Smoke-free policies in psychiatric services: identification of unmet needs

Ballbè, Montse; Nieva, Gemma; Mondón, Sílvia; Pinet, Cristina; Bruguera, Eugeni; Saltó, Esteve; Fernández, Esteve; Gual, Antoni

doi:10.1136/tobaccocontrol-2011-050029

Cited by 13 publications

(36 citation statements)

References 32 publications

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“…Although Brazilian legislation does not specifically mention psychiatric institutions current laws restrict exposure to tobacco smoke in public places, including hospitals in general 33 . Smoking policies differ from country to country, and although Brazilian government strategies to combat smoking have advanced in recent years 34 , the country's laws are less comprehensive than in other countries such as Spain 35,36 . Mental health professionals' tolerance of patient smoking may contribute to the high rate of smoking in facilities, since smoking may serve as a tool for reducing anxiety, or a tradeoff for better adherence to treatment and less aggressive behavior 37,38,39 .…”

Section: Discussionmentioning

confidence: 99%

Cigarette smoking among psychiatric patients in Brazil

et al. 2014

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Section: Discussionmentioning

confidence: 99%

Cigarette smoking among psychiatric patients in Brazil

et al. 2014

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“…Much of the recent health services research on tobacco control implementation has explored the general attitude and perception of health professionals [ 9 , 17 – 19 ]. It has rarely taken into account the perspectives of managers or middle management.…”

Section: Introductionmentioning

confidence: 99%

The role of middle managers in tobacco control after a national smoke-free hospital campus ban

Martı́nez

Ballbè

Vilardell

et al. 2016

BMC Health Serv Res

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BackgroundMuch of the recent health services research on tobacco control implementation has explored general views and perceptions of health professionals and has rarely taken into account middle management’s perspectives. We state that middle managers may facilitate the implementation of smoke-free campus bans and thereby improve their effectiveness. The aim of this study was to assess middle managers’ behaviors to enforce a new national smoke-free hospital campus ban, to evaluate their perceptions of the level of compliance of the new regulation, and to explore their attitudes towards how smoking affects the work environment.MethodsWe used a cross-sectional survey, conducted online to evaluate middle managers of a general hospital in Catalonia, Spain. Close-ended and open-ended questions were included. Results were analyzed by using quantitative and qualitative methods. The managers’ open opinions to the proposed topics were assessed using UCINET, and a graph was generated in NetDraw.ResultsSixty-three of the invited managers (78.7 %) participated in the survey. 87.2 % of them agreed that the hospital complied with the smoke-free campus ban and 79.0 % agreed that managers have an important role in enforcing the ban. They also perceived that smoking disturbs the dynamics of work, is a cause of conflict between smokers and non-smokers, and harms both the professional and the organization images. However, 96.8 % of respondents have never given out fines or similar measures and their active role in reminding others of the policy was limited; in addition, 68.2 % considered that hospitals should provide tobacco cessation treatments. Smoker middle managers were more likely than non-smokers to perceive that smoking has little impact on work.ConclusionsMiddle managers play a limited role in controlling tobacco consumption; smokers are less prone to think that smoking disturbs work dynamics than non-smokers. Tailored training and clear proceedings for middle managers could encourage more active roles.

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“…Moreover, smokers are exposed to multiple tumor promoting substances and inflammatory agents that exacerbate the process. Effective tobacco control led by clean air legislation, taxation, and anti-tobacco advertising is gradually contributing to decreased lung cancer incidence ((CDC) 2011, Bajoga et al 2011, Ballbe et al 2011, Kasza et al 2011, King et al 2011a, King et al 2011b, Mage et al 2011, Walsh et al 2011. Thorough understanding of the biochemical, genetic and behavioral mechanisms of smoking can help us identify people who have a particularly high susceptibility to tobacco promoted cancers.…”

Section: Smokingmentioning

confidence: 99%