Smoking Ban in Psychiatric Inpatient Unit: An Iranian Study on the Views and Attitudes of the Mental Health Staff and Psychiatric Patients

Beyraghi, Narges; Meybodi, Azadeh Mazaheri; Bahri, Reyhaneh Sadat Jafarian

doi:10.1155/2018/2450939

Cited by 13 publications

(13 citation statements)

References 28 publications

(35 reference statements)

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“…This result can be an important motivator for healthcare professionals to support antismoking policy in mental health services. A study conducted in Iran found that 89% of healthcare professionals surveyed worry about their health because of their exposure to secondhand smoke 25…”

Section: Discussionmentioning

confidence: 99%

“…A study conducted in Iran found that 89% of healthcare professionals surveyed worry about their health because of their exposure to secondhand smoke. 25 Nursing professionals working the day shift and those on the private psychiatric ward were less supportive of smoking bans. No study was found in the scientific literature that compared opinions regarding the smoking bans in public and private mental health services.…”

Section: Discussionmentioning

confidence: 99%

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Nurses' beliefs, attitudes, and opinions regarding a smoking ban in a psychiatric hospital

Oliveira

Santos²,

Furegato³

2022

Nursing

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Purpose:This study aims to identify the beliefs, attitudes, and opinions of nursing professionals associated with tobacco smoking and its prohibition in a psychiatric hospital in Brazil.Methods:Using a cross-sectional epidemiologic study, a total of 73 nursing professionals in a smoke-free psychiatric hospital were interviewed. The Varimax Rotation and the Fisher's exact test at a 5% significance level were used to analyze the responses.Findings:Most nursing professionals reported observations of patients becoming calmer after smoking (n = 59, 80.8%) and tobacco withdrawal worsening patients' mental health symptoms, suggesting agreement among professionals that some psychiatric patients need to smoke tobacco. Most respondents stated that patients with mental health disorders have more difficulty with smoking cessation (79.4%) and are less interested in quitting smoking than those without disorders (95.9%). While one-third mentioned having used cigarettes as a reward or bribe, the majority (83.6%) was in favor of continuing the smoking ban, with more support observed from those working on a night shift and those who worked in the public psychiatric wards. Over 71% noted improvements in their health after the smoking ban.Conclusion:The nursing professionals were surprised by the effectiveness of the smoking ban and highlighted the improvement in the hospital environment after its implementation.Clinical relevance:As trusted healthcare professionals, nurses are essential in the fight against smoking and can contribute to awareness promotion, supporting patients during nicotine withdrawal, and decision-making processes for health policies.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Nurses' beliefs, attitudes, and opinions regarding a smoking ban in a psychiatric hospital

Oliveira

Santos²,

Furegato³

2022

Nursing

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“…12.546/2011, which prohibits smoking in collective environments (public and private), is a challenge for mental health services, especially psychiatric hospitals, which have a higher prevalence of smokers and treat people with more severe tobacco dependence. In addition, the culture of smoking (using cigarettes as currency), inherited from asylums, is still common in these places (4)(5) .…”

Section: Introductionmentioning

confidence: 99%

“…As a result, there is still resistance to smoking bans in mental health services. Recent studies carried out in Iran and Italy show that professionals are skeptical about the successful implementation of a smoke-free policy in these places (5)(6) . A Brazilian study revealed that the fear that the ban could affect hospital indicators, reducing the number of admissions and increasing discharge on request, for example, is one of the reasons for resistance in psychiatric hospitals, especially in private and philanthropic institutions (7) .…”

Section: Introductionmentioning

confidence: 99%

Hospital indicators and inpatient behavior in a psychiatric hospital that implemented the smoking ban

Oliveira

Santos

Furegato

2022

Rev. Latino-Am. Enfermagem

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Objective: to compare hospitalization and discharge indicators, medication costs and patient behavior before and after the implementation of the smoking ban in a psychiatric hospital. Method: ecological, longitudinal and retrospective study carried out in a psychiatric hospital. Secondary data referring to 2142 hospitalizations were collected from medical records. The median test was used to compare the variables before and after the ban. Results: after the implementation of the ban, there was a reduction in bed occupancy rate in male units for mental disorders (from 88.8% to 48.4%) and substance dependence (from 94.4% to 42.8%). There was a reduction in the mean length of hospital stay in the male chemical dependency unit (from 13.5 to 12.6) compared to the female unit (from 14.7 to 19.5). There was a reduction in costs of psychotropic drugs and expectorants, episodes of verbal/physical aggressions and physical/chemical restraints. Conclusion: the smoking ban changed hospital indicators, reduced costs and improved patient behavior, contradicting the myth that it results in hostility. It is hoped that this study will help nurses to review their beliefs related to smoking cessation, as there were positive results for interpersonal relationships and for the management of mental health services.

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“…Although many Western countries, including Australia, UK, Canada and the USA, have implemented smoking bans in inpatient psychiatric units, this is not the case throughout the world (Lawn & Campion, 2013). For example, recent publications document smoking being permitted in most mental health units in Iran (Beyraghi et al, 2018) and in the psychiatric hospital in Bahrain (Hamadeh et al, 2016). This is despite studies from the Middle East reporting a high prevalence of nicotine addiction among mentally ill people (Al Risi et al, 2018; Al‐Habeeb & Qureshi, 2000; Elkholy et al, 2018; Hamadeh et al, 2016; Milani et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

Support and attitudes of Qatar mental health professionals to a proposed mental health inpatient smoking ban: Results of a cross‐sectional survey

Badanapurkar

Nelson

Varghese

et al. 2021

Psychiatric Ment Health Nurs

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Accessible Summary What is known on the subject? Smoking is more common among people with serious mental illness, and it contributes to a reduced life expectancy. Several Western countries have successfully introduced smoke‐free policies in inpatient mental health units. There is virtually no information about attitudes to smoking bans in mental health units from countries in the Middle East and North Africa region. What the paper adds to existing knowledge? We surveyed mental health professionals working in Qatar's main mental health service to determine support for and attitudes towards a proposed total smoking ban in psychiatric wards. Most staff who completed the survey supported an inpatient smoking ban. However, further analysis, both quantitative and qualitative, showed markedly ambivalent attitudes, that is staff simultaneously held attitudes that supported and opposed a smoking ban. Professionals who did not support a ban were more likely to have not received smoking cessation training in the last 5 years, to be a psychiatrist rather than a nurse or allied mental health professional, to be current smokers and to be a Middle Eastern and North African national. What are the implications for practice? Further staff training is necessary to achieve more consistent attitudes that support a total smoking ban and increase the likelihood of successful implementation. The attitudes in this study showed similarities and differences to those reported for mental health professionals in Western countries. This highlights that local research is necessary to help shape training and successfully implement smoke‐free policies. Abstract IntroductionDespite the fact that patients with serious mental illness (SMI) have high rates of smoking and an increased standardized mortality, there is virtually no information about attitudes to smoking bans in mental health units from countries in the Middle East and North Africa region. AimTo assess support for, and attitudes towards, a proposed total smoking ban in psychiatric wards among mental health clinicians in Qatar. MethodCross‐sectional survey of mental health professionals working in Qatar's primary mental health service. ResultsThe response rate was 68% (353/520). Support for a ban was assessed with a single‐item question; 73% of respondents supported a ban with opposition significantly (p < .05) associated with being a current smoker, a Middle Eastern and North African (MENA) national, a psychiatrist versus a mental health nurse or allied health professional and not receiving smoking cessation training in the last 5 years. A 21‐item questionnaire assessed attitudes to a total smoking ban. It showed marked ambivalence with multiple linear regression identifying MENA nationality, male gender and current smoking status as independent variables influencing attitudes. The most strongly held attitude supporting a ban was concern about passive smoking and against a ban was concern it may increase patient agitation. Qualitative data confirmed ambivalent views. Discussi...

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Smoking Ban in Psychiatric Inpatient Unit: An Iranian Study on the Views and Attitudes of the Mental Health Staff and Psychiatric Patients

Cited by 13 publications

References 28 publications

Nurses' beliefs, attitudes, and opinions regarding a smoking ban in a psychiatric hospital

Nurses' beliefs, attitudes, and opinions regarding a smoking ban in a psychiatric hospital

Hospital indicators and inpatient behavior in a psychiatric hospital that implemented the smoking ban

Support and attitudes of Qatar mental health professionals to a proposed mental health inpatient smoking ban: Results of a cross‐sectional survey

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