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

Martı́nez, Cristina; Ballbè, Montse; Vilardell, M; Fu, Marcela; Fernández, Esteve

doi:10.1186/s12913-016-1764-0

Cited by 3 publications

(3 citation statements)

References 28 publications

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“…Although the middle managers supported the smoking ban, they did not consider themselves responsible for regulating other peoples' actions. These results are in line with other studies that highlight an unwillingness to take on the role of restricting tobacco-free policies 33,34 . Previous qualitative research has found that barriers to enforcement were related to social norms and the culture of smoking 35 and create additional work and an uncomfortable policing role among managers 34 .…”

Section: Discussionsupporting

confidence: 92%

“…Previous qualitative research has found that barriers to enforcement were related to social norms and the culture of smoking 35 and create additional work and an uncomfortable policing role among managers 34 . A study suggest that middle managers roles could be improved by training and clear descriptions of their roles in tobacco control and with protocols for actions in case of infringements 33 . These findings are similar to our findings, whereas the participants in our study also demand some practical training in how to talk with employees about smoking cessation and violation.…”

Section: Discussionmentioning

confidence: 99%

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Readiness for implementation of smoke-free work hours in private companies: A qualitative study of perceptions among middle managers

Lidegaard¹,

Kristiansen²,

Pisinger³

2021

Tob. Prev. Cessation

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INTRODUCTION Workplaces are important settings for implementation of smoke-free environments. In this study, we follow a medical production company with 677 employees that implemented one of the most stringent tobacco policies legally possible in Denmark -smoke-free work hours -which means that employees are not allowed to smoke during work time. This study explores tobacco use restrictions during work hours regarding readiness of implementation, focusing specifically on middle managers' perceptions and considerations, as well as their perceived responsibility in enforcing these. METHODS A case study is presented. Two focus groups of 10 middle managers were conducted, seven months before smoke-free work hours were implemented. The facilitators used open-ended questions, which consisted of a structured section with specific themes related to the implementation of smoke-free work hours. Focus groups were recorded, transcribed, and analyzed thematically. RESULTS We identified five main themes: 1) Benefits of the new policy due to better health, lower sickness-related absences, increased productivity, and improved branding value; 2) Social interactions across smoking status; 3) Smoking is a private matter with ethical dimensions; 4) The role of middle managers and concerns about enforcement; and 5) Limited experience with resistance from the smoking employees. CONCLUSIONS The findings suggest that workplaces in the preparation phase should ensure that: 1) The middle managers gain training on how to talk with employees about smoking cessation; 2) The middle managers are equipped to handle the new policy and have a joint vision and understanding of why and how they should enforce it; and 3) Room is made for discussions on resistance and enforcementrelated challenges as well as ethical issues.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Readiness for implementation of smoke-free work hours in private companies: A qualitative study of perceptions among middle managers

Lidegaard¹,

Kristiansen²,

Pisinger³

2021

Tob. Prev. Cessation

View full text Add to dashboard Cite

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“…The highest score was seen for “environment” and “tobacco control” standards, while the “health promotion” and “identification and cessation support” standards saw only limited implementation [ 17 ]. Additionally, another study from Spain surveying hospital middle managers found that although they were aware of and supported hospital smokefree policies, they had a limited role in enforcing the policy and did not make use of enforcement mechanisms such as fines [ 23 ]. These findings are similar to what was observed in our study, which showed broad awareness of hospital smoking restrictions and success in their implementation but a lack of support for tobacco cessation and health promotion activities and lack of formal compliance mechanisms.…”

Section: Discussionmentioning

confidence: 99%

Smoke-free hospitals in Poland – a cross-sectional survey

et al. 2020

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IntroductionIn 2010, the government of Poland passed an amended smoke-free law that strengthened existing tobacco control policies and banned smoking in hospitals. The aims of our study are: to determine the state of smoke-free practices in Polish hospitals, and to identify challenges facing hospitals implementing smoke-free practices.Material and methodsIn 2018, a cross-sectional survey was conducted on a representative sample of 100 hospitals operating in Poland. The research tool was the ENSH-Global Self-Audit Questionnaire. The questionnaire included 48 items related to the various aspects of smoke-free policy implementation in the hospital.ResultsAmong the surveyed hospitals, public entities were the dominant group (79%). The mean score for all analyzed standards was 78.55 points (out of 144 maximum available), with no differences (p = 0.4) between public and private entities. All hospitals surveyed displayed signage with information about prohibited tobacco products and tobacco-free campus boundaries. Hospital staff (95%) and service users (98%) reported a basic level of understanding of the hospital’s tobacco-free policy and the available tobacco cessation services. However, tobacco-free policies, in line with the ENSH-Global Standards, were implemented in 61% of surveyed hospitals. More than half of the hospitals (64%) do not currently assess tobacco use or provide tobacco dependence treatment services.ConclusionsOverall, smoke-free policies in hospitals operating in Poland are compliant with the National Tobacco Control Act and provide a smoke-free environment for service users and staff. However, continued monitoring and evaluation of tobacco control activities are necessary to promote the importance of smoke-free environments.

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Compliance with the smoke-free policy in hospitals in Spain: the patients’ perspective

Castellano

Feliu

et al. 2022

European Journal of Cancer Prevention

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Objective To explore compliance with the smoke-free policy in hospitals in Catalonia, Spain, by exploring inpatients’ perceptions. Methods We conducted a cross-sectional study of a random sample of 1047 inpatients from 13 public hospitals. We collected data about: (a) type of information about the smoke-free policy provided by the hospital, (b) patients’ knowledge about the policy, (c) general appreciation of the compliance with the policy, and (d) specific appreciation of such compliance by noticing any sign of tobacco consumption. We described the data by several patients’ and hospitals’ characteristics and assessed their association with the perceived noncompliance using prevalence ratios (PR) and their 95% confidence intervals (CIs). Results Few patients were informed about the smoke-free policy (4.8% orally, 6.1% in writing, and 55.6% through sign postings). About 64% were aware of the regulation and 73.5% believed that it was properly obeyed. While 0.7% had never or rarely observed smoking indoors, 36.2% had seen someone smoking outdoors sometimes or many times. Signs of tobacco consumption were observed indoors and outdoors. Factors associated with the perception of noncompliance were: being less than 45 years old versus being more than 64 years old (adjusted PR, 2.33; 95% CI, 1.09–4.98) and currently smoking versus have never smoked (adjusted PR, 1.84; 95% CI, 1.02–3.34). Conclusion Compliance with the smoke-free policy in hospitals according to the patients’ view is notable, although several infringements were reported, mainly outdoors. The smoke-free policy in hospitals should be reinforced by prompting continuous awareness campaigns and the exemplary role of hospital workers.

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

Cited by 3 publications

References 28 publications

Readiness for implementation of smoke-free work hours in private companies: A qualitative study of perceptions among middle managers

Readiness for implementation of smoke-free work hours in private companies: A qualitative study of perceptions among middle managers

Smoke-free hospitals in Poland – a cross-sectional survey

Compliance with the smoke-free policy in hospitals in Spain: the patients’ perspective

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