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Implementation of a smoke‐free policy in an inpatient psychiatric facility: Patient‐reported adherence, support, and receipt of nicotine‐dependence treatment
Author(s) -
Stockings Emily A.,
Bowman Jenny A.,
Bartlem Kate M.,
McElwaine Kathleen M.,
Baker Amanda L.,
Terry Margarett,
Clancy Richard,
Knight Jenny,
Wye Paula M.,
Colyvas Kim,
Wiggers John H.
Publication year - 2015
Publication title -
international journal of mental health nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.911
H-Index - 54
eISSN - 1447-0349
pISSN - 1445-8330
DOI - 10.1111/inm.12128
Subject(s) - receipt , medicine , nicotine , psychiatry , nicotine dependence , world wide web , computer science
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 A ustralian 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.