A survey of staff attitudes to smoking-related policy and intervention in psychiatric and general health care settings

McNally, Lisa; Oyefeso, Adenekan; Annan, J R; Perryman, Katherine; Bloor, Roger; Freeman, Steve; Wain, Barbara; Andrews, Hilary; Grimmer, Martin; Crisp, A. H.; Oyebode, Deji; Ghodse, A. Hamid

doi:10.1093/pubmed/fdl029

Cited by 92 publications

(100 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Staff smoking status has been indicated as a crucial factor in implementing smoke-free policy by a number of studies (McNally et al, 2006;Hehir et al, 2013). (Dickens et al, 2004;McNally et al, 2006;Steiner et al, 2009;Wye et al, 2010b).…”

Section: We Do Not Have Rapid Patient Turnover There Is No Reason Fomentioning

confidence: 99%

“…Another study in the United States involving 680 staff members of mental health and drug and alcohol units found that staff smoking status did not predict their views towards provision of smoking cessation assistance to patients and staff but did find that non-smokers were more likely to support the entire mental health campus being smoke-free (Steiner et al 2009; see also Dickens et al, 2004;Lawn et al, 2014;McNally et al, 2006). This knowledge gap has encouraged this study to explore potential variations in staff perceptions and approaches to care that might arise due to differences in the populations served and in the different type of units in which care is delivered.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Type of unit and population served matters when implementing a smoke-free policy in mental health settings: Perceptions of unit managers across England

Zabeen

Tsourtos

Campion

et al. 2015

Int J Soc Psychiatry

View full text Add to dashboard Cite

in mental health settings: Perceptions of unit managers across England. AbstractBackground: Globally, smoking remains a significant issue for mental health populations. Many mental health trusts in England are facing challenges of implementing the NICE guidance according to which all mental health settings, no matter the type, should be entirely smoke-free and provide comprehensive smoking cessation support. Aim:To determine if unit type and unit manager smoking status influence mental health smokefree policy implementation.Method: This paper reports on the secondary analysis of data from a cross-sectional survey of 147 mental health inpatient settings in England, in 2010. The original study's main aim was to understand unit managers' perceived reasons for success or failure of smoke-free policy.Results: Unit managers (n=131) held a positive stance towards supporting smoke-free policy and most perceived that the policy was successful. Non-smoker unit managers were more likely to adopt complete bans than smoker unit managers; whereas, smoker unit managers more likely than non-smoker unit managers to think that stopping smoking aggravated patients' mental illness. Smoking rates for staff and patients remain high, as perceived by unit managers, regardless of unit type. Proportion of units offering NRT and peer support to patients was significantly higher in locked units compared to semi-locked or residential rehabilitation.Applied strategies significantly vary by type of unit; whereas, unit managers' knowledge, attitude and practices vary by their smoking status.Discussion: There are nuanced differences in how smoke-free policy is enacted which vary by unit type. These variations recognize the differing contexts of care provision in different types of 2 units serving different patient groups. Addressing staff smoking rates, promoting consistency of staff response to patients' smoking, and providing staff education and support continue to be key strategies to successful smoke-free policy.Conclusions: Our results demonstrate the importance of taking into account the type of unit and acuity of patients when enacting smoke-free policy; and addressing staff smoking.

show abstract

Section: We Do Not Have Rapid Patient Turnover There Is No Reason Fomentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Type of unit and population served matters when implementing a smoke-free policy in mental health settings: Perceptions of unit managers across England

Zabeen

Tsourtos

Campion

et al. 2015

Int J Soc Psychiatry

View full text Add to dashboard Cite

show abstract

“…However, several assumptions (by workers and smokers with mental illness, and anecdotally by carers) about smoking and mental illness have contributed to a lack of effective smoking cessation support for people with mental illness. These include the belief that: 1) smoking is necessary for self-medication of mental illness, 2) these smokers are uninterested in quitting, 3) they cannot quit, 4) recovery from mental illness is impeded by removing smoking as an important coping mechanism, 5) smoking is the least of their worries, 6) supporting smoking cessation is not the role of mental health workers, and 7) attempts to quit will lead to illness relapse and increased risk of aggression towards others (NICE, 2013;Lawn & Campion, 2013;McNally, et al, 2006;Prochaska, 2011). However, there is strong evidence that people with mental illness who smoke want to quit smoking and can quit with adequate supports (Ashton, Miller, Bowden & Bertossa, 2010;Solway, 2011).…”

Section: Introductionmentioning

confidence: 99%

What carers of family members with mental illness say, think and do about their relative's smoking and the implications for health promotion and service delivery: a qualitative study

Lawn

McNaughton

Fuller

2015

International Journal of Mental Health Promotion

View full text Add to dashboard Cite

“…A survey of staff attitudes to smoking-related policy and intervention in psychiatric and general health care settings (McNally et al, 2006).…”

mentioning

confidence: 99%

Impact and Barriers for the Restriction of Smoking During Psychiatric Hospitalization: An Integrative Review

Oliveira

Furegato

2014

Paidéia (Ribeirão Preto)

View full text Add to dashboard Cite

The aim was to identify the barriers for implementing the restriction on smoking in psychiatric hospitalization services, its impact on the hospitalized smokers, and the positioning of the professionals. Integrative review of 19 articles published (1989-2011) in MEDLINE and SCOPUS. Descriptive analysis was carried out. The studies revealed that the main barriers for the implementation of the restriction were: beliefs in the patients’ increased aggressiveness, damage to the professional-patient relationship, and lack of preparation to address the theme. After the implementation, the restrictions showed a positive impact: reduction of cigarettes smoked, increased motivation to quit smoking, and more attempts to stop smoking. The professionals who smoked and those who did not believe that quitting smoking benefits mental health patients were those that least supported the implementation of the restrictions. In conclusion, the restriction on smoking is effective in psychiatric hospitalization, as it provokes an attitude of change in mental health patients.

show abstract

A survey of staff attitudes to smoking-related policy and intervention in psychiatric and general health care settings

Abstract: Staff attitudes need to be carefully considered, particularly in psychiatric settings, in attempts to implement smoke-free policies in health care settings.

Cited by 92 publications

References 6 publications

Type of unit and population served matters when implementing a smoke-free policy in mental health settings: Perceptions of unit managers across England

Type of unit and population served matters when implementing a smoke-free policy in mental health settings: Perceptions of unit managers across England

What carers of family members with mental illness say, think and do about their relative's smoking and the implications for health promotion and service delivery: a qualitative study

Impact and Barriers for the Restriction of Smoking During Psychiatric Hospitalization: An Integrative Review

Contact Info

Product

Resources

About