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Hospital Smoke-Free Policy: Compliance, Enforcement, and Practices. A Staff Survey in Two Large Public Hospitals in Australia

Author

Listed:
  • Sam McCrabb

    (School of Medicine and Public Health, Faculty of Health and Medicine, University of Newcastle, Callaghan, New South Wales 2308, Australia)

  • Amanda L. Baker

    (School of Medicine and Public Health, Faculty of Health and Medicine, University of Newcastle, Callaghan, New South Wales 2308, Australia)

  • John Attia

    (School of Medicine and Public Health, Faculty of Health and Medicine, University of Newcastle, Callaghan, New South Wales 2308, Australia
    Hunter Medical Research Institute, University of Newcastle, New Lambton, New South Wales 2305, Australia
    Department of General Medicine, John Hunter Hospital, New Lambton Heights, New South Wales 2305, Australia)

  • Zsolt J. Balogh

    (School of Medicine and Public Health, Faculty of Health and Medicine, University of Newcastle, Callaghan, New South Wales 2308, Australia
    Department of Traumatology, John Hunter Hospital, New Lambton Heights, New South Wales 2305, Australia)

  • Natalie Lott

    (Department of Traumatology, John Hunter Hospital, New Lambton Heights, New South Wales 2305, Australia)

  • Kerrin Palazzi

    (Hunter Medical Research Institute, University of Newcastle, New Lambton, New South Wales 2305, Australia)

  • Justine Naylor

    (Whitlam Orthopaedic Research Centre, Ingham Institute for Applied Medical Research, Liverpool Hospital, Liverpool, New South Wales 2170, Australia
    South Western Sydney Clinical School, Faculty of Medicine, University of New South Wales, Liverpool, New South Wales 2170, Australia)

  • Ian A. Harris

    (Whitlam Orthopaedic Research Centre, Ingham Institute for Applied Medical Research, Liverpool Hospital, Liverpool, New South Wales 2170, Australia
    South Western Sydney Clinical School, Faculty of Medicine, University of New South Wales, Liverpool, New South Wales 2170, Australia)

  • Christopher M. Doran

    (School of Human, Health and Social Sciences, Central Queensland University, Brisbane, Queensland 4000, Australia)

  • Johnson George

    (Centre for Medicine Use and Safety, Monash University, Melbourne, Victoria 3052, Australia
    Hunter New England Population Health, Wallsend, New South Wales 2287, Australia)

  • Luke Wolfenden

    (School of Medicine and Public Health, Faculty of Health and Medicine, University of Newcastle, Callaghan, New South Wales 2308, Australia
    Hunter New England Population Health, Wallsend, New South Wales 2287, Australia)

  • Eliza Skelton

    (School of Medicine and Public Health, Faculty of Health and Medicine, University of Newcastle, Callaghan, New South Wales 2308, Australia)

  • Billie Bonevski

    (School of Medicine and Public Health, Faculty of Health and Medicine, University of Newcastle, Callaghan, New South Wales 2308, Australia)

Abstract

Background: Smoke-free hospital policies are becoming increasingly common to promote good health and quit attempts among patients who smoke. This study aims to assess: staff perceived enforcement and compliance with smoke-free policy; the current provision of smoking cessation care; and the characteristics of staff most likely to report provision of care to patients. Methods: An online cross-sectional survey of medical, nursing, and allied staff from two Australian public hospitals was conducted. Staff report of: patient and staff compliance with smoke-free policy; perceived policy enforcement; the provision of the 5As for smoking cessation (Ask, Assess, Advise, Assist, and Arrange follow-up); and the provision of stop-smoking medication are described. Logistic regressions were used to determine respondent characteristics related to the provision of the 5As and stop-smoking medication use during hospital admission. Results: A total of 805 respondents participated. Self-reported enforcement of smoke-free policy was low (60.9%), together with compliance for both patients (12.9%) and staff (23.6%). The provision of smoking cessation care was variable, with the delivery of the 5As ranging from 74.7% (ask) to 18.1% (arrange follow-up). Medical staff (odds ratio (OR) = 2.09, CI = 1.13, 3.85, p = 0.018) and full time employees (OR = 2.03, CI = 1.06, 3.89, p = 0.033) were more likely to provide smoking cessation care always/most of the time. Stop-smoking medication provision decreased with increasing age of staff (OR = 0.98, CI = 0.96, 0.99, p = 0.008). Conclusions: Smoke-free policy enforcement and compliance and the provision of smoking cessation care remains low in hospitals. Efforts to improve smoking cessation delivery by clinical staff are warranted.

Suggested Citation

  • Sam McCrabb & Amanda L. Baker & John Attia & Zsolt J. Balogh & Natalie Lott & Kerrin Palazzi & Justine Naylor & Ian A. Harris & Christopher M. Doran & Johnson George & Luke Wolfenden & Eliza Skelton &, 2017. "Hospital Smoke-Free Policy: Compliance, Enforcement, and Practices. A Staff Survey in Two Large Public Hospitals in Australia," IJERPH, MDPI, vol. 14(11), pages 1-12, November.
  • Handle: RePEc:gam:jijerp:v:14:y:2017:i:11:p:1358-:d:118101
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    References listed on IDEAS

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    1. Richter, K.P. & Gibson, C.A. & Ahluwalia, J.S. & Schmelzle, K.H., 2001. "Tobacco use and quit attempts among methadone maintenance clients," American Journal of Public Health, American Public Health Association, vol. 91(2), pages 296-299.
    2. I-Chuan Li & Shoou-Yih D. Lee & Chiu-Yen Chen & Yu-Qian Jeng & Yu-Chi Chen, 2014. "Facilitators and Barriers to Effective Smoking Cessation: Counselling Services for Inpatients from Nurse-Counsellors’ Perspectives — A Qualitative Study," IJERPH, MDPI, vol. 11(5), pages 1-17, May.
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    Cited by:

    1. Olivia Wynne & Ashleigh Guillaumier & Laura Twyman & Sam McCrabb & Alexandra M. J. Denham & Christine Paul & Amanda L. Baker & Billie Bonevski, 2018. "Signs, Fines and Compliance Officers: A Systematic Review of Strategies for Enforcing Smoke-Free Policy," IJERPH, MDPI, vol. 15(7), pages 1-14, July.
    2. Olivia Wynne & Billie Bonevski, 2018. "Developments in the Research Base on Reducing Exposure to Second-Hand Smoke," IJERPH, MDPI, vol. 15(9), pages 1-4, August.

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