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

Abstract

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.

Nursing Staff Attitude, Subjective Norms, Perceived Behavior Control, and Intention to Provide Tobacco Treatment in a Psychiatric Hospital

“…Among these barriers, researchers noted health providers and systemic barriers including lack of encouragement to quit by providers, providers using a judgmental inference, lack of knowledge among providers to provide smoking cessation services, lack of staff training, and lack of practice guidelines and smoking cessation resources (Trainor & Leavey, 2017). Indeed, smoke-free policies in the psychiatric setting support individuals with MI to engage in TT (Hecht et al, 2019; Lawn et al, 2015; de Oliveira & Furegato, 2014). Additionally, hospital policies can enhance the engagement of mental health care providers in delivering smoking cessation activities such as providing TT counseling and medications (Jegede et al, 2018; Marynak et al, 2018).…”