- Title
- Implementation of a smoke-free policy in an inpatient psychiatric facility: patient-reported adherence, support, and receipt of nicotine-dependence treatment
- Creator
- Stockings, Emily A.; Bowman, Jenny A.; Wiggers, John H.; Bartlem, Kate M.; McElwaine, Kathleen M.; Baker, Amanda L.; Terry, Margarett; Clancy, Richard; Knight, Jenny; Wye, Paula M.; Colyvas, Kim
- Relation
- International Journal of Mental Health Nursing Vol. 24, Issue 4, p. 342-349
- Publisher Link
- http://dx.doi.org/10.1111/inm.12128
- Publisher
- Wiley-Blackwell Publishing Asia
- Resource Type
- journal article
- Date
- 2015
- Description
- The implementation of smoke-free policies in inpatient psychiatric facilities, including patient adherence, mental health nursing staff support, and provision of nicotine-dependence treatment to patients, has been reported to be poor. The extent to which the quality of smoke-free policy implementation is associated with patient views of a policy is unknown. We conducted a cross-sectional survey of 181 patients (53.6%, n = 97 smokers; and 46.4%, n = 84 non-smokers) in an Australian inpatient psychiatric facility with a total smoke-free policy. Smokers' adherence to the policy was poor (83.5% smoked). Only half (53.6%) perceived staff to be supportive of the policy. Most smokers used nicotine-replacement therapy (75.3%); although few received optimal nicotine-dependence treatment (19.6%). Overall, 45.9% of patients viewed the smoke-free policy in the unit as positive (29.9% smokers; 64.3% non-smokers). For smokers, adhering to the ban, perceiving staff to be supportive, and reporting that the nicotine-replacement therapy reduced cravings to smoke were associated with a more positive view towards the smoke-free policy. These findings support the importance of patient adherence, mental health nursing staff support, and adequate provision of nicotine-dependence treatment in strengthening smoke-free policy implementation in inpatient psychiatric settings.
- Subject
- nicotine dependence; patient acceptance of health care; psychiatric department; smoke-free policy; smoking
- Identifier
- http://hdl.handle.net/1959.13/1321214
- Identifier
- uon:24289
- Identifier
- ISSN:1445-8330
- Rights
- This is the peer reviewed version of the following article: Stockings, Emily A.; Bowman, Jenny A.; Wiggers, John H.; Bartlem, Kate M.; McElwaine, Kathleen M.; Baker, Amanda L.; Terry, Margarett; Clancy, Richard; Knight, Jenny; Wye, Paula M.; Colyvas, Kim “Implementation of a smoke-free policy in an inpatient psychiatric facility: patient-reported adherence, support, and receipt of nicotine-dependence treatment” (2015) International Journal of Mental Health Nursing Vol. 24, Issue 4, p. 342-349, which has been published in final form at http://dx.doi.org/10.1111/inm.12128 This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
- Language
- eng
- Full Text
- Reviewed
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