Hospitalized smokers: Compliance with a nonsmoking policy and its predictors

Sabidó, Meritxell; Sunyer, Jordi; Masuet, Cristina; Masip, Joan Corominas

doi:10.1016/j.ypmed.2006.02.012

Cited by 19 publications

(24 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…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%

“…It is also difficult for some smokers to voluntarily comply with the ban without the external restrictions, such as the responsible, sufficient monitoring and effective legal enforcement system [15]. Even though some smokers realize the harm of environmental tobacco smoke [16], the appearance of nicotine withdrawal symptoms and cigarette cravings can make smokers violate the ban unintentionally [17,18]. …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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

View full text Add to dashboard Cite

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.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

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

View full text Add to dashboard Cite

show abstract

“…28 Effectively treating withdrawal symptoms could influence decisions to abstain from smoking while in hospital, thereby influencing compliance with policy.…”

Section: Patientsmentioning

confidence: 99%

A qualitative investigation of smoke-free policies on hospital property

Schultz

Finegan²,

Nykiforuk³

et al. 2011

Canadian Medical Association Journal

View full text Add to dashboard Cite

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

show abstract

“…In addition, although the prevalence among the general population has decreased in the past 15 years, it still remains substantial with 34.5% of males and 24.3% of females who are smokers (Departament de Salut, Generalitat de Catalunya, 2006). Furthermore, hospitalized smokers often report craving symptoms in the absence of any intervention aimed at controlling tobacco withdrawal symptoms (Nieto, Abdel Kader, Rosado, Carriazo, & Arias, 2003;Sabido, Sunyer, Masuet, & Masip, 2006). Despite the obvious need, not many hospitals ensure that patients, visitors, or employees are provided with tobacco cessation programs.…”

Section: Introductionmentioning

confidence: 99%

Barriers and Challenges of Implementing Tobacco Control Policies in Hospitals: Applying the Institutional Analysis and Development Framework to the Catalan Network of Smoke-Free Hospitals

Martínez

2009

Policy, Politics, & Nursing Practice

View full text Add to dashboard Cite

This article analyzes tobacco control policies in hospitals based on the experience of the Catalan Network of Smoke-Free Hospitals, Spain. The objective is to understand through this case study how tobacco policies are designed and implemented in health care organizations. Because tobacco control is a public health issue, governmental, institutional, and professional involvement is necessary. This article identifies and examines the structure and relationships among the different actors involved in the tobacco control policies in health care organizations using Ostrom's Institutional Analysis and Development framework.This theory helps one understand the policy failures and rethink the future challenges. Critical issues should be reviewed to enhance implementation of smoke-free hospitals-such as assuring the compliance of nonsmoking areas and introducing compulsory tobacco cessation activities that are promoted and monitored by the public administration. The author suggests that relying primarily on an organization's interpretation of rules leads to irregular implementation.

show abstract

Hospitalized smokers: Compliance with a nonsmoking policy and its predictors

Cited by 19 publications

References 13 publications

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

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

A qualitative investigation of smoke-free policies on hospital property

Barriers and Challenges of Implementing Tobacco Control Policies in Hospitals: Applying the Institutional Analysis and Development Framework to the Catalan Network of Smoke-Free Hospitals

Contact Info

Product

Resources

About