Implementation of a campus-wide Irish hospital smoking ban in 2009: prevalence and attitudinal trends among staff and patients in lead up.

Hdl Handle:
http://hdl.handle.net/10147/207628
Title:
Implementation of a campus-wide Irish hospital smoking ban in 2009: prevalence and attitudinal trends among staff and patients in lead up.
Authors:
Fitzpatrick, Patricia; Gilroy, Irene; Doherty, Kirsten; Corradino, Deborah; Daly, Leslie; Clarke, Anna; Kelleher, Cecily C
Affiliation:
Department of Preventive Medicine and Health Promotion, St Vincent's University, Hospital, Elm Park, Dublin 4, Ireland.
Citation:
Health Promot Int. 2009 Sep;24(3):211-22. Epub 2009 Jun 16.
Journal:
Health promotion international
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207628
DOI:
10.1093/heapro/dap020
PubMed ID:
19531558
Abstract:
We report the evidence base that supported the decision to implement the first campus-wide hospital smoking ban in the Republic of Ireland with effect from 1 January 2009. Three separate data sources are utilized; surveillance data collected from patients and staff in 8 surveys between 1997 and 2006, a 1-week observational study to assess smoker behaviour in designated smoking shelters and an attitudinal interview with 28 smoker patients and 30 staff on the implications of the 2004 indoors workplace smoking ban, conducted in 2005. The main outcome measures were trends in prevalence of smoking over time according to age, sex and occupational groups and attitudes to the 2004 ban and a projected outright campus ban. Smoking rates among patients remained steady, 24.2% in 1997/98 and 22.7% in 2006. Staff smoking rates declined from 27.4% to 17.8%, with a strong occupational gradient. Observational evidence suggested a majority of those using smoking shelters in 2005 were women and health-care workers rather than patients. Attitudes of patients and staff were positive towards the 2004 ban, but with some ambivalence on the effectiveness of current arrangements. Staff particularly were concerned with patient safety issues associated with smoking outdoors. The 2004 ban was supported by 87.6% of patients and 81.3% of staff in 2006 and a majority of 58.6% of patients and 52.4% of staff agreed with an outright campus ban being implemented. These findings were persuasive in instigating a process in 2007/08 to go totally smoke-free by 2009, the stages for which are discussed.
Language:
eng
MeSH:
Adult; *Attitude of Health Personnel; Female; Humans; Interviews as Topic; Ireland/epidemiology; Male; Medical Staff, Hospital/*psychology; Middle Aged; Organizational Case Studies; Organizational Policy; Patients/*psychology; Questionnaires; Smoking/*epidemiology
ISSN:
1460-2245 (Electronic); 0957-4824 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorFitzpatrick, Patriciaen_GB
dc.contributor.authorGilroy, Ireneen_GB
dc.contributor.authorDoherty, Kirstenen_GB
dc.contributor.authorCorradino, Deborahen_GB
dc.contributor.authorDaly, Leslieen_GB
dc.contributor.authorClarke, Annaen_GB
dc.contributor.authorKelleher, Cecily Cen_GB
dc.date.accessioned2012-02-01T10:33:18Z-
dc.date.available2012-02-01T10:33:18Z-
dc.date.issued2012-02-01T10:33:18Z-
dc.identifier.citationHealth Promot Int. 2009 Sep;24(3):211-22. Epub 2009 Jun 16.en_GB
dc.identifier.issn1460-2245 (Electronic)en_GB
dc.identifier.issn0957-4824 (Linking)en_GB
dc.identifier.pmid19531558en_GB
dc.identifier.doi10.1093/heapro/dap020en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207628-
dc.description.abstractWe report the evidence base that supported the decision to implement the first campus-wide hospital smoking ban in the Republic of Ireland with effect from 1 January 2009. Three separate data sources are utilized; surveillance data collected from patients and staff in 8 surveys between 1997 and 2006, a 1-week observational study to assess smoker behaviour in designated smoking shelters and an attitudinal interview with 28 smoker patients and 30 staff on the implications of the 2004 indoors workplace smoking ban, conducted in 2005. The main outcome measures were trends in prevalence of smoking over time according to age, sex and occupational groups and attitudes to the 2004 ban and a projected outright campus ban. Smoking rates among patients remained steady, 24.2% in 1997/98 and 22.7% in 2006. Staff smoking rates declined from 27.4% to 17.8%, with a strong occupational gradient. Observational evidence suggested a majority of those using smoking shelters in 2005 were women and health-care workers rather than patients. Attitudes of patients and staff were positive towards the 2004 ban, but with some ambivalence on the effectiveness of current arrangements. Staff particularly were concerned with patient safety issues associated with smoking outdoors. The 2004 ban was supported by 87.6% of patients and 81.3% of staff in 2006 and a majority of 58.6% of patients and 52.4% of staff agreed with an outright campus ban being implemented. These findings were persuasive in instigating a process in 2007/08 to go totally smoke-free by 2009, the stages for which are discussed.en_GB
dc.language.isoengen_GB
dc.subject.meshAdulten_GB
dc.subject.mesh*Attitude of Health Personnelen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHumansen_GB
dc.subject.meshInterviews as Topicen_GB
dc.subject.meshIreland/epidemiologyen_GB
dc.subject.meshMaleen_GB
dc.subject.meshMedical Staff, Hospital/*psychologyen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.meshOrganizational Case Studiesen_GB
dc.subject.meshOrganizational Policyen_GB
dc.subject.meshPatients/*psychologyen_GB
dc.subject.meshQuestionnairesen_GB
dc.subject.meshSmoking/*epidemiologyen_GB
dc.titleImplementation of a campus-wide Irish hospital smoking ban in 2009: prevalence and attitudinal trends among staff and patients in lead up.en_GB
dc.contributor.departmentDepartment of Preventive Medicine and Health Promotion, St Vincent's University, Hospital, Elm Park, Dublin 4, Ireland.en_GB
dc.identifier.journalHealth promotion internationalen_GB
dc.description.provinceLeinster-
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