Send to:

Choose Destination
See comment in PubMed Commons below
Policy Polit Nurs Pract. 2009 Aug;10(3):224-32. doi: 10.1177/1527154409346736. Epub 2009 Nov 8.

Barriers and challenges of implementing tobacco control policies in hospitals: applying the institutional analysis and development framework to the Catalan Network of Smoke-Free Hospitals.

Author information

  • 1Institut CatalĂ  d'Oncologia, IDIBELL, L'Hospitalet de Llobregat, Barcelona, Spain.


This article analyzes tobacco control policies in hospitals based on the experience of the Catalan Network of Smoke-Free Hospitals, Spain. The objective is to understand through this case study how tobacco policies are designed and implemented in health care organizations. Because tobacco control is a public health issue, governmental, institutional, and professional involvement is necessary. This article identifies and examines the structure and relationships among the different actors involved in the tobacco control policies in health care organizations using Ostrom's Institutional Analysis and Development framework.This theory helps one understand the policy failures and rethink the future challenges. Critical issues should be reviewed to enhance implementation of smoke-free hospitals-such as assuring the compliance of nonsmoking areas and introducing compulsory tobacco cessation activities that are promoted and monitored by the public administration. The author suggests that relying primarily on an organization's interpretation of rules leads to irregular implementation.

[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for HighWire
    Loading ...
    Write to the Help Desk