Mental health professionals perspectives on the implementation of smoke-free policies in psychiatric units across England

Sharon Lawn, Yi Feng, George Tsourtos, Jonathan Campion

    Research output: Contribution to journalArticlepeer-review

    11 Citations (Scopus)

    Abstract

    Background: The original audit on which this 2013 secondary analysis is based, was conducted in 2010. It explored implementation of smoke-free policies from the perspective of unit managers in 147 psychiatric units across England comprising a randomly selected sample of nine different unit types. Material: Two main themes are presented: positive perspectives of smoke-free policy implementation, and barriers and problems with smoke-free policy implementation. Analysis of unit managers experiences and perspectives found that 96% of participants thought smoke-free policy had achieved positive outcomes for staff, patients, services and care. Discussion: Consistency of response was the most prominent factor associated with policy success. Quality of the physical environment and care delivery were clear positive outcomes which enabled the environment to be more conducive to supporting staffs and patients quit attempts. Lack of consistency and a prevailing culture of acceptance of smoking were identified as some of the most reported perceived continuing problems. Solutions included the need to acknowledge that this type of complex systems change takes time and ongoing staff education and training. Conclusion: Our results demonstrate the importance of taking into account the experiences and attitudes of staff responsible for enacting smoke-free policy.

    Original languageEnglish
    Pages (from-to)465-474
    Number of pages10
    JournalInternational Journal of Social Psychiatry
    Volume61
    Issue number5
    Early online date2014
    DOIs
    Publication statusPublished - 28 Aug 2015

    Keywords

    • implementation
    • mental health
    • psychiatric inpatient
    • Smoke-free policy

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