome.…”

Section: Discussionmentioning

confidence: 99%

Determinants of smoking cessation and abstinence in a Russian smoking-cessation center

Levshin¹,

Slepchenko²

2017

Tob. Prev. Cessation

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INTRODUCTION Smoking prevalence in Russia is one of the highest in the world. It leads to significant damage to the National Health Service. The purpose of the present research was to assess the effectiveness of a qualified smoking-cessation (SC) center in Moscow, and to identify the main determinants of smoking cessation. METHODS The subjects of this study were a cohort of smokers (n=524) who had attended the SC service in Moscow between 2012-2015. They were followed, for at least 6 months after receiving the professional counselling in smoking cessation, to assess the results of the assistance and to identify determinants of successful smoking cessation. RESULTS Of the smokers, 19% succeeded in reducing by more than half the number of smoked cigarettes, more than 46% of patients completely stopped smoking for different terms: 38% for more than a month and 24% for more than half a year. Odds ratios (ORs) indicated that the probability of successful smoking cessation significantly increased if there was a previous success in smoking cessation: OR 3.71 (95% CI 1.70-8.12); and if there was a high level of motivation to stop smoking OR 4.3 (95% CI 1.92-5.61). The probability of successful smoking cessation decreased with intensity of smoking > 10 cigarettes a day: OR 0.57 (95% CI 0.31-1.02); and an elevated (>7 points) Fagerström-test score OR 0.64 (95% CI 0.37-1.07). CONCLUSIONS Degree of motivation and willingness to quit smoking were the principal determinants of the effectiveness in the attempt to quit smoking within our study cohort.

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Failure of hospital employees to comply with smoke-free policy is associated with nicotine dependence and motives for smoking: a descriptive cross-sectional study at a teaching hospital in the United Kingdom

Cited by 16 publications

References 31 publications

A qualitative investigation of smoke-free policies on hospital property

A qualitative investigation of smoke-free policies on hospital property

Facilitators and Barriers of Smokers’ Compliance with Smoking Bans in Public Places: A Systematic Review of Quantitative and Qualitative Literature

Determinants of smoking cessation and abstinence in a Russian smoking-cessation center

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