Evidence map›Paper›PMID 9706754›Full record

ArticleTobacco control1998

Implementing smoking bans in American hospitals: results of a national survey.

D R Longo, M M Feldman, R L Kruse, R C Brownson, G F Petroski, J E Hewett

Open access · bronzeAbstract read
In one paragraph

Article in Tobacco control, 1998. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
0.7field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 83 citations in OpenAlex.

  1. Article
  2. Smoke-free hospitals in Poland - a cross-sectional survey.Archives of medical science : AMS · 2023
    Article
  3. Tobacco Use Prevalence and Smoking Cessation Pharmacotherapy Prescription Patterns Among Hospitalized Patients by Medical Specialty.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2019
    Article
  4. Article
  5. Article
  6. Article
  7. Electronic Cigarettes on Hospital Campuses.International journal of environmental research and public health · 2015
    Article
  8. Article
  9. Article
  10. Article
  11. Sustainment of smoking cessation programs in substance use disorder treatment organizations.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2013
    Article
  12. Article
  13. Article
  14. A comprehensive model for mental health tobacco recovery in new jersey.Administration and policy in mental health · 2011
    Article
  15. Article
  16. State adoption of 100% smoke-free acute non federal hospital campus policies.International journal of environmental research and public health · 2009
    Article
  17. Article
  18. Smoke-free medical facility campus legislation: support, resistance, difficulties and cost.International journal of environmental research and public health · 2009
    Article
  19. Article
  20. Hospital smoking bans and their impact.American journal of public health · 2004
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

D R LongoDepartment of Family and Community Medicine, University of Missouri-Columbia School of Medicine, USA. DanL@fcm.missouri.edu
M M Feldman
R L Kruse
R C Brownson
G F Petroski
J E Hewett
Saint Louis University · USUniversity of Missouri · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo determine how well hospitals complied with the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) tobacco control standards, which required banning smoking in hospital buildings; to explore issues involved in developing and implementing smoking bans; and to ascertain the perceived success of the policies.

designPostal survey conducted January through June 1994.

participantsStratified random sample of American hospitals surveyed by JCAHO (n = 1055).

main outcome measuresEnacting smoking policies more restrictive than the JCAHO standard; the respondent's judgment of the relative success of the hospital's smoking policy.

resultsMore than 96% of hospitals complied with the smoking ban standard; 41.4% enacted policies that were more restrictive than required by JCAHO. Several characteristics were associated with exceeding JCAHO requirements: location in a "non-tobacco state"; having fewer than 100 beds; location in a metropolitan statistical area; having unionsed employees; and having no psychiatric or substance abuse unit, favour having the same tobacco policy in psychiatry and substance abuse units as the rest of the hospital. More than 95% of respondents viewed their hospital's policy as successful. The JCAHO requirements and concern for employees' health were the major forces influencing hospitals to go smoke-free. Negative employee morale and lack of acceptance by visitors and patients were the most commonly cited barriers to overcome when implementing smoke-free policies.

conclusionsSmoking bans were successfully implemented in American hospitals, with many restricting smoking beyond the JCAHO standard. Other industries wishing to follow hospitals' lead would be most likely to succeed in the context of a social norm favouring a smoking ban and regulation by an outside agency.

Indexed as

HospitalsSmoking PreventionHealth PolicyHealth PromotionHealth SurveysHumansUnited States

Identifiers

PMID9706754
PMCPMC1759657
OpenAlexW2095344090

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.