Impact of a Smoke-Free Hospital Campus Policy on Employee and Consumer Behavior

Wheeler, J. Gary; Pulley, LeaVonne; Felix, Holly C.; Bursac, Zoran; Siddiqui, Nadia; Stewart, M. Kathryn; Mays, Glen P.; Gauss, C. Heath

doi:10.1177/003335490712200606

Cited by 29 publications

(59 citation statements)

References 10 publications

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“…[16] The optics of staff, patients and visitors smoking by the hospital entrances suggested to some that health facilities condone smoking. [17] It has also been questioned whether smoking by the hospital entrances sends the wrong message about smoking or even creates the perception that health risks of smoking are exaggerated, especially when healthcare professionals are smoking on hospital property. [18] Any visible smoking on hospital property also seems to starkly contradict the mission of a "healthcare" institution.…”

Section: A Hospital's Mission To Foster Healthmentioning

confidence: 99%

“…Yet reassuringly, many concerns prior to smokefree policy implementation have not come to fruition after implementation. [16,17,22,25] Compliance by staff, patients and visitors is one of the biggest challenges identified with a smoke-free property policy; [17,20] however, concerns of such policies go beyond compliance issues to include leadership (or lack thereof), fears of negative public and staff perceptions, safety concerns and issues related to patient care, [23] which will all be discussed here.…”

Section: Challenges To Implementing and Enforcing Hospital Property Smentioning

confidence: 99%

Section: Limited Leadershipmentioning

confidence: 99%

“…[17] Even though progress over the last decade has been made in offering patients brief smoking cessation advice, individual physicians, as well as other healthcare providers, are still not capitalizing on their positions of leadership to promote tobacco reduction initiatives. [17] This is commonly demonstrated by the low rates of screening and brief advice offered to patients; just over half of patients receive advice by a physician to quit. [26] The leadership of hospital administrators in tobacco reduction could also be examined to address the following excerpt: "A typical scene occurs daily as employees in scrubs stand on the front lawns of hospitals smoking, only to return inside shortly to take care of patients suffering from tobacco-related diseases".…”

Section: Limited Leadershipmentioning

confidence: 99%

“…[26] The leadership of hospital administrators in tobacco reduction could also be examined to address the following excerpt: "A typical scene occurs daily as employees in scrubs stand on the front lawns of hospitals smoking, only to return inside shortly to take care of patients suffering from tobacco-related diseases". [17] Physicians, healthcare professionals and hospital administrators not only have a responsibility to address tobacco use for both patients and staff, but also have a leadership opportunity to send a strong message about smoking and exposure to ETS. [17] 3.3 Negative public and staff perception Many hospitals administrators are concerned smoke-free hospital property policies will create a negative public and staff perception.…”

Section: Limited Leadershipmentioning

confidence: 99%

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Are Canadian hospitals leading by example to promote smoke-free hospital properties? Rationale, challenges and opportunities

Luck

2016

JHA

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Knowing the devastation of tobacco use and the evidence to support proven tobacco reduction approaches, such as smoke-free hospital property policies, are Canadian hospitals doing all they can to lead by example? This paper explores the background and diverse views on smoke-free hospital properties to illuminate the rationale, challenges and opportunities of this important healthcare initiative. Currently, some hospitals in Canada have transitioned to smoke-free properties; however, many still allow smoking in designated areas or do not have any policies in place. Fear, speculation and reservations around compliance, leadership, negative perceptions, safety and patient care are some of the reasons that appear to be stalling progress in many healthcare facilities; nevertheless, the evidence supporting the implementation of comprehensive smoke-free hospital property policies far outweighs the concerns. Key considerations for successful policy implementation include: leadership and enforcement; systematic tobacco dependence treatment; and elimination of designated smoking areas (DSA's) and policy exclusions. Hospitals are ideal institutions to continue the downward trend in tobacco use prevalence. Through smoke-free property policies, Canadian hospitals can make a significant impact and lead by example in their communities by creating opportunities to promote healthy choices, protecting individuals from exposure to environmental tobacco smoke (ETS), supporting those who are trying to quit or who have quit smoking and by sending a clear message that smoking and exposure to tobacco smoke is harmful. As witnessed though the learnings of leading hospitals, transitioning to a smoke-free hospital property is achievable.

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Section: A Hospital's Mission To Foster Healthmentioning

confidence: 99%

Section: Challenges To Implementing and Enforcing Hospital Property Smentioning

confidence: 99%

Section: Limited Leadershipmentioning

confidence: 99%

Section: Limited Leadershipmentioning

confidence: 99%

Section: Limited Leadershipmentioning

confidence: 99%

See 3 more Smart Citations

Are Canadian hospitals leading by example to promote smoke-free hospital properties? Rationale, challenges and opportunities

Luck

2016

JHA

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Impact of institutional smoking bans on reducing harms and secondhand smoke exposure

Frazer

McHugh

Callinan³

et al. 2016

Cochrane Database of Systematic Reviews

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Green indoor and outdoor environment as nature‐based solution and its role in increasing customer/employee mental health, well‐being, and loyalty

2018

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The present study was an empirical endeavor to explore the effect of nature‐based solutions (NBS) on the customer and employee loyalty generation process by considering the role of mental health and well‐being in the hotel industry. A quantitative approach was employed. A survey methodology with a convenience sampling technique was used to collect the data. A total of 303 responses and 301 responses for customer and employee groups, respectively, were used for data analysis. Our results of the structural analysis indicated that green indoor and outdoor environment as NBS helps customers and employees improve mental health perception, emotional well‐being, and loyalty. In addition, the prominent role of emotional well‐being in building customer loyalty and of mental health perception in building employee loyalty was uncovered. The developed conceptual frameworks for customers and employees contained a satisfactory ability in predicting loyalty. Mental health perception and emotional well‐being were mediators. Moreover, the relationship strength among study variables differed between customer and employee groups. Overall, our findings significantly increased our understanding of NBS and its critical role in the hotel industry.

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Impact of a Smoke-Free Hospital Campus Policy on Employee and Consumer Behavior

Abstract: A campus-wide smoke-free policy had no detrimental effect on measures of employee or consumer attitudes or behaviors.

Cited by 29 publications

References 10 publications

Are Canadian hospitals leading by example to promote smoke-free hospital properties? Rationale, challenges and opportunities

Are Canadian hospitals leading by example to promote smoke-free hospital properties? Rationale, challenges and opportunities

Impact of institutional smoking bans on reducing harms and secondhand smoke exposure

Green indoor and outdoor environment as nature‐based solution and its role in increasing customer/employee mental health, well‐being, and loyalty

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