ArticleTobacco control2006
An ethnographic study of tobacco control in hospital settings.
Article in Tobacco control, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
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Who cites it
9 citing papers in PubMed.
- Smoke-free hospitals in Poland - a cross-sectional survey.Archives of medical science : AMS · 2023Article
- Readiness for implementation of smoke-free work hours in private companies: A qualitative study of perceptions among middle managers.Tobacco prevention & cessation · 2021Article
- The role of middle managers in tobacco control after a national smoke-free hospital campus ban.BMC health services research · 2016Article
- Expanding the reach of the Quitline by engaging volunteers to market it in hospitals and shopping venues - a pilot study.Tobacco induced diseases · 2015Article
- A qualitative investigation of smoke-free policies on hospital property.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2011Article
- Tobacco control policies in hospitals before and after the implementation of a national smoking ban in Catalonia, Spain.BMC public health · 2009Article
- Smoke-free hospitals in Greece: Personnel perceptions, compliance and smoking habit.Tobacco induced diseases · 2009Article
- Development and introduction of a comprehensive tobacco control policy in a Canadian regional health authority.Preventing chronic disease · 2007Article
- What Are the Perceptions, Experiences, and Behaviors of Health Care Providers After Implementation of a Comprehensive Smoke-Free Hospital Policy?Global qualitative nursing researchArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTobacco control in hospital settings is characterised by a focus on protection strategies and an increasing expectation that health practitioners provide cessation support to patients. While practitioners claim to have positive attitudes toward supporting patient cessation efforts, missed opportunities are the practice norm.
objectiveTo study hospital workplace culture relevant to tobacco use and control as part of a mixed-methods research project that investigated hospital-based registered nurses' integration of cessation interventions.
designThe study was conducted at two hospitals situated in British Columbia, Canada. Data collection included 135 hours of field work including observations of ward activities and designated smoking areas, 85 unstructured conversations with nurses, and the collection of patient-care documents on 16 adult in-patient wards.
resultsThe findings demonstrate that protection strategies (for example, smoking restrictions) were relatively well integrated into organisational culture and practice activities but the same was not true for cessation strategies. An analysis of resources and documentation relevant to tobacco revealed an absence of support for addressing tobacco use and cessation. Nurses framed patients' tobacco use as a relational issue, a risk to patient safety, and a burden. Furthermore, conversations revealed that nurses tended to possess only a vague awareness of nicotine dependence.
conclusionOvercoming challenges to extending tobacco control within hospitals could be enhanced by emphasising the value of addressing patients' tobacco use, raising awareness of nicotine dependence, and improving the availability of resources to address addiction issues.
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