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J Public Health (Oxf). 2006 Sep;28(3):192-6. Epub 2006 Jun 29.

A survey of staff attitudes to smoking-related policy and intervention in psychiatric and general health care settings.

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  • 1Department of Mental Health-Addictive Behaviour, St George's, University of London, Cranmer Terrace, London SW17 0RE, UK.

Abstract

BACKGROUND:

Although the move to smoke-free hospital settings is generally a popular initiative, it may be a more challenging and controversial issue in mental health care. A survey was carried out to investigate differences in attitudes between clinical staff in psychiatric and general medical settings to smoke-free policy and intervention.

METHOD:

The sample comprised 2574 NHS staff working in two Acute Hospital Trusts and one Mental Health Trust in England. Attitudes were examined on two factors: health care settings as smoke-free environments and the role of staff in stop smoking intervention.

RESULTS:

The findings indicated that attitudes on the two factors were only moderately correlated. Psychiatric staff expressed significantly less favourable attitudes than general staff to smoke-free health care settings and also to the role of staff in stop smoking intervention. The largest difference between the settings concerned the implementation of smoking bans. While approximately 1 in 10 staff in the general setting disagreed with a smoking ban in their wards or clinics, nearly one in three psychiatric staff was against such a ban in their setting.

CONCLUSIONS:

Staff attitudes need to be carefully considered, particularly in psychiatric settings, in attempts to implement smoke-free policies in health care settings.

PMID:
16809790
[PubMed - indexed for MEDLINE]
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