ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2011
A qualitative investigation of smoke-free policies on hospital property.
Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.
- Health professionals' perceptions of the barriers and facilitators to providing smoking cessation advice to women in pregnancy and during the post-partum period: a systematic review of qualitative research.BMC public health · 2016Pooled it
- Cannabis use in a Canadian long-term care facility: a case study.BMC geriatrics · 2024Article
- Smoking zones versus smoke-free zones on Canadian postsecondary campuses: Which zone is more effective, adhered to and preferred?Tobacco prevention & cessation · 2019Article
- Hospital Smoke-Free Policy: Compliance, Enforcement, and Practices. A Staff Survey in Two Large Public Hospitals in Australia.International journal of environmental research and public health · 2017Article
- 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
- Impact of a long-term tobacco-free policy at a comprehensive cancer center: a series of cross-sectional surveys.BMC public health · 2014Article
- Achieving smoke-free mental health services: lessons from the past decade of implementation research.International journal of environmental research and public health · 2013Review
- Prevalence and predictors of smoking by inpatients during a hospital stay.Archives of internal medicine · 2012Article
- Disproportionate organizational injustice: a close look at facilities exempted from indoor smoking laws in Canada.Healthcare policy = Politiques de sante · 2012Article
- Addiction is a disease: we must change our attitudes toward addicts.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2012Article
- Care for smokers.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2012Article
- Smoking v. nicotine.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2012Article
- Habit or addiction: the critical tension in deciding who should enforce hospital smoke-free policies.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2011Article
- What Are the Perceptions, Experiences, and Behaviors of Health Care Providers After Implementation of a Comprehensive Smoke-Free Hospital Policy?Global qualitative nursing researchArticle
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
backgroundMany hospitals have adopted smoke-free policies on their property. We examined the consequences of such polices at two Canadian tertiary acute-care hospitals.
methodsWe conducted a qualitative study using ethnographic techniques over a six-month 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.
resultsNoncompliance 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.
interpretationPolicies 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.
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