Health Care Professionals Implementing a Smoke-Free Policy at Inpatient Psychiatric Units

Author:

Grant Lyle G.1,Oliffe John L.2,Johnson Joy L.2,Bottorff Joan L.3

Affiliation:

1. Saskatchewan Institute of Applied Science and Technology, Saskatoon, Saskatchewan, Canada

2. University of British Columbia, Vancouver, British Columbia, Canada

3. University of British Columbia, Okanagan Campus, Kelowna, British Columbia, Canada

Abstract

Smoke-free grounds policies (SFGPs) were introduced to inpatient psychiatric hospital settings to improve health among patients, staff, and visitors. We conducted an ethnographic study in Northern British Columbia, Canada, to describe how the implementation of SFGPs is affected by institutional cultures. Data reported here included participant observation, document review, informal discussions ( n = 11), and interviews with health care professionals (HCPs; n = 19) and staff ( n = 2) at two hospitals. We used iterative and inductive processes to derive thematic findings. Findings related to HCPs illustrate how local contexts and cultural factors affect SFGP implementation. These factors included individual beliefs and attitudes, the influence of group norms, leadership and consensus building, and locale-specific norms. Strong, consultative leadership, in which leaders solicited input from and long-term support of people most directly responsible for policy implementation, was key to success.

Publisher

SAGE Publications

Subject

Public Health, Environmental and Occupational Health

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